DIODE LASER THERAPY IN DIABETES MELLITUS PATIENTS WITH PERIODONTITIS - A METANALYSIS

Dr. Manisha Sinha; Dr. Shivaprasad. B.M; Dr.Nalini. M. S

Volume : VIII, Issue : II, February - 2019

DIODE LASER THERAPY IN DIABETES MELLITUS PATIENTS WITH PERIODONTITIS - A METANALYSIS

Dr. Manisha Sinha, Dr. Shivaprasad. B. M, Dr. Nalini. M. S

Abstract :

Background: Periodontitis and diabetes have a reciprocal relationship. It is obligatory for diabetic patients to receive adequate treatment for periodontitis. Various therapeutic approaches as Local Drug Delivery, Antimicrobial therapy and various types of lasers were comprised to treat periodontitis in diabetic patients. Although, complete elimination of bacterial deposits can be difficult to accomplish. Among these, the use of lasers has been proposed for its bactericidal and detoxification effects and for its capacity to reach sites that conventional mechanical instrumentation cannot.

Materials and methods: Data was extracted from 3 randomized controlled trials reports. Following parameters were recorded ie, periodontal pocket depth (PPD) and clinical attachment level (CAL) and the analysis was carried out. We performed sensitivity analysis, and looked for publication and other types of bias.

Results: Random effect model (REM) for PPD at the end of 3 months was found to be 0.221 and REM for CAL at the end of 3 months was found to be 0.0422. Significant improvement was found in PPD and CAL when laser was used as an adjunct in SRP.

Conclusion: The results showed that DL and LLLT treatment can provide improved clinical results when it is used as an adjunct to nonsurgical periodontal treatment in CP patients with DM