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©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
Treatment effects and periodontal status of chronic periodontitis after routine Er:YAG laser-assisted therapy
Yong-Zhi Gao, Yan Li, Shan-Shan Chen, Bo Feng, Hui Wang, Qiao Wang
Yong-Zhi Gao, Hui Wang, Department of Stomatology, The First Affiliated Hospital of Qiqihar Medical University, Qiqihar 161041, Heilongjiang Province, China
Yan Li, Department of Anatomy, Basic Medical College, Zunyi Medical University, Zunyi 563006, Guizhou Province, China
Shan-Shan Chen, The Ward of Department of Ophthalmology and Torhinolaryngology, The First Affiliated Hospital of Qiqihar Medical University, Qiqihar 161041, Heilongjiang Province, China
Bo Feng, Department of Stomatology, Qiqihar ENT Hospital, Qiqihar 161006, Heilongjiang Province, China
Qiao Wang, Department of Stomatology, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar 161005, Heilongjiang Province, China
Author contributions: Gao YZ and Li Y designed the experiment; Gao YZ drafted the work; Chen SS and Feng B collected the data; Wang H and Wang Q analyzed and interpreted the data; Gao YZ, Li Y and Chen SS wrote the paper.
Supported by Qiqihar Science and Technology Bureau Social Development General Instruction Project, No. SFGG-201965.
Institutional review board statement: The study design was approved by the First Affiliated Hospital of Qiqihar Medical University Ethics Committee.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflicting interests.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
http://creativecommons.org/Licenses/by-nc/4.0/ Corresponding author: Yong-Zhi Gao, MD, Chief Doctor, Department of Stomatology, The First Affiliated Hospital of Qiqihar Medical University, No. 26 Xiangyang Street, Fularji District, Qiqihar 161041, Heilongjiang Province, China. g13796878176@163.com
Received: June 17, 2021
Peer-review started: June 17, 2021
First decision: July 16, 2021
Revised: July 28, 2021
Accepted: August 16, 2021
Article in press: August 16, 2021
Published online: November 16, 2021
ARTICLE HIGHLIGHTS
Research background
Patients with chronic periodontitis often undergo routine treatment by supragingival cleaning and subgingival curettage, establishing a balanced occlusal relationship, and irrigation with 3% hydrogen peroxide. Treatment relieves the symptoms to some extent, but, there is room for improvement in the overall effectiveness. Er:YAG lasers quickly increase the temperature of the irradiated tissue, eliminate dental plaque and calculus, reduce periodontal pockets, adjust periodontal microecology, and reduce the gingival sulcus.
Research motivation
The study motivation was to reduce the impact of chronic periodontitis on periodontal health.
Research objectives
This study aimed to evaluate the effect of Er:YAG laser-assisted routine therapy on periodontal status in patients with chronic periodontitis.
Research methods
At our hospital, 106 patients with chronic periodontitis were randomly assigned to either a study or control group, with 53 patients in each group. The control group underwent routine therapy, and the study group underwent Er:YAG laser therapy in addition to routine therapy. The treatment outcome,, including the periodontal status, inflammatory factors in the gingival crevicular fluid, and colony forming units were evaluated in both groups.
Research results
Total effectiveness in the study group was higher than that in the control group. The clinical parameters in the study group and in the control group were not significantly before treatment. However, after treatment, the values in the study group were lower than those in the control group. There was no significant difference in crevicular TNF-α, IL-6, and IL-8 levels in the study and control groups before therapy.
Research conclusions
Combining Er:YAG lasers with routine treatment method significantly improve the overall periodontal therapy outcomes by improving the periodontal status and reducing oral levels of inflammatory factors and colony forming units.
Research perspectives
Er:YAG lasers represent a new treatment direction for periodontitis.
