Photodynamic therapy as an adjunctive treatment for grade C periodontitis in molar teeth: a preliminary trial.

BACKGROUND: The present study aimed to evaluate the local effect of antimicrobial photodynamic therapy (aPDT) as adjunctive treatment for grade C periodontitis in molars teeth.

METHODS: Thirty-eight molar teeth from 11 patients were included in this split-mouth randomized clinical trial. The teeth were randomly divided into two groups (n = 19 each) that were submitted to conventional scaling and root planing in addition to aPDT (test group) and to scaling and root planing in addition to aPDT simulation (control group). The following periodontal parameters were obtained prior to treatment (baseline) and at 3 months after the intervention: bleeding on probing, probing depth, gingival recession, clinical attachment level, and furcation level. A 5% significance level was adopted in the statistical analysis.

RESULTS: Both groups exhibited improvement in the clinical parameters (p < 0.001). However, the reductions in bleeding on probing and probing depth were greater in the test group (p < 0.001). There were no significant differences in the other clinical parameters between groups (p ≥ 0.13).

CONCLUSIONS: Molar teeth treated with aPDT and scaling and root planing showed superior clinical improvement compared to those submitted only to scaling and root planning. Antimicrobial PDT may be used as adjunctive treatment for grade C periodontitis affecting molar teeth since it seems to improve the clinical response to conventional debridement.