{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:17:41Z","timestamp":1792095461517,"version":"4.4.0"},"reference-count":41,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T00:00:00Z","timestamp":1643846400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Marginal and periapical periodontal diseases cause massive destruction of tooth tissues and surrounding tissues, such as alveolar bone and maxillary sinus floor, visible on radiographs. Lesions involving the apical and marginal periodontium are endo\u2212perio (EPL) lesions. This study aimed to compare the treatment efficacy of endo\u2212perio lesions using a standard treatment protocol and a standard diode laser-assisted treatment protocol. The 12 patients were divided into the study (a) and control (b) group. Periodontal indices, tooth vitality and mobility, occlusal status, and radiographic diagnosis were evaluated. Standard EPL treatment was then performed\u2014without (a) and with (b) the use of diode laser (940 nm). Again, after six months, the above-mentioned parameters were evaluated and compared. The treatment of endo\u2212perio lesions is a significant challenge for modern dentistry. Diode lasers are increasingly used in addition to traditional treatment methods. The conventional use of a 940 nm diode laser with an average power of 0.8 W in pulsed mode allows for the depth of periodontal pockets to be reduced. In addition, the use of a diode laser has a significant effect on tooth mobility and reduces bone loss.<\/jats:p>","DOI":"10.3390\/jcm11030811","type":"journal-article","created":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T11:35:17Z","timestamp":1643974517000},"page":"811","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Comparison of the Treatment Efficacy of Endo\u2212Perio Lesions Using a Standard Treatment Protocol and Extended by Using a Diode Laser (940 nm)"],"prefix":"10.3390","volume":"11","author":[{"given":"El\u017cbieta","family":"Dembowska","sequence":"first","affiliation":[{"name":"Department of Periodontology, Pomeranian Medical University, 70-111 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7727-6388","authenticated-orcid":false,"given":"Aleksandra","family":"Jaro\u0144","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksandra","family":"Homik-Rodzi\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Pomeranian Medical University, 70-111 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewa","family":"Gabrysz-Trybek","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging and Interventional Radiology, Pomeranian Medical University, 71-242 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0597-8457","authenticated-orcid":false,"given":"Joanna","family":"Bladowska","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Radiology and Neuroradiology, Wroclaw Medical University, 50-369 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3900-4901","authenticated-orcid":false,"given":"Grzegorz","family":"Trybek","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Kuligowski, P., Jaro\u0144, A., Preuss, O., Gabrysz-Trybek, E., Bladowska, J., and Trybek, G. (2021). Association between Odontogenic and Maxillary Sinus Conditions: A Retrospective Cone-Beam Computed Tomographic Study. J. Clin. Med., 10.","DOI":"10.3390\/jcm10132849"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"S85","DOI":"10.1002\/JPER.16-0642","article-title":"Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo-periodontal lesions","volume":"89","author":"Herrera","year":"2018","journal-title":"J. Periodontol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1046\/j.0906-6713.2003.003431.x","article-title":"Diagnosis, prognosis and decision-making in the treatment of combined periodontal-endodontic lesions","volume":"34","author":"Rotstein","year":"2004","journal-title":"Periodontol. 2000"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"58","DOI":"10.4103\/0973-029X.203795","article-title":"Pulpal changes associated with advanced periodontal disease: A histopathological study","volume":"21","author":"Gautam","year":"2017","journal-title":"J. Oral Maxillofac. Pathol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"239","DOI":"10.4103\/jfmpc.jfmpc_725_19","article-title":"Evaluation of role of periodontal pathogens in endodontic periodontal diseases","volume":"9","author":"Das","year":"2020","journal-title":"J. Fam. Med. Prim. Care"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1034\/j.1600-051X.2002.290801.x","article-title":"HasselgrenG.Pathologicinteractions in pulpal and periodontaltissues","volume":"29","author":"Zehnder","year":"2002","journal-title":"J. Clin. Periodontol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"382","DOI":"10.4103\/ccd.ccd_116_18","article-title":"A Qualitative Analysis of Periodontal Pathogens in Chronic Periodontitis Patientsafter Nonsurgical Periodontal Therapy with and without Diode Laser Disinfection Using Benzoyl-DL Arginine-2-Naphthylamide Test: A Randomized Clinical Trial","volume":"9","author":"Fenol","year":"2018","journal-title":"Contemp. Clin. Dent."},{"key":"ref_8","first-page":"191","article-title":"Diode laser therapy in the management of chronicperiodontitis\u2014A clinico-microbiologicalstudy","volume":"9","author":"Yadwad","year":"2017","journal-title":"Interv. Med. Appl. Sci."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Lopes, E.M., Passini, M.R.Z., Kishi, L.T., Chen, T., Paster, B.J., and Gomes, B.P.F.A. (2021). Interrelationship between the Microbial Communities of the Root Canals and Periodontal Pockets in Combined Endodontic-Periodontal Diseases. Microorganisms, 9.","DOI":"10.3390\/microorganisms9091925"},{"key":"ref_10","first-page":"373","article-title":"Photodynamic killing of Enterococcus faecalis in dentinal tubules using mTHPC incorporated in liposomes and invasomes","volume":"19","author":"Ossmann","year":"2015","journal-title":"Clin. OralInvestig."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"101","DOI":"10.5051\/jpis.2013.43.2.101","article-title":"Comparison of the effect of hand instruments, anultrasonicscaler, and anerbium-dopedyttrium aluminium garnet laser on rootsurfaceroughness of teeth with periodontitis: A profilometerstudy","volume":"43","author":"Amid","year":"2013","journal-title":"J. Periodontal Implant Sci."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1089\/clm.1997.15.33","article-title":"Bacterialreduction in periodontalpocketsthroughirradiation with a diode laser: A pilot study","volume":"15","author":"Moritz","year":"1997","journal-title":"J. Clin. Laser Med. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e8495","DOI":"10.7717\/peerj.8495","article-title":"A retrospectiveassessment of differentendodontictreatmentprotocols","volume":"8","author":"Bartols","year":"2020","journal-title":"PeerJ"},{"key":"ref_14","first-page":"493","article-title":"The success of endodontic therapy\u2014Healing and functionality","volume":"32","author":"Friedman","year":"2004","journal-title":"J. Calif. Dent. Assoc."},{"key":"ref_15","first-page":"58","article-title":"Laser use in endodontics: Evolution from direct laser irradiation to laser-activatedirrigation","volume":"21","author":"Olivi","year":"2013","journal-title":"J. Laser Dent."},{"key":"ref_16","first-page":"1","article-title":"Laser endodontictherapyusing 940 nmdiode laser. Temperaturerise on externalrootsurface\u2014Part, I","volume":"2","author":"Pradhan","year":"2010","journal-title":"Laser"},{"key":"ref_17","first-page":"55","article-title":"Diode Laser and Calcium Hydroxide for Elimination of Enterococcus Faecalis in Root Canal","volume":"3","author":"Naghavi","year":"2014","journal-title":"J. Dent. Mater. Tech."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1002\/JPER.18-0157","article-title":"A new classification scheme for periodontal and peri-implant diseases and conditions\u2014Introduction and key changes from the 1999 classification","volume":"89","author":"Caton","year":"2018","journal-title":"J. Periodontol."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Trybek, G., Aniko-W\u0142odarczyk, M., Preuss, O., and Jaro\u0144, A. (2021). Assessment of Electrosensitivity of the Pulp of the Mandibular Second Molar after Surgical Removal of an Impacted Mandibular Third Molar. J. Clin. Med., 10.","DOI":"10.3390\/jcm10163614"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"347","DOI":"10.4103\/JISPPD.JISPPD_128_17","article-title":"Antimicrobial efficacy of 980 nm diode laser on Enterococcus feacalis in conjunction with various irrigation regimes in infected root canals: An in vitro study","volume":"36","author":"Shaktawat","year":"2018","journal-title":"J. Indian Soc. Pedod. Prev. Dent."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1590\/S1806-83242012005000010","article-title":"Influence of prior 810-nm-diode intracanal laser irradiation on hydrophilic resin-based sealer obturation","volume":"26","author":"Palo","year":"2012","journal-title":"Braz. Oral Res."},{"key":"ref_22","first-page":"1","article-title":"Lasers in endodontics","volume":"4","author":"Gutknecht","year":"2008","journal-title":"J. Laser Health Acad."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1007\/s10103-014-1575-7","article-title":"Effectiveness of the diode laser in the treatment of ligature-induced periodontitis in rats: A histopathological, histometric, and immunohistochemical study","volume":"30","author":"Theodoro","year":"2015","journal-title":"Lasers Med. Sci."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1089\/104454704773660912","article-title":"Bactericidal effect of a 980-nm diode laser in the root canal wall dentin of bovine teeth","volume":"22","author":"Gutknecht","year":"2004","journal-title":"J. Clin. Laser Med. Surg."},{"key":"ref_25","first-page":"10","article-title":"iwsp.: Lasers in endodontics","volume":"4","author":"DiVito","year":"2012","journal-title":"Laser"},{"key":"ref_26","unstructured":"(2021, May 15). Available online: www.slicer.org."},{"key":"ref_27","first-page":"674","article-title":"Current status of clinical laser applications in periodontal therapy","volume":"6","author":"Aoki","year":"2008","journal-title":"Gen. Dent."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.1016\/j.joen.2008.08.029","article-title":"Laser activation of endodonticirrigants with improvedconical laser fibertips for removingsmearlayer in the apical third of the root canal","volume":"34","author":"George","year":"2008","journal-title":"J. Endod."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/s41547-018-0050-3","article-title":"Deepdisinfection and tubularsmearlayerremoval with Er: YAG usingphoton-inducedphotoacoustic streaming (PIPS) contra laser-activatedirrigation (LAI) technics","volume":"3","author":"Sippus","year":"2019","journal-title":"Laser Dent. Sci."},{"key":"ref_30","first-page":"15","article-title":"Effectiveness of a diode laser in addition to non-surgicalperiodontaltherapy: Study of intervention","volume":"6","author":"Crispino","year":"2015","journal-title":"Ann. Stomatol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1007\/s10103-012-1181-5","article-title":"Effectiveness of diode laser as adjunctive therapy to scaling root planning in the treatment of chronic periodontitis: A meta-analysis","volume":"28","author":"Sgolastra","year":"2013","journal-title":"Lasers Med. Sci."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1089\/1549541041438597","article-title":"Removal of epithelium in periodontalpocketsfollowing diode (980 nm) laser application in the animal model: An in vitro study","volume":"22","author":"Romanos","year":"2004","journal-title":"Photomed. Laser Surg."},{"key":"ref_33","first-page":"27","article-title":"Evaluation of the effects of diode (980 nm) laser on gingival inflammation after nonsurgical periodontal therapy","volume":"5","author":"Zare","year":"2014","journal-title":"J. Lasers Med. Sci."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1089\/pho.2015.3914","article-title":"Role of diode lasers (800\u2013980\u2009nm) as adjuncts to scaling and root planing in the treatment of chronic periodontitis: A systematic review","volume":"33","author":"Qadri","year":"2015","journal-title":"Photomed. Laser Surg."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1902\/jop.2012.110708","article-title":"Clinical effectiveness of diode laser therapy as an adjunct to non-surgical periodontal treatment: A randomized clinical study","volume":"84","author":"Bago","year":"2013","journal-title":"J. Periodontol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1089\/pho.2007.2233","article-title":"The effect of diode laser (980 nm) treatment on aggressive periodontitis: Evaluation of microbial and clinical parameters","volume":"27","author":"Kamma","year":"2009","journal-title":"Photomed. Laser Surg."},{"key":"ref_37","first-page":"513","article-title":"Use of diode laser 980 nm as adjunctivetherapy in the treatment of chronicperiodontitis. A randomizedcontrolledclinicaltrial","volume":"31","author":"Caruso","year":"2008","journal-title":"New Microbiol."},{"key":"ref_38","first-page":"336","article-title":"Laser Application in Dentistry: Irradiation Effects of Nd:YAG 1064\u2009nm and Diode 810\u2009nm and 980\u2009nm in Infected Root Canals-A Literature Overview","volume":"34","author":"Saydjari","year":"2016","journal-title":"Photomed. Laser Surg."},{"key":"ref_39","first-page":"1","article-title":"Zastosowanie CBCT w praktyce stomatologicznej\u2013Systematyczny przegl\u0105d pi\u015bmiennictwa","volume":"10","author":"Alshehri","year":"2012","journal-title":"Dent. Trib. Pol. Ed."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Jaro\u0144, A., Gabrysz-Trybek, E., Bladowska, J., and Trybek, G. (2021). Correlation of Panoramic Radiography, Cone-Beam Computed Tomography, and Three-Dimensional Printing in the Assessment of the Spatial Location of Impacted Mandibular Third Molars. J. Clin. Med., 10.","DOI":"10.3390\/jcm10184189"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Metlerski, M., Grocholewicz, K., Jaro\u0144, A., Lipski, M., and Trybek, G. (2020). Comparison of Presurgical Dental Models Manufactured with Two Different Three-Dimensional Printing Techniques. J. Healthc. Eng., 8893338.","DOI":"10.1155\/2020\/8893338"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/3\/811\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:13:32Z","timestamp":1760134412000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/3\/811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,3]]},"references-count":41,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,2]]}},"alternative-id":["jcm11030811"],"URL":"https:\/\/doi.org\/10.3390\/jcm11030811","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,3]]}}}