Low-level Laser Therapy as an Adjunct to Non-surgical Periodontal Treatment

Study Overview
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Brief Summary
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The present study aimed to investigate the effects of low-level laser therapy (LLLT) as an adjunct to non-surgical periodontal treatment (NSPT) on the plasminogen-activating system in Stage 3-4, Grade C periodontitis patients.

Detailed Description
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Limited data is available regarding the effects of various periodontal treatment protocols on GCF t-PA and PAI-1 levels, and the extent to which LLLT in conjunction with NSPT affects these levels in patients with Stage 3-4, Grade C periodontitis is unknown. Therefore, this study measured standard clinical outcomes and GCF t-PA and PAI-1 levels in patients with Stage 3-4 Grade, C periodontitis in order to assess the use of LLLT as an adjunct to standard NSPT. This split-mouth study was conducted with 15 Stage 3-4, Grade C periodontitis patients and 15 healthy individuals matched for age and sex. Participants were grouped as follows: Periodontitis/NSPT (Sham); Periodontitis/NSPT+LLLT (LLLT); Periodontally Healthy (Control). LLLT was applied following NSPT and again on post-treatment Days 2 and 7. Clinical parameters were recorded at baseline (i.e. before NSPT) and on Day 30. Gingival crevicular fluid (GCF) samples were collected at baseline and during follow-up visits on Days 7, 14 and 30. GCF t-PA and PAI-1 levels were measured with ELISA.

Official Title
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The Effect of Low-level Laser Therapy on Levels of Tissue Plasminogen Activator and Plasminogen Activator Inhibitor 1 in Gingival Crevicular Fluid of Stage 3-4, Grade C Periodontitis Patients Received Non-surgical Periodontal Treatment.

Conditions
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Periodontal Diseases, Periodontal Attachment Loss, Periodontal Disease, AVDC Stage 3, Periodontal Inflammation, Periodontal Disease, AVDC Stage 4

Intervention / Treatment
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* Procedure: low level laser therapy
* Procedure: non-surgical periodontal treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Stage 3-4, Grade C periodontitis (at least one site with probing depth (PD) and clinical attachment level (CAL) ≥5 mm in their incisors and/or first molars and at least 6 other teeth with similar PD and CAL measurements, with alveolar bone loss confirmed by radiography; familial aggregation; presence of ≥16 teeth; no periodontal treatment in the 6 months prior to data collection; non-smoker Exclusion Criteria: systemic problems, including a medical history of cancer, rheumatoid arthritis, diabetes mellitus, or cardiovascular disease; compromised immune system; pregnancy, menopause, or lactation; ongoing drug therapy that might affect the clinical characteristics of periodontitis; use of systemic antimicrobials during the 6 weeks prior to data collection
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: a split-mouth randomized controlled clinical study
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Sham Comparator: non-surgical perıodontal treatment<br> | Procedure: non-surgical periodontal treatment<br>* standart periodontal therapy<br>|
| Experimental: non-surgical treatment+ low level laser therapy<br> | Procedure: low level laser therapy<br>* adjunctive application of low level laser therapy to non-surgical periodontal treatment<br>Procedure: non-surgical periodontal treatment<br>* standart periodontal therapy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the change in GCF tissue plasminogen activator | Gingival crevicular fluid (GCF) samples were collected before SRP treatment and on days 7, 14 and 30 of follow- up and the change of the related mediator at those time points. The Amount of the related mediator were evaluated using enzyme- linked immunosorbent assay [ELISA] kit. Total amounts (pg/30 s) of the mediator collected from each sample in a 30- second period were calculated and recorded for analysis. | baseline and during follow-up visits on Days 7, 14 and 30. | 
| the change in GCF plasminogen activator inhibitor 1 | Gingival crevicular fluid (GCF) samples were collected before SRP treatment and on days 7, 14 and 30 of follow- up and the change of the related mediator at those time points. The Amount of the related mediator were evaluated using enzyme- linked immunosorbent assay [ELISA] kit. Total amounts (pg/30 s) of the mediator collected from each sample in a 30- second period were calculated and recorded for analysis. | baseline and during follow-up visits on Days 7, 14 and 30. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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periodontitis, lasers, prospective, plasminogen activator inhibitor 1, tissue plasminogen activator, low-level laser therapy, periodontal treatment