scholarly journals Effect of 810nm Diode Laser on the Number of Periopathogen in Gingival Crevicular Fluid (GCF) of Fixed orthodontics Patients without Gingival Inflammation

2019 ◽  
Vol 16 (4) ◽  
pp. 245-252
Author(s):  
Sosan Sadeghian ◽  
Alireza omrani ◽  
Nasim Esnaashari ◽  
Shirin Zahra Farhad ◽  
Masih Kavian ◽  
...  
Author(s):  
Sangeeta Roy ◽  
C.S. Joshi ◽  
Pradeep Shukla ◽  
Gaurav Malhotra ◽  
Prerna Kataria ◽  
...  

Background and Objectives: C?reactive protein (CRP) is a type I acute phase reactant. A number of studies have reported elevated gingival crevicular fluid (GCF) CRP levels in periodontitis subjects, which decrease following periodontal therapy. Effect of diode laser as an adjuct to Scaling & Root planing is also well stablished. The aim of the present study was to evaluate the effect of periodontal treatment SRP with diode laser, on CRP levels in GCF in patients with chronic periodontitis. Materials and Methods: A total of 40 subjects with moderate periodontitis based on community periodontal index scores, were included in the study. Periodontal therapy was performed dividing each side of jaw as a group (Split mouth); one side SRP alone & another Diode laser with SRP. GCF was collected from each subject at Baseline (prior to treatment) and 1 month after periodontal therapy. The collected sample was subjected to biochemical analysis to detect CRP levels by using a commercially available highly sensitive kit. Results: The present study demonstrated that the mean CRP values at baseline were found to be 0.11043mg/l in side-I (side treated with SRP alone); 0.11042mg/l in side-II (side treated with SRP & laser) of the patient, which reduced to 0.4148 mg/L in side I and 0.3985mg/L in side II after treatment, which are highly significant according to statistical analysis but the changes between two sides were non- significant statistically. Interpretation and Conclusion: Within the limitations of this study, it can be concluded that periodontal therapy is able to reduce the GCF C reactive protein level significantly, but there was no statistically significant result in CRP level, between sides treated with SRP & SRP with laser. Key words: Chronic periodontitis, C?reactive protein, gingival crevicular fluid, Scaling and root planing, Diode laser


2019 ◽  
Author(s):  
Theodora Bolyarova ◽  
Raya Grozdanova ◽  
Gergana Micheva ◽  
Maria Dencheva ◽  
Tsvetelina Velikova

Author(s):  
Rakesh M.P. ◽  
Krishna Kripal ◽  
Deepthi R. ◽  
Sandeep S. Prabhu ◽  
Shanmugapriya P.A.

Background: SDF-1α may be involved in the immune defense pathway activated during periodontal disease. Upon development of disease, SDF-1α levels increase and may recruit host defensive cells into sites of inflammation. This suggests that SDF-1α may be a useful biomarker for the identification of periodontal disease progression. Previous studies suggested that diode laser using as an adjunct to SRP in clinical and biochemical benefits. Aims and objectives: The aim of the present study was to assess the effect of diode laser on gingival crevicular fluid stromal derived factor – 1 alpha (SDF-1α) level in chronic generalized periodontitis patients.  Materials and methods: A total of 30 patients were divided in two groups based on inclusion and exclusion criteria as follows: Group 1:  15 chronic generalized periodontitis patients who received treatment with scaling and root planing. Group 2: 15 chronic generalized periodontitis patients who received treatment with scaling and root planing and diode laser. Each GCF samples were collected at baseline, 15 days and 21 days after treatment. Clinical parameters like gingival index, probing pocket depth and clinical attachment level were recorded and GCF samples also collected. Results: All the clinical parameters (GI, PPD, CAL) and the concentration of SDF-1α level in GCF were found to be significantly reduced in the group 2 compared to group 1 after 21 days. The mean values of GI, PPD, CAL parameters at different time intervals was found statistically significant in both the groups (p<0.001). Conclusion: Within the limitations of the present study, we conclude that diode laser used as an adjunct to SRP provides greater improvement in clinical and biochemical benefits over conventional mechanical treatment during medium term of observation.


2018 ◽  
Vol 75 (9) ◽  
pp. 856-863
Author(s):  
Predrag Janosevic ◽  
Ivana Stojanovic ◽  
Mirjana Janosevic ◽  
Gordana Filipovic ◽  
Maja Stosic

Background/Aim. Nowadays therapy with fixed orthodontic appliances is widely spread, having in mind positive effects it has in malocclusion treatments The side effect is increased gingivial inflammation in treated patients. The aims of this research are to estimate the inflammatory condition of gingiva in the first 6 months of orthodontic therapy on the basis of clinical parameters of sulcus bleeding index, plaque index, gingival crevicular fluid and salivary nitric oxide concentration, and to investigate role of nitric oxide as predicting factor of gingival inflammation in orthodontic patients. Methods. In this study, 30 patients of the Dental Clinic treated with fixed orthodontic appliances (11 males and 19 females), aged 15-22 years, were examined. Clinical parameters were evaluated and gingival crevicular fluid and saliva were collected, before the beginning of orthodontics therapy, and then, three and six months after it. Results. The approximate values of clinical parameters, gingival crevicular fluid and salivary nitric oxide concentration progressively increased. Low statistical significance of correlations among gingival crevicular fluid and salivary nitric oxide concentration and the measured clinical parameters were found. There is a statistically significant correlation between gingival crevicular fluid and salivary nitric oxide concentration. Conclusion. According to the obtained results, we can conclude that gingival crevicular fluid and saliva are reliable mediums for monitoring of the gingival inflammatory condition. More studies are needed to investigate a potential role of nitric oxide as predicting factor of gingival inflammation in orthodontic patients.


2017 ◽  
Vol 3 (2) ◽  
pp. 93
Author(s):  
P. Prayitno ◽  
Anggy Natya Listyaningrum

Effect of taking mangosteen peel extract (Garcinia mangostana L.) supplement on gingival inflammation in fixed orthodontic patients (A study of leukocyte count of gingival crevicular fluid). Patients with fixed orthodontic appliances have a high risk of gingival inflammation. Gingival inflammation is characterized by an increase in leukocyte count of gingival crevicular fluid resulting in proinflammatory cytokines that are capable of damaging the gingival tissue. Mangosteen peel (Garcinia mangostana L) contains xantone which has anti-inflammatory properties. The objective of this study was to determine the effect of consuming mangosteen peel extract (Garcinia mangostana L) supplement on gingival inflammation in patients with fixed orthodontic by studying the leukocyte counts of gingival crevicularuid. Twenty patients with fixed orthodontic appliances were divided into two groups: 10 subjects in the control group and 10 subjects in the treatment group. They were selected based on the following criteria: age 18-24 years, suffering from mild to moderate gingivitis, and using fixed orthodontic appliances in the final phase. The subjects in both groups underwent initial therapy in the form of scaling, then the subjects in the treatment group took 2 capsules of mangosteen peel extract supplements three times a day for seven days. The sampling of gingival crevicular fluid of both groups was taken on day 0 and 8 in the lower anterior region, that is 3 samples of gingival crevicular fluid per subject. Leukocytes were seen from the results of staining with Turk’s reagents through microscope with a magnification of 400 times. The average leukocyte counts were analyzed using Pair T-test and Independent Sample T-test. The results showed that taking mangosteen peel extract (Garcinia mangostana L) supplements has significant effect on the decrease in leukocyte counts of gingival crevicular fluids (p<0.05). The conclusion of this study is the consumption of mangosteen peel extract (Garcinia mangostana L) supplement signicantly influences the reduction of gingival inflammation in patients with fixed orthodontic appliances, evident from the decline in the leukocyte counts of gingival crevicular fluids. ABSTRAKPasien pemakai ortodonti cekat memiliki resiko tinggi mengalami inflamasi gingiva. Inflamasi gingiva ditandai dengan meningkatnya jumlah leukosit cairan sulkus gingiva yang menghasilkan sitokin proinflamasi yang mampu merusak jaringan gingiva. Kulit manggis (Garcinia mangostana L) mengandung xantone yang memiliki sifat antiinflamasi. Tujuan penelitian ini adalah untuk mengetahui pengaruh konsumsi suplemen ekstrak kulit manggis (Garcinia mangostanaL) terhadap inflamasi gingiva pada pasien ortodonti cekat dengan kajian jumlah leukosit pada cairan sulkus gingiva. Dua puluh pasien ortodonti cekat dibagi menjadi dua kelompok, 10 subjek pada kelompok kontrol dan 10 subjek pada kelompok perlakuan yang diseleksi berdasarkan kriteria: usia 18-24 tahun, menderita gingivitis ringan hingga sedang, dan menggunakan alat ortodonti cekat pada fase akhir. Subjek pada kedua kelompok dilakukan initial therapy berupa scaling, kemudian subjek pada kelompok perlakuan mengkonsumsi suplemen ekstrak kulit manggis 2 kapsul 3 kali sehari selama 7 hari. Pengambilan sampel cairan sulkus gingiva kedua kelompok dilakukan pada hari ke-0 dan ke-8 pada regio anterior bawah sebanyak 3 sampel cairan sulkus gingiva tiap subjek. Leukosit dilihat dari hasil pewarnaan reagen Turk melalui mikroskop dengan perbesaran 400 kali. Hasil rerata jumlah leukosit dianalisis menggunakan uji Pair T-test dan uji Independent Sample T-test. Hasil penelitian menunjukkan bahwa mengkonsumsi suplemen ekstrak kulit manggis (Garcinia mangostana L) berpengaruh terhadap penurunan jumlah leukosit  cairan sulkus  gingiva secara signifikan  (p < 0,05). Kesimpulan dari penelitian ini adalah konsumsi suplemen ekstrak kulit manggis (Garcinia mangostana L) berpengaruh secara signifikan terhadap penurunan inflamasi gingiva pada pasien ortodonti cekat dilihat dari penurunan jumlah leukosit cairan sulkus gingivanya.


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