Low-level Laser Therapy in the Treatment of Chronic Periodontitis in Type 2 Diabetics: Split-mouth Double-blind Randomized Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Periodontitis
- Sponsor
- Universidade Estadual Paulista Júlio de Mesquita Filho
- Enrollment
- 20
- Primary Endpoint
- Probing depth change from baseline to 30, 90, and 180 days through periodontal probing
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The aim of this study was to investigate the local effect of adjunct low-level laser therapy (LLLT) for the treatment of moderate to severe chronic periodontitis in type 2 diabetic patients.
Detailed Description
The aim of this study was to investigate the local effect of adjunct low-level laser therapy (LLLT) for the treatment of moderate to severe chronic periodontitis in type 2 diabetic patients. Twenty poorly-controlled type 2 diabetic patients with moderate to severe generalized chronic periodontitis were selected. Two periodontal pockets with Probing Depth (PD) and Clinical Attachment Level (CAL) ≥ 5mm received ultrasonic periodontal debridement (UPD) only (control group) or UPD with LLLT (test group). Clinical measures, such as PD, CAL, Gingival Recession (GR), Bleeding on Probing (BoP), and Plaque Index (PI), were collected and compared at baseline, 30, 90, and 180 days. The adjunct application of LLLT to UPD had no additional benefits for PD reduction and CAL gain, meaning that both investigated therapies were efficient for the treatment of chronic periodontitis in type 2 diabetics. Nevertheless, additional LLLT application showed better results for GR then UPD only.
Investigators
Nídia Cristina Castro dos Santos
DDS, MS
Universidade Estadual Paulista Júlio de Mesquita Filho
Eligibility Criteria
Inclusion Criteria
- •age ≥ 35; diagnosis of type 2 diabetes for ≥ 5 years; diabetes treatment with oral hypoglycemic agents or insulin supplementation and diet; glycated hemoglobin (HbA1c) levels from 6.5% to 11%; at least 15 teeth (excluding third molars and teeth indicated for extraction); and moderate to severe generalized chronic periodontitis.
Exclusion Criteria
- •The exclusion criteria were: medical conditions that required prophylactic antimicrobial coverage; periodontal mechanical therapy in the previous 6 months; antimicrobial therapies in the previous 6 months; anti-inflammatory therapies in the previous 6 months; systemic conditions other than diabetes that could affect the progression of chronic periodontitis; current use of medication that could interfere with periodontal response to treatment; pregnancy or lactation; and smoking.
Outcomes
Primary Outcomes
Probing depth change from baseline to 30, 90, and 180 days through periodontal probing
Time Frame: baseline, 30 days, 90 days, 180 days
Secondary Outcomes
- Clinical attachment level change from baseline to 30, 90, and 180 days through periodontal probing(baseline, 30 days, 90 days, 180 days)
- Bleeding on probing change from baseline to 30, 90, and 180 days through periodontal probing(baseline, 30 days, 90 days, 180 days)
- Gingival recession change from baseline to 30, 90, and 180 days through periodontal probing(baseline, 30 days, 90 days, 180 days)
- Plaque index change from baseline to 30, 90, and 180 days through periodontal probing(baseline, 30 days, 90 days, 180 days)