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Non-surgical periodontal therapy assisted by potassium–titanyl–phosphate laser: a pilot study

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Abstract

As the American Academy of Periodontology indicates, the treatment of chronic periodontitis should be achieved in the least invasive manner through non-surgical periodontal therapy. However, complete removal of subgingival plaque and calculus is hindered with increasing probing depth (PD) and furcation involvement using hand, sonic or ultrasonic instruments. Many authors have suggested that the use of laser as an adjunct to scaling and root planing (SRP) might improve the effectiveness of conventional periodontal treatment. The aim of this study was to evaluate potassium–titanyl–phosphate (KTP) laser in non-surgical periodontal therapy. Seven hundred and thirty sites with probing depths of 4–6 mm were involved in the study. The sites were divided into four groups: control (SRP, chlorhexidine gel 0.5%), group A (SRP, chlorhexidine gel 0.5%, three sessions of KTP laser irradiation); group B (SRP, three sessions of KTP laser irradiation) and group C (SRP, irrigation with povidone-iodine 10%, three sessions of KTP laser irradiation). KTP laser was used with the following parameters: output power 0.6 W, time on 10 ms, time off 50 ms, 30 s per irradiation, fluence 19 J/cm2. All the sites showed improvement in all clinical parameters. Clinical attachment loss (CAL), pocket probing depths (PPDs) and bleeding on probing (BOP), especially in the lased groups, showed significant results (P < 0.001). Our experience showed KTP laser to be a significant help in SRP; nevertheless, more studies are necessary to confirm our results.

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References

  1. Kinane DF, Attstrom R, European Workshop in Periodontology group B (2005) Advances in pathogenesis of periodontitis. Group B consensus report of the fifth European Workshop in Periodontology. J Clin Periodontol 32:130–131

    Article  PubMed  Google Scholar 

  2. Karlsson MR, Diogo Löfgren C, Jansson HM (2008) The effect of laser therapy as an adjunct to non-surgical periodontal treatment in subjects with chronic periodontitis: a systematic review. J Periodontol 79:2021–2028

    Article  PubMed  Google Scholar 

  3. American Academy of Periodontology. Periodontal procedures. Available at http://www.perio.org/consumer/procedures.htm. Accessed 16 January 2009

  4. Arabaci T, Çiçek Y, Çanakçi CF (2007) Sonic and ultrasonic scalers in periodontal treatment: a review. Int J Hyg 5:2–12

    Article  CAS  Google Scholar 

  5. Hunter RK, O’Leary TJ, Kafrawy AH (1984) The effectiveness of hand versus ultrasonic instrumentation in open flap root planing. J Periodontol 55:697–703

    CAS  PubMed  Google Scholar 

  6. Bonito AJ, Lux L, Lohr KN (2005) Impact of local adjuncts to scaling and root planing in periodontal disease therapy: a systematic review. J Periodontol 76:1227–1236

    Article  PubMed  Google Scholar 

  7. Braun A, Dehn C, Krause F, Jepsen S (2008) Short clinical effects of adjunctive antimicrobial photodynamic therapy in periodontal treatment a randomized clinical trial. J Clin Periodontol 35:877–884

    Article  CAS  PubMed  Google Scholar 

  8. Aoki A, Saski KM, Watanabe H, Ishikawa I (2004) Lasers in nonsurgical periodontal therapy. Periodontol 36:59–97.

    Google Scholar 

  9. Todea Colojoara C, Miron M (2003) Comparative study of two treatment procedures in periodontitis: Nd:YAG laser with biodegradable chlorhexidine chip (CHX) and manual curettage with CHX. Int Congr Ser 1248:347–351

    Article  Google Scholar 

  10. Sennhenn-Kirchner S, Klaue S, Wolff N, Mergeryan H, Borg von Zepelin M, Jacobs HG (2007) Decontamination of rough titanium surfaces with diode lasers: microbiological findings on in vivo grown biofilms. Clin Oral Implants Res 18:126–132

    Article  PubMed  Google Scholar 

  11. Sasaki KM, Aoki A, Ichinose S, Ishikawa I (2002) Morphological analysis of cementum and root dentin after Er:YAG laser irradiation. Lasers Surg Med 31:79–85

    Article  PubMed  Google Scholar 

  12. Kojima T, Shimada K, Iwasaki H, Ito K (2005) Inhibitory effects of a super pulsed carbon dioxide laser at low energy density on periodontopathic bacteria and lipopolysaccharide in vitro. J Periodontal Res 40:469–473

    Article  CAS  PubMed  Google Scholar 

  13. Lobene RR, Bhussry BR, Fine S (1968) Interaction of carbon dioxide laser radiation with enamel and dentin. J Dent Res 47:311–317

    CAS  PubMed  Google Scholar 

  14. Tucker D, Cobb CM, Rapley JW, Killoy WJ (1996) Morphologic changes following in vitro CO2 laser treatment of calculus-ladened root surfaces. Lasers Surg Med 18:150–156

    Article  CAS  PubMed  Google Scholar 

  15. Aoki A, Miura M, Akiyama F, Nakagawa N, Tanaka J, Oda S, Watanabe H, Ishikawa I (2000) In vitro evaluation of Er:YAG laser scaling of subgingival calculus in comparison with ultrasonic scaling. J Periodontal Res 35:266–277

    Article  CAS  PubMed  Google Scholar 

  16. Morlock BJ, Pippin DJ, Cobb CM, Killoy WJ, Rapley JW (1992) The effect of Nd:YAG laser exposure on root surface when used as an adjunct to root planing: an in vitro study. J Periodontol 63:637–641

    CAS  PubMed  Google Scholar 

  17. Ben Hatit Y, Blum R, Severin C, Maquin M, Jabro MH (1996) The effect of a pulsed Nd:YAG laser on subgingival bacterial flora and on cementum: an in vivo study. J Clin Laser Med Surg 14:137–143

    CAS  PubMed  Google Scholar 

  18. Chilà A, Possenti A, Palaia G, Ripari A, Romeo U, Gambarini G, Moroni C, Tarsitani G, Petti S (2003) Antimicrobial activity of Nd:YAG laser in endodontics. J Dent Res 82:184 no. 1378

    Google Scholar 

  19. Roncati M, Concon E, Botti RH, Romeo U, Calura G (2007) Non surgical diode laser-assisted periodontal instrumentation: a clinical study. Doctor Laser 3:53–61

    Google Scholar 

  20. Moritz A, Schoop U, Goharkhay K, Schauer P, Doertbudak O, Wernisch J, Sperr W (1998) Treatment of periodontal pockets with a diode laser. Lasers Surg Med 22:302–311

    Article  CAS  PubMed  Google Scholar 

  21. Kreisler M, Al-Haj H, D’Hoedt B (2002) Intrapulpal temperature changes during root surface irradiation with an 809-nm GaAIAs laser. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:730–773

    Article  PubMed  Google Scholar 

  22. Gamache FW, Patterson RH (1990) The use of the potassium titanyl phosphate (KTP) laser in neurosurgery. Neurosurgery 26:1010–1014

    Article  PubMed  Google Scholar 

  23. Taylor JG, Disario JA, Bjorkman DJ (2000) KTP laser therapy for bleeding from chronic radiation proctopathy. Gastrointest Endosc 52:353–357

    Article  CAS  PubMed  Google Scholar 

  24. Kulick MI (1996) Evaluation of KTP 532 laser in aesthetic facial surgery. Aesthet Plast Surg 20:53–57

    Google Scholar 

  25. Zhang C, Wang X, Kinoshita JI, Zhao B, Toko T, Kimura Y, Matsumoto K (2007) Effects of KTP laser irradiation, diode laser, and LED on tooth bleaching: a comparative study. Photomed Laser Surg 25:91–95

    Google Scholar 

  26. Kuzekanani M, Walsh LJ (2009) Quantitative analysis of KTP laser photodynamic bleaching of tetracycline-discolored teeth. Photomed Laser Surg 27:521–525

    Article  CAS  PubMed  Google Scholar 

  27. Nammour S, Kowaly K, Powell L, Van Reck J, Rocca JP (2004) External temperature during KTP-Nd:YAG laser irradiation in root canals: an in vitro study. Lasers Med Sci 19:27–32

    Article  CAS  PubMed  Google Scholar 

  28. Nammour S, Rocca JP, Keiani K, Balestra C, Snoeck T, Powell L, Van Reck J (2005) Pulpal and periodontal temperature rise during KTP laser use as a root planing complement in vitro. Photomed Laser Surg 23:10–14

    Article  CAS  PubMed  Google Scholar 

  29. Cobb CM (2006) Lasers in periodontics: a review of the literature. J Periodontol 77:545–564

    Article  CAS  PubMed  Google Scholar 

  30. Schwarz F, Aoki A, Becker J, Sculean A (2008) Laser application in non surgical periodontal therapy: a systematic review. J Clin Periodontol 35:29–44

    Article  PubMed  Google Scholar 

  31. Kreisler M, Al Haj H, D’Hoedt B (2005) Clinical efficacy of semiconductor laser application as an adjunct to conventional scaling and root planing. Lasers Surg Med 37:350–355

    Article  PubMed  Google Scholar 

  32. Cobb CM (1996) Non-surgical pocket therapy: mechanical. Ann Periodontol 1:443–490

    CAS  PubMed  Google Scholar 

  33. Cobb CM (2002) Clinical significance of non-surgical periodontal therapy: an evidence-based perspective of scaling and root planing. J Clin Periodontol 29:6–16

    Article  PubMed  Google Scholar 

  34. Schwarz F, Becker J (2005) Treatment of periodontitis and peri-implantitis with an Er:YAG laser: experimental and clinical studies. Med Laser Appl 20:47–59

    Article  Google Scholar 

  35. Schoop U, Kluger W, Dervisbegovic S, Goharkhay K, Wernisch J, Georgopoluos A, Sperr W, Moritz A (2006) Innovative wavelengths in endodontic treatment. Lasers Surg Med 38:624–630

    Article  PubMed  Google Scholar 

  36. Castro GL, Gallas M, Nunez IR, Borrajo JLL, Garciavarela L (2006) Histological evaluation of the use of diode laser as an adjunct to traditional periodontal treatment. Photomed Laser Surg 24:64–68

    Article  PubMed  Google Scholar 

  37. Schwarz F, Sculean A, Berakdar M, Szathmari L, Georg T, Becker J (2003) In vivo and in vitro effects of an Er:YAG laser a GaAIAs diode laser, and scaling and root planing on periodontally diseased root surfaces: a comparative histologic study. Lasers Surg Med 32:359–366

    Article  PubMed  Google Scholar 

  38. Van der Weijden GA, Timmerman MF (2002) A systematic review on the clinical efficacy of subgingival debridement in the treatment of chronic periodontitis. J Clin Periodontol 29:55–71

    Article  PubMed  Google Scholar 

  39. Machida T, Wilder-Smith P, Arrastia AM, Liaw LH, Berns MW (1995) Root canal preparation using the second harmonic KTP:YAG laser: a thermographic and scanning electron microscopic study. J Endod 21:88–89

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Dental Sciences, School of Dentistry, Sapienza University of Rome, Rome, Italy

    Umberto Romeo, Gaspare Palaia, Ricciarda Botti, Valentina Leone & Antonella Polimeni

  2. Laser Technology and Oral Environment Laboratory, UFRO, University of Nice, Nice, France

    Jean-Paul Rocca

  3. Centre Hospitalier Universitaire de Nice (CHU St Roch), Nice, France

    Jean-Paul Rocca

  4. Via Della Brianza 13, 00162, Rome, Italy

    Umberto Romeo

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  1. Umberto Romeo
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  2. Gaspare Palaia
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  3. Ricciarda Botti
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  4. Valentina Leone
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  5. Jean-Paul Rocca
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  6. Antonella Polimeni
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Correspondence to Umberto Romeo.

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Romeo, U., Palaia, G., Botti, R. et al. Non-surgical periodontal therapy assisted by potassium–titanyl–phosphate laser: a pilot study. Lasers Med Sci 25, 891–899 (2010). https://doi.org/10.1007/s10103-009-0738-4

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  • DOI: https://doi.org/10.1007/s10103-009-0738-4

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