That’s is because there is so much more to it!! must havea multifaceted protocol for treating a multifaceted, complex disease process, as bob n kaye say, too! What a lame protocol below!
Lisa Marie Samaha, DDS, FAGD, PC
251 Nat Turner Blvd, Newport News, VA 23606
Phone: (757) 223-9270 Fax: (757) 223-9264
Email: SamahaDDS@PWDentalarts.com
Website: www.PWDentalArts.com
From: exceptional-dental-forum@googlegroups.com [mailto:exceptional-dental-forum@googlegroups.com] On Behalf Of William Domb
Sent: Sunday, May 05, 2013 1:32 AM
To: gnr; oralsystemic; exceptional-dental-forum@googlegroups.com; idff idf
Subject: [Exceptional-Dental-Forum] no benefits with lasers in perio
Lasers Used in Supportive Perio Therapy, No Added Value
Laser therapy shows promise for bactericidal and detoxification effects. Lasers remove granulation tissue, plaque and calculus without harming tooth root surfaces. The Nd:YAG laser is often used as part of non-surgical therapy. It may be advantageous to use a laser in non-responding pockets encountered during periodontal supportive therapy.
Researchers at the University of Amsterdam in the Netherlands compared periodontal maintenance therapy with and without the adjunctive use of an Nd:YAG water-cooled laser. A total of 30 subjects who had been seen for regular periodontal maintenance care and still had 5mm probing depths with bleeding were included in the study. Each subject had an average of 11 treatable sites. After baseline data collection, all received supragingival and subgingival instrumentation and oral hygiene instructions. Following this treatment, subjects were randomly assigned to either laser treatment or no further treatment. Laser treatment was applied subgingivally against the tissue for no more than 60 seconds per site.
Subjects were instructed to rinse twice daily with 0.12 percent chlorhexidine mouthrinse for two weeks and were given a questionnaire to complete at home that evening and mail back the following day. Questions about pain, bleeding and medication needed were included.
At six months subjects returned for clinical examination. No differences were observed between the groups. No added benefit was provided by the laser therapy for probing depths or bleeding. The laser treated group reported more pain, bleeding and swelling. Both groups improved significantly.
Clinical Implications: Laser treatment might not provide added benefit to supportive therapy.
Slot, D., Timmerman, M., Versteeg, P., van der Velden, U., van der Weijden, F.: Adjunctive Clinical Effect of a Water-Cooled Nd:YAG Laser in a Periodontal Maintenance Care Programme: A Randomized Controlled Trial. J Clin Perio 39: 1159-1165, 2012.
regards
bill domb
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