Clinical attachment level gain of lasers in scaling and root planing of chronic periodontitis: a network meta-analysis of randomized controlled clinical trials

Jia, Lijing; Jia, Jinhai; Xie, Meng; Zhang, Xiaoxiao; Li, Ting; Shi, Linan; Hong, Shi; Zhang, Xiaolin

doi:10.1007/s10103-019-02875-5

Cited by 24 publications

(32 citation statements)

References 58 publications

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“…In a network meta-analysis of 25 RCTs, Jia et al (2020) evaluated the CAL gain of erbium-doped yttrium aluminum garnet laser (Er: YAG); erbium, chromium-doped yttrium, scandium, gallium and garnet laser (Er, Cr;YSGG); neodymium-doped yttrium aluminum garnet laser (Nd:YAG) and diode laser, as monotherapy or adjunctive to SRP in the management of CP (24). The authors have ranked the different laser systems and treatment models available for dental clinicians in which adjunctive diode laser therapy to SRP has shown superior long-term (6 months) results in terms of CAL gain, in comparison with all the other laserbased treatment strategies (24). The outcomes of the present clinical report are in accordance with the inferences of all the abovementioned scientific evidence (14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Discussionmentioning

confidence: 99%

“…The authors have ranked the different laser systems and treatment models available for dental clinicians in which adjunctive diode laser therapy to SRP has shown superior long-term (6 months) results in terms of CAL gain, in comparison with all the other laserbased treatment strategies (24). The outcomes of the present clinical report are in accordance with the inferences of all the abovementioned scientific evidence (14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). Nevertheless, it is evident that the application of low power settings is advantageous in order to obtain long-term stability of the treatment outcome.…”

Section: Discussionmentioning

confidence: 99%

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Utilization of 810 nm Diode Laser Treatment in Periodontitis as an Alternative to Surgical Debridement Approach

Dalvi

Khetal

Ansari

et al. 2021

Photochem & Photobiology

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The efficacy of surgical periodontal may be compromised by inadequate patients' self-performed plaque control or lack of supportive periodontal therapy. This clinical case report aimed to evaluate the effectiveness of 810 nm diode laser-assisted full-mouth sulcular debridement, as a potential treatment modality in the management of chronic periodontitis along with a 12-month follow-up evaluation. Each periodontal pocket was lased within 2 mm of deepest point, using a light contact of "hot tip" of the fiber with tissue [Average power-1W, emission mode-continuous wave, in "contact", beam diameter-400 µm, spot area at tissue-0.0013 cm 2 , fluence-124.9 J cm À2 , power density-796 W cm À2 , total energy-300 J, total treatment duration-300 s (5 min)]. The patient was followed up to 12 months and did not report any immediate or delayed complications such as any sign of photothermal damage, pain, tissue swelling and deformation, bleeding and infection. 810 nm diode laser-assisted sulcular debridement at low-power settings showed overall clinical and radiographic improvements and can be deemed as a potential alternative to surgical debridement approach, in persistent moderate periodontal pockets (4-6 mm).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Utilization of 810 nm Diode Laser Treatment in Periodontitis as an Alternative to Surgical Debridement Approach

Dalvi

Khetal

Ansari

et al. 2021

Photochem & Photobiology

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“…Er:YAG-basierte Laserverfahren bieten unter den bekannten und klinisch etablierten Lasersystemen die Möglichkeit der subgingivalen Konkremententfernung und zeigen dabei noch weitere positive Effekte in Bezug auf die Keimreduktion sowie auf das klinische Attachement [16,17,18]. Hierbei treten auch die mit Er:YAG-Lasern verbundenen Vorteile der Wellenlänge von 2940 nm, welche in der Nähe hoher Absorptionskoeffizienten von Wasser und Hydroxylapatit liegt, auf.…”

Section: Direkte Laserwirkungunclassified

Laser in der adjuvanten Parodontitistherapie und -prävention

Braun

Wenzler

2021

ZWR - Das Deutsche Zahnärzteblatt

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“… 15 A meta-analysis by Jia et al, 2020 evaluated clinical attachment level (CAL) gain of Er:YAG, Er, Cr;YSGG, Nd:YAG and diode laser, as monotherapy or adjunctive to SRP of CP. 16 The data extraction was up to 2018. The authors concluded that the influence of the following wavelengths ranking from best to worse on CAL gain at three months: Er:YAG as monotherapy, adjunctive diode laser to SRP, Adjunctive Er:YAG to SRP, Er,Cr;YSGG, as monotherapy, adjunctive Nd:YAG to SRP, and SRP, whereas, the CAL gain at six months, the ranking wavelengths on results were as follows: Adjunctive diode laser to SRP, adjunctive Nd: YAG to SRP, SRP, adjunctive Er:YAG to SRP, and Er:YAG as monotherapy.…”

Section: Introductionmentioning

confidence: 99%

Impact of Adjunctive Diode Laser Application to Non-Surgical Periodontal Therapy on Clinical, Microbiological and Immunological Outcomes in Management of Chronic Periodontitis: A Systematic Review of Human Randomized Controlled Clinical Trials

Pawelczyk-Madalińska¹,

Benedicenti²,

Sălăgean³

et al. 2021

JIR

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Background Due to the limitations of scaling and root planing (SRP) in chronic periodontitis (CP) management, research has been focused on utilising additional therapies to enhance conventional treatment methods. The present systematic review is aimed to appraise the accessible scientific evidence of in vivo human studies to establish the effectiveness of adjunctive diode (λ 808- λ 980nm) laser treatment to SRP in CP. Methodology This systematic review was conducted following the PRISMA statement guidelines. The review protocol is registered in PROSPERO (CRD 42021227695). The search strategies were based on structured electronic and manual (with appropriate keywords) and were conducted to collect the applicable published data on RCTs studies (in vivo human), spanning over ten years between August 2010 and August 2020. The articles were selected to address the following research focus question: “Does diode laser (λ 808- λ 980nm) therapy have superior effects as an adjunct to SPR, compared to SRP alone, in terms of clinical or microbiological or immunological profiles in the management of CP?” Results Fifteen articles met the eligibility criteria and are included in this review. A wide range of discrepancies and inconsistencies were shown in the outcomes of the laser and SPR treatment modality, compared to SRP alone. The data on standardised study protocol, optimal laser parameters and outcome measurements were inconclusive, and a high risk of bias in the majority of the studies observed, which are crucial in establishing a homogenous and reproducible protocol. Conclusion In light of the confined evidence-based data and critical evaluation of this systematic review, the efficacy of adjunctive diode laser treatment ranging between 808 and 980nm to SRP remains debatable. The observational quality of the present systematic review was emphasised after scrutinising the available data, and an attempt to propose a laser protocol for future RCTs consideration was a great challenge due to an absence of clear and standardised recommendations in delivering a reliable laser protocol which can be replicable by future investigators. RCTs with robust methodology are warranted.

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Clinical attachment level gain of lasers in scaling and root planing of chronic periodontitis: a network meta-analysis of randomized controlled clinical trials

Cited by 24 publications

References 58 publications

Utilization of 810 nm Diode Laser Treatment in Periodontitis as an Alternative to Surgical Debridement Approach

Utilization of 810 nm Diode Laser Treatment in Periodontitis as an Alternative to Surgical Debridement Approach

Laser in der adjuvanten Parodontitistherapie und -prävention

Impact of Adjunctive Diode Laser Application to Non-Surgical Periodontal Therapy on Clinical, Microbiological and Immunological Outcomes in Management of Chronic Periodontitis: A Systematic Review of Human Randomized Controlled Clinical Trials

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