Efficacy of Photodynamic Therapy Combined With Scaling And Root Planning In The Treatment Of Chronic Periodontitis: A Systematic Literature Review.

Abstract

Chronic periodontitis (CP) is a prevalent inflammatory disease-causing tooth loss, significantly impacting physical and mental health. A significant contributor to the development of CP and the resulting severe periodontal tissue destruction is dental plaque biofilm. Scaling and root planing (SRP) and antibiotics are standard treatments, although they have drawbacks and may lead to bacterial resistance. Using SRP in conjunction with photodynamic treatment (PDT) to treat cerebral palsy (CP) was evaluated in this integrative review. PDT, SRP, and CP-related search phrases were utilised in Scopus, Google Scholar, and PubMed to find papers published between 2019 and 2024. English-language research using human subjects that assessed PDT using SRP met the inclusion requirements. Research that lacked validity or significance were excluded. Probing pocket depth, clinical attachment levels, bleeding on probing, and plaque ratings were all significantly improved with PDT+SRP, according to clinical data from main investigations. Beneficial bacteria increased but periodontopathogens decreased in the microbial makeup. Although the long-term advantages of PDT+SRP were less evident, meta-analyses supported its effectiveness, especially in the short term. PDT therefore shows significant short-term benefits in microbial profiles and clinical outcomes in CP patients when used as an adjuvant to SRP. To verify long-term advantages and improve treatment regimens, further investigation is required.