Effect of Laser as An Adjunct to Nonsurgical Periodontal Treatment on Serum Inflammatory Markers in Patients with Chronic Periodontitis: A Clinico Biochemical Study

Abstract

Background: The most common oral disease in response to the chronic infection caused by different periodontopathogenic bacteria is periodontitis resulting from inflammation of supporting structures of teeth. It has been shown that nonsurgical periodontal treatment (SRP) result in significant clinical improvements, but they do not completely remove periodontopathogens, especially in deep periodontal Adjunctive therapies improve tissue healing through detoxification and bactericidal effects. In recent years, adjunctive use of lasers has shown to be a promising modality to increase the effectiveness of nonsurgical periodontal treatment. The objective of the study is to evaluate the efficacy of diode laser in addition to scaling and root planning on periodontal parameters and CRP levels in chronic periodontitis. Materials and Methods: 24 chronic periodontitis patients were grouped as group 1(n=12) and group2(n=12) where in group 1 scaling and root planing was done and group 2 scaling and root planning with subgingival debridement using diode laser was done. The probing pocket depth, gingival index, plaque index, C-reactive protein, total leucocyte counts and erythrocyte sedimentation rate was recorded at baseline and after 1 month. Results: There was statistically significant reduction in probing pocket depth, CRP, ESR and TLC in both groups from baseline to 1 month. Conclusion: Both treatment groups showed reduction in the periodontal parameters and biomarkers. Adjunctive use of laser had same clinical benefits as to scaling and root planing alone.