Chhabrani Ankita, Avinash B S, Bharadwaj R Sumukh, Gupta Muskan
Department of Periodontology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Room No-09, Mysuru, Karnataka 570015, India.
Department of Periodontology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Room No-09, Mysuru, Karnataka 570015, India.
Photodiagnosis Photodyn Ther. 2024 Apr;46:104036. doi: 10.1016/j.pdpdt.2024.104036. Epub 2024 Mar 2.
The utilisation of laser technology in the realm of periodontal care represents a significant advancement in clinical practice. This article delves into the historical context of laser therapy in medicine, from its inception in 1960 to its evolution into low-level laser therapy (LLLT). LLLT, often referred to as photobiomodulation (PBM), has garnered attention due to its potential to enhance periodontal treatment outcomes. The article thoroughly examines the mechanisms of action of photobiomodulation therapy PBM(T), covering its impact on cellular and tissue levels. The authors explore the evidence-based recommendations for the use of PBM(T) in periodontal care, shedding light on its potential to improve periodontal conditions, especially when applied as an adjunct to conventional treatments. They investigate the role of PBM(T) in individuals and its possible contribution to periodontal health. Additionally, the article delves into its application in periodontal regenerative procedures and its ability to expedite soft tissue wound healing and the effects of PBM(T) in reducing periodontal inflammation and mitigating post-periodontal surgery discomfort. In conclusion, the article calls for enhanced clinical research to streamline laser procedures, develop antimicrobial photodynamic therapy, and conduct well-designed randomised controlled trials (RCTs). It also emphasises the importance of understanding the impact of laser therapy on therapeutic and biological goals, the potential to reduce invasive procedures, and the necessity of adequate research funding.
激光技术在牙周护理领域的应用代表了临床实践中的一项重大进展。本文深入探讨了激光疗法在医学领域的历史背景，从1960年的起源到其发展为低强度激光疗法（LLLT）。LLLT通常被称为光生物调节（PBM），因其有可能改善牙周治疗效果而受到关注。本文全面研究了光生物调节疗法PBM（T）的作用机制，涵盖了其对细胞和组织水平的影响。作者探讨了在牙周护理中使用PBM（T）的循证建议，揭示了其改善牙周状况的潜力，特别是作为传统治疗的辅助手段时。他们研究了PBM（T）在个体中的作用及其对牙周健康的可能贡献。此外，本文还深入探讨了其在牙周再生手术中的应用，以及其加速软组织伤口愈合的能力，以及PBM（T）在减轻牙周炎症和缓解牙周手术后不适方面的作用。总之，本文呼吁加强临床研究，以简化激光手术流程，开发抗菌光动力疗法，并开展精心设计的随机对照试验（RCT）。它还强调了理解激光疗法对治疗和生物学目标的影响、减少侵入性手术的潜力以及充足研究资金的必要性。
