PHOTODYNAMIC THERAPY AS AN EFFICIENT ADJUNCT TO NON SURGICAL TREATMENT OF PERIODONTITIS: A CASE SERIES

2021 ◽  
pp. 76-77
Author(s):  
Nisha Jain ◽  
Rudrax Jindal

The aim of this case series was to assess the efcacy of antimicrobial photodynamic therapy in the treatment of chronic periodontitis. This case series included two subjects with Presence of pocket depth 6 mm or more with clinical attachment loss(CAL) and bleeding on probing (BOP) in minimum of 1 tooth in atleast two quadrants. After full mouth mechanical debridement (SRP), rst site received no further treatment, whereas, second site was subjected to photodynamic therapy. SRP+PDT group showed signicant improvement in (CAL) and reduction in probing depth as compared to SRP group. Therefore, it can be concluded that Photodynamic therapy has its own advantage as an adjunct to SRP in the non surgical treatment of chronic periodontitis,further research for which may be advocated

Author(s):  
Pier Paolo Poli ◽  
Francisley Ávila Souza ◽  
Giovanni Damiani ◽  
Henrique Hadad ◽  
Carlo Maiorana ◽  
...  

2019 ◽  
Vol 51 (sup1) ◽  
pp. 135-135
Author(s):  
João Botelho ◽  
Vanessa Machado ◽  
Paulo Mascarenhas ◽  
Maria Alzira Cavacas ◽  
José João Mendes ◽  
...  

2019 ◽  
Vol 11 (2) ◽  
pp. 85-93
Author(s):  
Ardeshir Lafzi ◽  
Seyed Masoud Mojahedi ◽  
Mahdieh Mirakhori ◽  
Maryam Torshabi ◽  
Mahdi Kadkhodazadeh ◽  
...  

Background. Thisstudy aimed to compare the effect of one and two sessions of antimicrobial photodynamic therapy (aPDT) as an adjunct to scaling and root planing (SRP) on clinical and microbial parameters in patients with chronic periodontitis. Methods. This study was conducted on 20 patients. The dental quadrants of patients were randomly assigned to SRP at baseline (group 1), SRP at baseline and one month (group 2), SRP plus aPDT at baseline (group 3) and SRP plus aPDT at baseline and one month (group 4). Probing depth (PD), clinical attachment level (CAL) gain, and bleeding on probing (BoP) were measured at baseline, and one and three months later. F. nucleatum counts were determined by PCR. ANOVA was used for the comparison of these variables between the groups. Results. In all the groups, PD reduction and CAL gain increased significantly at 1- and 3-month intervals compared to baseline (P=0.001). At three months, the difference in PD between groups 1 and 3 was statistically significant (P=0.014). CAL gain between groups 2 and 4 at one month (P=0.016) and three months (P=0.001) wasstatistically significant. Reduction in F. nucleatum counts was not significant between the four study groups (P>0.05). Conclusion. A combination of two sessions of aPDT and SRP could improve CAL gain; however, further long-term studies are necessary in this regard.


2020 ◽  
Vol 11 (3) ◽  
pp. 355-360
Author(s):  
Nahid Derikvand ◽  
Masoud Hatami ◽  
Nasim Chiniforush ◽  
Seyedeh Sara Ghasemi

Background: In spite of some advances in periodontal generative methods, it is impossible to stop progressive Loss of supporting alveolar bone in some end-stage periodontitis. The aim of this study is to report a kind of treatment modality which was seemed to be successes full in maintaining teeth. In this case-report, a hopeless tooth was saved by combined non-surgical periodontalendodontal treatment and antimicrobial photodynamic therapy (aPDT). Case Report: A 58-year-old male presented with a chief complaint of pain and mobility of tooth number 38. Clinical examinations revealed a periodontic-endodontic lesion with clinical attachment loss exceeding 10 mm and grade III mobility. To preserve the tooth, we operated nonsurgical periodontal treatment including scaling and root planning (SRP) plus root canal therapy (RCT) combined with intra-root canal non-aPDT laser decontamination. Then we applied laser pocket therapy with and without aPDT. Following 6 months of the aPDT treatment, the mobility and pocket depth of the tooth improved from grade III to I and from 10 to 3 millimeters respectively. Conclusion: aPDT is a novel adjunctive therapy that can be used for various conditions with microbial etiology. This case report demonstrated that aPDT might be effective in the treatment of periodontic-endodontic lesions in a hopeless tooth.


2021 ◽  
Author(s):  
Hui-Jie Liu ◽  
Bo Wang ◽  
Ao-Chen Wang ◽  
Dan-Hong Zhang ◽  
Cui Mao ◽  
...  

Abstract Background: This current study is aimed to analyze the prognostic factors affecting the short-term efficacy of non-surgical treatment of patients in periodontitis from stage Ⅱ to stage Ⅳ by the multilevel modelling analysis.Materials and Methods: A total of 58 patients with chronic periodontitis were included in this study. Patients were clinically explored before and 3 months after the treatment and the difference in probing depth was determined [ Reduction of probing depth (Δ PD) = baseline PD - finial probing depth (FPD)]. Three different levels were analyzed: patients, teeth and sites to construct a multi-layer linear model.Results: Probing depth (PD) improved significantly compared with that before treatment (p < 0.05), in which FPD was (3.90±1.39) mm, and the ΔPD was (1.79±0.97) mm. Compared with the mesial sites and distal sites of the multi-rooted teeth, the number of PD ≥ 5mm or PD < 5mm after the treatment was significantly different (P < 0.05), and the proportion of PD < 5mm was higher in mesial sites. The null model showed that Δ PD varied greatly between groups at various levels (P <0.001), with prediction variable of site level, tooth level, and patient level accounted for 66%, 18%, and 16% of the overall difference, respectively. The complete model showed that the Δ PD of smokers was significantly lower than that of non-smokers (P < 0.001). The Δ PD of the mesial and distal sites was larger than that of the buccolingual central site (P < 0.001). The Δ PD of single-rooted teeth was larger than that of multi-rooted teeth (P < 0.001). The baseline PD, tooth mobility (TM), bleeding index (BI), clinical attachment loss (CAL) were significantly negatively correlated with Δ PD (P < 0.001). Conclusions: Patients with periodontitis from stage Ⅱ to stage Ⅳ, who are non-smoking, have good compliance, good awareness of oral health, and low percentage sites with PD ≥ 5mm at baseline, single rooted teeth with hypomobility, less clinical attachment loss and lower bleeding index and sites of mesial or distal can obtain an ideal short-term efficacy of non-surgical treatment.


2010 ◽  
Vol 17 (1) ◽  
pp. 53-64 ◽  
Author(s):  
Hind A. Aljohani

The aim of this study is to investigate the association between hemoglobin level and the severity of chronic periodontitis. Data were collected from 124 systemically healthy chronic periodontitis patients, referred to the Division of Periodontology, Faculty of Dentistry, King Abdulaziz University. Medical history, dental history, and periodontal parameters such as bleeding on probing. Plus probing depth, clinical attachment loss and distance from cement-enamel junction to gingival margin, furcations, mobility and number of missing teeth] were recorded. Blood samples were collected to measure the hemoglobin level. The correlation between hemoglobin and the means of clinical attachment loss and bleeding on probing was insignificant. There was no significant difference in the mean hemoglobin level for individuals with different severity of periodontitis among male and females. The mean hemoglobin found to be insignificantly correlated with the number of missing teeth. No association between hemoglobin levels and periodontal status was found. Further longitudinal studies with larger sample size are needed to investigate this association, and the effect of periodontal treatment on hemoglobin level.


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