Title
Impact of diode laser application alongside open flap debridement in periodontitis treatment
Authors
Rupam Kumari Rupam1, Kausar Parwez Khan1,*, Shalini Sinha1, Iswar Chandar Vidyasagar1, Saurabh Kumar1 & Shimiyan Debbarma2
Affiliation
1Department of Periodontology and Implantology, Mithila Minority Dental College and Hospital, Darbhanga, Bihar, India; 2Department of Oral Medicine and Radiology, Agartala Government Dental College and IGM Hospital, Agartala, Tripura, India; *Corresponding author
Rupam Kumari Rupam - E-mail: krupam3005@gmail.com
Kausar Parwez Khan - E-mail: kausar5983@gmail.com
Shalini Sinha - E-mail: shalinissinha9@gmail.com Iswar
Chandar Vidyasagar - E-mail: iswarchandra00@gmail.com
Saurabh Kumar - E-mail: saurabh54kd@gmail.com
Shimiyan Debbarma - E-mail: shimiyandebbarma@gmail.com
Article Type
Research Article
Date
Received October 1, 2025; Revised October 31, 2025; Accepted October 31, 2025, Published October 31, 2025
Abstract
Periodontitis is a progressive inflammatory disease affecting the tooth-supporting structures. Although open flap debridement (OFD) is effective in managing advanced cases, complete elimination of pathogenic biofilms remains challenging. Diode lasers are popularly used as adjunctive aids owing to their bactericidal and stimulatory properties. Therefore, it is of interest to assess whether the efficacy of diode laser along with open flap debridement in improving clinical outcomes in severe periodontitis. The study involved 60 systemically healthy individuals with generalized periodontitis and probing pocket measuring more than 5 mm divided into test and control group. Clinical parameters-probing pocket depth (PPD), clinical attachment level (CAL), modified sulcular bleeding index (mSBI), wound healing index (WHI) and visual analog scale (VAS) for pain-were assessed at baseline, 3 months and 6 months. Group B demonstrated significantly better wound healing scores on Day 3 and Day 7 while significant improvements were observed in post-operative pain, CAL, PPD and mSBI at 6 months. Diode lasers offer a promising tool for optimizing the surgical management of severe periodontal cases.
Keywords
Laser dentistry, flap surgery, periodontitis, wound healing, surgical periodontology
Citation
Rupam et al. Bioinformation 21(10): 3710-3714 (2025)
Edited by
Vini Mehta
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
