IADR Abstract Archives
Effects of nonsurgical periodontal therapy with/without diode laser on periodontopathogens in diabetics with chronic periodontitis
Objectives: The aim of this study was to analyze the effect of diode laser as an adjunct to nonsurgical periodontal treatment on the periodontopathogens in type 2 diabetes mellitus (DM2) with chronic periodontitis patients.
Methods: Sixty patients with DM2 (HbA1c; 5,7-8,5 %) and chronic periodontitis (CP) were randomly assigned in two groups to receive scaling root planning (SRP, n=30) or SRP followed by diode laser decontamination (SRP+DL, n=30). Clinical periodontal parameters and plaque sampling were assessed at baseline, 1. and 3. months after nonsurgical periodontal treatment. Red complex microorganisms including Porphyromonas gingivalis (Pg), Treponema denticola (Td), Tannerella forsythensis (Tf) were evaluated with quantitative RT-PCR.
Results: Significant improvements were observed both forclinical parameters (PD and CAL) and for metabolic control of DM2 patients in both treatment groups; overall, the SRP+DL group did significantly better. Significant reductions from baseline were observed at 1. and 3. months for both treatments for numbers of Pg, Td and Tf (P<0.001), however no significant differences were noted between the SRP and SRP+DL groups regarding bacterial reductions at these follow-up time points.
Conclusions: Non-surgical periodontal treatment with diode laser improved better clinical parameters and metabolic control of DM2 patients with CP, however no additional benefit of diode laser as an adjunct to nonsurgical periodontal therapy was recognized in the reduction of Pg, Td and Tf amounts. (This study was supported by The Scientific and Technological Research Council of Turkey TUBITAK/SBAG-114S229 and Research Project Coordination of Selcuk University BAP-11202014)
Methods: Sixty patients with DM2 (HbA1c; 5,7-8,5 %) and chronic periodontitis (CP) were randomly assigned in two groups to receive scaling root planning (SRP, n=30) or SRP followed by diode laser decontamination (SRP+DL, n=30). Clinical periodontal parameters and plaque sampling were assessed at baseline, 1. and 3. months after nonsurgical periodontal treatment. Red complex microorganisms including Porphyromonas gingivalis (Pg), Treponema denticola (Td), Tannerella forsythensis (Tf) were evaluated with quantitative RT-PCR.
Results: Significant improvements were observed both forclinical parameters (PD and CAL) and for metabolic control of DM2 patients in both treatment groups; overall, the SRP+DL group did significantly better. Significant reductions from baseline were observed at 1. and 3. months for both treatments for numbers of Pg, Td and Tf (P<0.001), however no significant differences were noted between the SRP and SRP+DL groups regarding bacterial reductions at these follow-up time points.
Conclusions: Non-surgical periodontal treatment with diode laser improved better clinical parameters and metabolic control of DM2 patients with CP, however no additional benefit of diode laser as an adjunct to nonsurgical periodontal therapy was recognized in the reduction of Pg, Td and Tf amounts. (This study was supported by The Scientific and Technological Research Council of Turkey TUBITAK/SBAG-114S229 and Research Project Coordination of Selcuk University BAP-11202014)