Efficacy of Adjunctive Er, Cr:YSGG Laser Application Following Scaling and Root Planing in Periodontally Diseased Patients

Magaz, Vanessa Ruiz; Alemany, Antonio Santos; Alfaro, Federico Hernández; Molina, José Nart

doi:10.11607/prd.2660

Cited by 13 publications

(15 citation statements)

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“…In total 11/20 (55%) articles showed a low risk of bias with the following grading: 10/10 one article [ 24 ] 9/10 three articles [ 17 , 21 , 22 ] 8/10 seven articles [ 14 , 15 , 16 , 18 , 23 , 31 , 33 ] …”

Section: Resultsmentioning

confidence: 99%

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Do Lasers Have an Adjunctive Role in Initial Non-Surgical Periodontal Therapy? A Systematic Review

et al. 2020

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(1) Background: dental lasers have numerous applications for periodontal therapy which include surgical procedures of soft tissue and osseous structures, and non-surgical treatments such as pathogen reduction, removal of surface accretions, and photobiomodulation. The aim of this review was to evaluate the scientific literature to ascertain whether lasers have a beneficial role when used adjunctively in initial non-surgical periodontal therapy. (2) Methods: A PubMed search was performed specifically for randomized clinical trials where a dental laser was used adjunctively for initial periodontal therapy on human patients published from January 2010–April 2020. The first search identified 1294 eligible studies. After additional criteria and filters were applied, 20 manuscripts were included in this review. (3) Results: The chosen manuscripts reported on investigations into initial therapy for patients diagnosed with chronic periodontitis. After periodontal charting, conventional instrumentation such as hand and ultrasonic scaling was performed on all patients in the studies, and then a test group or groups of patients were treated adjunctively with a laser. That adjunctive laser group’s periodontal findings showed various degrees of improved health compared to the group treated with only conventional methods. (4) Conclusion: This systematic review found that 70% of the included studies reported significantly better outcomes in certain clinical parameters, but no improvement in others. The remaining 30% of the manuscripts reported no significant difference in any of the measurements. With consideration to correct parametry, lasers have an adjunctive role in initial non-surgical periodontal therapy.

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Section: Resultsmentioning

confidence: 99%

“…No significant differences were found between the test and control groups in 4/20 (20%) studies [ 18 , 24 , 25 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

Do Lasers Have an Adjunctive Role in Initial Non-Surgical Periodontal Therapy? A Systematic Review

et al. 2020

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“…A review of the eight previously published human clinical studies using the ERL in the treatment of chronic periodontal disease 10,11,13,14,[39][40][41][42] revealed only one used a surgical control. 11 Most of these studies compared the use of the laser to SRP 13,14,[39][40][41][42] while one did not have a control. 10 The majority of studies used the ERL as an adjunct to SRP while two studies used only the laser as the test therapy.…”

Section: Discussionmentioning

confidence: 99%

“…10 The majority of studies used the ERL as an adjunct to SRP while two studies used only the laser as the test therapy. 11,39 The method of the laser's use varied greatly across these studies with some limiting the time of laser application to 60 seconds per tooth 11,40 and others repeating laser applications over the course of several days 11,42 to several weeks. 13,14 The manner in which the laser energy was directed to the hard and soft tissues was also heterogeneous across these studies with some only treating the root surface 40 or not adequately describing how the laser was used.…”

Section: Discussionmentioning

confidence: 99%

“…11,39 The method of the laser's use varied greatly across these studies with some limiting the time of laser application to 60 seconds per tooth 11,40 and others repeating laser applications over the course of several days 11,42 to several weeks. 13,14 The manner in which the laser energy was directed to the hard and soft tissues was also heterogeneous across these studies with some only treating the root surface 40 or not adequately describing how the laser was used. 42 The PROs analyzed in this study demonstrated a statistically significant difference between Laser and MIST groups, with the laser group reporting less bleeding, swelling, bruising, and use of ice following the procedure.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Er,Cr:YSGG laser to minimally invasive surgical technique in the treatment of intrabony defects: Six‐month results of a multicenter, randomized, controlled study

Clem¹,

Heard

McGuire

et al. 2020

Journal of Periodontology

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Background: The purpose of this publication is to report on the six-month clinical results and patient-reported outcomes (PROs) comparing the surgical use of the erbium, chromium-doped:yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) laser (ERL) and minimally invasive surgical technique (MIST) for the treatment of intrabony defects in subjects with generalized periodontitis stage III, grade B. Methods: Fifty-three adults (29 females and 24 males; aged 19 to 73 years) with 79 intrabony defects were randomized following scaling and root planing (SRP) to receive ERL monotherapy (n = 27) or MIST (n = 26). Recession, probing depth (PD), clinical attachment level (CAL), treatment time, and PROs were assessed and compared for each treatment group. Clinical measurements were recorded at baseline, 4 to 6 weeks following SRP, and 6 months following surgical therapy. Results: The following primary and secondary outcome variables were noninferior with the following margins: CAL with a non-inferiority margin of 0.6 mm (P = 0.05), PD with a non-inferiority margin of 0.5 mm (P = 0.05). Recession with a non-inferiority margin of 0.4 mm (P = 0.05). Faster procedure times were found for ERL (16.39 ± 6.21 minutes) versus MIST (20.17 ± 5.62 minutes), P = 0.0002. In the first 2 to 3 days of post-therapeutic diary outcomes, subjects reported less bruising, facial swelling, and use of ice pack for the ERL group. Conclusions: This is the first multicenter, randomized, masked, and controlled study demonstrating the ERL is not inferior to MIST in terms of clinical outcomes but is superior in PROs for the surgical treatment of intrabony defects.

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Clinical evaluation of Er,Cr:YSGG laser therapy used as an adjunct to non‐surgical treatment of periodontitis: Twelve‐month results from a pilot study

Klokkevold

Damian

Pham³

et al. 2022

Journal of Periodontology

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Background:The purpose of this study was to evaluate the results of adjunctive Er,Cr:YSGG laser therapy with scaling and root planing (SRP) as compared with SRP alone in the treatment of moderate to severe periodontitis. Methods: Fifteen adults (aged 27 to 65 years) with 90 nonadjacent sites probing ≥ 5 mm were treated in split-mouth design with SRP and laser therapy versus SRP alone. Probing pocket depth (PPD), gingival recession (GR), clinical attachment level (CAL), plaque, and bleeding on probing were collected at baseline, 1, 3, 6, 9, and 12 months. Patient reported outcomes were measured to assess pain, sensitivity, and satisfaction.Results: Clinical improvements were similar for test and control sites with no statistically significant difference. At 12 months, the average PPD reduced from 6.1 to 4.2 mm for test and 6.2 to 4.3 mm for control sites. GR increased by 0.4 mm at test and control sites. CAL increased from 6.8 to 5.3 mm for test and 6.9 to 5.5 mm for control sites. Clinical outcomes were stratified by baseline PPD ( = 5, = 6 and ≥7 mm) and analyzed for number of sites that reduced (≤4 mm).No significant difference was observed when the baseline PPD was 5 or 6 mm. Test sites with baseline PPD ≥7 mm demonstrated a statistically significant difference in the percentage of reduced sites when compared with controls at nine (P = 0.001) and 12 months (P = 0.044). Conclusions: Adjunctive Er,Cr:YSGG laser therapy with SRP provides similar clinical improvement in the treatment of moderate-severe periodontitis as SRP alone and may offer some advantage for deeper (≥7 mm) pockets.

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Efficacy of Adjunctive Er, Cr:YSGG Laser Application Following Scaling and Root Planing in Periodontally Diseased Patients

Cited by 13 publications

References 0 publications

Do Lasers Have an Adjunctive Role in Initial Non-Surgical Periodontal Therapy? A Systematic Review

Do Lasers Have an Adjunctive Role in Initial Non-Surgical Periodontal Therapy? A Systematic Review

Comparison of Er,Cr:YSGG laser to minimally invasive surgical technique in the treatment of intrabony defects: Six‐month results of a multicenter, randomized, controlled study

Clinical evaluation of Er,Cr:YSGG laser therapy used as an adjunct to non‐surgical treatment of periodontitis: Twelve‐month results from a pilot study

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