SUMMARY

Periodontal therapy for the treatment of periodontitis involves the elimination of bacterial plaque. Considering the various advantages of laser irradiation, its use in combination with conventional mechanical treatment has the potential to improve the periodontal condition than mechanical therapy alone. Also, considering the evidence of bacterial invasion into the soft tissue of periodontal pockets, not only debridement of the root surface but also removal of the epithelium lining and granulation tissue of the gingival wall within periodontal pockets could be an important factor in the treatment of moderate to deep pockets in order to promote attachment of gingival connective tissue to the root surface. The present clinical study was designed to compare and evaluate the bactericidal effects of Laser Assisted New Attachment Procedure (LANAP) as an adjunct to scaling and root planing on the various clinical and microbiological parameters and the improvement in glycemic control (HbA1c) .

The primary aim of the present study was to determine the efficacy of the LANAP as an adjunct to scaling and root planing in the treatment of periodontal pockets in Type 2 Diabetes Mellitus (DM2) patients with chronic periodontitis. From  the  observations  of  the  present  study  it  can  be  suggested  that  the therapeutic effectiveness of LANAP as an adjunct to scaling and root planing is having an additional benefit over scaling and root planing alone in terms of clinical and microbiological parameters. However no statistically significant difference between two groups in terms of glycemic control was documented in this study. Added advantages of Diode laser are: better patient compliance, enhanced/ improved tissue response, greater ability to sterilize the periodontal pocket and true bactericidal potential. Thus Laser can be a useful tool in the treatment of periodontitis patients with systemic diseases.