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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) 24444398 | Kotsakis/2014 | 175 patients with at least one dental implant with peri-implantitis | Meta-Analysis | | Key results | Through 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) 24476547 | Mailoa/2014 | 104 patients with at least one dental implant with peri-implantitis | Meta-Analysis | | Key results | Through 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: |
04/13/2015 |
| E-mail |
Martineza27@livemail.uthscsa.edu |
| Author |
Adam Martinez |
| Co-author(s) |
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| Co-author(s) e-mail |
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| Faculty mentor/Co-author |
Juanita Lozano-Pineda, DDS, MPH |
| Faculty mentor/Co-author e-mail |
pinedaj@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 | |
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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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