Clinical outcomes of using lasers for peri-implantitis surface detoxification: a systematic review and meta-analysis.

Abstract

UNLABELLED:

The aim of this systematic review is to compare the clinical outcomes of lasers with other commonly applied detoxification methods for treating peri-implantitis. An electronic search of four databases and a hand search of peer-reviewed journals for relevant articles were conducted. Comparative human clinical trials and case series with ≥ 6 months of follow-up in ≥ 10 patients with peri-implantitis treated with lasers were included. Additionally, animal studies applying lasers for treating peri-implantitis were also included. The included studies had to report probing depth (PD) reduction after the therapy.

RESULTS:

Seven human prospective clinical trials and two animal studies were included. In four and three human studies, lasers were accompanied with surgical and non-surgical treatments, respectively. The meta-analyses showed an overall weighted mean difference of 0.00 mm (95% confidence interval = -0.18 to 0.19 mm) PD reduction between the laser and conventional treatment groups (P = 0.98) for non-surgical intervention. In animal studies, laser-treated rough-surface implants had a higher percentage of bone-to-implant contact than smooth-surface implants. In a short-term follow-up, lasers resulted in similar PD reduction when compared with conventional implant surface decontamination methods.

• Authors: James Mailoa, Guo-Hao Lin, Hsun-Liang Chan, Mark MacEachern, Hom-Lay Wang
• Journal: Journal of periodontology (J Periodontol) Vol. 85 Issue 9 Pg. 1194-202 (Sep 2014) ISSN: 1943-3670 [Electronic] United States
• PMID: 24476547 (Publication Type: Comparative Study, Journal Article, Meta-Analysis, Research Support, Non-U.S. Gov't, Review, Systematic Review)

Chemical References

• Dental Implants

Topics

• Dental Implants (microbiology)
• Disinfection (methods)
• Humans
• Laser Therapy (methods)
• Lasers (classification)
• Peri-Implantitis (surgery)
• Treatment Outcome