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Comparing the efficiency of Er,Cr:YSGG laser and diode laser for the treatment of generalized aggressive periodontitis

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Abstract

Background

This study aims to determine the effects of Er,Cr:YSGG and diode laser treatments on IL-1β, IL-8, and TNF-α levels in patients with generalized aggressive periodontitis.

Methods

Twenty-six generalized aggressive periodontitis patients were enrolled in the study. We performed three treatment models: “scaling and root planning (SRP-only),” “SRP + Er,Cr:YSGG laser,” and “SRP + diode laser.” Each experimental quadrant was randomly allocated to the control group or the test group. The IL-1β, IL-8, and TNF-α levels were analyzed with an enzyme-linked immune-sorbent assay.

Results

When the baseline and post-treatment IL-1β, IL-8, and TNF-α levels were compared, the most significant difference was observed in the SRP + Er,Cr:YSGG group and the least difference was observed in the SRP-only group.

Conclusions

The use of Er,Cr:YSGG laser as an addition to the conventional mechanical periodontal treatment was found to be more successful than the diode laser + SRP use in aggressive periodontitis treatment.

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References

  1. Kinane DF, Attstrom R (2005) Advances in the pathogenesis of periodontitiss. Group B consensus report of the fifth European workshop in periodontology. J Clin Periodontol 32(6):130–131

  2. Rogers JE, Li F, Coatney DD et al (2007) Actinobacillus actinomycetemcomitans lipopolysaccharide-mediated experimental bone loss model for aggressive periodontitis. J Periodontol 78(3):550–558

    Article  CAS  Google Scholar 

  3. Okada H, Murakami S (1998) Cytokine expression in periodontal health and disease. Crit Rev Oral Biol Med 9(3):248–266

    Article  CAS  Google Scholar 

  4. Lindhe J (2003) Regenerative periodontal therapy. Clinical Periodontology and Implant Dentistry, 4th edn. CPH 652–683

  5. Carranza F, Takei H (2002) Bone loss and patterns of bone destruction. Carranza’s Clin Periodontol 10th Edn:452–466

  6. Tonetti MS, Greenwell H, Kornman KS (2018) Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Periodontol 89:159–172

    Article  Google Scholar 

  7. Socransky SS, Haffajee AD (1993) Effect of therapy on periodontal ınfections. J Periodontol 64(8):754–759

    Article  CAS  Google Scholar 

  8. Newman M, Takei H, Klokkevold P (2006) Phase I periodontal therapy. Carranza’s Clin Periodontol 10th Edn:722–728

  9. Christersson LA, Albini B, Zambon JJ et al (1987) Tissue localization of Actinobacillus actinomycetemcomitans in human periodontitis. J Periodontol 58(8):529–539

    Article  CAS  Google Scholar 

  10. Feres M, Haffajee AD, Allard K et al (2001) Change in subgingival microbial profiles in adult periodontitis subjects receiving either systemically-administered amoxicillin or metronidazole. J Clin Periodontol 28(7):597–609

    Article  CAS  Google Scholar 

  11. Cobb CM, Low SB, Coluzzi DJ (2010) Lasers and the treatment of chronic periodontitis. Dent Clin N Am 54(1):35–53

    Article  Google Scholar 

  12. Kumar G, Rehman F, Chaturvedy V (2017) Soft tissue applications of Er, Cr: YSGG laser in pediatric dentistry. Int J Clin Pediatr Dent 10(2):188–192

    Article  Google Scholar 

  13. Aoki A, Mizutani K, Schwarz F et al (2015) Periodontal and peri-implant wound healing following laser therapy. Periodontol 2000 68(1):217–269

    Article  Google Scholar 

  14. Ishikawa I, Aoki A, Takasaki AA et al (2009) Application of lasers in periodontics: true innovation or myth? Periodontol 2000 50:90–126

    Article  Google Scholar 

  15. Talmac AC, Calisir M, Eroglu EG et al (2019) Effects of Er, Cr:YSGG and diode lasers on clinical parameters and gingival crevicular fluid IL-1β and IL-37 levels in generalized aggressive periodontitis. Mediators Inflamm. https://doi.org/10.1155/2019/2780794

    Article  PubMed  PubMed Central  Google Scholar 

  16. Fentoğlu Ö, Köroğlu BK, Hiçyılmaz H et al (2011) Pro-inflammatory cytokine levels in association between periodontal disease and hyperlipidaemia. J Clin Periodontol 38(1):8–16

    Article  Google Scholar 

  17. Birkedal-Hansen H (1993) Role of cytokines and inflammatory mediators in tissue destruction. J Periodontal Res 28(6Pt2): 500–510

  18. Uitto VJ, Overall CM, McCulloch C (2003) Proteolytic host cell enzymes in gingival crevice fluid. Periodontol 2000(31):77–104

    Article  Google Scholar 

  19. Bastos MF, Lima JA, Vieira PM et al (2009) TNF-alpha and IL-4 levels in generalized aggressive periodontitis subjects. Oral Dis 15(1):82–87

    Article  CAS  Google Scholar 

  20. Dongari-Bagtzoglou AI, Ebersole JL (1998) Increased presence of interleukin-6 (IL-6) and IL-8 secreting fibroblast subpopulations in adult periodontitis. J Periodontol 69(8):899–910

    Article  CAS  Google Scholar 

  21. Ishihara Y, Nishihara T, Kuroyanagi T et al (1997) Gingival crevicular interleukin-1 and interleukin-1 receptor antagonist levels in periodontally healthy and diseased sites. J Periodontal Res 32(6):524–529

    Article  CAS  Google Scholar 

  22. Caton JG, Armitage G, Burglundh T et al (2018) A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classification. J Clin Periodontol 45:1–8

    Article  Google Scholar 

  23. Löe H (1967) The gingival ındex, the plaque ındex and the retention ındex systems. J Periodontol 38(6):610–616

    Article  Google Scholar 

  24. Araujo MWB, Hovey KM, Benedek JR et al (2003) Reproducibility of probing depth measurements using a constant-force electronic probe: analysis of ınter- and ıntraexaminer variability. J Periodontol 74(12):1736–1740

    Article  Google Scholar 

  25. Kamma JJ, Vasdekis VGS, Romanos GE (2009) The effect of diode laser (980 nm) treatment on aggressive periodontitis: Evaluation of microbial and clinical parameters. Photomed Laser Surg 27(1):11–19

    Article  Google Scholar 

  26. Hakki SS, Berk G, Dundar N (2010) Effects of root planing procedures with hand instrument or erbium, chromium:yttrium-scandium-gallium-garnet laser irradiation on the root surfaces: a comparative scanning electron microscopy study. Lasers Med Sci 25(3):345–353

    Article  Google Scholar 

  27. Ertugrul AS, Tekin Y, Talmac AC (2017) Comparing the efficiency of Er, Cr:YSGG laser and diode laser on human β-defensin-1 and IL-1β levels during the treatment of generalized aggressive periodontitis and chronic periodontitis. J Cosmet Laser Ther 19(7):409–417

    Article  Google Scholar 

  28. Guerrero A, Griffiths GS, Nibali L et al (2005) Adjunctive benefits of systemic amoxicillin and metronidazole in non-surgical treatment of generalized aggressive periodontitis: a randomized placebo-controlled clinical trial. J Clin Periodontol 32(10):1096–1107

    Article  CAS  Google Scholar 

  29. Tonetti MS, Greenwell H, Kornman KS (2018) Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Clin Periodontol 45(20):S149–S161

    Article  Google Scholar 

  30. Cobb CM (2002) Clinical significance of non-surgical periodontal therapy: an evidence-based perspective of scaling and root planing. J Clin Periodontol 29(2):22–32

    Article  Google Scholar 

  31. Saglie FR, Marfany A, Camargo P (1988) Intragingival occurrence of Actinobacillus actinomycetemcomitans and Bacteroides gingivalis in active destructive periodontal lesions. J Periodontol 59(4):259–265

    Article  CAS  Google Scholar 

  32. Mummolo S, Marchetti E, Di Martino S (2008) Aggressive periodontitis: laser Nd:YAG treatment versus conventional surgical therapy. Eur J Paediatr Dent 9(2):88–92

    CAS  PubMed  Google Scholar 

  33. Matsumoto K, Hossain M, Iqbal Hossain MM (2002) Clinical assessment of Er, Cr:YSGG laser application for cavity preparation. J Clin Laser Med Surg 20(1):17–21

    Article  Google Scholar 

  34. Gutknecht N, Van Betteray C, Ozturan S (2015) Laser supported reduction of specific microorganisms in the periodontal pocket with the aid of an Er,Cr:YSGG Laser: a pilot study. Sci World J 2015

  35. Kelbauskiene S, Maciulskiene V (2007) A pilot study of Er, Cr:YSGG laser therapy used as an adjunct to scaling and root planing in patients with early and moderate periodontitis. Stomatologija 9(1):21–26

    PubMed  Google Scholar 

  36. Roshna T, Nandakumar K (2012) Generalized aggressive periodontitis and its treatment options: case reports and review of the literature. Case Rep Med

  37. Shah C, Modi B, Budhiraja S (2013) A short term comparative clinical evaluation of diode laser and hand ınstruments for gingival curettage. Adv Hum Biol 3(1):37–42

    CAS  Google Scholar 

  38. Dukić W, Bago I, Aurer A (2013) Clinical effectiveness of diode laser therapy as an adjunct to non-surgical periodontal treatment: a randomized clinical study. J Periodontol 84(8):1111–1117

    Article  Google Scholar 

  39. Ozmeric N (2004) Advances in periodontal disease markers. Clin Chim Acta 343:1–16

    Article  CAS  Google Scholar 

  40. Barros SP, Williams R (2000) Offenbacher S (2016) Gingival crevicular fluid as a source of biomarkers for periodontitis. Periodontology 70(1):53–64

    Article  Google Scholar 

  41. Kjeldsen M, Holmstrup P, Bendtzen K (1993) Marginal periodontitis and cytokines: a review of the literature. J Periodontol 64(11):1013–1022

    Article  CAS  Google Scholar 

  42. Soga Y, Nishimura F, Ohyama H et al (2003) Tumor necrosis factor-alpha gene (TNF-α) -1031/ -863, -857 single-nucleotide polymorphisms (SNPs) are associated with severe adult periodontitis in Japanese. J Clin Periodontol 30(6):524–531

    Article  CAS  Google Scholar 

  43. Teles R, Sakellari D, Teles F et al (2010) Relationships among gingival crevicular fluid biomarkers, clinical parameters of periodontal disease, and the subgingival microbiota. J Periodontol 81(1):89–98

    Article  CAS  Google Scholar 

  44. Giannopoulou C, Cappuyns I, Cancela J et al (2012) Effect of photodynamic therapy, diode laser, and deep scaling on cytokine and acute-phase protein levels in gingival crevicular fluid of residual periodontal pockets. J Periodontol 83(8):1018–1027

    Article  CAS  Google Scholar 

  45. Saglam M, Kantarci A, Dundar N et al (2014) 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(1):37–46

    Article  Google Scholar 

Download references

Acknowledgements

Dr. Talmac wants to thank the Scientific Research Projects Department of Van Yuzuncu Yil University for its valuable contribution. Project no: 2014-SBE-D016.

Funding

This study was funded by the authors and Van Yuzuncu Yil University, Turkey (Project No. 2014-SBE-D016).

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Correspondence to Ahmet Cemil Talmac.

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Ethics approval

All procedures in this study were approved by the Human Ethics Research Committee of Yuzuncu Yil University (no. B.30.2.YYU.0.01.00.00/44–100,912, Clinical trial serial number: NCT03034824).

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The authors declare no competing interests.

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Talmac, A.C., Yayli, N.Z.A., Calisir, M. et al. Comparing the efficiency of Er,Cr:YSGG laser and diode laser for the treatment of generalized aggressive periodontitis. Ir J Med Sci 191, 1331–1339 (2022). https://doi.org/10.1007/s11845-021-02705-0

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  • DOI: https://doi.org/10.1007/s11845-021-02705-0

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