Comparison of the Effect of Er,Cr:YSGG Laser and Halita Mouthwash on Oral Malodor in Patients With Chronic Periodontitis: A Randomized Clinical Trial

Journal of Lasers in Medical Sciences

article

BanafshehPoormoradi¹  LeilaGholami¹  RezaFekrazad²  AmirarsalanHooshyarfard⁴  Ali Reza Noorani⁵  Zahra Lotf Haghpanah⁶  Maryam Farhadian⁷ 

[1] Dental Research Center, Department of Periodontology, Dentistry Faculty, Hamadan University of Medical Sciences;Radiation Sciences Research Center, Laser Research Center in Medical Sciences, AJA University of Medical Sciences;International Network for Photo Medicine and Photo Dynamic Therapy ,(INPMPDT), Universal Scientific Education and Research Network;Dental Implants Research Center, Department of Periodontology, Dentistry Faculty, Hamadan University of Medical Sciences;Assistant Professor, Orthodontic Department, Dentistry Faculty, Kashan University of Medical Sciences;Dentistry Faculty, Kashan University of Medical Sciences;Department of Biostatistics, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences

关键词: Halitosis;    Chronic periodontitis;    Solid-state lasers;    Mouthwashes;   

DOI  :  10.34172/jlms.2021.26

学科分类：基础医学

来源: Shahid Beheshti University of Medical Sciences

【 摘 要 】

Introduction: Periodontal disease and tongue coatings are among the major factors associated with oral malodor. The present study, comparatively evaluated the effects of the Er,Cr:YSGG laser and Halita mouthwash as adjunctive treatments to nonsurgical periodontal debridement on oral malodor reduction in chronic periodontitis patients.Methods: Sixty patients with stage II and III chronic periodontitis and bad breath. The patients were randomly divided into two groups (n=30). After conventional scaling and root planing, patients in group 1 underwent Er,Cr:YSGG laser (Waterlase; Biolase, San Clemente, CA, USA) irradiation of the internal surface of the pockets ( 1.5 W, 30 Hz, 20% A, 40% W) and the dorsum of the tongue (1 W, 30 Hz, 20%A, 40% W) immediately after SRP and on the third and seventh days. Group 2 patients were asked to use Halita mouthwash twice daily for one week. Baseline, 1 and 3-month post-treatment measurements of plaque index (PI), probing pocket depth (PPD), clinical attachment level (CAL), gingival index (GI), bleeding on probing (BOP) and organoleptic assessment of Halitosis severity were performed.Results: Significant improvement in all parameters was noted in both groups after 1 and 3 months, compared with baseline (P<0.05). The two groups had significant reductions which occurred in PPD, CAL, and BOP levels and the organoleptic score in 1 and 3 months after the intervention (P<0.05).Conclusion: Er,Cr:YSGG laser irradiation and Halita mouthwash as adjuncts to non-surgical periodontal therapy are both effective in the treatment of oral malodor and improvement of periodontal parameters.

【 授权许可】

CC BY