{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:13:39Z","timestamp":1777929219468,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2010,12,1]],"date-time":"2010-12-01T00:00:00Z","timestamp":1291161600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Photomedicine and Laser Surgery"],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Objective:<\/jats:italic>\n                    <\/jats:bold>\n                    The aim of this study was to evaluate the effectiveness of Er:YAG laser and conventional periodontal therapy in the treatment of acute streptococcal gingivitis both clinically and microbiologically.\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Background Data:<\/jats:italic>\n                    <\/jats:bold>\n                    This case report describes a 2-year follow-up of a 30-year-old, female, chronic periodontitis patient, presenting severe gingival inflammation, sensitivity, pain, and acute gingival lesions that were treated with Er:YAG laser and conventional hand and ultrasonic instruments.\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Materials and Methods:<\/jats:italic>\n                    <\/jats:bold>\n                    Before the initial periodontal treatment, microbiological samples were taken from the lesion sites with sterile paper points from the sulcuses bilaterally, and excisional biopsies were obtained from the lesions. Following diagnostic tests, the lesions were identified as acute streptococcal gingivitis. Following the measurement of clinical indices, initial periodontal therapy was performed with Er:YAG laser on the right side and conventional hand and ultrasonic instruments on the left side, which were performed as two sessions at weekly intervals. As an adjunct to mechanical periodontal therapy, 500\u2009mg amoxicillin was prescribed t.i.d. for a week.\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Results:<\/jats:italic>\n                    <\/jats:bold>\n                    Microbiological samples grew mostly\n                    <jats:italic toggle=\"yes\">Streptococcus sp.<\/jats:italic>\n                    and black pigmented obligate anaerobic bacteria. The histopathological examination revealed acanthosis, papillomatosis, and spongiotic lesions in the keratinized stratified squamous epithelium; infiltration of polymorphonuclear neutrophils, lymphocytes, and macrophages and plasma cells in the connective tissue; infiltration and accumulation of polymorphonuclear neutrophils in the epithelium, especially in the spongiotic lesions; and formation of microabscess-like clusters. After the initial periodontal treatment, clinical and microbiological measurements were repeated and reductions in clinical indices and the number of microorganisms were observed. Both treatment modalities gave similar results, and no recurrences were observed during the 2-year follow-up.\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Conclusion:<\/jats:italic>\n                    <\/jats:bold>\n                    Er:YAG laser seems to be promising and as effective as conventional periodontal therapy in the treatment of acute streptococcal gingivitis.\n                  <\/jats:p>","DOI":"10.1089\/pho.2009.2705","type":"journal-article","created":{"date-parts":[[2010,12,10]],"date-time":"2010-12-10T08:41:42Z","timestamp":1291970502000},"page":"841-845","source":"Crossref","is-referenced-by-count":5,"title":["Evaluation of the Effectiveness of Er:YAG Laser and Conventional Periodontal Treatment in a Patient with Acute Streptococcal Gingivitis: A 2-Year Follow-Up"],"prefix":"10.1177","volume":"28","author":[{"given":"H.","family":"Gursoy-Mert","sequence":"first","affiliation":[{"name":"Yeditepe University","place":["Turkey"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Altan-Koran","sequence":"additional","affiliation":[{"name":"Yeditepe University","place":["Turkey"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.","family":"Noyan","sequence":"additional","affiliation":[{"name":"Marmara University","place":["Turkey"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Kadir","sequence":"additional","affiliation":[{"name":"Marmara University","place":["Turkey"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Cologlu","sequence":"additional","affiliation":[{"name":"Yeditepe University","place":["Turkey"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Yeditepe University","place":["Turkey"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,12]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1902\/annals.1999.4.1.1"},{"key":"e_1_3_2_3_2","first-page":"65","volume-title":"Carranza's Clinical Periodontology","author":"Newman M.","year":"2002","unstructured":"Newman M., , Takei H., , Carranza F. 2002. Classification and epidemiology of periodontal diseases. Carranza's Clinical Periodontology, 9th. Philadelphia, PA: W.B. Saunders Company, 65\u201366.","edition":"9"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1902\/annals.1999.4.1.20"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.5005\/jcdp-5-3-150"},{"key":"e_1_3_2_6_2","first-page":"577","article-title":"Atypical streptococcal infection of gingiva associated with chronic mouth breathing","volume":"38","author":"Haytac C.M.","year":"2007","unstructured":"Haytac C.M., , Oz A. 2007. Atypical streptococcal infection of gingiva associated with chronic mouth breathing. Quintessence Int., 38:577\u2013582.","journal-title":"Quintessence Int."},{"key":"e_1_3_2_7_2","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1055\/s-0039-1698348","article-title":"Streptococcal gingivitis with aggressive periodontitis: a case report","volume":"1","author":"Kara C.","year":"2007","unstructured":"Kara C., , Demir T., , Tezel A., , Zihni M. 2007. Streptococcal gingivitis with aggressive periodontitis: a case report. Eur. J. Dent., 1:251\u2013255.","journal-title":"Eur. J. Dent."},{"key":"e_1_3_2_8_2","doi-asserted-by":"crossref","first-page":"121","DOI":"10.3109\/00016356408993968","article-title":"Periodontal diseases in pregnancy. Part II. Correlation between oral hygiene and periodontal control","volume":"22","author":"Silness J.","year":"1964","unstructured":"Silness J., , L\u00f6e H. 1964. Periodontal diseases in pregnancy. Part II. Correlation between oral hygiene and periodontal control. Acta Odontol. Scand., 22:121\u2013135.","journal-title":"Acta Odontol. Scand."},{"key":"e_1_3_2_9_2","doi-asserted-by":"crossref","first-page":"533","DOI":"10.3109\/00016356309011240","article-title":"Periodontal diseases in pregnancy. Part I. Correlation and severity","volume":"21","author":"L\u00f6e H.","year":"1963","unstructured":"L\u00f6e H., , Silness J. 1963. Periodontal diseases in pregnancy. Part I. Correlation and severity. Acta Odontol. Scand., 21:533\u2013551.","journal-title":"Acta Odontol. Scand."},{"key":"e_1_3_2_10_2","first-page":"24","volume-title":"Atlas of Disease of the Oral Mucosa","author":"Pindborg J.J.","year":"1980","unstructured":"Pindborg J.J. 1980. Atlas of Disease of the Oral Mucosa, 3th. Copenhagen: Munksgaard, 24\u201325.","edition":"3"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1988.59.8.493"},{"key":"e_1_3_2_12_2","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1111\/j.1600-051X.2007.01093.x","article-title":"Microbiological findings after periodontal therapy using curettes, Er:YAG laser, sonic, and ultrasonic scalers","volume":"34","author":"Derdilopoulou F.V.","year":"2007","unstructured":"Derdilopoulou F.V., , Nonhoff J., , Neumann K., , Kielbassa A.M. 2007. Microbiological findings after periodontal therapy using curettes, Er:YAG laser, sonic, and ultrasonic scalers. J. Clin. Periodontol., 34:588\u2013598.","journal-title":"J. Clin. Periodontol."},{"key":"e_1_3_2_13_2","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1034\/j.1600-0765.2000.035005266.x","article-title":"In vitro evaluation of Er:YAG scaling of subgingival calculus in comparison with ultrasonic scaling","volume":"35","author":"Aoki A.","year":"2000","unstructured":"Aoki A., , Miura M., , Akiyama F. et al. 2000. In vitro evaluation of Er:YAG scaling of subgingival calculus in comparison with ultrasonic scaling. J. Periodont. Res., 35:266\u2013277.","journal-title":"J. Periodont. Res."},{"key":"e_1_3_2_14_2","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1002\/lsm.10179","article-title":"In vivo and in vitro effects of an Er:YAG laser, a GaAlAs diode laser and scaling and root planing on periodontally diseased root surfaces. A comparative histologic study","volume":"32","author":"Schwarz F.","year":"2003","unstructured":"Schwarz F., , Sculean A., , Berakdar M., , Georg T., , Becker J. 2003. In vivo and in vitro effects of an Er:YAG laser, a GaAlAs diode laser and scaling and root planing on periodontally diseased root surfaces. A comparative histologic study. Lasers Surg. Med., 32:359\u2013366.","journal-title":"Lasers Surg. Med."},{"key":"e_1_3_2_15_2","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1902\/jop.2001.72.3.361","article-title":"Periodontal treatment with an Er:YAG laser compared to scaling and root planing. A controlled clinical study","volume":"72","author":"Schwarz F.","year":"2001","unstructured":"Schwarz F., , Sculean A., , Georg T., , Reich E. 2001. Periodontal treatment with an Er:YAG laser compared to scaling and root planing. A controlled clinical study. J. Periodontol., 72:361\u2013367.","journal-title":"J. Periodontol."},{"key":"e_1_3_2_16_2","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1053\/jinf.2001.0820","article-title":"Toxic shock-like syndrome with flu-like prodrome: a possible role of \u201cenhancing tissue focus\u201d for streptococcal toxic shock","volume":"42","author":"Hirose Y.","year":"2001","unstructured":"Hirose Y., , Shibuya H., , Okazaki E. et al. 2001. Toxic shock-like syndrome with flu-like prodrome: a possible role of \u201cenhancing tissue focus\u201d for streptococcal toxic shock. J. Infect., 42:195\u2013200.","journal-title":"J. Infect."},{"key":"e_1_3_2_17_2","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1097\/00000637-200111000-00017","article-title":"Invasive streptococcal infection of the perioorbita and forehead","volume":"47","author":"Gates R.L.","year":"2001","unstructured":"Gates R.L., , Cocke W.M., , Rushton T.C. 2001. Invasive streptococcal infection of the perioorbita and forehead. Ann. Plast. Surg., 47:565\u2013567.","journal-title":"Ann. Plast. Surg."},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.1900090405"},{"key":"e_1_3_2_19_2","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1111\/j.1600-0757.2004.03679.x","article-title":"Lasers in nonsurgical periodontal therapy","volume":"36","author":"Aoki A.","year":"2004","unstructured":"Aoki A., , Miyuki S.K., , Watanabe H., , Ishikawa I. 2004. Lasers in nonsurgical periodontal therapy. Periodontol.200036:59\u201397.","journal-title":"Periodontol."},{"key":"e_1_3_2_20_2","first-page":"57","volume-title":"Lasers in Dentistry","author":"Koort H.J.","year":"1995","unstructured":"Koort H.J., , Frentzen M. 1995. Laser effects on dental hard tissue. Lasers in Dentistry. Miserendino L.J., , Pick R.M. Chicago: Quintessence, 57\u201370."},{"key":"e_1_3_2_21_2","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1117\/12.238763","article-title":"Laser ablation of dental hard tissue: from explosive ablation to plasma-mediated ablation","volume":"2672","author":"Seka W.","year":"1996","unstructured":"Seka W., , Featherstone J.D.B., , Fried D., , Visuri S.R., , Walsh J.T. 1996. Laser ablation of dental hard tissue: from explosive ablation to plasma-mediated ablation. Proc. SPIE, 2672:144\u2013158.","journal-title":"Proc. SPIE"}],"container-title":["Photomedicine and Laser Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/pho.2009.2705","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/pho.2009.2705","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/pho.2009.2705","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:31:19Z","timestamp":1777678279000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1089\/pho.2009.2705"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,12]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2010,12]]}},"alternative-id":["10.1089\/pho.2009.2705"],"URL":"https:\/\/doi.org\/10.1089\/pho.2009.2705","relation":{},"ISSN":["1549-5418","1557-8550"],"issn-type":[{"value":"1549-5418","type":"print"},{"value":"1557-8550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,12]]}}}