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| Title |
Er:YAG Lasers Provide Little to No Improvement in Pocket Depth of Peri-implantitis |
| Clinical Question |
In an adult patient with peri-implantitis, does the use of Er:YAG lasers in conjunction with non-surgical therapy reduce pocket depth to a greater extent than non-surgical therapy alone? |
| Clinical Bottom Line |
There is insufficient evidence to determine whether ER:YAG lasers have a clinical effect in reducing pocket depth in conjunction with non-surgical therapy. Laser therapy has been compared to non-surgical therapy with equivocal results. |
| 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) 25428598 | Yan/2014 | Randomized control trials | Meta-Analysis | | Key results | When comparing the a six month follow-up of treatment with Er:YAG lasers and subgingival mechanical debribement, laser treatment presented a significant reduction of pocket depth (p=0.018) with no significant differences in clinical attachment loss. | | #2) 24476547 | Mailoa/2014 | Clinical Trials and Case Series | Meta-Analysis | | Key results | Pocket depth reduction of 0.00mm (CI=95%; -0.18 to 0.19; P=0.98) was shown between surface detoxification treatment groups and laser treatment. | |
| Evidence Search |
("peri-implantitis"[MeSH Terms] OR "peri-implantitis"[All Fields] OR ("peri"[All Fields] AND "implantitis"[All Fields]) OR "peri implantitis"[All Fields]) AND ("lasers"[MeSH Terms] OR "lasers"[All Fields]) |
Comments on
The Evidence |
Validity
Yan: In this meta-analysis of randomized controlled trials, the number of trials, patients and individual follow-up after a selected amount of time remains unclear.
Mailoa: In this systematic review, seven clinical trials and two animal studies were involved. Follow-up was conducted beyond six months of treatment in a minimum of ten patients involved. Meta-analysis was conducted.
|
| Applicability |
Although ER:YAG laser treatment has been shown to reduce pocket depth compared to to non-surgical therapy, there is insufficient evidence to determine its benefit in conjunction with non-surgical therapy. |
| Specialty/Discipline |
(General Dentistry) (Periodontics) |
| Keywords |
Peri-implantitis, lasers, therapy
|
| ID# |
2843 |
| Date of submission: |
03/24/2015 |
| E-mail |
gutierrezmn@livemail.uthscsa.edu |
| Author |
Michelle Gutierrez |
| Co-author(s) |
|
| Co-author(s) e-mail |
|
| Faculty mentor/Co-author |
Archie Jones, DDS, MBA |
| Faculty mentor/Co-author e-mail |
jonesa@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
| None available | |
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