Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2024 Jul 4;24(1):763.
doi: 10.1186/s12903-024-04481-6.

The efficacy of diode laser and subgingival air polishing with erythritol in treatment of periodontitis (clinical and microbiological study)

Sara M A Elmeligy  1 , Wafaa Saleh  2 , Gasser M Elewa  3 , Hani Z Abu El-Ezz  4 , Noha Mostafa Mahmoud  5   6 , Samah Elmeadawy  1
Affiliations
Clinical Trial

The efficacy of diode laser and subgingival air polishing with erythritol in treatment of periodontitis (clinical and microbiological study)

Sara M A Elmeligy et al. BMC Oral Health. .

Abstract

Background: There is insufficient clinical and microbiological evidence to support the use of diode laser and air-polishing with erythritol as supplements to scaling and root planning(SRP). The aim of the current study is to evaluate the clinical and microbiologic efficacy of erythritol subgingival air polishing and diode laser in treatment of periodontitis.

Methods: The study encompassed twenty-four individuals seeking periodontal therapy and diagnosed with stage I and stage II periodontitis. Eight patients simply underwent SRP. Eight more patients had SRP followed by erythritol subgingival air polishing, and eight patients had SRP followed by diode laser application. At baseline and six weeks, clinical periodontal parameters were measured, including Plaque Index (PI), Gingival Index (GI), periodontal Probing Depth (PPD), and Clinical Attachment Level (CAL). The bacterial count of Aggregatibacter actinomycetemcomitans(A.A), Porphyromonas gingivalis (P.G) was evaluated at different points of time.

Results: The microbiological assessment revealed significant differences in the count of A.A. between the laser and erythritol groups immediately after treatment, indicating a potential impact on microbial levels. However, the microbial levels showed fluctuations over the subsequent weeks, without statistically significant differences. Plaque indices significantly decreased post-treatment in all groups, with no significant inter-group differences. Gingival indices decreased, and the laser group showed lower values than erythritol and control groups. PPD and CAL decreased significantly across all groups, with the laser group exhibiting the lowest values.

Conclusion: The supplementary use of diode laser and erythritol air polishing, alongside SRP, represents an expedited periodontal treatment modality. This approach leads to a reduction in bacteria and improvement in periodontal health.

Trial registration: This clinical trial was registered on Clinical Trials.gov (Registration ID: NCT06209554) and released on 08/01/2024.

Keywords: Diode Laser; Erythritol; Periodontitis.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

The authors declare no conflict of interest in connection with this study.

Figures

Fig. 1
Fig. 1
Microbiological comparison of the count of A.A between the three studied groups
Fig. 2
Fig. 2
Comparison between the three studied groups according to microbiology (P.G)
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Savage A, Eaton KA, Moles DR, Needleman I. A systematic review of definitions of periodontitis and methods that have been used to identify this disease. J Clin Periodontol. 2009;36(6):458–467. doi: 10.1111/j.1600-051X.2009.01408.x. - DOI - PubMed
    1. Kassebaum N, Bernabé E, Dahiya M, Bhandari B, Murray C, Marcenes W. "Global burden of severe tooth loss: a systematic review and meta-analysis,". J Dental Res. 2014;93(7_suppl):20S-8S. - PMC - PubMed
    1. Kinane DF, Stathopoulou PG, Papapanou PN. "Periodontal diseases," (in eng), Nat Rev Dis Primers. 2017;3:17038. 10.1038/nrdp.2017.38. - PubMed
    1. Bascones-Martínez A, Figuero-Ruiz E. "Periodontal diseases as bacterial infection," Medicina oral, patologia oral y cirugia bucal. 2004;9:101–7;92. - PubMed
    1. How KY, Song KP, Chan KG. Porphyromonas gingivalis: an overview of periodontopathic pathogen below the gum line. Front Microbiol. 2016;7:53. doi: 10.3389/fmicb.2016.00053. - DOI - PMC - PubMed

Publication types

MeSH terms

Associated data

LinkOut - more resources