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Adjunctive effects of laser therapy on somatosensory function and vasomotor regulation of periodontal tissues in patients with periodontitisa?? A randomized controlled clinical trial

DOI:10.1002/JPER.19-0562 期刊:Journal of Periodontology 出版年份:2020 更新时间:2025-09-19 17:13:59
摘要: Background: The purpose of this prospective study was to compare the changes in periodontal somatosensory function and microcirculation in patients with periodontitis following initial treatment with scaling and root planing (SRP) with or without adjuvant laser therapy. Methods: Twenty-four patients suffering from periodontitis were recruited and randomly allocated into a split-mouth design to either SRP combined laser therapy side (test side) or SRP only side (control side). All treatments were performed by the same investigator at a single visit. Laser Doppler Flowmetry (LDF) and Quantitative Sensory Testing (QST) were performed at baseline (W0), 1 week (1W), 2 weeks (2W), and 4 weeks (4W) after treatment on both sides of the attached gingiva of the maxillary lateral incisor. Clinical examination including pocket probing depth (PPD) and bleeding on probing (BOP) was performed at W0, 2W, and 4W on both sides. Data were analyzed with two-way analysis of variance (ANOVA). Results: The PPD and BOP significantly improved after treatment (P <0.001). The LDF values were significantly decreased on both sides at all follow-up time points (P <0.001), temperature was increased only on the test side (P =0.017) whereas there was no significant change on the control side (P=0.792). Significantly less sensitivity was observed for all QST parameters (P <0.030) except for warmth detection after treatment. Conclusion: Adjunctive use of laser therapy did not provide any significant clinically advantage or additional effects on the recovery of periodontal somatosensory function or gingival microcirculation in the present study.
作者: Huiqing Gou,Ruyi Fan,Xu Chen,Lu Li,Xiaoqian Wang,Yan Xu,Peter Svensson,Kelun Wang
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To compare the changes in periodontal somatosensory function and microcirculation in patients with periodontitis following initial treatment with scaling and root planing (SRP) with or without adjuvant laser therapy.

The clinical periodontal condition was improved, the somatosensory sensitivity decreased and the gingival blood flow declined after conventional SRP treatment. The adjunctive use of Nd: YAG laser therapy did not provide any significant clinically advantage or additional effects on the fluctuation of periodontal somatosensory functions and gingival microcirculation in the present study.

The participants were young and middle-aged patients who may represent a more aggressive form of periodontitis. The results may therefore not be applicable to a more typical type of periodontitis. The relatively small sample size might have been insufficient for assessing possible treatment differences.

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