Clinical and biochemical comparison of guided tissue regeneration versus guided tissue regeneration plus low-level laser therapy in the treatment of class II furcation defects: A clinical study

Doğan, Gülnihal Emrem; Aksoy, Hülya; Demir, Turgut; Laloğlu, Esra; Özyıldırım, Ercan; Sağlam, Ebru; Akçay, Fatih

doi:10.3109/14764172.2015.1114637

Cited by 15 publications

(20 citation statements)

References 45 publications

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“…Observational studies of complications after tooth extraction in patients either at risk of medication related osteonecrosis of the jaw (MRONJ) 12 or patients with history of MRONJ 5 showed that Nd:YAG PBM reduces the risk of complications. Studies comparing the outcome of guided tissue regeneration alone or in combination with Nd:YAG PBM for treatment of furcation defects or periodontal defects showed significantly more improvement in pocked depth, clinical attachment level, horizontal probing depth, and alkaline phosphatase levels in lased than in non‐lased group 13,14 …”

Section: Discussionmentioning

confidence: 99%

“…Studies comparing the outcome of guided tissue regeneration alone or in combination with Nd:YAG PBM for treatment of furcation defects or periodontal defects showed significantly more improvement in pocked depth, clinical attachment level, horizontal probing depth, and alkaline phosphatase levels in lased than in non‐lased group. 13 , 14 …”

Section: Discussionmentioning

confidence: 99%

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The effect of post‐extraction socket preservation laser treatment on bone density 4 months after extraction: Randomized controlled trial

Dumić

Pajk²,

Olivi

2021

Clin Implant Dent Rel Res

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Background Post‐extraction bone resorption may affect the outcome of ensuing restorations. Purpose This study aimed to evaluate a comprehensive laser post‐extraction protocol by comparing resulting alveolar bone regeneration with that obtained after standard extraction procedure. Materials and Methods About 53 simple extractions were randomized to either laser or control group. In the laser group, erbium (Er:YAG; 2940 nm) and neodymium (Nd:YAG; 1064 nm) lasers were used for degranulation, disinfection, de‐epithelialization of the surrounding gingiva, clot stabilization, and photobiomodulation. The primary outcome measure was change in bone density in the extraction area between day 1 and 4 months after extraction. Patients were monitored for potential side effects. Results Increase in bone density at the follow‐up CBCT was significantly higher in laser than in control group (p < 0.001). No post‐operative pain, bleeding, or swelling was present in the laser group. In the control group, one patient had bleeding 3–5 days after extraction, two patients had swelling and three patients reported post‐operative pain rated 3–5 on a 0–10 pain scale up to 3 days after extraction. Conclusions The proposed laser post‐extraction procedure is a safe and effective method to improve post‐extraction bone healing.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The effect of post‐extraction socket preservation laser treatment on bone density 4 months after extraction: Randomized controlled trial

Dumić

Pajk²,

Olivi

2021

Clin Implant Dent Rel Res

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“…[21][22][23][24] Although factors affecting the success of GTR in furcation defects have been examined previously, 25,26 indepth assessment of factors that may influence and predict the long-term treatment outcomes are still lacking. 17,[27][28][29][30][31] Further, most studies have evaluated the effect of regeneration in furcations only on the horizontal component and not on the vertical aspect of the furcation defect. 23,29,32,33 The vertical component of furcation defect has been linked to the long-term survival of furcation-involved teeth.…”

Section: Introductionmentioning

confidence: 99%

Treatment effect of guided tissue regeneration on the horizontal and vertical components of furcation defects: A retrospective study

Majzoub

Barootchi

Tavelli

et al. 2020

Journal of Periodontology

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Background Identifying factors affecting the treatment outcomes of guided tissue regeneration (GTR) in furcation defects is imperative in order to obtain predictable regeneration outcomes. The aims of this study were to evaluate the clinical outcomes and survival of furcation‐involved teeth treated with GTR, and potential factors affecting the results. Methods Furcation defects treated with GTR using an allogeneic cancellous bone graft and covered by an absorbable membrane with at least 1‐year follow‐up were selected. All data relative to the clinical outcomes were recorded. Analyses were conducted to evaluate the immediate (1‐year post‐op) clinical outcomes and the long‐term (the last assessment time) survival of the treated teeth. The effect of variables on the 1‐year post‐op clinical attachment level (CAL) changes and the tooth survival were assessed via multi‐level regression analyses and Cox Proportional‐Hazards Models. Results Ninety‐eight treated defects were selected. The average follow‐up was 5.3 ± 4.3 years. At the 1‐year post‐surgical recall, 1.23 ± 1.48 mm CAL gain was observed (P < 0.05). The 5‐ and 10‐year survival rates of the treated teeth were 86.5% and 74.3%, respectively. The vertical component of the defect and the location of the furcation were significantly related to the post‐surgical 1‐year CAL gain, whereas membrane exposure significantly affected tooth survival. Conclusion Within the limitations of this study, data suggests GTR using allogeneic cancellous bone graft and absorbable collagen membrane to be a viable option for treating furcation‐involved teeth if the defect morphology and the location of the defect are favorable.

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“…Dogan et al in 2016 conducted a study to compare the efficacy of GTR with GTR plus low-level laser therapy in the treatment of Grade II furcation defects. This study showed that both treatment modalities led to significant favorable clinical improvements but GTR plus LLLT showed to be more effective than GTR alone 16 .…”

Section: Laser Assisted Comprehensive Pocket Treatment Using Erbium Lmentioning

confidence: 75%

Untitled

2018

HIIJ

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The use of lasers has evolved as clinical experience along with scientific investigation. The dental lasers of today have benefited from decades of laser research and have their basis in certain theories from the field of quantum mechanics. When used efficaciously and ethically, lasers are an exceptional modality of treatment for many clinical conditions that dental specialists treat on a daily basis. The concept of using lasers for the treatment of periodontal disease elicits very strong reactions from all sides of spectrum. Evidence suggests that lasers are useful as an adjunct or alternative to traditional approaches in periodontal therapy. Future direction of lasers would be towards a minimally invasive regenerative procedures along with laser assisted calculus detection systems using laser fluorescence that is optical coherence tomography and a laser system which selectively and completely removes the plaque and calculus that is under development. With recent advances and development of wide range of laser wavelengths, different instrument designs and different delivery systems, the purpose of this review is to determine the application and current concept of lasers in the regeneration of periodontal tissues.

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Clinical and biochemical comparison of guided tissue regeneration versus guided tissue regeneration plus low-level laser therapy in the treatment of class II furcation defects: A clinical study

Abstract: The results of this study showed that both treatments led to significantly favorable clinical improvements in furcation periodontal defects. LLLT plus GTR may be a more effective treatment modality compared to GTR alone.

Cited by 15 publications

References 45 publications

The effect of post‐extraction socket preservation laser treatment on bone density 4 months after extraction: Randomized controlled trial

The effect of post‐extraction socket preservation laser treatment on bone density 4 months after extraction: Randomized controlled trial

Treatment effect of guided tissue regeneration on the horizontal and vertical components of furcation defects: A retrospective study

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