Diode Laser as an Adjunctive Treatment for Peri-implant Mucositis: A Systematic Review and Meta-analysis

Atieh, Momen A.; Fadhul, Israa; Shah, Maanas; Hannawi, Haifa; Alsabeeha, Nabeel H. M.

doi:10.1016/j.identj.2022.06.026

Cited by 7 publications

(3 citation statements)

References 55 publications

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“…On the other hand, the results of other clinical studies led the authors to the conclusion that the additional use of laser had no further positive influence on peri-implant healing compared with mechanical instrumentation as monotherapy [ 34 , 46 ]. Atieh et al concluded that in the management of peri-implant mucositis, the combined use of diode laser and mechanical debridement provided no additional clinical advantage over mechanical debridement alone [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Is Laser Therapy an Adjuvant in the Treatment of Peri-Implant Mucositis? A Randomized Clinical Trial

Lazăr

Dako

Mureșan³

et al. 2023

Diagnostics

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(1) Background: Early diagnosis and treatment of peri-implant mucositis may reduce inflammatory markers and halt the progression of the condition to peri-implantitis. Adjunctive laser treatment may have therapeutic benefits that are not yet well known. The aim of this study was to determine the advantages and limitations of laser therapy as an adjuvant in the treatment of peri-implant mucositis. (2) Methods: A total of 42 patients with at least 2 implants situated in different hemiarches were included in this study and divided into two groups: G1 (received laser therapy) and G2 (no laser therapy). Periodontal health status indices were recorded at the initial moment (T0), and all patients underwent non-surgical debridement therapy accompanied by oral hygiene training. In patients from group G1, one implant site received adjuvant laser therapy (subgroup IL), and the other one did not receive active laser light (IC). The plaque index (PI), probing pocket depth (PPD), and bleeding on probing (BOP) values recorded after 3 months (T1) and 6 months (T2) were analyzed and compared with those at T0. (3) Results: PI values considerably reduced at moment T1 and T2 for both G1 and G2 (p = 0.0031). PPD was also reduced, but the difference between the groups and the three recording moments was not statistically significant. Statistically significant differences were found when comparing the BOP values between G1 IL and G1 IC for T0/T1 (p = 0.0182) and T1/T2 (p < 0.0001), but there was no significant difference between G2 and G1 IL or G1 IC. (4) Conclusions: Laser therapy as an adjunct to conventional treatment of peri-implant mucositis leads to a statistically significant reduction in bleeding on probing at 3-month and 6-month re-evaluations. Moreover, it leads to an evident reduction in probing depth but with no statistical significance. These results should be interpreted with caution, and more in-depth research should be performed to create a complete laser therapy protocol for peri-implant mucositis.

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Section: Discussionmentioning

confidence: 99%

Is Laser Therapy an Adjuvant in the Treatment of Peri-Implant Mucositis? A Randomized Clinical Trial

Lazăr

Dako

Mureșan³

et al. 2023

Diagnostics

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“…2 Hence, a variety of adjunct therapies were used to enhance the efficacy of non-surgical instrumentation in terms of reducing probing pocket depths, improving clinical attachment levels or modifying subgingival microbiota. [3][4][5][6] The use of adjunct therapies was also claimed to achieve endpoints of periodontal treatment, prevent disease recurrence and avoid the need for surgical periodontal treatment to manage residual probing pocket depths. 7,8 One of the most commonly used adjunct therapies in the management of periodontitis is systemic antibiotics.…”

Section: Introductionmentioning

confidence: 99%

“…The non‐surgical mechanical SI, however, can be suboptimal due to anatomical complexities and severity of the periodontitis 2 . Hence, a variety of adjunct therapies were used to enhance the efficacy of non‐surgical instrumentation in terms of reducing probing pocket depths, improving clinical attachment levels or modifying subgingival microbiota 3–6 . The use of adjunct therapies was also claimed to achieve endpoints of periodontal treatment, prevent disease recurrence and avoid the need for surgical periodontal treatment to manage residual probing pocket depths 7,8 …”

Section: Introductionmentioning

confidence: 99%

Systemic azithromycin versus amoxicillin/metronidazole as an adjunct in the treatment of periodontitis: a systematic review and meta‐analysis

Atieh,

Shah,

Hakam

et al. 2023

Australian Dental Journal

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BackgroundThe use of systemic azithromycin (AZT) and amoxicillin/metronidazole (AMX/MTZ) as adjuncts provided additional clinical and microbiological benefits over subgingival instrumentation alone. However, the superiority of one antibiotic regimen over another has not been proven. Therefore, the aim of this systematic review and meta‐analyses was to evaluate the clinical efficacy and safety of subgingival instrumentation (SI) in conjunction with the systemic use of AZT or AMX/MTZ for the treatment of periodontitis from current published literature.MethodsElectronic databases were searched to identify randomized controlled trials (RCTs), controlled clinical trials, prospective and retrospective human studies that compared the adjunctive use of systemic AZT to AMX/MTZ with SI in the treatment of periodontitis. The eligibility criteria were defined based on the participant (who had periodontitis), intervention (SI with adjunctive use of systemic AZT), comparison (SI with adjunctive use of systemic AMX/MTZ), outcomes (primary outcome: changes in probing pocket). The risk of bias was assessed using the Cochrane Collaboration's Risk of Bias tool. Data were analysed using a statistical software program.ResultsFive studies with 151 participants with periodontitis were included in the present review. Of these, 74 participants received adjunctive AZT, while the remaining participants received AMX/MTZ as an adjunct to SI. The adjunctive use of AZT and AMX/MTZ had comparable changes in probing pocket depths at 1–3 months with no statistically significant difference (mean difference (MD) 0.01; 95% CI –0.20 to 0.22; P = 0.94). The adjunctive use of AZT had significantly fewer number of residual sites with probing pocket depths of ≥5 mm at 1–3 months compared to the adjunctive use of AMX/MTZ (MD –3.41; 95% CI –4.73 to –2.10; P < 0.0001). The prevalence rates of adverse events among participants who received AZT and AMX/MTZ were 9.80% and 14.8%, respectively. The meta‐analysis showed that the difference between the two groups was not statistically significant (risk ratio 0.69; 95% CI 0.28 to 1.72; P = 0.43).ConclusionsWithin the limitation of this review, there was no superiority between AZT and AMX/MTZ in terms of mean changes in probing pocket depths, clinical attachment level, bleeding on probing at 1–3 months. AZT seem to be associated with less sites with residual probing pocket depths of ≥5 mm at 1–3 months and fewer adverse events compared with AMX/MTZ. © 2023 Australian Dental Association.

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Maintenance of Full-Arch Implant-Supported Restorations: Peri-Implant and Prosthetic Considerations

Kumar

Kar

Jivraj³

2023

BDJ Clinician’s Guides

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Diode Laser as an Adjunctive Treatment for Peri-implant Mucositis: A Systematic Review and Meta-analysis

Cited by 7 publications

References 55 publications

Is Laser Therapy an Adjuvant in the Treatment of Peri-Implant Mucositis? A Randomized Clinical Trial

Is Laser Therapy an Adjuvant in the Treatment of Peri-Implant Mucositis? A Randomized Clinical Trial

Systemic azithromycin versus amoxicillin/metronidazole as an adjunct in the treatment of periodontitis: a systematic review and meta‐analysis

Maintenance of Full-Arch Implant-Supported Restorations: Peri-Implant and Prosthetic Considerations

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