title: [Effect of Er:YAG laser on the dynamic changes in subgingival flora in type 2 diabetic patients with periodontitis].
abstract: OBJECTIVE
  To observe the changes in subgingival microflora before and after Er:YAG laser treatment on diabetic patients with periodontitis, and to compare with the subgingival microflora of chronic periodontitis.
  
  
  METHODS
  Subgingival plaque of 13 pairs of teeth (26 sites) was selected from type 2 diabetic patients at pretreatment, one month post-treatment, and three months post-treatment. Subgingival plaque was also obtained from 11 cases of moderate to severe chronic periodontitis with similar severity of periodontitis. The DNA of the subgingival plaque samples was extracted. Whole bacterial 16S rDNA gene fragments separated by denaturing gradient gel electrophoresis. Specific DNA bands were then chosen for retrieval and sequencing.
  
  
  RESULTS
  The gene sequencing results of the special DNA bands of subgingival plaque samples show that the pathogenic bacteria of both diabetic periodontitis and simple chronic periodontitis were Prevotella intermedia and Tannerella forsythia, respectively. The composition of the subgingival microflora before and after laser treatment changed. Some DNA bands, including that of Tannerella forsythia, disappeared or weakened one month after treatment. A new strip appeared, which belonged to Actinomyces sp.
  
  
  CONCLUSIONS
  The profiles of the subgingival microflora changed after treatment, and one month was indicated as an important stage. Er:YAG laser may have an important function in delaying microflora recolonization.
authors.forename: Bin
authors.initials: B
authors.lastname: Guo
authors.forename: Qianqian
authors.initials: Q
authors.lastname: Liang
authors.forename: Yan
authors.initials: Y
authors.lastname: Lü
authors.forename: Min
authors.initials: M
authors.lastname: Fu
authors.forename: Yuanyuan
authors.initials: Y
authors.lastname: Chen
authors.forename: Yifang
authors.initials: Y
authors.lastname: Yuan
authors.forename: Yingchao
authors.initials: Y
authors.lastname: Li
mesh_terms: D000328:Adult; D001419:Bacteria; D055113:Chronic Periodontitis; D003773:Dental Plaque; D003924:Diabetes Mellitus, Type 2; D006801:Humans; D053844:Lasers, Solid-State; D010518:Periodontitis