Photodynamic therapy in periodontal therapy: microbiological observations from a private practice.
In recent years, the combination of laser light and photosensitizer known as photodynamic therapy (PDT) has been used in periodontal therapy. However, there are not enough clinical studies to fully evaluate the effects of PDT on the periodontal tissues. This microbiological study examined the effects of PDT on the periodontal bacteria in combination with scaling and root planing (SRP) in the same group of patients by randomly selecting PDT or SRP for use in different quadrants of the mouth. For the present study, PDT was compared with a diode laser (980 nm) and an Nd:YA G laser (1,064 nm). Microbiological samples were examined and evaluated over a period of three months. Significant bacterial reduction has been observed in all cases. The diode laser with SRP presented long-term positive results, while PDT showed a significant bacteria reduction during the entire observation period.
Romanos
Georgios E
GE
Divisions of Periodontology and General Dentistry, Eastman Institute for Oral Health, Unversity of Rochester, NY, USA.
Brink
Birgit
B
D016976:Aggregatibacter actinomycetemcomitans / Q000187:drug effects / Q000528:radiation effects; D058491:Bacterial Load; D001439:Bacteroides / Q000187:drug effects / Q000528:radiation effects; D012534:Dental Scaling / Q000379:methods; D016967:Fusobacterium nucleatum / Q000187:drug effects / Q000528:radiation effects; D006090:Gram-Negative Bacteria / Q000187:drug effects* / Q000528:radiation effects; D006801:Humans; D054023:Lasers, Semiconductor / Q000627:therapeutic use; D053844:Lasers, Solid-State / Q000627:therapeutic use; D028022:Low-Level Light Therapy / Q000379:methods; D010462:Peptostreptococcus / Q000187:drug effects / Q000528:radiation effects; D010510:Periodontal Diseases / Q000188:drug therapy* / Q000382:microbiology; D010778:Photochemotherapy / Q000379:methods*; D017319:Photosensitizing Agents / Q000627:therapeutic use; D016966:Porphyromonas gingivalis / Q000187:drug effects / Q000528:radiation effects; D018713:Prevotella intermedia / Q000187:drug effects / Q000528:radiation effects; D016745:Root Planing / Q000379:methods; D048373:Treponema denticola / Q000187:drug effects / Q000528:radiation effects
D017319:Photosensitizing Agents