Adjuvant Transgingival Therapy with Visible Light Plus Water-Filtered Infrared-A (VIS + wIRA) in Periodontal Therapy—A Randomized, Controlled, Stratified, Double-Blinded Clinical Trial

The aim of this randomized, controlled, double-blinded clinical trial was to examine the additional healing effect of transgingival visible light and water-filtered infrared-A (VIS + wIRA) in the treatment of periodontitis patients compared with the standard therapy by subgingival instrumentation (S...

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Main Authors: Stefanie Anna Peikert, Anil Fischer, Anne Brigitte Kruse, Ali Al-Ahmad, Johan Peter Woelber, Kirstin Vach, Andreas Braun, Petra Ratka-Krüger
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/10/3/251
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author Stefanie Anna Peikert
Anil Fischer
Anne Brigitte Kruse
Ali Al-Ahmad
Johan Peter Woelber
Kirstin Vach
Andreas Braun
Petra Ratka-Krüger
author_facet Stefanie Anna Peikert
Anil Fischer
Anne Brigitte Kruse
Ali Al-Ahmad
Johan Peter Woelber
Kirstin Vach
Andreas Braun
Petra Ratka-Krüger
author_sort Stefanie Anna Peikert
collection DOAJ
description The aim of this randomized, controlled, double-blinded clinical trial was to examine the additional healing effect of transgingival visible light and water-filtered infrared-A (VIS + wIRA) in the treatment of periodontitis patients compared with the standard therapy by subgingival instrumentation (SI). Therefore, forty patients with untreated periodontitis received a non-surgical periodontal treatment. Using a split-mouth study design, one quadrant of the upper jaw was randomly either exposed to VIS + wIRA four times for 20 min within two weeks in addition to SI or received only SI. Three and 6 months after intervention, clinical parameters (probing depths (PDs), clinical attachment level, bleeding on probing (BOP), furcation, tooth mobility, plaque control record, and papilla bleeding index) were re-evaluated. In the presence of PD of 4 mm and positive BOP or PD > 4 mm, SI was performed again. Moreover, the patients were asked about their discomfort using a visual analog scale from 1 to 10 for each side of the maxilla. Statistical analysis demonstrated no differences between quadrants at re-evaluation for clinical parameters (<i>p</i> > 0.05) after 3 and 6 months. Concerning pain perception, patients described less pain on the irradiated side (<i>p</i> = 0.016). In the treatment of patients with periodontitis, VIS + wIRA did not show an additional effect on the clinical outcome after 3 and 6 months. Patients described less pain on the irradiated quadrant after treatment.
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spelling doaj.art-3947e0f2927c4e4b927351e6389e51742023-12-03T12:21:17ZengMDPI AGAntibiotics2079-63822021-03-0110325110.3390/antibiotics10030251Adjuvant Transgingival Therapy with Visible Light Plus Water-Filtered Infrared-A (VIS + wIRA) in Periodontal Therapy—A Randomized, Controlled, Stratified, Double-Blinded Clinical TrialStefanie Anna Peikert0Anil Fischer1Anne Brigitte Kruse2Ali Al-Ahmad3Johan Peter Woelber4Kirstin Vach5Andreas Braun6Petra Ratka-Krüger7Department of Operative Dentistry and Periodontology, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106 Freiburg, GermanyDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106 Freiburg, GermanyDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106 Freiburg, GermanyDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106 Freiburg, GermanyDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106 Freiburg, GermanyInstitute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Stefan-Meier-Straße 26, 79104 Freiburg, GermanyClinic for Operative Dentistry, Periodontology and Preventive Dentistry, RWTH University Aachen, Pauwelsstraße 30, 52074 Aachen, GermanyDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106 Freiburg, GermanyThe aim of this randomized, controlled, double-blinded clinical trial was to examine the additional healing effect of transgingival visible light and water-filtered infrared-A (VIS + wIRA) in the treatment of periodontitis patients compared with the standard therapy by subgingival instrumentation (SI). Therefore, forty patients with untreated periodontitis received a non-surgical periodontal treatment. Using a split-mouth study design, one quadrant of the upper jaw was randomly either exposed to VIS + wIRA four times for 20 min within two weeks in addition to SI or received only SI. Three and 6 months after intervention, clinical parameters (probing depths (PDs), clinical attachment level, bleeding on probing (BOP), furcation, tooth mobility, plaque control record, and papilla bleeding index) were re-evaluated. In the presence of PD of 4 mm and positive BOP or PD > 4 mm, SI was performed again. Moreover, the patients were asked about their discomfort using a visual analog scale from 1 to 10 for each side of the maxilla. Statistical analysis demonstrated no differences between quadrants at re-evaluation for clinical parameters (<i>p</i> > 0.05) after 3 and 6 months. Concerning pain perception, patients described less pain on the irradiated side (<i>p</i> = 0.016). In the treatment of patients with periodontitis, VIS + wIRA did not show an additional effect on the clinical outcome after 3 and 6 months. Patients described less pain on the irradiated quadrant after treatment.https://www.mdpi.com/2079-6382/10/3/251antibiotic resistanceantimicrobial therapyperiodontitisadjuvant periodontal therapy
spellingShingle Stefanie Anna Peikert
Anil Fischer
Anne Brigitte Kruse
Ali Al-Ahmad
Johan Peter Woelber
Kirstin Vach
Andreas Braun
Petra Ratka-Krüger
Adjuvant Transgingival Therapy with Visible Light Plus Water-Filtered Infrared-A (VIS + wIRA) in Periodontal Therapy—A Randomized, Controlled, Stratified, Double-Blinded Clinical Trial
Antibiotics
antibiotic resistance
antimicrobial therapy
periodontitis
adjuvant periodontal therapy
title Adjuvant Transgingival Therapy with Visible Light Plus Water-Filtered Infrared-A (VIS + wIRA) in Periodontal Therapy—A Randomized, Controlled, Stratified, Double-Blinded Clinical Trial
title_full Adjuvant Transgingival Therapy with Visible Light Plus Water-Filtered Infrared-A (VIS + wIRA) in Periodontal Therapy—A Randomized, Controlled, Stratified, Double-Blinded Clinical Trial
title_fullStr Adjuvant Transgingival Therapy with Visible Light Plus Water-Filtered Infrared-A (VIS + wIRA) in Periodontal Therapy—A Randomized, Controlled, Stratified, Double-Blinded Clinical Trial
title_full_unstemmed Adjuvant Transgingival Therapy with Visible Light Plus Water-Filtered Infrared-A (VIS + wIRA) in Periodontal Therapy—A Randomized, Controlled, Stratified, Double-Blinded Clinical Trial
title_short Adjuvant Transgingival Therapy with Visible Light Plus Water-Filtered Infrared-A (VIS + wIRA) in Periodontal Therapy—A Randomized, Controlled, Stratified, Double-Blinded Clinical Trial
title_sort adjuvant transgingival therapy with visible light plus water filtered infrared a vis wira in periodontal therapy a randomized controlled stratified double blinded clinical trial
topic antibiotic resistance
antimicrobial therapy
periodontitis
adjuvant periodontal therapy
url https://www.mdpi.com/2079-6382/10/3/251
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