Short-term clinical and immunologic effects of scaling and root planing with Er:YAG laser in chronic periodontitis.
BACKGROUND
Recently, the erbium-doped:yttrium, aluminum, and garnet (Er:YAG) laser has been used for periodontal therapy. This study compared Er:YAG laser irradiation (100 mJ/pulse, 10 Hz, 12.9 J/cm(2)) with or without conventional scaling and root planing (SRP) to SRP only for the treatment of periodontal pockets affected with chronic periodontitis.


METHODS
Twenty-one subjects with pockets from 5 to 9 mm in non-adjacent sites were studied. In a split-mouth design, each site was randomly allocated to a treatment group: SRP and laser (SRPL), laser only (L), SRP only (SRP), or no treatment (C). The plaque index (PI), gingival index (GI), bleeding on probing (BOP), and interleukin (IL)-1beta levels in crevicular fluid were evaluated at baseline and at 12 and 30 days postoperatively, whereas probing depth (PD), gingival recession (GR), and clinical attachment level (CAL) were evaluated at baseline and 30 days after treatment. A statistical analysis was conducted (P <0.05).


RESULTS
Twelve days postoperatively, the PI decreased for SRPL and SRP groups (P <0.05); the GI increased for L, SRP, and C groups but decreased for the SRPL group (P <0.05); and BOP decreased for SRPL, L, and SRP groups (P <0.01). Thirty days postoperatively, BOP decreased for treated groups and was lower than the C group (P <0.05). PD decreased in treated groups (P <0.001), and differences were found between SRPL and C groups (P <0.05). CAL gain was significant only for the SRP group (P <0.01). GR increased for SRPL and L groups (P <0.05). No difference in IL-1beta was detected among groups and periods.


CONCLUSIONS
Er:YAG laser irradiation may be used as an adjunctive aid for the treatment of periodontal pockets, although a significant CAL gain was observed with SRP alone and not with laser treatment.
Lopes
Beatriz M V
BM
Department of Periodontology, Araraquara Dental School, São Paulo State University, Araraquara, SP, Brazil.
Marcantonio
Rosemary Adriana C
RA
Thompson
Gloria M A
GM
Neves
Lucia H M
LH
Theodoro
Letícia H
LH
D000328:Adult; D002908:Chronic Disease; D003774:Dental Plaque Index; D012534:Dental Scaling / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005883:Gingival Crevicular Fluid / Q000276:immunology; D005884:Gingival Hemorrhage / Q000532:radiotherapy / Q000628:therapy; D005889:Gingival Recession / Q000532:radiotherapy / Q000628:therapy; D006801:Humans; D053583:Interleukin-1beta / Q000032:analysis; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D017622:Periodontal Attachment Loss / Q000532:radiotherapy / Q000628:therapy; D010512:Periodontal Index; D010514:Periodontal Pocket / Q000532:radiotherapy / Q000628:therapy; D010518:Periodontitis / Q000532:radiotherapy / Q000628:therapy*; D016745:Root Planing / Q000379:methods*
D053583:Interleukin-1beta