ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Laser Therapy Does Not Produce the Significant Benefits of Decreased Pocket Depth When Compared to Conventional Therapy for Peri-Implantitis
Clinical Question Does the use of lasers for patients with peri-implantitis result in decreased pocket depth as compared to traditional nonsurgical therapy?
Clinical Bottom Line There is no significant difference in decreased pocket depth with laser therapy when compared to that of conventional therapy for patients with peri-implantitis.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 24444398Kotsakis/2014175 patients with at least one dental implant with peri-implantitisMeta-Analysis
Key resultsThrough meta-analysis, there was a mean difference of 0.00 mm (P=0.97, 95% confidence interval = -0.26 to 0.25 mm) for pocket depth after 6 months of treatment between laser therapy and conventional therapy.
#2) 24476547Mailoa/2014104 patients with at least one dental implant with peri-implantitisMeta-Analysis
Key resultsThrough meta-analysis, there was a mean difference of 0.00 mm (P=0.98, 95% confidence interval = -0.18 to 0.19 mm) for pocket depth with laser therapy in comparison to conventional therapy.
Evidence Search Systematic review, Search “Laser therapy” [MeSH], Search “Peri-implantitis” [MeSH]
Comments on
The Evidence
Validity: The two presented articles were systematic reviews of randomized controlled trials that used a comprehensive, detailed search for relevant trials. The included studies were assessed for validity and meta analysis performed. There was low heterogeneity among the studies included in the meta-analysis for both articles. Perspective: Because it was shown that there is no difference in pocket depth after laser therapy vs. conventional therapy for peri-implantitis, it would not be feasible to include laser therapy in the treatment protocol in expectation of a superior result in decreasing pocket depths.
Applicability The results of laser therapy in treating peri-implantitis do not support this treatment being recommended to patients. Thus, it would not be ideal to apply laser therapy for patients experiencing peri-implantitis due to the increased cost of equipment as well as learning curve of new technologies.
Specialty/Discipline (General Dentistry) (Oral Surgery) (Periodontics) (Prosthodontics)
Keywords dental implants, laser therapy, peri-implantitis, debridement therapy
ID# 2883
Date of submission: 04/13/2015spacer
E-mail Martineza27@livemail.uthscsa.edu
Author Adam Martinez
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Juanita Lozano-Pineda, DDS, MPH
Faculty mentor/Co-author e-mail pinedaj@uthscsa.edu
Basic Science Rationale
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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