Endoscopy And Laser-Assisted Treatment For Stage III/IV Periodontitis

To evaluate the clinical efficacy of endoscopy and laser-assisted treatment for stage III/IV periodontitis A total of 53 patients with 648 sites were enrolled and randomly assigned to receive scaling and root planing (SRP), endoscopy-assisted SRP (PE), or endoscopy-assisted SRP combined with laser pocket disinfection (PE+Laser). Clinical periodontal parameters, including probing depth (PD), bleeding on probing (BOP), clinical attachment loss (AL), and gingival recession (GR), were recorded at baseline, 3 months, and 6 months post-treatment. Secondary outcomes, such as VAS pain scores, average treatment time, periodontal awareness, and OHIP-14 scores, were also assessed. The results demonstrated significant improvements in PD, BOP, and AL in all three groups at 3 and 6 months, with PE and PE+Laser groups showing greater improvements compared to SRP, albeit with longer treatment times. Additionally, laser treatment significantly reduced postoperative pain perception. No significant differences were observed between PE and PE+Laser groups in terms of PD, AL, GR, or treatment time. Endoscopy and laser-assisted SRP significantly improve clinical outcomes in periodontitis patients, reducing the need for surgical intervention. The efficacy of laser treatment was comparable to that of endoscopy-assisted therapy.