Gingival curettage study comparing a laser treatment to hand instruments.

The purpose of this clinical study was to examine nonsurgical treatments of periodontal disease comparing a diode laser to subgingival curettage with conventional hand instruments. The study group comprised 18 patients with moderate periodontal degradation who were treated without local anesthesia. Each quadrant was randomly allocated in a split-mouth design either to treatment with a 810-nm diode laser using an energy of 2 W (test group) or to gingival curettage using hand instruments (control group). Clinical data, including plaque index (PI), gingival index (GI), sulcus bleeding index (SBI), pocket depth (PD), clinical attachment level (CAL) and visual analog scale (VAS) score were acquired prior to and 4 weeks after treatment. The treatment time for each tooth was also recorded. The results demonstrated a statistically significant reduction of the GI, SBI and PD and a significant gain in CAL in both groups after 4 weeks. However, there were no significant differences between the test and control groups for the above data. The score for the degree of treatment discomfort was significantly lower and the average treatment time was significantly less in the test group than in the control group. Diode laser subgingival curettage resulted in statistically significant improvements in PD, SBI, GI and CAL with less discomfort and treatment time compared to treatment with the hand instruments.

Hip pain - a focus on the sporting population.

BACKGROUND: Patients complaining of 'hip' or 'groin' pain can present a diagnostic and therapeutic challenge for practitioners not only in primary care, but also those in specialist practice. OBJECTIVE: This article outlines common patterns of groin and lateral hip pain, and provides a targeted clinical approach to treatment or referral. DISCUSSION: Common causes of chronic groin pain include osteitis pubis, incipient hernia, adductor tendinopathy and intrinsic hip pathology. Tendinopathy of the hip abductor muscles is a common cause of lateral hip pain. While a careful history and targeted examination is essential, the frequently nonspecific findings add to the challenge of managing this group of patients. Treatment remains focused on relative rest, although other, more active modalities are discussed. Advances in hip arthroscopy have lead to further improvement in our understanding, diagnosis and treatment of intrinsic hip pathology.