Treatment of periodontal disease with additional low-level laser therapy

ISRCTN ISRCTN11275257
DOI https://doi.org/10.1186/ISRCTN11275257
Submission date
25/08/2023
Registration date
16/10/2023
Last edited
28/04/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Chronic periodontitis is a disease which attacks the tissues surrounding the teeth and affects almost every second adult. As the disease proceeds, the bones and teeth can be damaged, which can lead to tooth loss. Any periodontal pockets that have formed require
deep cleaning which can be combined with other treatment options in able to improve the therapy outcome. The aim of this study is to investigate a low-level laser as a complementary treatment to conventional periodontal treatment.

Who can participate?
Adults aged 25-55 with periodontal disease

What does the study involve?
All participants will receive the same treatment - standard periodontal treatment (deep cleaning) on both sides of the mouth. Each participant will have one side of their mouth randomly allocated to receive laser therapy.

What are the possible benefits and risks of participating?
The possible benefit of participating is that the laser may improve the success of regular gum treatment.

Where is the study run from?
University Clinic of Dentistry, Medical University of Vienna (Austria)

When is the study starting and how long is it expected to run for?
October 2016 to July 2023

Who is funding the study?
Medical University of Vienna (Austria)

Who is the main contact?
1. Prof. Rausch-Fan, xiaohui.rausch-fan@meduniwien.ac.at
2. Dr Selma Dervisbegovic, selma.dervisbegovic@meduniwien.ac.at

Contact information

Dr Selma Dervisbegovic
Scientific

Sensengasse 2A
Vienna
1090
Austria

ORCiD logoORCID ID 0000-0003-3325-013X
Phone +43 (0)1400704720
Email selma.dervisbegovic@meduniwien.ac.at

Study information

Study designSingle-centre interventional double-blinded randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Dental clinic
Study typeTreatment
Scientific titleAdjunctive low‐level laser therapy in periodontal treatment – a randomized clinical split-mouth trial
Study acronymLLLT
Study hypothesisAdjunctive therapy with low‐level laser therapy (LLLT) results in better clinical parameters, compared to debridement only.
Ethics approval(s)

Approved 14/06/2017, Ethics Committee Medical University of Vienna (Ethikommission Medizinische Universität Wien) (Borschkegasse 8b/E06, Vienna, 1090, Austria; +43 (0)1 40400 21470; ethik-kom@meduniwien.ac.at), ref: EK Nr.: 2241/2016

ConditionModerate to severe periodontitis
InterventionParticipants were randomised into a split-mouth design, with the allocation of the side to be treated (left or right) performed by drawing lots before the initial periodontal examination.

Clinical and microbiological parameters were obtained in the initial examination. All of the sites received non-surgical therapy. Subsequently, one side of each study participant’s upper and lower jaws was treated with LLLT. The contralateral side remained untreated and served as a control. LLLT was carried out at sites with pockets in non contact mode and protective eyewear was provided to all participants. Clinical and microbiological parameters were repeated 12 weeks after initial treatment.
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Denlase Diode Laser
Primary outcome measureBleeding on probing, assessed during probing with a calibrated standard probe at baseline and 12 weeks after the last treatment (re-evaluation)
Secondary outcome measures1. Oral hygiene, assessed using the Approximal-Plaque-Index (API) and the Papillary Bleeding Index (PBI) at the initial examination (baseline) and 12 weeks after the last treatment (re-evaluation)
2. Clinical attachment level, measured to the nearest millimeter using a calibrated standard probe at baseline and re-evaluation
3. Periodontal pocket depth, measured to the nearest millimeter using a calibrated standard probe at baseline and re-evaluation
Overall study start date01/10/2016
Overall study end date01/07/2023

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit25 Years
Upper age limit55 Years
SexBoth
Target number of participants20
Total final enrolment20
Participant inclusion criteria1. Moderate to severe periodontitis with a Periodontal Screening Index of 3 or 4; in regards to new classification: localized or generalized periodontitis of periodontal stage II, III or IV with grades B or C
2. Age 25-55 years
3. Presence of at least one site in each quadrant with probing depths above ≥5 mm with bleeding on probing
4. Radiologically-detectable alveolar bone loss in all quadrants
5. Good general health
Participant exclusion criteria1. Pregnancy
2. Intake of antibiotics in the last 6 months
3. Periodontal treatment during the last 6 months
4. Infectious disease, chronic pulmonary disease, immunosuppressive medication or immunodeficiency, cancer, diabetes, other apparent oral infection
Recruitment start date01/07/2017
Recruitment end date20/08/2022

Locations

Countries of recruitment

  • Austria

Study participating centre

University Clinic of Dentistry, Medical University of Vienna
Sensengasse 2A
Vienna
1090
Austria

Sponsor information

Medical University of Vienna
University/education

Spitalgasse 23
Vienna
1090
Austria

Phone +43 (0)1 40160-0
Email office-unizahnklinik@meduniwien.ac.at
Website http://www.meduniwien.ac.at/homepage/1/homepage/
ROR logo "ROR" https://ror.org/05n3x4p02

Funders

Funder type

Government

Medizinische Universität Wien
Government organisation / Local government
Alternative name(s)
Medical University of Vienna, MediUni Wien
Location
Austria

Results and Publications

Intention to publish date01/01/2024
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe data-sharing plans for the current study are unknown and will be made available at a later date

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 25/04/2025 28/04/2025 Yes No

Editorial Notes

28/04/2025: Publication reference added.
07/09/2023: Study's existence confirmed by the Ethics Committee Medical University of Vienna (Austria).