Department of Surgical Sciences and Integrated Diagnostics, Laser Therapy Centre, University of Genoa, Genoa, Italy.
Department of Periodontology, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India.
Photochem Photobiol. 2021 May;97(3):566-573. doi: 10.1111/php.13417. Epub 2021 Mar 28.
The efficacy of surgical periodontal may be compromised by inadequate patients' self-performed plaque control or lack of supportive periodontal therapy. This clinical case report aimed to evaluate the effectiveness of 810 nm diode laser-assisted full-mouth sulcular debridement, as a potential treatment modality in the management of chronic periodontitis along with a 12-month follow-up evaluation. Each periodontal pocket was lased within 2 mm of deepest point, using a light contact of "hot tip" of the fiber with tissue [Average power-1W, emission mode-continuous wave, in "contact", beam diameter-400 µm, spot area at tissue-0.0013 cm , fluence-124.9 J cm , power density-796 W cm , total energy-300 J, total treatment duration-300 s (5 min)]. The patient was followed up to 12 months and did not report any immediate or delayed complications such as any sign of photothermal damage, pain, tissue swelling and deformation, bleeding and infection. 810 nm diode laser-assisted sulcular debridement at low-power settings showed overall clinical and radiographic improvements and can be deemed as a potential alternative to surgical debridement approach, in persistent moderate periodontal pockets (4-6 mm).
手术牙周治疗的疗效可能会因患者自我进行的菌斑控制不足或缺乏支持性牙周治疗而受到影响。本临床病例报告旨在评估 810nm 半导体激光辅助全口龈下刮治术的疗效，作为一种潜在的治疗方法，用于治疗慢性牙周炎，并进行 12 个月的随访评估。每个牙周袋都在最深点内 2mm 处进行激光处理，使用光纤的“热尖端”与组织轻触[平均功率 1W，发射模式连续波，处于“接触”状态，光束直径 400μm，组织上的光斑面积为 0.0013cm²，能量密度为 796W/cm²，总能量为 300J，总治疗时间为 300s（5 分钟）]。患者随访至 12 个月，未报告任何即刻或迟发性并发症，如光热损伤、疼痛、组织肿胀和变形、出血和感染的任何迹象。低功率设置的 810nm 半导体激光辅助龈下刮治术显示出总体临床和影像学改善，可被视为持续中度牙周袋（4-6mm）的手术刮治术的潜在替代方法。
