What question did this study set out to answer?

To compare the clinical effectiveness of 980 nm and 445 nm diode lasers used alongside subgingival curettage in chronic periodontitis treatment.

April 3, 2026Balkan Journal of Dental Medicine0 citationsOpen Access

Comparative clinical evaluation of two diode laser wavelengths as adjunctive therapy to subgingival curettage in the treatment of chronic periodontitis

IMIndira Mujić-Jahić MGMirjana Gojkov-Vukelić SHSanja Hadžić

Key Points

To compare the clinical effectiveness of 980 nm and 445 nm diode lasers used alongside subgingival curettage in chronic periodontitis treatment.
Comparative analysis of two independent prospective studies
Involving 24 subjects with 1,164 and 862 periodontal pockets treated respectively with 980 nm and 445 nm lasers alongside SRP
Control groups underwent SRP alone
Assessment of clinical parameters at baseline and one month post-therapy
Both laser groups showed significant reductions in Plaque Index, Gingival Index, Bleeding on Probing, and Probing Pocket Depth
Adjunctive laser therapy significantly improved Probing Pocket Depth reduction and Clinical Attachment Level gain compared to SRP alone
No statistically significant difference in overall outcomes between the 980 nm and 445 nm laser groups

Abstract

Background: Chronic periodontitis is a biofilm-induced inflammatory disease leading to progressive destruction of periodontal supporting tissues. Mechanical debridement by scaling and root planing (SRP) remains the gold standard of therapy; however, complete elimination of pathogenic microorganisms from deep periodontal pockets is challenging. Adjunctive laser therapy has been proposed to enhance clinical outcomes. Objective: To compare the clinical effectiveness of two diode laser wavelengths (980 nm and 445 nm) as adjuncts to subgingival curettage/SRP in the treatment of periodontal pockets, and to evaluate their outcomes relative to SRP alone. Materials and Methods: Comparative analysis of two independent prospective studies with identical methodology were analyzed. The first study included 24 subjects (1,164 periodontal pockets) treated with SRP + 980 nm diode laser (SmilePro 980, Biolitec, Germany). The second study included a same number of subjects and a comparable number of periodontal pockets were treated (862 periodontal pockets) with SRP + 445 nm diode laser (SiroLaser Blue, Dentsply Sirona, Germany). Control groups received SRP alone. Clinical parameters included Plaque Index (PI), Gingival Index (GI), Bleeding on Probing (BOP), Probing Pocket Depth (PPD), and Clinical Attachment Level (CAL), assessed at baseline and 1 month post-therapy. Results: Both laser groups demonstrated statistically significant reductions in PI, GI, BOP, and PPD compared with baseline (p 0.05). When compared to SRP alone, both adjunctive laser therapies showed significantly greater improvement in PPD reduction and CAL gain (p 0.05). No statistically significant difference was observed between the 980 nm and 445 nm laser groups in overall clinical outcomes (p 0.05). Conclusion: Both diode laser wavelengths (980 nm and 445 nm) significantly enhance short-term clinical outcomes when used adjunctively with SRP compared to SRP alone. No clear superiority of one wavelength over the other was demonstrated under the applied clinical conditions.

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