2016, Number 6
<< Back Next >>
Rev ADM 2016; 73 (6)
Photodynamic therapy as an adjuvant in nonsurgical periodontal treatment: A clinical evaluation
Guzmán-Tovar R, Rodríguez-Franco NI, Martínez-Sandoval G, Llamosa-Cáñez L, Rodríguez-Pulido JI
Language: Spanish
References: 17
Page: 303-309
PDF size: 364.32 Kb.
ABSTRACT
Introduction: Photodynamic therapy is considered a non-invasive procedure in periodontal practice, one which reduces morbidity and increases patient comfort.
Objective: The aim of this study was to evaluate the clinical efficacy of photodynamic therapy as an adjuvant to scaling and root planing in chronic periodontitis.
Material and methods: A comparative and correlational study was carried out on 20 patients with moderate to advanced chronic periodontitis (attachment loss ≥ 6 mm) during nonsurgical scaling and root planing, including the addition of methylene blue. The photodynamic therapy was applied in two sessions, during which the clinical parameters (pocket depth, clinical attachment level, plaque index, bleeding on probing, and gingival recession) were assessed.
Results: After four weeks of post-treatment assessment, no significant differences were found between the clinical parameters of the experimental and control groups, although a greater increase in gingival recession was found when photodynamic therapy was used (p = 0.353).
Conclusion: The use of photodynamic therapy as an adjuvant in conventional scaling and root planing provides no additional benefits to conventional periodontal treatment.
REFERENCES
Birang R, Shahaboui M, Kiani S, Shadmehr E, Naghsh N. Effect of nonsurgical periodontal treatment combined with diode laser or photodynamic therapy on chronic periodontitis: a randomized controlled split-mouth clinical trial. J Lasers Med Sci. 2015; 6 (3): 112-119.
Jung GU, Kim JW, Kim SJ, Pang EK. Effects of adjunctive daily phototherapy on chronic periodontitis: a randomized single-blind controlled trial. J Periodontal Implant Sci. 2014; 44 (6): 280-287.
Sgolastra F, Petrucci A, Severino M, Graziani F, Gatto R, Monaco A. Adjunctive photodynamic therapy to non-surgical treatment of chronic periodontitis: a systematic review and meta-analysis. J Clin Periodontol. 2013; 40 (5): 514-526.
Morillo LM, Rodríguez JI. Ozonoterapia como adyuvante en el tratamiento periodontal no quirúrgico. Revisión de la bibliografía. Rev Mex Periodontol. 2015; 6 (3): 136-142.
Carvalho VF, Andrade PV, Rodrigues MF, Hirata MH, Hirata RD, Pannuti CM et al. Antimicrobial photodynamic effect to treat residual pockets in periodontal patients: a randomized controlled clinical trial. J Clin Periodontol. 2015; 42 (5): 440-447.
Kolbe MF, Ribeiro FV, Luchesi VH, Casarin RC, Sallum EA, Nociti FH et al. Photodynamic therapy during supportive periodontal care: clinical, microbiologic, immunoinflammatory, and patient-centered performance in a split-mouth randomized clinical trial. J Periodontol. 2014; 85 (8): e277-e286.
Dilsiz A, Canakci V, Aydin T. Clinical effects of potassium–titanyl–phosphate laser and photodynamic therapy on outcomes of treatment of chronic periodontitis: a randomized controlled clinical trial. J Periodontol. 2013; 84 (3): 278-286.
Mielczarek-Badora E, Szulc M. Photodynamic therapy and its role in periodontitis treatment. Postepy Hig Med Dosw. 2013; 13 (67): 1058-1065.
Pourabbas R, Kashefimehr A, Rahmanpour N, Babaloo Z, Kishen A, Tenenbaum HC et al. Effects of photodynamic therapy on clinical and gingival crevicular fluid inflammatory biomarkers in chronic periodontitis: a split-mouth randomized clinical trial. J Periodontol. 2014; 85 (9): 1222-1229.
Maloney WJ, Weinberg MA. Implementation of the American Society of Anesthesiologists physical status classification system in periodontal practice. J Periodontol. 2008; 79 (7): 1124-1126.
Kikuchi T, Mogi M, Okabe I, Okada K, Goto H, Sasaki Y et al. Adjunctive application of antimicrobial photodynamic therapy in nonsurgical periodontal treatment: a review of literature. Int J Mol Sci. 2015; 16 (10): 24111–24126.
Petelin M, Perkič K, Seme K, Gašpirc B. Effect of repeated adjunctive antimicrobial photodynamic therapy on subgingival periodontal pathogens in the treatment of chronic periodontitis. Lasers Med Sci. 2015; 30 (6): 1647-1656.
Betsy J, Prasanth CS, Baiju KV, Prasanthila J, Subhash N. Efficacy of antimicrobial photodynamic therapy in the management of chronic periodontitis: a randomized controlled clinical trial. J Clin Periodontol. 2014; 41 (6): 573-581.
Moreira AL, Novaes AB, Grisi MF, Taba M, Souza SL, Palioto DB et al. Antimicrobial photodynamic therapy as an adjunct to non-surgical treatment of aggressive periodontitis: a split-mouth randomized controlled trial. J Periodontol. 2015; 86 (3): 376-386.
Queiroz AC, Suaid FA, de Andrade PF, Novaes AB, Taba M, Palioto DB et al. Antimicrobial photodynamic therapy associated to nonsurgical periodontal treatment in smokers: microbiological results. J Photochem Photobiol B. 2014; 141: 170-175.
Chatzopoulos G, Doufexi A. Photodynamic therapy in the treatment of aggressive periodontitis: a systematic review. Med Oral Patol Oral Cir Bucal. 2016; 21 (2): e192-e200.
Vohra F, Akram Z, Safii SH, Vaithilingam RD, Ghanem A, Sergis K et al. Role of antimicrobial photodynamic therapy in the treatment of aggressive periodontitis: a systematic review. Photodiagnosis Photodyn Ther. 2016; 13: 139-147.