Controlled clinical trial2012

Low-level lasers as an adjunct in periodontal therapy in patients with diabetes mellitus

Obradović R, Kesić L, Mihailović D, Jovanović G, Antić S, Brkić Z

Diabetes technology & therapeutics · 28 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Controlled clinical trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2012-09-01 · Diabetes Technol Ther · vol. 14 · issue 9 · pp. 799–803
Publisher
Mary Ann Liebert, Inc.
Cited
40 citations · more than 81% of similar papers · 1.4× the field average
References
41 works
Access
Open access (repository copy)
Research areas
Laser Applications in Dentistry and Medicine · Oral microbiology and periodontitis research · Photodynamic Therapy Research Studies
Keywords
Medicine, Periodontitis, Dentistry, Diabetes mellitus, Scaling and root planing, Oral hygiene, Laser therapy, Periodontology, Inflammation, Chronic periodontitis, Internal medicine, Laser
MeSH
mouth mucosa, dental plaque, humans, gingivitis, periodontitis, diabetes mellitus, type 1, diabetes mellitus, type 2, diabetes complications, treatment outcome, oral hygiene, dental scaling, root planing, adult, middle aged, female, male, patient education as topic, low-level light therapy, glycated hemoglobin

6 authors

From RS

  • Radmila R. Obradović · correspondingUniversity of Nis
  • Ljiljana G. KesićUniversity of Nis
  • Dragan MihailovicUniversity of Nis
  • Goran S. JovanovicUniversity of Nis
  • Slobodan AntićUniversity of Nis
  • Zlata BrkićMilitary Medical Academy; University of Belgrade

Abstract

Background

Diabetes mellitus (DM) increases the risk of periodontitis, and severe periodontitis often coexists with severe DM. The proposed dual pathway of tissue destruction suggests that control of chronic periodontal infection and gingival inflammation is essential for achieving long-term control of DM. The purpose this study is to evaluate the effects of low-level laser therapy (LLLT) by exfoliative cytology in patients with DM and gingival inflammation.

Subjects and methods

Three hundred patients were divided in three equal groups: Group 1 consisted of patients with periodontitis and type 1 DM, Group 2 of patients with periodontitis and type 2 DM, and Group 3 of patients with periodontitis (control group). After oral examination, smears were taken from gingival tissue, and afterward all of the patients received oral hygiene instructions, removal of dental plaque, and full-mouth scaling and root planing. A split-mouth design was applied; on the right side of jaws GaAlAs LLLT (670 nm, 5 mW, 14 min/day) (model Mils 94; Optica Laser, Sofia, Bulgaria) was applied for five consecutive days. After the therapy was completed, smears from both sides of jaws were taken. The morphometric analysis was done using the National Institutes of Health Image software program and a model NU2 microscope (Carl Zeiss, Jena, Germany).

Results

Investigated parameters were significantly lower after therapy compared with values before therapy. After therapy on the side subjected to LLLT, there was no significantly difference between patients with DM and the control group.

Conclusions

It can be concluded that LLLT as an adjunct in periodontal therapy reduces gingival inflammation in patients with DM and periodontitis.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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