Publication: Treatment of Infrabony Defects by Open Flap Debridement with or without Diode Laser
Date
2022
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Periodontitis is the common oral condition which affects the periodontium of the
teeth that leads to destruction of periodontal ligaments and alveolar bone. Open flap
debridement is the surgical procedure which provides access and visibility of the site,
application of laser as an adjunct has various advantanges.
Objective
To compare clinical outcomes after open flap debridement with or without diode
laser.
Method
Patients aged 25-45 years diagnosed with infrabony defect ≥ 5 mm visiting
Department of Dental Surgery, Bir Hospital. Control group sites were treated with
open flap debridement alone, whereas test-groups were treated with Open flap
debridement with diode laser. Various parameters like Plaque index, Gingival index,
Pocket depth and Clinical attachment level were assessed and compared between
groups at baseline, 3 and 6 months.
Result
The mean plaque and gingival scores improved in both the control and test groups
at 3 and 6 months follow up as compared to baseline and was statistically non-
significant between two groups. Open flap debridement with or without diode
laser in the treatment of periodontal intrabony defects did not produce significant
reduction in pocket depth and gain in clinical attachment level.
Conclusion
There was no significant differences in the clinical parameters were seen in the
surgical flap debridement of infrabony pocket with and without diode laser. Diode
laser can be used safely as an adjunct. However, long-term, multicentric, histologic
and microbial studies are required.
KEY WORDS
Attachment loss, Diode laser, Gingival recession, Periodontitis, Periodontal pocket
Description
Agrawal S,1 Pradhan S2
1Department of Periodontology and oral Implantology
B.P. Koirala Institute of Health Sciences
Dharan, Sunsari, Nepal.
2Periodontology and Oral Implantology Unit
Department of Dental Surgery
National Academy of Medical Sciences, Bir Hospital,
Kathmandu, Nepal
Keywords
Attachment loss, Diode laser, Gingival recession, Periodontitis, Periodontal pocket