Objective: This study compared the effect of CO
2 laser + scaling and root planing (SRP) versus SRP alone in the treatment of chronic periodontitis.
Method: Fifteen healthy patients with moderate periodontitis and 2 or more sites with a probing depth of ≥5 mm were included in the study. A total of 30 sites were treated with a combination of CO
2 laser and SRP (test, n=15) or SRP alone (control, n=15). The plaque index (PlI), gingival index (GI), probing pocket depth (PPD), clinical attachment level (CAL) and bleeding on probing (BOP) were examined. At the baseline and at 2, 4 and 12 weeks after the start of treatment, subgingival plaque and gingival crevicular fluid (GCF) were also sampled for analysis of the amounts of
Porphyromonas gingivalis (
P.gingivalis) and interleukin-1β (IL-1β).
Results: A significant decrease in the GI, BOP and PPD scores, GCF volume and the amounts of
P. gingivalis was found in both the test and control groups after treatment. However, there were no significant differences in any the investigated parameters between the two groups, including the amounts of
P. gingivalis and IL-1β.
Conclusion: The present data suggest that treatment of chronic periodontitis with either CO
2 laser + SRP or SRP alone results in statistically significant improvements in the clinical parameters and subgingival flora. However, the combination of CO
2 laser irradiation to the marginal gingiva + SRP did not appear to provide any additional treatment benefits as compared to SRP alone. Nihon Shishubyo Gakkai Kaishi (J Jpn Periodontol) 49 : 130-138,2007.
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