Cargando…

Effects of Laser Therapy on Periodontal Status in Adult Patients Undergoing Orthodontic Treatment

Orthodontic treatment with fixed devices should only be indicated in case of a stable, non-active periodontal disease status. Throughout orthodontic treatment, a careful assessment of the periodontal status is advised. Due to its anti-inflammatory and antimicrobial effects, laser therapy is frequent...

Descripción completa

Detalles Bibliográficos
Autores principales: Lazăr, Luminița, Dako, Timea, Mârțu, Maria-Alexandra, Bica, Cristina-Ioana, Bud, Anamaria, Suciu, Mircea, Păcurar, Mariana, Lazăr, Ana-Petra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9689392/
https://www.ncbi.nlm.nih.gov/pubmed/36359515
http://dx.doi.org/10.3390/diagnostics12112672
_version_ 1784836522560716800
author Lazăr, Luminița
Dako, Timea
Mârțu, Maria-Alexandra
Bica, Cristina-Ioana
Bud, Anamaria
Suciu, Mircea
Păcurar, Mariana
Lazăr, Ana-Petra
author_facet Lazăr, Luminița
Dako, Timea
Mârțu, Maria-Alexandra
Bica, Cristina-Ioana
Bud, Anamaria
Suciu, Mircea
Păcurar, Mariana
Lazăr, Ana-Petra
author_sort Lazăr, Luminița
collection PubMed
description Orthodontic treatment with fixed devices should only be indicated in case of a stable, non-active periodontal disease status. Throughout orthodontic treatment, a careful assessment of the periodontal status is advised. Due to its anti-inflammatory and antimicrobial effects, laser therapy is frequently used as an adjunct to classic periodontal therapy. The aim of this study was to evaluate the advantages and limitations of the use of laser therapy on periodontal status during orthodontic treatment. Throughout the 9 months during which this placebo-controlled, single-blind clinical trial was conducted, 32 patients were included in the study, divided into two groups: microscope “+” (patients who observed the bacteria within the dental plaque-sample examination on the screen of a dark-field microscope in real time) and microscope “−” (patients who did not see the oral pathogens using a dark-field microscope). For all patients, using the split-mouth study design, laser therapy was applied to one hemiarch (HL), whereas the other hemiarch received treatment without active light (HC). After one month, by analyzing the main indicators of periodontal health status, we found that the plaque index (PI) and bleeding on probing (BOP) values were significantly decreased after receiving treatment (for PI: HL-p = 0.0005, HC-p = 0.0297; for BOP: HL-p = 0.0121, HC-p = 0.0236), whereas the probing-depth (PD) values remained almost the same as before treatment (HL-p = 1.5143; HC-p = 1.4762). Conclusions: The use of the dark-field microscope proved to be beneficial in sensitizing patients to the presence of bacteria in the oral cavity and motivated them to strictly follow the rules of oral hygiene. Laser treatment can be a valuable aid in periodontal therapy, but only in adjunction with mechanical therapy.
format Online
Article
Text
id pubmed-9689392
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96893922022-11-25 Effects of Laser Therapy on Periodontal Status in Adult Patients Undergoing Orthodontic Treatment Lazăr, Luminița Dako, Timea Mârțu, Maria-Alexandra Bica, Cristina-Ioana Bud, Anamaria Suciu, Mircea Păcurar, Mariana Lazăr, Ana-Petra Diagnostics (Basel) Article Orthodontic treatment with fixed devices should only be indicated in case of a stable, non-active periodontal disease status. Throughout orthodontic treatment, a careful assessment of the periodontal status is advised. Due to its anti-inflammatory and antimicrobial effects, laser therapy is frequently used as an adjunct to classic periodontal therapy. The aim of this study was to evaluate the advantages and limitations of the use of laser therapy on periodontal status during orthodontic treatment. Throughout the 9 months during which this placebo-controlled, single-blind clinical trial was conducted, 32 patients were included in the study, divided into two groups: microscope “+” (patients who observed the bacteria within the dental plaque-sample examination on the screen of a dark-field microscope in real time) and microscope “−” (patients who did not see the oral pathogens using a dark-field microscope). For all patients, using the split-mouth study design, laser therapy was applied to one hemiarch (HL), whereas the other hemiarch received treatment without active light (HC). After one month, by analyzing the main indicators of periodontal health status, we found that the plaque index (PI) and bleeding on probing (BOP) values were significantly decreased after receiving treatment (for PI: HL-p = 0.0005, HC-p = 0.0297; for BOP: HL-p = 0.0121, HC-p = 0.0236), whereas the probing-depth (PD) values remained almost the same as before treatment (HL-p = 1.5143; HC-p = 1.4762). Conclusions: The use of the dark-field microscope proved to be beneficial in sensitizing patients to the presence of bacteria in the oral cavity and motivated them to strictly follow the rules of oral hygiene. Laser treatment can be a valuable aid in periodontal therapy, but only in adjunction with mechanical therapy. MDPI 2022-11-03 /pmc/articles/PMC9689392/ /pubmed/36359515 http://dx.doi.org/10.3390/diagnostics12112672 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lazăr, Luminița
Dako, Timea
Mârțu, Maria-Alexandra
Bica, Cristina-Ioana
Bud, Anamaria
Suciu, Mircea
Păcurar, Mariana
Lazăr, Ana-Petra
Effects of Laser Therapy on Periodontal Status in Adult Patients Undergoing Orthodontic Treatment
title Effects of Laser Therapy on Periodontal Status in Adult Patients Undergoing Orthodontic Treatment
title_full Effects of Laser Therapy on Periodontal Status in Adult Patients Undergoing Orthodontic Treatment
title_fullStr Effects of Laser Therapy on Periodontal Status in Adult Patients Undergoing Orthodontic Treatment
title_full_unstemmed Effects of Laser Therapy on Periodontal Status in Adult Patients Undergoing Orthodontic Treatment
title_short Effects of Laser Therapy on Periodontal Status in Adult Patients Undergoing Orthodontic Treatment
title_sort effects of laser therapy on periodontal status in adult patients undergoing orthodontic treatment
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9689392/
https://www.ncbi.nlm.nih.gov/pubmed/36359515
http://dx.doi.org/10.3390/diagnostics12112672
work_keys_str_mv AT lazarluminita effectsoflasertherapyonperiodontalstatusinadultpatientsundergoingorthodontictreatment
AT dakotimea effectsoflasertherapyonperiodontalstatusinadultpatientsundergoingorthodontictreatment
AT martumariaalexandra effectsoflasertherapyonperiodontalstatusinadultpatientsundergoingorthodontictreatment
AT bicacristinaioana effectsoflasertherapyonperiodontalstatusinadultpatientsundergoingorthodontictreatment
AT budanamaria effectsoflasertherapyonperiodontalstatusinadultpatientsundergoingorthodontictreatment
AT suciumircea effectsoflasertherapyonperiodontalstatusinadultpatientsundergoingorthodontictreatment
AT pacurarmariana effectsoflasertherapyonperiodontalstatusinadultpatientsundergoingorthodontictreatment
AT lazaranapetra effectsoflasertherapyonperiodontalstatusinadultpatientsundergoingorthodontictreatment