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J Dent Res Dent Clin Dent Prospects. 2021;15(2): 133-139.
  Abstract View: 51
  PDF Download: 72

Clinical Dentistry

Original Article

Clinical and microbiological evaluation of 940-nm diode laser as an adjunct to modified Widman flap for the management of chronic periodontitis: A 6-month randomized split-mouth clinical trial

Ashish Agarwal 1* ORCID logo, Anugrah Saxena 1, Shiva Shankar Gummaluri 1, Bharti Chaudhary 1, karthikeyan Subramanyam S Sai 1, Geetika Kumar 1

1 Department of Periodontology and Implantology, Institute of Dental Sciences, Bareilly Uttar Pradesh, India
*Corresponding author: Ashish Agarwal, Email: sivashankar.gummaluri@gmail.com

Abstract

Background. The present randomized clinical trial aimed to determine the additive clinical and microbiological benefits of diode laser (DL) with modified Widman flap (MWF) to manage chronic periodontitis.

Methods. Seventy-two sites in 36 healthy non-smoking patients diagnosed with chronic periodontitis were randomly assigned to the test group (MWF + active DL) or control group (MWF + sham DL). Clinical (probing pocket depth [PPD], clinical attachment level [CAL]) and microbiological (colony-forming units [CFUs]) measurements were recorded at baseline and 6- and 6-month postoperative intervals.

Results. Compared to baseline, 6-month results showed significant changes in clinical and microbiological parameters in both groups. However, the intergroup comparison revealed significantly lower PPD (1.90±0.48 mm vs. 2.35±0.41 mm), CAL (4.43±0.57 mm vs. 4.93±0.58 mm), and CFUs for Porphyromonas gingivalis (6.32±0.18 vs. 8.88 ±1.88), Prevotella intermedia (7.62±1.86 vs. 8.12±1.78), and Aggregatibacter actinomycetemcomitans (6.43±1.44 vs. 7.24±1.22) in the test group after six months.

Conclusion. Within the limitations, the present study confirmed the useful role of DL with MWF to manage chronic periodontitis.

Keywords: Chronic periodontitis, Colony-forming units, Diode laser, Periodontal pocket debridement, Surgical flap
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Abstract View: 52

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Submitted: 05 Oct 2020
Accepted: 02 Mar 2021
ePublished: 05 May 2021
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