Skip to main content
Top
Published in: Lasers in Medical Science 3/2012

01-05-2012 | Original Article

Effect of 1,064-nm Nd:YAG laser therapy on GCF IL-1β and MMP-8 levels in patients with chronic periodontitis

Authors: Abubekir Eltas, Recep Orbak

Published in: Lasers in Medical Science | Issue 3/2012

Login to get access

Abstract

The aim of this study was to evaluate the long-term effects of a combined periodontal treatment of scaling and root planing (SRP) and Nd:YAG laser (NDL) in chronic periodontitis (CP) patients. This was accomplished by determining the periodontal indices and the interleukin-1beta (IL-1β) and matrix metalloproteinase-8 (MMP-8) levels of the gingival crevicular fluid (GCF). This study was performed according to a random split-mouth-design, controlled clinical trial for sulcular debridement on 40 teeth from 20 patients with generalized moderate chronic periodontitis. The periodontal healing outcomes were compared after periodontal treatment with either SRP + NDL at 1 W (test side) or SRP (control side). Plaque index (PI), gingival index (GI), probing pocket depth (PPD), and clinical attachment level (CAL) were recorded, and samples of gingival crevicular fluid (GCF) were taken at baseline and post-therapy (3 and 9 months after treatment). The GCF samples were analyzed for IL-1β and MMP-8. There was postoperative improvement of all clinical parameters in both groups, but test side GI, PPD, and CAL recovery was higher than that of the control side (p < 0.05). Although levels of IL-1β and MMP-8 in GCF after treatment were lower in the test side than the control side, there was not a statistically significant difference (p > 0.05). In the long term, we found that SRP + NDL treatment of periodontal pockets was more effective than SRP alone in reducing PPD, CAL, GI, and GCF values.
Literature
1.
go back to reference Haffajee AD, Socransky SS (1994) Microbial etiological agents of destructive periodontal diseases. Periodontol 2000 5:78–111PubMedCrossRef Haffajee AD, Socransky SS (1994) Microbial etiological agents of destructive periodontal diseases. Periodontol 2000 5:78–111PubMedCrossRef
2.
go back to reference Engebretson SP, Grbic JT, Singer R, Lamster IB (2002) GCF IL-1beta profiles in periodontal disease. J Clin Periodontol 29(1):48–53PubMedCrossRef Engebretson SP, Grbic JT, Singer R, Lamster IB (2002) GCF IL-1beta profiles in periodontal disease. J Clin Periodontol 29(1):48–53PubMedCrossRef
3.
go back to reference Kinane DF, Darby IB, Said S, Luoto H, Sorsa T, Tikanoja S, Mäntylä P (2003) Changes in gingival crevicular fluid matrix metalloproteinase-8 levels during periodontal treatment and maintenance. J Periodontal Res 38(4):400–404PubMedCrossRef Kinane DF, Darby IB, Said S, Luoto H, Sorsa T, Tikanoja S, Mäntylä P (2003) Changes in gingival crevicular fluid matrix metalloproteinase-8 levels during periodontal treatment and maintenance. J Periodontal Res 38(4):400–404PubMedCrossRef
4.
go back to reference Romanelli R, Mancini S, Laschinger C, Overall CM, Sodek J, McCulloch CA (1999) Activation of neutrophil collagenase in periodontitis. Infect Immun 67:2319–2326PubMed Romanelli R, Mancini S, Laschinger C, Overall CM, Sodek J, McCulloch CA (1999) Activation of neutrophil collagenase in periodontitis. Infect Immun 67:2319–2326PubMed
5.
go back to reference Mancini S, Romanelli R, Laschinger CA, Overall CM, Sodek J, McCulloch CA (1999) Assessment of a novel screening test for neutrophil collagenase activity in the diagnosis of periodontal diseases. J Periodontol 70:1292–1302PubMedCrossRef Mancini S, Romanelli R, Laschinger CA, Overall CM, Sodek J, McCulloch CA (1999) Assessment of a novel screening test for neutrophil collagenase activity in the diagnosis of periodontal diseases. J Periodontol 70:1292–1302PubMedCrossRef
6.
go back to reference Chen HY, Cox SW, Eley BM, Mäntylä P, Rönkä H, Sorsa T (2000) Matrix metalloproteinase-8 levels an elastase activities in gingival crevicular fluid from chronic adult periodontitis patients. J Clin Periodontol 27:366–369PubMedCrossRef Chen HY, Cox SW, Eley BM, Mäntylä P, Rönkä H, Sorsa T (2000) Matrix metalloproteinase-8 levels an elastase activities in gingival crevicular fluid from chronic adult periodontitis patients. J Clin Periodontol 27:366–369PubMedCrossRef
7.
go back to reference Sorsa T, Mäntylä P, Rönkä H, Kallio P, Kallis GB, Lundqvist C, Kinane DF, Salo T, Golub LM, Teronen O, Tikanoja S (1999) Scientific basis of a matrix metalloproteinase-8 specific chair-side test for monitoring periodontal and periimplant health and disease. Ann NY Acad Sci 878:130–140PubMedCrossRef Sorsa T, Mäntylä P, Rönkä H, Kallio P, Kallis GB, Lundqvist C, Kinane DF, Salo T, Golub LM, Teronen O, Tikanoja S (1999) Scientific basis of a matrix metalloproteinase-8 specific chair-side test for monitoring periodontal and periimplant health and disease. Ann NY Acad Sci 878:130–140PubMedCrossRef
8.
go back to reference Delaleu N, Bickel M (2004) Interleukin-1 beta and interleukin-18: regulation and activity in local inflammation. Periodontol 2000 35:42–52PubMedCrossRef Delaleu N, Bickel M (2004) Interleukin-1 beta and interleukin-18: regulation and activity in local inflammation. Periodontol 2000 35:42–52PubMedCrossRef
9.
go back to reference Stashenko P, Fujiyoshi P, Obernesser MS, Prostak L, Haffajee AD, Socransky SS (1991) Levels of interleukin 1 beta in tissue from sites of active periodontal disease. J Clin Periodontol 18:548–554PubMedCrossRef Stashenko P, Fujiyoshi P, Obernesser MS, Prostak L, Haffajee AD, Socransky SS (1991) Levels of interleukin 1 beta in tissue from sites of active periodontal disease. J Clin Periodontol 18:548–554PubMedCrossRef
10.
go back to reference Page RC, Offenbacher S, Schroeder HE, Seymour GJ, Kornman KS (1997) Advances in the pathogenesis of periodontitis: summary of developments, clinical implications and future directions. Periodontol 2000 14:216–248PubMedCrossRef Page RC, Offenbacher S, Schroeder HE, Seymour GJ, Kornman KS (1997) Advances in the pathogenesis of periodontitis: summary of developments, clinical implications and future directions. Periodontol 2000 14:216–248PubMedCrossRef
11.
go back to reference Schwartz Z, Goultschin J, Dean DD, Boyan BD (1997) Mechanisms of alveolar bone destruction in periodontitis. Periodontol 2000 14:158–172PubMedCrossRef Schwartz Z, Goultschin J, Dean DD, Boyan BD (1997) Mechanisms of alveolar bone destruction in periodontitis. Periodontol 2000 14:158–172PubMedCrossRef
12.
go back to reference Shirodaria S, Smith J, McKay IJ, Kennett CN, Hughes FJ (2000) Polymorphisms in the IL-1A gene are correlated with levels of interleukin-1alpha protein in gingival crevicular fluid of teeth with severe periodontal disease. J Dent Res 79:1864–1869PubMedCrossRef Shirodaria S, Smith J, McKay IJ, Kennett CN, Hughes FJ (2000) Polymorphisms in the IL-1A gene are correlated with levels of interleukin-1alpha protein in gingival crevicular fluid of teeth with severe periodontal disease. J Dent Res 79:1864–1869PubMedCrossRef
13.
go back to reference Kepic TJ, O'Leary TJ, Kafrawy AH (1990) Total calculus removal: an attainable objective? J Periodontol 61(1):16–20PubMedCrossRef Kepic TJ, O'Leary TJ, Kafrawy AH (1990) Total calculus removal: an attainable objective? J Periodontol 61(1):16–20PubMedCrossRef
14.
go back to reference Wennstrom JL, Tomasi C, Bertelle A, Dellasega E (2005) Full-mouth ultrasonic debridement versus quadrant scaling and root planing as an initial approach in the treatment of chronic periodontitis. J Clin Periodontol 32:851–859PubMedCrossRef Wennstrom JL, Tomasi C, Bertelle A, Dellasega E (2005) Full-mouth ultrasonic debridement versus quadrant scaling and root planing as an initial approach in the treatment of chronic periodontitis. J Clin Periodontol 32:851–859PubMedCrossRef
15.
go back to reference Adriaens PA, Edwards CA, De Boever JA, Loesche WJ (1988) Ultrastructural observations on bacterial invasion in cementum and radicular dentin of periodontally diseased human teeth. J Periodontol 59:493–503PubMedCrossRef Adriaens PA, Edwards CA, De Boever JA, Loesche WJ (1988) Ultrastructural observations on bacterial invasion in cementum and radicular dentin of periodontally diseased human teeth. J Periodontol 59:493–503PubMedCrossRef
16.
go back to reference AAP Position Paper (2000) Sonic and ultrasonic scalers in periodontics. J Periodontol 71:1792–1801CrossRef AAP Position Paper (2000) Sonic and ultrasonic scalers in periodontics. J Periodontol 71:1792–1801CrossRef
17.
go back to reference Aoki A, Sasaki KM, Watanabe H, Ishikawa I (2004) Lasers in nonsurgical periodontal therapy. Periodontol 2000 36:59–97PubMedCrossRef Aoki A, Sasaki KM, Watanabe H, Ishikawa I (2004) Lasers in nonsurgical periodontal therapy. Periodontol 2000 36:59–97PubMedCrossRef
19.
go back to reference Wang QQ, Zhang CF, Yin XZ (2007) Evaluation of the bactericidal effect of Er,Cr:YSGG, and Nd:YAG lasers in experimentally infected root canals. J Endod 33:830–832PubMedCrossRef Wang QQ, Zhang CF, Yin XZ (2007) Evaluation of the bactericidal effect of Er,Cr:YSGG, and Nd:YAG lasers in experimentally infected root canals. J Endod 33:830–832PubMedCrossRef
20.
go back to reference Radvar M, MacFarlane TW, MacKenzie D, Whitters CJ, Payne AP, Kinane DF (1996) An evaluation of the Nd:YAG laser in periodontal pocket therapy. Br Dent J 180:57–62PubMedCrossRef Radvar M, MacFarlane TW, MacKenzie D, Whitters CJ, Payne AP, Kinane DF (1996) An evaluation of the Nd:YAG laser in periodontal pocket therapy. Br Dent J 180:57–62PubMedCrossRef
21.
go back to reference Ishikawa I, Sculean A (2007) Laser dentistry in periodontics. In: Gutknecht N (ed) Proceedings of the 1st International Workshop of Evidence Based Dentistry on Lasers in Dentistry. Quintessence Publishing, New Malden, Surrey, UK, pp 115–129 Ishikawa I, Sculean A (2007) Laser dentistry in periodontics. In: Gutknecht N (ed) Proceedings of the 1st International Workshop of Evidence Based Dentistry on Lasers in Dentistry. Quintessence Publishing, New Malden, Surrey, UK, pp 115–129
22.
go back to reference Gomez C, Costela A, Garcı´a-Moreno I, Garcı´a JA (2006) In vitro evaluation of Nd:YAG laser radiation at three different wavelengths (1064, 532, and 355 nm) on calculus removal in comparison with ultrasonic scaling. Photomed Laser Surg 24:366–376PubMedCrossRef Gomez C, Costela A, Garcı´a-Moreno I, Garcı´a JA (2006) In vitro evaluation of Nd:YAG laser radiation at three different wavelengths (1064, 532, and 355 nm) on calculus removal in comparison with ultrasonic scaling. Photomed Laser Surg 24:366–376PubMedCrossRef
23.
go back to reference Gómez C, Domínguez A, García-Kass AI, García-Nuñez JA (2010) Adjunctive Nd:YAG laser application in chronic periodontitis: clinical, immunological, and microbiological aspects. Lasers Med Sci. Jun 10. doi:10.1007/s10103-010-0795-8 Gómez C, Domínguez A, García-Kass AI, García-Nuñez JA (2010) Adjunctive Nd:YAG laser application in chronic periodontitis: clinical, immunological, and microbiological aspects. Lasers Med Sci. Jun 10. doi:10.​1007/​s10103-010-0795-8
24.
go back to reference Liu CM, Hou LT, Wong MY, Lan WH (1999) Comparison of Nd:YAG laser versus scaling and root planing in periodontal therapy. J Periodontol 70:1276–1282PubMedCrossRef Liu CM, Hou LT, Wong MY, Lan WH (1999) Comparison of Nd:YAG laser versus scaling and root planing in periodontal therapy. J Periodontol 70:1276–1282PubMedCrossRef
25.
go back to reference Silness J, Loe H (1964) Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condtion. Acta Odontol Scand 22:121–135PubMedCrossRef Silness J, Loe H (1964) Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condtion. Acta Odontol Scand 22:121–135PubMedCrossRef
26.
go back to reference Loe H, Silness J (1963) Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 21:533–551PubMedCrossRef Loe H, Silness J (1963) Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 21:533–551PubMedCrossRef
27.
go back to reference Lamster IB, Oshrain RL, Celenti R, Levine K, Fine JB (1991) Correlation analysis for clinical and gingival crevicular fluid parameters at anatomically related gingival sites. J Clin Periodontol 18(4):272–277PubMedCrossRef Lamster IB, Oshrain RL, Celenti R, Levine K, Fine JB (1991) Correlation analysis for clinical and gingival crevicular fluid parameters at anatomically related gingival sites. J Clin Periodontol 18(4):272–277PubMedCrossRef
28.
go back to reference Coluzzi DJ (2002) Lasers and soft tissue curettage: an update. Compendium 23:1104–1111PubMed Coluzzi DJ (2002) Lasers and soft tissue curettage: an update. Compendium 23:1104–1111PubMed
29.
go back to reference Horton JE, Lin PY (1992) A comparison of the Nd:YAG laser used subgingivally with root planing. The 3rd International Congress on Lasers in Dentistry, Salt Lake City, University of Utah. Abstract handbook, 23, abstract 46 Horton JE, Lin PY (1992) A comparison of the Nd:YAG laser used subgingivally with root planing. The 3rd International Congress on Lasers in Dentistry, Salt Lake City, University of Utah. Abstract handbook, 23, abstract 46
30.
go back to reference Neil ME, Mellonig JT (1997) Clinical efficacy of the Nd:YAG laser for combination periodontitis therapy. Pract Periodontics Aesthet Dent 9:1–5 Neil ME, Mellonig JT (1997) Clinical efficacy of the Nd:YAG laser for combination periodontitis therapy. Pract Periodontics Aesthet Dent 9:1–5
31.
go back to reference Miyazaki A, Yamaguchi T, Nishikata J, Okuda K, Suda S, Orima K, Kobayashi T, Yamazaki K, Yoshikawa E, Yoshie H (2003) Effects of Nd:YAG and CO2 laser treatment and ultrasonic scaling on periodontal pockets of chronic periodontitis patients. J Periodontol 74:175–180PubMedCrossRef Miyazaki A, Yamaguchi T, Nishikata J, Okuda K, Suda S, Orima K, Kobayashi T, Yamazaki K, Yoshikawa E, Yoshie H (2003) Effects of Nd:YAG and CO2 laser treatment and ultrasonic scaling on periodontal pockets of chronic periodontitis patients. J Periodontol 74:175–180PubMedCrossRef
32.
go back to reference Dang Y, Ren Q, Liu H, Ma J, Zhang J (2006) Effects of the 1,320-nm Nd:YAG laser on transepidermal water loss, histological changes, and collagen remodeling in skin. Lasers Med Sci 21:147–152PubMedCrossRef Dang Y, Ren Q, Liu H, Ma J, Zhang J (2006) Effects of the 1,320-nm Nd:YAG laser on transepidermal water loss, histological changes, and collagen remodeling in skin. Lasers Med Sci 21:147–152PubMedCrossRef
33.
go back to reference Dayan S, Damrose JF, Bhattacharyya TK, Mobley SR, Patel MK, O'Grady K, Mandrea S (2003) Histological evaluations following 1,064-nm Nd:YAG laser resurfacing. Lasers Surg Med 33(2):126–131PubMedCrossRef Dayan S, Damrose JF, Bhattacharyya TK, Mobley SR, Patel MK, O'Grady K, Mandrea S (2003) Histological evaluations following 1,064-nm Nd:YAG laser resurfacing. Lasers Surg Med 33(2):126–131PubMedCrossRef
34.
go back to reference Gamonal J, Acevedo A, Bascones A, Jorge O, Silva A (2000) Levels of interleukin-1b, -8 and -10 and RANTES in gingival crevicular fluid and cell populations in adult periodontitis patients and the effect of periodontal treatment. J Periodontol 71:1535–1545PubMedCrossRef Gamonal J, Acevedo A, Bascones A, Jorge O, Silva A (2000) Levels of interleukin-1b, -8 and -10 and RANTES in gingival crevicular fluid and cell populations in adult periodontitis patients and the effect of periodontal treatment. J Periodontol 71:1535–1545PubMedCrossRef
35.
go back to reference Boström L, Linder LE, Bergström J (2000) Smoking and GCF levels of IL-1b and IL-1ra in periodontal disease. J Clin Periodontol 27:250–255PubMedCrossRef Boström L, Linder LE, Bergström J (2000) Smoking and GCF levels of IL-1b and IL-1ra in periodontal disease. J Clin Periodontol 27:250–255PubMedCrossRef
36.
go back to reference Gonzales JR, Herrmann JM, Boedeker RH, Francz PI, Biesalski H, Meyle J (2001) Concentration of interleukin-1b and neutrophil elastase activity in gingival crevicular fluid during experimental gingivitis. J Clin Periodontol 28:544–549PubMedCrossRef Gonzales JR, Herrmann JM, Boedeker RH, Francz PI, Biesalski H, Meyle J (2001) Concentration of interleukin-1b and neutrophil elastase activity in gingival crevicular fluid during experimental gingivitis. J Clin Periodontol 28:544–549PubMedCrossRef
37.
go back to reference Qadri T, Poddani P, Javed F, Tunér J, Gustafsson A (2010) A short-term evaluation of Nd:YAG laser as an adjunct to scaling and root planing in the treatment of periodontal inflammation. J Periodontol 81(8):1161–1166PubMedCrossRef Qadri T, Poddani P, Javed F, Tunér J, Gustafsson A (2010) A short-term evaluation of Nd:YAG laser as an adjunct to scaling and root planing in the treatment of periodontal inflammation. J Periodontol 81(8):1161–1166PubMedCrossRef
38.
go back to reference Chen YJ, Jeng JH, Lee BS, Chang HF, Chen KC, Lan WH (2000) Effects of Nd:YAG laser irradiation on cultured human gingival fibroblasts. Lasers Surg Med 27(5):471–478PubMedCrossRef Chen YJ, Jeng JH, Lee BS, Chang HF, Chen KC, Lan WH (2000) Effects of Nd:YAG laser irradiation on cultured human gingival fibroblasts. Lasers Surg Med 27(5):471–478PubMedCrossRef
39.
go back to reference Chen YJ, Jeng JH, Jane YC, Chen MH, Hou LT, Lan WH (2005) Long-term effect of pulsed Nd:YAG laser irradiation on cultured human periodontal fibroblasts. Lasers Surg Med 36(3):225–233PubMedCrossRef Chen YJ, Jeng JH, Jane YC, Chen MH, Hou LT, Lan WH (2005) Long-term effect of pulsed Nd:YAG laser irradiation on cultured human periodontal fibroblasts. Lasers Surg Med 36(3):225–233PubMedCrossRef
40.
go back to reference Gutknecht N, Kanehl S, Moritz A, Mittermayer C, Lampert F (1998) Effects of Nd:YAG-laser irradiation on monolayer cell cultures. Lasers Surg Med 22(1):30–36PubMedCrossRef Gutknecht N, Kanehl S, Moritz A, Mittermayer C, Lampert F (1998) Effects of Nd:YAG-laser irradiation on monolayer cell cultures. Lasers Surg Med 22(1):30–36PubMedCrossRef
Metadata
Title
Effect of 1,064-nm Nd:YAG laser therapy on GCF IL-1β and MMP-8 levels in patients with chronic periodontitis
Authors
Abubekir Eltas
Recep Orbak
Publication date
01-05-2012
Publisher
Springer-Verlag
Published in
Lasers in Medical Science / Issue 3/2012
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI
https://doi.org/10.1007/s10103-011-0939-5

Other articles of this Issue 3/2012

Lasers in Medical Science 3/2012 Go to the issue