TY - JOUR
T1 - Photobiomodulation for the treatment of periodontal pockets in patients with type 2 diabetes
T2 - 1-year results of a randomized clinical trial
AU - Castro dos Santos, Nídia
AU - Andere, Naira M.R.B.
AU - Miguel, Manuela Maria Viana
AU - dos Santos, Lúcio Murilo
AU - Santamaria, Milton
AU - Mathias, Ingrid Fernandes
AU - Jardini, Maria Aparecida Neves
AU - Santamaria, Mauro Pedrine
N1 - Publisher Copyright:
© 2019, Springer-Verlag London Ltd., part of Springer Nature.
PY - 2019/12/1
Y1 - 2019/12/1
N2 - This study investigated the local effect of photobiomodulation (PBM) for the treatment of periodontal pockets in patients with periodontitis and type 2 diabetes. Thirty-eight periodontal pockets presenting probing depth (PD) and clinical attachment level (CAL) ≥ 5 mm were selected from 19 patients (two pockets/patient). The selected periodontal pockets were randomly assigned to receive mechanical debridement only (control group) or mechanical debridement with PBM (PBM group). Clinical measures, such as PD, CAL, bleeding on probing (BoP), and presence of supragingival biofilm (PI), were collected and compared at baseline, 3, 6, and 12 months. After 12 months, no statistically difference was observed for mean PD and mean CAL when control and PBM groups were compared. The frequency of pockets with PD 5–6 mm was significantly lower for the PBM group at 6 months when compared to the control group. Pockets with PD ≥ 7 mm changed significantly between baseline and 3, 6, and 12 months for the PBM group, while for the control group, statistical significance was only observed between baseline and 6 months. The PBM protocol used in this study did not provide significant changes for PD and CAL in periodontal pockets when compared to mechanical therapy only. However, PBM was more effective in reducing the percentage of moderate periodontal pockets at 6 months in patients with type 2 DM.
AB - This study investigated the local effect of photobiomodulation (PBM) for the treatment of periodontal pockets in patients with periodontitis and type 2 diabetes. Thirty-eight periodontal pockets presenting probing depth (PD) and clinical attachment level (CAL) ≥ 5 mm were selected from 19 patients (two pockets/patient). The selected periodontal pockets were randomly assigned to receive mechanical debridement only (control group) or mechanical debridement with PBM (PBM group). Clinical measures, such as PD, CAL, bleeding on probing (BoP), and presence of supragingival biofilm (PI), were collected and compared at baseline, 3, 6, and 12 months. After 12 months, no statistically difference was observed for mean PD and mean CAL when control and PBM groups were compared. The frequency of pockets with PD 5–6 mm was significantly lower for the PBM group at 6 months when compared to the control group. Pockets with PD ≥ 7 mm changed significantly between baseline and 3, 6, and 12 months for the PBM group, while for the control group, statistical significance was only observed between baseline and 6 months. The PBM protocol used in this study did not provide significant changes for PD and CAL in periodontal pockets when compared to mechanical therapy only. However, PBM was more effective in reducing the percentage of moderate periodontal pockets at 6 months in patients with type 2 DM.
KW - Diabetes mellitus
KW - Low-level laser therapy
KW - Periodontal pockets
KW - Periodontitis
KW - Photobiomodulation
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U2 - 10.1007/s10103-019-02799-0
DO - 10.1007/s10103-019-02799-0
M3 - Article
C2 - 31093797
AN - SCOPUS:85066038835
SN - 0268-8921
VL - 34
SP - 1897
EP - 1904
JO - Lasers in Medical Science
JF - Lasers in Medical Science
IS - 9
ER -
