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Photobiomodulation for the treatment of periodontal pockets in patients with type 2 diabetes: 1-year results of a randomized clinical trial

Lasers in Medical Science volume 34, pages 1897–1904 (2019)Cite this article

Abstract

This study investigated the local effect of photobiomodulation (PBM) for the treatment of periodontal pockets in patients with periodontitis and type 2 diabetes. Thirty-eight periodontal pockets presenting probing depth (PD) and clinical attachment level (CAL) ≥ 5 mm were selected from 19 patients (two pockets/patient). The selected periodontal pockets were randomly assigned to receive mechanical debridement only (control group) or mechanical debridement with PBM (PBM group). Clinical measures, such as PD, CAL, bleeding on probing (BoP), and presence of supragingival biofilm (PI), were collected and compared at baseline, 3, 6, and 12 months. After 12 months, no statistically difference was observed for mean PD and mean CAL when control and PBM groups were compared. The frequency of pockets with PD 5–6 mm was significantly lower for the PBM group at 6 months when compared to the control group. Pockets with PD ≥ 7 mm changed significantly between baseline and 3, 6, and 12 months for the PBM group, while for the control group, statistical significance was only observed between baseline and 6 months. The PBM protocol used in this study did not provide significant changes for PD and CAL in periodontal pockets when compared to mechanical therapy only. However, PBM was more effective in reducing the percentage of moderate periodontal pockets at 6 months in patients with type 2 DM.

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Affiliations

  1. São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos, Department of Diagnosis and Surgery, Division of Periodontics, São José dos Campos, SP, Brazil

    Nídia Castro dos Santos, Naira M. R. B. Andere, Manuela Maria Viana Miguel, Lúcio Murilo dos Santos, Ingrid Fernandes Mathias, Maria Aparecida Neves Jardini & Mauro Pedrine Santamaria

  2. University of Araras (Uniararas), Dental School, Department of Orthodontics, Araras, SP, Brazil

    Milton Santamaria Jr

Authors
  1. Nídia Castro dos Santos
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  2. Naira M. R. B. Andere
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  3. Manuela Maria Viana Miguel
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  4. Lúcio Murilo dos Santos
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  5. Milton Santamaria Jr
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  6. Ingrid Fernandes Mathias
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  7. Maria Aparecida Neves Jardini
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  8. Mauro Pedrine Santamaria
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Correspondence to Mauro Pedrine Santamaria.

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Castro dos Santos, N., Andere, N.M.R.B., Miguel, M.M.V. et al. Photobiomodulation for the treatment of periodontal pockets in patients with type 2 diabetes: 1-year results of a randomized clinical trial. Lasers Med Sci 34, 1897–1904 (2019). https://doi.org/10.1007/s10103-019-02799-0

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  • DOI: https://doi.org/10.1007/s10103-019-02799-0

Keywords

  • Diabetes mellitus
  • Periodontitis
  • Photobiomodulation
  • Low-level laser therapy
  • Periodontal pockets