Effectiveness of a 655-nm InGaAsP diode laser to detect subgingival calculus in patients with periodontal disease.
dental calculus
diagnosis
fluorescence
lasers
periodontitis
Journal
Journal of periodontology
ISSN: 1943-3670
Titre abrégé: J Periodontol
Pays: United States
ID NLM: 8000345
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
revised:
24
05
2020
received:
21
11
2019
accepted:
13
07
2020
pubmed:
14
8
2020
medline:
20
4
2021
entrez:
14
8
2020
Statut:
ppublish
Résumé
Previous in vitro studies have proven laser fluorescence measurement using a 655-nm Indium Gallium Arsenide Phosphide (InGaAsP) based diode laser radiation to be a useful tool to detect subgingival calculus. The aim of this prospective study was to evaluate the 655-nm InGaAsP diode laser in detecting subgingival calculus in patients with periodontal disease compared with photographic assessment during periodontal surgery. Twelve patients (six women, six men) aged between 21 and 75 years with periodontitis scheduled for periodontal surgery were included in this prospective study. All laser fluorescence measurements were made before periodontal surgery. Intraoperatively a mucoperiostal flap was performed, subgingival calculus was visualized, and photographic images were taken. The presence of calculus was recorded for each evaluated site. A total of 115 tooth surface sites of 32 teeth from the 12 patients were evaluated before (laser) and during surgery (image). Compared with image evaluation the laser assessment showed a sensitivity of 0.70 (CI The 655-nm diode laser was able to detect subgingival calculus. Hence, the 655 nm diode laser may be used as an additional tool for calculus detection in non-surgical periodontal therapy.
Sections du résumé
BACKGROUND
Previous in vitro studies have proven laser fluorescence measurement using a 655-nm Indium Gallium Arsenide Phosphide (InGaAsP) based diode laser radiation to be a useful tool to detect subgingival calculus. The aim of this prospective study was to evaluate the 655-nm InGaAsP diode laser in detecting subgingival calculus in patients with periodontal disease compared with photographic assessment during periodontal surgery.
METHODS
Twelve patients (six women, six men) aged between 21 and 75 years with periodontitis scheduled for periodontal surgery were included in this prospective study. All laser fluorescence measurements were made before periodontal surgery. Intraoperatively a mucoperiostal flap was performed, subgingival calculus was visualized, and photographic images were taken. The presence of calculus was recorded for each evaluated site.
RESULTS
A total of 115 tooth surface sites of 32 teeth from the 12 patients were evaluated before (laser) and during surgery (image). Compared with image evaluation the laser assessment showed a sensitivity of 0.70 (CI
CONCLUSIONS
The 655-nm diode laser was able to detect subgingival calculus. Hence, the 655 nm diode laser may be used as an additional tool for calculus detection in non-surgical periodontal therapy.
Identifiants
pubmed: 32786077
doi: 10.1002/JPER.19-0663
doi:
Substances chimiques
Indium
045A6V3VFX
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
547-552Informations de copyright
© 2020 American Academy of Periodontology.
Références
Van der Weijden GA, Timmerman MF. A systematic review on the clinical efficacy of subgingival debridement in the treatment of chronic periodontitis. J Clin Periodontol. 2002;29(Suppl 3):55-71. discussion 90-51.
Pihlstrom B. Treatment of periodontitis: key principles include removing subgingival bacterial deposits; providing a local environment and education to support good home care; providing regular professional maintenance. J Periodontol. 2014;85:655-656.
Krause F, Braun A, Frentzen M. The possibility of detecting subgingival calculus by laser-fluorescence in vitro. Lasers Med Sci. 2003;18:32-35.
Konig K, Flemming G, Hibst R. Laser-induced autofluorescence spectroscopy of dental caries. Cell Mol Biol (Noisy-le-grand). 1998;44:1293-1300.
Shakibaie F, Walsh LJ. Laser fluorescence detection of subgingival calculus using the DIAGNOdent classic versus periodontal probing. Lasers Med Sci. 2016;31:1621-1626.
Shakibaie F, Law K, Walsh LJ. Improved detection of subgingival calculus by laser fluorescence over differential reflectometry. Lasers Med Sci. 2019;34(9):1807-1811.
Twetman S, Axelsson S, Dahlen G, et al. Adjunct methods for caries detection: a systematic review of literature. Acta Odontol Scand. 2013;71:388-397.
Dolowy WC, Brandes ML, Gouterman M, Parker JD, Lind J. Fluorescence of dental calculus from cats, dogs, and humans and of bacteria cultured from dental calculus. J Vet Dent. 1995;12:105-109.
Folwaczny M, Heym R, Mehl A, Hickel R. Subgingival calculus detection with fluorescence induced by 655 nm InGaAsP diode laser radiation. J Periodontol. 2002;73:597-601.
Shakibaie F, Walsh LJ. Surface area and volume determination of subgingival calculus using laser fluorescence. Lasers Med Sci. 2014;29:519-524.
Lennon AM, Buchalla W, Switalski L, Stookey GK. Residual caries detection using visible fluorescence. Caries Res. 2002;36:315-319.
Buchalla W, Lennon AM, Attin T. Fluorescence spectroscopy of dental calculus. J Periodontal Res. 2004;39:327-332.
Iranzo-Cortes JE, Terzic S, Montiel-Company JM, Almerich-Silla JM. Diagnostic validity of ICDAS and DIAGNOdent combined: an in vitro study in pre-cavitated lesions. Lasers Med Sci. 2017;32:543-548.
Lussi A, Hibst R, Paulus R. DIAGNOdent: an optical method for caries detection. J Dent Res. 2004;83 Spec No C:C80-83.
Lussi A, Imwinkelried S, Pitts N, Longbottom C, Reich E. Performance and reproducibility of a laser fluorescence system for detection of occlusal caries in vitro. Caries Res. 1999;33:261-266.
Gomez J. Detection and diagnosis of the early caries lesion. BMC Oral Health. 2015;15(Suppl 1):S3.
Gimenez T, Braga MM, Raggio DP, Deery C, Ricketts DN, Mendes FM. Fluorescence-based methods for detecting caries lesions: systematic review, meta-analysis and sources of heterogeneity. PLoS One. 2013;8:e60421.
Alikhasi M, Yaghoub Zadeh B, Nokhbatolfoghahaei H. Detection of residual excess ZnO-based cement with laser fluorescence (DIAGNOdent): in vitro evaluation. J Oral Implantol. 2019;45(2):89-93.
Rams TE, Alwaqyan AY. In vitro performance of DIAGNOdent laser fluorescence device for dental calculus detection on human tooth root surfaces. Saudi Dent J. 2017;29:171-178.
Krause F, Braun A, Brede O, Eberhard J, Frentzen M, Jepsen S. Evaluation of selective calculus removal by a fluorescence feedback-controlled Er:yAG laser in vitro. J Clin Periodontol. 2007;34:66-71.
Obeid P, Bercy P. Loss of tooth substance during root planing with various periodontal instruments: an in vitro study. Clin Oral Investig. 2005;9:118-123.
Folwaczny M, Heym R, Mehl A, Hickel R. The effectiveness of InGaAsP diode laser radiation to detect subgingival calculus as compared to an explorer. J Periodontol. 2004;75:744-749.
Cobb CM. Clinical significance of non-surgical periodontal therapy: an evidence-based perspective of scaling and root planing. J Clin Periodontol. 2002;29(Suppl 2):6-16.