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Clinical and biochemical effects of diode laser as an adjunct to nonsurgical treatment of chronic periodontitis: a randomized, controlled clinical trial

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Abstract

The aim of this randomized, parallel, controlled clinical trial was to examine the clinical and biochemical efficacy of diode laser as an adjunct to scaling and root planing (SRP). Thirty chronic periodontitis patients were randomly assigned into two groups to receive SRP alone (control) or SRP followed by diode laser (test). Plaque index, gingival index, bleeding on probing, probing depth, and clinical attachment level were measured at baseline and at 1, 3, and 6 months after treatment. The gingival crevicular fluid levels of interleukin-1β (IL-1β), interleukin-6 (IL-6), interleukin-8 (IL-8), matrix metalloproteinase-1 (MMP-1), matrix metalloproteinase-8 (MMP-8) and tissue inhibitor matrix metalloproteinase-1 (TIMP-1) were analyzed by enzyme-linked immunosorbent assay. Test group showed significantly a better outcome compared to the control group in full-mouth clinical parameters. MMP-1, MMP-8, and TIMP-1 showed significant differences between groups after treatment compared to baseline (p < 0.05). The total amount of IL-1β, IL-6, MMP-1, MMP-8, and TIMP-1 decreased (p < 0.05) and IL-8 increased after treatment in both test and control groups (p < 0.05). Diode laser provided significant improvements in clinical parameters and MMP-8 was significantly impacted by the adjunctive laser treatment at first month providing an insight to how lasers can enhance the outcomes of the nonsurgical periodontal therapy.

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Authors and Affiliations

  1. Faculty of Dentistry, Department of Periodontology, Izmir Katip Celebi University, Izmir, Turkey

    Mehmet Saglam

  2. Forsyth Institute, Boston, USA

    Alpdogan Kantarci

  3. Research Center of Faculty of Dentistry, Selcuk University, Konya, Turkey

    Niyazi Dundar

  4. Faculty of Dentistry, Department of Periodontology, Selcuk University, Konya, Turkey

    Mehmet Saglam & Sema S. Hakki

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  1. Mehmet Saglam
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  2. Alpdogan Kantarci
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  4. Sema S. Hakki
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Correspondence to Mehmet Saglam.

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This study was supported by the Scientific Research Coordination Office of Selcuk University, Konya, Turkey and The Scientific and Technological Research Council of Turkey (TUBITAK/SBAG-110S502). The authors report no conflicts of interest related to this study.

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Saglam, M., Kantarci, A., Dundar, N. et al. Clinical and biochemical effects of diode laser as an adjunct to nonsurgical treatment of chronic periodontitis: a randomized, controlled clinical trial. Lasers Med Sci 29, 37–46 (2014). https://doi.org/10.1007/s10103-012-1230-0

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  • DOI: https://doi.org/10.1007/s10103-012-1230-0

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