This study is done to compare between young age and old age patients with periodontitis (inflammaging) and the effect of diode laser as adjunctive to scaling and debridement

Inclusion Criteria:

1. Male or Female

2. Aged below 40 or above 60.

3. Provide informed consent and willingness to cooperate with study protocol.

4. Periodontitis stage II patients:

   • CAL from 3-4 mm.
   • Radiographic bone loss (15% to 33%).
   • No tooth loss due to periodontitis.
   • Maximum probing depth ≤ 5 mm, mostly horizontal bone loss

Exclusion Criteria:

1. Patients with heavy smoking habits
2. History of antibiotics in the previous three months.
3. Pregnant or lactating female.
4. Treatment with any systemic drug.
5. History of systemic disease.
6. Patients who received periodontal treatment in the last 6 months