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.
Similar content being viewed by others
References
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
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
Okada H, Murakami S (1998) Cytokine expression in periodontal health and disease. Crit Rev Oral Biol Med 9(3):248–266
Lindhe J (2003) Regenerative periodontal therapy. Clinical Periodontology and Implant Dentistry, 4th edn. CPH 652–683
Carranza F, Takei H (2002) Bone loss and patterns of bone destruction. Carranza’s Clin Periodontol 10th Edn:452–466
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
Socransky SS, Haffajee AD (1993) Effect of therapy on periodontal ınfections. J Periodontol 64(8):754–759
Newman M, Takei H, Klokkevold P (2006) Phase I periodontal therapy. Carranza’s Clin Periodontol 10th Edn:722–728
Christersson LA, Albini B, Zambon JJ et al (1987) Tissue localization of Actinobacillus actinomycetemcomitans in human periodontitis. J Periodontol 58(8):529–539
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
Cobb CM, Low SB, Coluzzi DJ (2010) Lasers and the treatment of chronic periodontitis. Dent Clin N Am 54(1):35–53
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
Aoki A, Mizutani K, Schwarz F et al (2015) Periodontal and peri-implant wound healing following laser therapy. Periodontol 2000 68(1):217–269
Ishikawa I, Aoki A, Takasaki AA et al (2009) Application of lasers in periodontics: true innovation or myth? Periodontol 2000 50:90–126
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
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
Birkedal-Hansen H (1993) Role of cytokines and inflammatory mediators in tissue destruction. J Periodontal Res 28(6Pt2): 500–510
Uitto VJ, Overall CM, McCulloch C (2003) Proteolytic host cell enzymes in gingival crevice fluid. Periodontol 2000(31):77–104
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
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
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
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
Löe H (1967) The gingival ındex, the plaque ındex and the retention ındex systems. J Periodontol 38(6):610–616
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
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
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
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
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
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
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
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
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
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
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
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
Roshna T, Nandakumar K (2012) Generalized aggressive periodontitis and its treatment options: case reports and review of the literature. Case Rep Med
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
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
Ozmeric N (2004) Advances in periodontal disease markers. Clin Chim Acta 343:1–16
Barros SP, Williams R (2000) Offenbacher S (2016) Gingival crevicular fluid as a source of biomarkers for periodontitis. Periodontology 70(1):53–64
Kjeldsen M, Holmstrup P, Bendtzen K (1993) Marginal periodontitis and cytokines: a review of the literature. J Periodontol 64(11):1013–1022
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
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
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
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
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).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
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).
Conflict of interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11845-021-02705-0