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Published in: Lasers in Medical Science 1/2014

01-01-2014 | Original Article

Clinical and biochemical effects of diode laser as an adjunct to nonsurgical treatment of chronic periodontitis: a randomized, controlled clinical trial

Authors: Mehmet Saglam, Alpdogan Kantarci, Niyazi Dundar, Sema S. Hakki

Published in: Lasers in Medical Science | Issue 1/2014

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Abstract

The aim of this randomized, parallel, controlled clinical trial was to examine the clinical and biochemical efficacy of diode laser as an adjunct to scaling and root planing (SRP). Thirty chronic periodontitis patients were randomly assigned into two groups to receive SRP alone (control) or SRP followed by diode laser (test). Plaque index, gingival index, bleeding on probing, probing depth, and clinical attachment level were measured at baseline and at 1, 3, and 6 months after treatment. The gingival crevicular fluid levels of interleukin-1β (IL-1β), interleukin-6 (IL-6), interleukin-8 (IL-8), matrix metalloproteinase-1 (MMP-1), matrix metalloproteinase-8 (MMP-8) and tissue inhibitor matrix metalloproteinase-1 (TIMP-1) were analyzed by enzyme-linked immunosorbent assay. Test group showed significantly a better outcome compared to the control group in full-mouth clinical parameters. MMP-1, MMP-8, and TIMP-1 showed significant differences between groups after treatment compared to baseline (p < 0.05). The total amount of IL-1β, IL-6, MMP-1, MMP-8, and TIMP-1 decreased (p < 0.05) and IL-8 increased after treatment in both test and control groups (p < 0.05). Diode laser provided significant improvements in clinical parameters and MMP-8 was significantly impacted by the adjunctive laser treatment at first month providing an insight to how lasers can enhance the outcomes of the nonsurgical periodontal therapy.
Literature
1.
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(8):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(8):493–503PubMedCrossRef
2.
go back to reference Aiba T, Akeno N, Kawane T, Okamoto H, Horiuchi N (1996) Matrix metalloproteinases-1 and -8 and TIMP-1 mRNA levels in normal and diseased human gingivae. Eur J Oral Sci 104(5–6):562–569PubMedCrossRef Aiba T, Akeno N, Kawane T, Okamoto H, Horiuchi N (1996) Matrix metalloproteinases-1 and -8 and TIMP-1 mRNA levels in normal and diseased human gingivae. Eur J Oral Sci 104(5–6):562–569PubMedCrossRef
3.
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
4.
go back to reference Armitage GC (1999) Development of a classification system for periodontal diseases and conditions. Ann Periodontology/Am Acad Periodontology 4(1):1–6CrossRef Armitage GC (1999) Development of a classification system for periodontal diseases and conditions. Ann Periodontology/Am Acad Periodontology 4(1):1–6CrossRef
5.
go back to reference Aykol G, Baser U, Maden I, Kazak Z, Onan U, Tanrikulu-Kucuk S, Ademoglu E, Issever H, Yalcin F (2011) The effect of low-level laser therapy as an adjunct to non-surgical periodontal treatment. J Periodontol 82(3):481–488PubMedCrossRef Aykol G, Baser U, Maden I, Kazak Z, Onan U, Tanrikulu-Kucuk S, Ademoglu E, Issever H, Yalcin F (2011) The effect of low-level laser therapy as an adjunct to non-surgical periodontal treatment. J Periodontol 82(3):481–488PubMedCrossRef
6.
go back to reference Bach G, Neckel C, Mall C, Krekeler G (2000) Conventional versus laser-assisted therapy of periimplantitis: a five-year comparative study. Implant Dent 9(3):247–251PubMedCrossRef Bach G, Neckel C, Mall C, Krekeler G (2000) Conventional versus laser-assisted therapy of periimplantitis: a five-year comparative study. Implant Dent 9(3):247–251PubMedCrossRef
7.
go back to reference Badersten A, Nilveus R, Egelberg J (1981) Effect of nonsurgical periodontal therapy. I. Moderately advanced periodontitis. J Clin Periodontol 8(1):57–72PubMedCrossRef Badersten A, Nilveus R, Egelberg J (1981) Effect of nonsurgical periodontal therapy. I. Moderately advanced periodontitis. J Clin Periodontol 8(1):57–72PubMedCrossRef
8.
go back to reference Baggiolini M, Walz A, Kunkel SL (1989) Neutrophil-activating peptide-1/interleukin 8, a novel cytokine that activates neutrophils. J Clin Invest 84(4):1045–1049PubMedCentralPubMedCrossRef Baggiolini M, Walz A, Kunkel SL (1989) Neutrophil-activating peptide-1/interleukin 8, a novel cytokine that activates neutrophils. J Clin Invest 84(4):1045–1049PubMedCentralPubMedCrossRef
9.
go back to reference Birkedal-Hansen H (1993) Role of matrix metalloproteinases in human periodontal diseases. J Periodontol 64(5 Suppl):474–484PubMed Birkedal-Hansen H (1993) Role of matrix metalloproteinases in human periodontal diseases. J Periodontol 64(5 Suppl):474–484PubMed
10.
go back to reference Bjordal JM, Couppe C, Chow RT, Tuner J, Ljunggren EA (2003) A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders. Aust J Physiotherapy 49(2):107–116 Bjordal JM, Couppe C, Chow RT, Tuner J, Ljunggren EA (2003) A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders. Aust J Physiotherapy 49(2):107–116
11.
go back to reference Bjordal JM, Johnson MI, Iversen V, Aimbire F, Lopes-Martins RA (2006) Low-level laser therapy in acute pain: a systematic review of possible mechanisms of action and clinical effects in randomized placebo-controlled trials. Photomed Laser Surg 24(2):158–168PubMedCrossRef Bjordal JM, Johnson MI, Iversen V, Aimbire F, Lopes-Martins RA (2006) Low-level laser therapy in acute pain: a systematic review of possible mechanisms of action and clinical effects in randomized placebo-controlled trials. Photomed Laser Surg 24(2):158–168PubMedCrossRef
12.
go back to reference Centty IG, Blank LW, Levy BA, Romberg E, Barnes DM (1997) Carbon dioxide laser for de-epithelialization of periodontal flaps. J Periodontol 68(8):763–769PubMedCrossRef Centty IG, Blank LW, Levy BA, Romberg E, Barnes DM (1997) Carbon dioxide laser for de-epithelialization of periodontal flaps. J Periodontol 68(8):763–769PubMedCrossRef
13.
go back to reference Chung RM, Grbic JT, Lamster IB (1997) Interleukin-8 and beta-glucuronidase in gingival crevicular fluid. J Clin Periodontol 24(3):146–152PubMedCrossRef Chung RM, Grbic JT, Lamster IB (1997) Interleukin-8 and beta-glucuronidase in gingival crevicular fluid. J Clin Periodontol 24(3):146–152PubMedCrossRef
14.
go back to reference Cobb CM (1996) Non-surgical pocket therapy: mechanical. Ann Periodontology/Am Acad Periodontology 1(1):443–490CrossRef Cobb CM (1996) Non-surgical pocket therapy: mechanical. Ann Periodontology/Am Acad Periodontology 1(1):443–490CrossRef
15.
go back to reference de Lima FM, Moreira LM, Villaverde AB, Albertini R, Castro-Faria-Neto HC, Aimbire F (2011) Low-level laser therapy (LLLT) acts as cAMP-elevating agent in acute respiratory distress syndrome. Lasers Med Sci 26(3):389–400PubMedCrossRef de Lima FM, Moreira LM, Villaverde AB, Albertini R, Castro-Faria-Neto HC, Aimbire F (2011) Low-level laser therapy (LLLT) acts as cAMP-elevating agent in acute respiratory distress syndrome. Lasers Med Sci 26(3):389–400PubMedCrossRef
16.
go back to reference De Micheli G, de Andrade AK, Alves VT, Seto M, Pannuti CM, Cai S (2011) Efficacy of high intensity diode laser as an adjunct to non-surgical periodontal treatment: a randomized controlled trial. Lasers Med Sci 26(1):43–48PubMedCrossRef De Micheli G, de Andrade AK, Alves VT, Seto M, Pannuti CM, Cai S (2011) Efficacy of high intensity diode laser as an adjunct to non-surgical periodontal treatment: a randomized controlled trial. Lasers Med Sci 26(1):43–48PubMedCrossRef
17.
go back to reference de Morais NC, Barbosa AM, Vale ML, Villaverde AB, de Lima CJ, Cogo JC, Zamuner SR (2010) Anti-inflammatory effect of low-level laser and light-emitting diode in zymosan-induced arthritis. Photomed Laser Surg 28(2):227–232PubMedCrossRef de Morais NC, Barbosa AM, Vale ML, Villaverde AB, de Lima CJ, Cogo JC, Zamuner SR (2010) Anti-inflammatory effect of low-level laser and light-emitting diode in zymosan-induced arthritis. Photomed Laser Surg 28(2):227–232PubMedCrossRef
18.
go back to reference Dewhirst FE, Stashenko PP, Mole JE, Tsurumachi T (1985) Purification and partial sequence of human osteoclast-activating factor: identity with interleukin 1 beta. J Immunol 135(4):2562–2568PubMed Dewhirst FE, Stashenko PP, Mole JE, Tsurumachi T (1985) Purification and partial sequence of human osteoclast-activating factor: identity with interleukin 1 beta. J Immunol 135(4):2562–2568PubMed
19.
go back to reference Dortbudak O, Haas R, Bernhart T, Mailath-Pokorny G (2001) Lethal photosensitization for decontamination of implant surfaces in the treatment of peri-implantitis. Clin Oral Implants Res 12(2):104–108PubMedCrossRef Dortbudak O, Haas R, Bernhart T, Mailath-Pokorny G (2001) Lethal photosensitization for decontamination of implant surfaces in the treatment of peri-implantitis. Clin Oral Implants Res 12(2):104–108PubMedCrossRef
20.
go back to reference Ebersole JL (2003) Humoral immune responses in gingival crevice fluid: local and systemic implications. Periodontol 2000 31:135–166PubMedCrossRef Ebersole JL (2003) Humoral immune responses in gingival crevice fluid: local and systemic implications. Periodontol 2000 31:135–166PubMedCrossRef
21.
go back to reference Flemmig TF (1999) Periodontitis. Ann Periodontology/Am Academy Periodontology 4(1):32–38CrossRef Flemmig TF (1999) Periodontitis. Ann Periodontology/Am Academy Periodontology 4(1):32–38CrossRef
22.
go back to reference Gamonal J, Acevedo A, Bascones A, Jorge O, Silva A (2000) Levels of interleukin-1 beta, -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(10):1535–1545PubMedCrossRef Gamonal J, Acevedo A, Bascones A, Jorge O, Silva A (2000) Levels of interleukin-1 beta, -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(10):1535–1545PubMedCrossRef
23.
go back to reference Gavish L, Perez L, Gertz SD (2006) Low-level laser irradiation modulates matrix metalloproteinase activity and gene expression in porcine aortic smooth muscle cells. Lasers Surg Med 38(8):779–786PubMedCrossRef Gavish L, Perez L, Gertz SD (2006) Low-level laser irradiation modulates matrix metalloproteinase activity and gene expression in porcine aortic smooth muscle cells. Lasers Surg Med 38(8):779–786PubMedCrossRef
24.
go back to reference Gavish L, Perez LS, Reissman P, Gertz SD (2008) Irradiation with 780 nm diode laser attenuates inflammatory cytokines but upregulates nitric oxide in lipopolysaccharide-stimulated macrophages: implications for the prevention of aneurysm progression. Lasers Surg Med 40(5):371–378PubMedCrossRef Gavish L, Perez LS, Reissman P, Gertz SD (2008) Irradiation with 780 nm diode laser attenuates inflammatory cytokines but upregulates nitric oxide in lipopolysaccharide-stimulated macrophages: implications for the prevention of aneurysm progression. Lasers Surg Med 40(5):371–378PubMedCrossRef
26.
go back to reference Gokhale SR, Padhye AM, Byakod G, Jain SA, Padbidri V, Shivaswamy S (2012) A comparative evaluation of the efficacy of diode laser as an adjunct to mechanical debridement versus conventional mechanical debridement in periodontal flap surgery: a clinical and microbiological study. Photomedicine Laser Surg 30(10):598–603CrossRef Gokhale SR, Padhye AM, Byakod G, Jain SA, Padbidri V, Shivaswamy S (2012) A comparative evaluation of the efficacy of diode laser as an adjunct to mechanical debridement versus conventional mechanical debridement in periodontal flap surgery: a clinical and microbiological study. Photomedicine Laser Surg 30(10):598–603CrossRef
27.
go back to reference Haerian A, Adonogianaki E, Mooney J, Docherty JP, Kinane DF (1995) Gingival crevicular stromelysin, collagenase and tissue inhibitor of metalloproteinases levels in healthy and diseased sites. J Clin Periodontol 22(7):505–509PubMedCrossRef Haerian A, Adonogianaki E, Mooney J, Docherty JP, Kinane DF (1995) Gingival crevicular stromelysin, collagenase and tissue inhibitor of metalloproteinases levels in healthy and diseased sites. J Clin Periodontol 22(7):505–509PubMedCrossRef
28.
go back to reference Haerian A, Adonogianaki E, Mooney J, Manos A, Kinane DF (1996) Effects of treatment on gingival crevicular collagenase, stromelysin and tissue inhibitor of metalloproteinases and their ability to predict response to treatment. J Clin Periodontol 23(2):83–91PubMedCrossRef Haerian A, Adonogianaki E, Mooney J, Manos A, Kinane DF (1996) Effects of treatment on gingival crevicular collagenase, stromelysin and tissue inhibitor of metalloproteinases and their ability to predict response to treatment. J Clin Periodontol 23(2):83–91PubMedCrossRef
29.
go back to reference Hakki SS, Bozkurt SB (2012) Effects of different setting of diode laser on the mRNA expression of growth factors and type I collagen of human gingival fibroblasts. Lasers Med Sci 27(2):325–331PubMedCrossRef Hakki SS, Bozkurt SB (2012) Effects of different setting of diode laser on the mRNA expression of growth factors and type I collagen of human gingival fibroblasts. Lasers Med Sci 27(2):325–331PubMedCrossRef
30.
go back to reference Holla LI, Fassmann A, Stejskalova A, Znojil V, Vanek J, Vacha J (2004) Analysis of the interleukin-6 gene promoter polymorphisms in Czech patients with chronic periodontitis. J Periodontol 75(1):30–36PubMedCrossRef Holla LI, Fassmann A, Stejskalova A, Znojil V, Vanek J, Vacha J (2004) Analysis of the interleukin-6 gene promoter polymorphisms in Czech patients with chronic periodontitis. J Periodontol 75(1):30–36PubMedCrossRef
31.
go back to reference Holt SC, Bramanti TE (1991) Factors in virulence expression and their role in periodontal disease pathogenesis. Crit Reviews Oral Biol and Med: An Off Publ Am Assoc Oral Biologists 2(2):177–281 Holt SC, Bramanti TE (1991) Factors in virulence expression and their role in periodontal disease pathogenesis. Crit Reviews Oral Biol and Med: An Off Publ Am Assoc Oral Biologists 2(2):177–281
32.
go back to reference Ishikawa I, Aoki A, Takasaki AA, Mizutani K, Sasaki KM, Izumi Y (2009) Application of lasers in periodontics: true innovation or myth? Periodontol 2000 50:90–126PubMedCrossRef Ishikawa I, Aoki A, Takasaki AA, Mizutani K, Sasaki KM, Izumi Y (2009) Application of lasers in periodontics: true innovation or myth? Periodontol 2000 50:90–126PubMedCrossRef
33.
go back to reference Israel M, Rossmann JA, Froum SJ (1995) Use of the carbon dioxide laser in retarding epithelial migration: a pilot histological human study utilizing case reports. J Periodontol 66(3):197–204PubMedCrossRef Israel M, Rossmann JA, Froum SJ (1995) Use of the carbon dioxide laser in retarding epithelial migration: a pilot histological human study utilizing case reports. J Periodontol 66(3):197–204PubMedCrossRef
34.
go back to reference Jin L, Soder B, Corbet EF (2000) Interleukin-8 and granulocyte elastase in gingival crevicular fluid in relation to periodontopathogens in untreated adult periodontitis. J Periodontol 71(6):929–939PubMedCrossRef Jin L, Soder B, Corbet EF (2000) Interleukin-8 and granulocyte elastase in gingival crevicular fluid in relation to periodontopathogens in untreated adult periodontitis. J Periodontol 71(6):929–939PubMedCrossRef
35.
go back to reference Kaldahl WB, Kalkwarf KL, Patil KD, Molvar MP, Dyer JK (1996) Long-term evaluation of periodontal therapy: I. Response to 4 therapeutic modalities. J Periodontol 67(2):93–102PubMedCrossRef Kaldahl WB, Kalkwarf KL, Patil KD, Molvar MP, Dyer JK (1996) Long-term evaluation of periodontal therapy: I. Response to 4 therapeutic modalities. J Periodontol 67(2):93–102PubMedCrossRef
36.
go back to reference Kantarci A, Nseir Z, Kim YS, Sume SS, Trackman PC (2011) Loss of basement membrane integrity in human gingival overgrowth. J Dent Res 90(7):887–893PubMedCrossRef Kantarci A, Nseir Z, Kim YS, Sume SS, Trackman PC (2011) Loss of basement membrane integrity in human gingival overgrowth. J Dent Res 90(7):887–893PubMedCrossRef
37.
go back to reference Kornman KS, Page RC, Tonetti MS (1997) The host response to the microbial challenge in periodontitis: assembling the players. Periodontol 2000 14:33–53PubMedCrossRef Kornman KS, Page RC, Tonetti MS (1997) The host response to the microbial challenge in periodontitis: assembling the players. Periodontol 2000 14:33–53PubMedCrossRef
38.
go back to reference Kreisler M, Al Haj H, D'hoedt B (2005) Clinical efficacy of semiconductor laser application as an adjunct to conventional scaling and root planing. Lasers Surg Med 37(5):350–355PubMedCrossRef Kreisler M, Al Haj H, D'hoedt B (2005) Clinical efficacy of semiconductor laser application as an adjunct to conventional scaling and root planing. Lasers Surg Med 37(5):350–355PubMedCrossRef
39.
go back to reference Lindhe J, Nyman S (1985) Scaling and granulation tissue removal in periodontal therapy. J Clin Periodontol 12(5):374–388PubMedCrossRef Lindhe J, Nyman S (1985) Scaling and granulation tissue removal in periodontal therapy. J Clin Periodontol 12(5):374–388PubMedCrossRef
40.
go back to reference Lui J, Corbet EF, Jin L (2011) Combined photodynamic and low-level laser therapies as an adjunct to nonsurgical treatment of chronic periodontitis. J Periodontal Res 46(1):89–96PubMedCrossRef Lui J, Corbet EF, Jin L (2011) Combined photodynamic and low-level laser therapies as an adjunct to nonsurgical treatment of chronic periodontitis. J Periodontal Res 46(1):89–96PubMedCrossRef
41.
go back to reference Matia JI, Bissada NF, Maybury JE, Ricchetti P (1986) Efficiency of scaling of the molar furcation area with and without surgical access. Int J Periodontics Restor Dent 6(6):24–35 Matia JI, Bissada NF, Maybury JE, Ricchetti P (1986) Efficiency of scaling of the molar furcation area with and without surgical access. Int J Periodontics Restor Dent 6(6):24–35
42.
go back to reference Mombelli A (2012) Antimicrobial advances in treating periodontal diseases. Frontiers Oral Biol 15:133–148CrossRef Mombelli A (2012) Antimicrobial advances in treating periodontal diseases. Frontiers Oral Biol 15:133–148CrossRef
43.
go back to reference Moritz A, Gutknecht N, Doertbudak O, Goharkhay K, Schoop U, Schauer P, Sperr W (1997) Bacterial reduction in periodontal pockets through irradiation with a diode laser: a pilot study. J Clin Laser Med Surg 15(1):33–37PubMed Moritz A, Gutknecht N, Doertbudak O, Goharkhay K, Schoop U, Schauer P, Sperr W (1997) Bacterial reduction in periodontal pockets through irradiation with a diode laser: a pilot study. J Clin Laser Med Surg 15(1):33–37PubMed
44.
go back to reference Moritz A, Schoop U, Goharkhay K, Schauer P, Doertbudak O, Wernisch J, Sperr W (1998) Treatment of periodontal pockets with a diode laser. Lasers Surg Med 22(5):302–311PubMedCrossRef Moritz A, Schoop U, Goharkhay K, Schauer P, Doertbudak O, Wernisch J, Sperr W (1998) Treatment of periodontal pockets with a diode laser. Lasers Surg Med 22(5):302–311PubMedCrossRef
45.
go back to reference Nomura T, Ishii A, Oishi Y, Kohma H, Hara K (1998) Tissue inhibitors of metalloproteinases level and collagenase activity in gingival crevicular fluid: the relevance to periodontal diseases. Oral Dis 4(4):231–240PubMedCrossRef Nomura T, Ishii A, Oishi Y, Kohma H, Hara K (1998) Tissue inhibitors of metalloproteinases level and collagenase activity in gingival crevicular fluid: the relevance to periodontal diseases. Oral Dis 4(4):231–240PubMedCrossRef
46.
47.
go back to reference Offenbacher S (1996) Periodontal diseases: pathogenesis. Ann Periodontology/Am Acad Periodontology 1(1):821–878CrossRef Offenbacher S (1996) Periodontal diseases: pathogenesis. Ann Periodontology/Am Acad Periodontology 1(1):821–878CrossRef
48.
go back to reference Page RC (1998) The pathobiology of periodontal diseases may affect systemic diseases: inversion of a paradigm. Ann Periodontology/Am Acad Periodontology 3(1):108–120CrossRef Page RC (1998) The pathobiology of periodontal diseases may affect systemic diseases: inversion of a paradigm. Ann Periodontology/Am Acad Periodontology 3(1):108–120CrossRef
49.
go back to reference Papanicolaou DA, Wilder RL, Manolagas SC, Chrousos GP (1998) The pathophysiologic roles of interleukin-6 in human disease. Ann Intern Med 128(2):127–137PubMedCrossRef Papanicolaou DA, Wilder RL, Manolagas SC, Chrousos GP (1998) The pathophysiologic roles of interleukin-6 in human disease. Ann Intern Med 128(2):127–137PubMedCrossRef
51.
go back to reference Pollanen MT, Laine MA, Ihalin R, Uitto VJ (2012) Host–bacteria crosstalk at the dentogingival junction. Int J Dent 2012:821–383CrossRef Pollanen MT, Laine MA, Ihalin R, Uitto VJ (2012) Host–bacteria crosstalk at the dentogingival junction. Int J Dent 2012:821–383CrossRef
52.
go back to reference Qadri T, Miranda L, Tuner J, Gustafsson A (2005) The short-term effects of low-level lasers as adjunct therapy in the treatment of periodontal inflammation. J Clin Periodontol 32(7):714–719PubMedCrossRef Qadri T, Miranda L, Tuner J, Gustafsson A (2005) The short-term effects of low-level lasers as adjunct therapy in the treatment of periodontal inflammation. J Clin Periodontol 32(7):714–719PubMedCrossRef
53.
go back to reference Qadri T, Poddani P, Javed F, Tuner 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, Tuner 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
54.
go back to reference Romanos GE, Henze M, Banihashemi S, Parsanejad HR, Winckler J, Nentwig GH (2004) Removal of epithelium in periodontal pockets following diode (980 nm) laser application in the animal model: an in vitro study. Photomed Laser Surg 22(3):177–183PubMedCrossRef Romanos GE, Henze M, Banihashemi S, Parsanejad HR, Winckler J, Nentwig GH (2004) Removal of epithelium in periodontal pockets following diode (980 nm) laser application in the animal model: an in vitro study. Photomed Laser Surg 22(3):177–183PubMedCrossRef
55.
go back to reference Sanz M, Teughels W (2008) Innovations in non-surgical periodontal therapy: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol 35(8 Suppl):3–7PubMedCrossRef Sanz M, Teughels W (2008) Innovations in non-surgical periodontal therapy: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol 35(8 Suppl):3–7PubMedCrossRef
56.
go back to reference Schenkein HA (2006) Host responses in maintaining periodontal health and determining periodontal disease. Periodontol 2000 40:77–93PubMedCrossRef Schenkein HA (2006) Host responses in maintaining periodontal health and determining periodontal disease. Periodontol 2000 40:77–93PubMedCrossRef
57.
go back to reference Schindl M, Kerschan K, Schindl A, Schon H, Heinzl H, Schindl L (1999) Induction of complete wound healing in recalcitrant ulcers by low-intensity laser irradiation depends on ulcer cause and size. Photodermatol Photoimmunol Photomed 15(1):18–21PubMedCrossRef Schindl M, Kerschan K, Schindl A, Schon H, Heinzl H, Schindl L (1999) Induction of complete wound healing in recalcitrant ulcers by low-intensity laser irradiation depends on ulcer cause and size. Photodermatol Photoimmunol Photomed 15(1):18–21PubMedCrossRef
58.
go back to reference Sfakianakis A, Barr CE, Kreutzer DL (2002) Localization of the chemokine interleukin-8 and interleukin-8 receptors in human gingiva and cultured gingival keratinocytes. J Periodontal Res 37(2):154–160PubMedCrossRef Sfakianakis A, Barr CE, Kreutzer DL (2002) Localization of the chemokine interleukin-8 and interleukin-8 receptors in human gingiva and cultured gingival keratinocytes. J Periodontal Res 37(2):154–160PubMedCrossRef
59.
go back to reference Shibata Y, Takiguchi H, Abiko Y (1999) Antisense oligonucleotide of tissue inhibitor of metalloproteinase-1 induces the plasminogen activator activity in periodontal ligament cells. J Periodontol 70(10):1158–1165PubMedCrossRef Shibata Y, Takiguchi H, Abiko Y (1999) Antisense oligonucleotide of tissue inhibitor of metalloproteinase-1 induces the plasminogen activator activity in periodontal ligament cells. J Periodontol 70(10):1158–1165PubMedCrossRef
60.
go back to reference Slots J, Slots H (2011) Bacterial and viral pathogens in saliva: disease relationship and infectious risk. Periodontol 2000 55(1):48–69PubMedCrossRef Slots J, Slots H (2011) Bacterial and viral pathogens in saliva: disease relationship and infectious risk. Periodontol 2000 55(1):48–69PubMedCrossRef
61.
go back to reference Socransky SS, Haffajee AD (2002) Dental biofilms: difficult therapeutic targets. Periodontol 2000 28:12–55PubMedCrossRef Socransky SS, Haffajee AD (2002) Dental biofilms: difficult therapeutic targets. Periodontol 2000 28:12–55PubMedCrossRef
62.
go back to reference Sume SS, Kantarci A, Lee A, Hasturk H, Trackman PC (2010) Epithelial to mesenchymal transition in gingival overgrowth. Am J Pathol 177(1):208–218PubMedCrossRef Sume SS, Kantarci A, Lee A, Hasturk H, Trackman PC (2010) Epithelial to mesenchymal transition in gingival overgrowth. Am J Pathol 177(1):208–218PubMedCrossRef
63.
go back to reference Taylor JJ (2010) Cytokine regulation of immune responses to Porphyromonas gingivalis. Periodontol 2000 54(1):160–194PubMedCrossRef Taylor JJ (2010) Cytokine regulation of immune responses to Porphyromonas gingivalis. Periodontol 2000 54(1):160–194PubMedCrossRef
64.
go back to reference Thunell DH, Tymkiw KD, Johnson GK, Joly S, Burnell KK, Cavanaugh JE, Brogden KA, Guthmiller JM (2010) A multiplex immunoassay demonstrates reductions in gingival crevicular fluid cytokines following initial periodontal therapy. J Periodontal Res 45(1):148–152PubMedCrossRef Thunell DH, Tymkiw KD, Johnson GK, Joly S, Burnell KK, Cavanaugh JE, Brogden KA, Guthmiller JM (2010) A multiplex immunoassay demonstrates reductions in gingival crevicular fluid cytokines following initial periodontal therapy. J Periodontal Res 45(1):148–152PubMedCrossRef
65.
go back to reference Tonetti MS, Imboden MA, Gerber L, Lang NP, Laissue J, Mueller C (1994) Localized expression of mRNA for phagocyte-specific chemotactic cytokines in human periodontal infections. Infect Immun 62(9):4005–4014PubMedCentralPubMed Tonetti MS, Imboden MA, Gerber L, Lang NP, Laissue J, Mueller C (1994) Localized expression of mRNA for phagocyte-specific chemotactic cytokines in human periodontal infections. Infect Immun 62(9):4005–4014PubMedCentralPubMed
66.
go back to reference Tonetti MS, Imboden MA, Lang NP (1998) Neutrophil migration into the gingival sulcus is associated with transepithelial gradients of interleukin-8 and ICAM-1. J Periodontol 69(10):1139–1147PubMedCrossRef Tonetti MS, Imboden MA, Lang NP (1998) Neutrophil migration into the gingival sulcus is associated with transepithelial gradients of interleukin-8 and ICAM-1. J Periodontol 69(10):1139–1147PubMedCrossRef
67.
go back to reference Tsai CC, Ho YP, Chen CC (1995) Levels of interleukin-1 beta and interleukin-8 in gingival crevicular fluids in adult periodontitis. J Periodontol 66(10):852–859PubMedCrossRef Tsai CC, Ho YP, Chen CC (1995) Levels of interleukin-1 beta and interleukin-8 in gingival crevicular fluids in adult periodontitis. J Periodontol 66(10):852–859PubMedCrossRef
68.
go back to reference Tuter G, Kurtis B, Serdar M, Yucel A, Ayhan E, Karaduman B, Ozcan G (2005) Effects of phase I periodontal treatment on gingival crevicular fluid levels of matrix metalloproteinase-3 and tissue inhibitor of metalloproteinase-1. J Clin Periodontol 32(9):1011–1015PubMedCrossRef Tuter G, Kurtis B, Serdar M, Yucel A, Ayhan E, Karaduman B, Ozcan G (2005) Effects of phase I periodontal treatment on gingival crevicular fluid levels of matrix metalloproteinase-3 and tissue inhibitor of metalloproteinase-1. J Clin Periodontol 32(9):1011–1015PubMedCrossRef
70.
go back to reference van Winkelhoff AJ, Winkel EG (2009) Antibiotics in periodontics: right or wrong? J Periodontol 80(10):1555–1558PubMedCrossRef van Winkelhoff AJ, Winkel EG (2009) Antibiotics in periodontics: right or wrong? J Periodontol 80(10):1555–1558PubMedCrossRef
71.
go back to reference Westerlund U, Ingman T, Lukinmaa PL, Salo T, Kjeldsen L, Borregaard N, Tjaderhane L, Konttinen YT, Sorsa T (1996) Human neutrophil gelatinase and associated lipocalin in adult and localized juvenile periodontitis. J Dent Res 75(8):1553–1563PubMedCrossRef Westerlund U, Ingman T, Lukinmaa PL, Salo T, Kjeldsen L, Borregaard N, Tjaderhane L, Konttinen YT, Sorsa T (1996) Human neutrophil gelatinase and associated lipocalin in adult and localized juvenile periodontitis. J Dent Res 75(8):1553–1563PubMedCrossRef
72.
go back to reference Yilmaz S, Kuru B, Kuru L, Noyan U, Argun D, Kadir T (2002) Effect of gallium arsenide diode laser on human periodontal disease: a microbiological and clinical study. Lasers Surg Med 30(1):60–66PubMedCrossRef Yilmaz S, Kuru B, Kuru L, Noyan U, Argun D, Kadir T (2002) Effect of gallium arsenide diode laser on human periodontal disease: a microbiological and clinical study. Lasers Surg Med 30(1):60–66PubMedCrossRef
Metadata
Title
Clinical and biochemical effects of diode laser as an adjunct to nonsurgical treatment of chronic periodontitis: a randomized, controlled clinical trial
Authors
Mehmet Saglam
Alpdogan Kantarci
Niyazi Dundar
Sema S. Hakki
Publication date
01-01-2014
Publisher
Springer London
Published in
Lasers in Medical Science / Issue 1/2014
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI
https://doi.org/10.1007/s10103-012-1230-0

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