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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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 |
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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 |
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