Keywords
clinical attachment level
diode laser
open flap debridement
periodontal probing depth
Abstract
Introduction: Periodontal disease results from inflammation of the supporting structures of the teeth in response to chronic infections caused by various periodontopathic bacteria. Diode laser, being an excellent soft tissue laser, is indicated for soft tissue curettage or sulcular debridement.
Objective: To evaluate and compare the clinical outcomes of diode laser-assisted periodontal pocket therapy and open flap debridement (OFD) in the treatment of periodontitis
Methods: An experimental study (non-randomised trial) was done in the Department of Periodontics and Oral Implantology at People’s Dental College and Hospital from 2019 August to 2020 July after ethical clearance from Nepal Health Research Council. Convenience sampling was used to select patients with chronic periodontitis with bilateral periodontal pockets in contralateral hemiarches exhibiting periodontal probing depth (PPD) of ≥5-8 mm. In group A, diode laser-assisted pocket therapy was performed and in group B, OFD was done. The parameters were evaluated accordingly at baseline, one, three, and six months.
Results: Comparison of baseline mean PPD scores of OFD group was significantly higher than diode laser associated pocket therapy group (p-value = 0.001). Comparison of baseline mean clinical attachment level (CAL) scores of OFD group was significantly higher than diode laser- assisted pocket therapy group (p-value = 0.012). At subsequent visit higher reduction in PPD was observed in OFD group, while higher reduction in CAL was observed in diode laser group.
Conclusions: Both groups showed significant improvements compared with baseline. However, the difference in improvement of the PPD and CAL between groups was not significant.
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