PMID- 27686888
OWN - NLM
STAT- MEDLINE
DCOM- 20170403
LR  - 20220321
IS  - 1435-604X (Electronic)
IS  - 0268-8921 (Linking)
VI  - 32
IP  - 2
DP  - 2017 Feb
TI  - Role of lasers as an adjunct to scaling and root planing in patients with type 2 
      diabetes mellitus: a systematic review.
PG  - 449-459
LID - 10.1007/s10103-016-2086-5 [doi]
AB  - The aim of the study was to assess the efficacy of adjunctive use of laser 
      therapy (LT) alone or antimicrobial photodynamic therapy (aPDT) to improve 
      clinical periodontal and HbA1c levels in patients with both chronic periodontitis 
      (CP) and type 2 diabetes mellitus (T2DM). Electronic search of the MEDLINE, 
      PubMed, EMBASE, Science Direct, and SCOPUS databases were combined with hand 
      searching of articles published from 1975 up to and including March 2016 using 
      relevant MeSH terms. Six studies were selected for this review. In these six 
      studies, laser treatment was applied, after scaling and root planing (SRP), in 
      two ways: Three studies used laser alone and three studies used laser with 
      photosensitizer. All the six included studies reporting clinical periodontal and 
      glycemic parameters showed that LT and aPDT were effective in the treatment of CP 
      in T2DM subjects at follow-up. Two studies showed significantly better 
      periodontal outcomes for LT as an adjunct to SRP as compared to SRP alone, 
      whereas four studies showed comparable periodontal outcomes among adjunctive LT 
      or aPDT with SRP. Two studies showed significant reduction of HbA1c levels in LT 
      and aPDT as compared to SRP, whereas three studies showed comparable percentage 
      levels at follow-up. It remains debatable whether LT or aPDT as adjunct to SRP is 
      more effective as compared to SRP alone in the improvement of clinical 
      periodontal and glycemic control in patients with both CP and T2DM, given that 
      the scientific evidence is weak.
FAU - Abduljabbar, Tariq
AU  - Abduljabbar T
AD  - Department of Prosthetic Dental Sciences, College of Dentistry, King Saud 
      University, Riyadh, Saudi Arabia.
FAU - Javed, Fawad
AU  - Javed F
AD  - Department of General Dentistry, Eastman Institute for Oral Health, University of 
      Rochester, 14620, Rochester, NY, USA.
FAU - Shah, Altaf
AU  - Shah A
AD  - Department of Preventive Dental Sciences, College of Dentistry, Dar Al Uloom 
      University, Riyadh, Saudi Arabia.
FAU - Samer, Mazin Saleh
AU  - Samer MS
AD  - Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 
      Kuala Lumpur, 50603, Malaysia.
FAU - Vohra, Fahim
AU  - Vohra F
AD  - Department of Prosthetic Dental Sciences, College of Dentistry, King Saud 
      University, Riyadh, Saudi Arabia.
FAU - Akram, Zohaib
AU  - Akram Z
AD  - Department of Periodontology, Faculty of Dentistry, Ziauddin University, Karachi, 
      75600, Pakistan. drzohaibakram@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
DEP - 20160929
PL  - England
TA  - Lasers Med Sci
JT  - Lasers in medical science
JID - 8611515
RN  - 0 (Photosensitizing Agents)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Dental Scaling/*methods
MH  - Diabetes Mellitus, Type 2/*therapy
MH  - Female
MH  - Humans
MH  - *Lasers
MH  - Male
MH  - Middle Aged
MH  - Periodontium/radiation effects
MH  - Photosensitizing Agents/therapeutic use
MH  - Root Planing/*methods
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Chronic periodontitis
OT  - Diabetes mellitus
OT  - Glycosylated hemoglobin A
OT  - Laser
OT  - Photochemotherapy
OT  - Photodynamic therapy
OT  - Systematic review
EDAT- 2016/10/01 06:00
MHDA- 2017/04/04 06:00
CRDT- 2016/10/01 06:00
PHST- 2016/03/15 00:00 [received]
PHST- 2016/09/21 00:00 [accepted]
PHST- 2016/10/01 06:00 [pubmed]
PHST- 2017/04/04 06:00 [medline]
PHST- 2016/10/01 06:00 [entrez]
AID - 10.1007/s10103-016-2086-5 [pii]
AID - 10.1007/s10103-016-2086-5 [doi]
PST - ppublish
SO  - Lasers Med Sci. 2017 Feb;32(2):449-459. doi: 10.1007/s10103-016-2086-5. Epub 2016 
      Sep 29.