Diode Laser-Assisted Periodontal Therapy Enhances Clinical Outcomes for Deep Periodontal Pockets in Smokers

NCT ID: NCT07213752

Last Updated: 2025-10-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-10

Study Completion Date

2025-06-05

Brief Summary

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This study investigated the adjunctive effects of diode laser therapy in smokers with severe periodontitis. Thirty-three patients were randomized to non-surgical periodontal therapy (SRP) with or without diode laser. Clinical parameters and salivary oxidative stress markers (MDA, 8-OHdG) were assessed at baseline, 1, and 3 months. Both groups showed improvements, but SRP+DL resulted in significantly greater reductions in deep pockets, PISA, PESA, PI, and MDA at 3 months. These findings suggest that diode laser therapy may enhance conventional treatment by improving clinical outcomes and reducing oxidative stress in smokers with severe periodontitis.

Detailed Description

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Conditions

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Periodontitis Periodontitis Stage III Periodontal Disease Diode Laser Therapy Smoking Malondialdehyde

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
To ensure allocation concealment and maintain the masked design, the following protocol was applied: After diagnosis at the Department of Oral Diagnosis and Radiology, baseline periodontal records and anamnesis were documented, and each patient was assigned a unique ID. Eligible participants underwent baseline clinical measurements (D.İ.A) and saliva sampling. Patients were then randomly allocated to SRP (n=17) or SRP+DL (n=16) using a computer-generated program (Sealed Envelope Ltd.) by an independent clinician not involved in the study. One week later, SRP and diode laser procedures were performed by the same clinician (D.İ.A). For blinding, all clinical files were anonymized and coded by the study supervisor (S.S.H). Statistical analyses were conducted by a blinded statistician without access to group assignments.

Study Groups

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Stage III Grade C :Non surgical periodontal therapy and an adjunct diode laser use

Group Type EXPERIMENTAL

Diode Laser Application in Deep Periodontal Pockets

Intervention Type DEVICE

A 940 nm indium-gallium-aluminum-phosphate diode laser (Ezlase, Biolase, USA) with a 400 μm fiber was used in contact mode at 1.5 W, pulse 20/20 ms, 20 s/cm², power density 1.061 W/cm², and 15 J/cm² energy in deep periodontal pockets.

Professional Mechanical Plaque Removal

Intervention Type PROCEDURE

Professional mechanical removal of supragingival plaque and calculus

Scaling and Root Planing

Intervention Type PROCEDURE

Subgingival scaling and root planing

Stage III Grade C :Non surgical periodontal therapy

Group Type EXPERIMENTAL

Professional Mechanical Plaque Removal

Intervention Type PROCEDURE

Professional mechanical removal of supragingival plaque and calculus

Scaling and Root Planing

Intervention Type PROCEDURE

Subgingival scaling and root planing

Interventions

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Diode Laser Application in Deep Periodontal Pockets

A 940 nm indium-gallium-aluminum-phosphate diode laser (Ezlase, Biolase, USA) with a 400 μm fiber was used in contact mode at 1.5 W, pulse 20/20 ms, 20 s/cm², power density 1.061 W/cm², and 15 J/cm² energy in deep periodontal pockets.

Intervention Type DEVICE

Professional Mechanical Plaque Removal

Professional mechanical removal of supragingival plaque and calculus

Intervention Type PROCEDURE

Scaling and Root Planing

Subgingival scaling and root planing

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* no periodontal treatment within the previous 6 months;
* no use of antibiotics within the previous 3 months;
* no systemic disease and alcohol drinkers, or drug users;
* no use of anti-inflammatory drugs within the past 3 months;
* no pregnancy;
* no use of hormonal contraceptives; and
* current smokers with a history of smoking ≥10 cigarettes per day for at least one year.

Exclusion Criteria

* Patients with \<20 teeth, grade III tooth mobility, partial dentures, or fixed prostheses were excluded. Additionally, those with dental implants or peri-implant diseases were also excluded.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Selcuk University Scientific Research Projects Unit

UNKNOWN

Sponsor Role collaborator

The Scientific and Technological Research Council of Turkey

OTHER

Sponsor Role collaborator

Selcuk University

OTHER

Sponsor Role lead

Responsible Party

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Deniz irem Atasoy Erdogan

Deniz Irem Atasoy Erdoğan

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Selcuk University Faculty of Dentistry Department of Periodontology

Konya, Selçuklu, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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SU-DIAE-01

Identifier Type: -

Identifier Source: org_study_id

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