Effects of Nd:YAG and CO2 laser treatment and ultrasonic scaling on periodontal pockets of chronic periodontitis patients.
BACKGROUND
The aim of the present study was to compare the effectiveness of Nd:YAG and CO2 laser treatment to that of ultrasonic scaling used as monotherapies by examining clinical parameters, subgingival microflora, and interleukin-1 beta (IL-1beta) in gingival crevicular fluid (GCF).


METHODS
Eighteen patients, each of whom had 2 or more sites with probing depth measuring > 5 mm, were included this clinical trial. The 41 sites were randomly assigned treatment with either Nd:YAG laser alone (n = 14, 100 mj, 20 pps, 2.0 W, 120 seconds), CO2 laser alone (n = 13, 2.0 W, 120 seconds), or ultrasonic scaling alone (n = 14, maximum power, 120 seconds). At baseline and at 1, 4, and 12 weeks, clinical measurements (plaque index, PI; gingival index, GI; probing depth, PD; clinical attachment level, CAL; and bleeding on probing, BOP) were performed and subgingival plaque and GCF sampled. A quantitative analysis of Porphyromonas gingivalis was carried out using real-time polymerase chain reaction (PCR) procedures. The amounts of IL-1beta were estimated by an enzyme-linked immunosorbent assay (ELISA).


RESULTS
Decreased inflammation and PD were observed in all 3 groups after treatment. A microbiological analysis indicated significant decreases in P. gingivalis in the Nd:YAG and scaling groups at 1, 4, and 12 weeks compared to baseline (P < 0.05). The amount of GCF significantly decreased in the Nd:YAG and scaling groups at 12 weeks. The amount of IL-1beta increased in the CO2 group from baseline to 1 week (P < 0.05). The Nd:YAG group tended to show a decrease in IL-1beta from 1 to 12 weeks, although these data were not statistically significant.


CONCLUSIONS
Our data suggest that Nd:YAG laser and ultrasonic scaling treatments showed significant improvements regarding the clinical parameters and subgingival microflora compared to the baseline, but no significant difference was observed between the 3 groups.
Miyazaki
Akira
A
Division of Periodontology, Department of Oral Biological Science, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Yamaguchi
Toshikazu
T
Nishikata
Jun
J
Okuda
Kazuhiro
K
Suda
Satoru
S
Orima
Kazuko
K
Kobayashi
Tetsuo
T
Yamazaki
Kazuhisa
K
Yoshikawa
Eiji
E
Yoshie
Hiromasa
H
D000704:Analysis of Variance; D002245:Carbon Dioxide; D002908:Chronic Disease; D003773:Dental Plaque / Q000382:microbiology; D012534:Dental Scaling / Q000379:methods*; D005883:Gingival Crevicular Fluid / Q000378:metabolism / Q000382:microbiology; D006801:Humans; D007375:Interleukin-1 / Q000378:metabolism; D053685:Laser Therapy; D009354:Neodymium; D010512:Periodontal Index; D010514:Periodontal Pocket / Q000628:therapy*; D016966:Porphyromonas gingivalis / Q000302:isolation & purification; D014464:Ultrasonic Therapy
D007375:Interleukin-1; D002245:Carbon Dioxide; D009354:Neodymium