One-year clinical outcomes following non-surgical treatment of peri-implant mucositis with adjunctive diode laser application

Mariani, Giulia Maria; Ercoli, Elena; Guzzi, Nicoletta; Bongiovanni, Loretta; Bianco, Laura Lo; Romano, Federica; Aimetti, Mario

doi:10.23736/s0026-4970.20.04340-x

Cited by 5 publications

(8 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Adjunctive diode laser/antimicrobial photodynamic therapy (aPDT) (4 RCTs (5 publications) [ 27 – 31 ]);…”

Section: Resultsmentioning

confidence: 99%

“…Three RCTs reported on patients’ enrollment into a supportive maintenance program [ 25 , 30 , 31 , 41 ]. All treatments implemented for peri-implant mucositis resulted in improved clinical parameters.…”

Section: Resultsmentioning

confidence: 99%

“…Over a 3-month period, adjunctive use of aPDT led to similar treatment outcomes in terms of BOP [ 27 – 29 ] and PD changes [ 28 , 29 ], while 1 study reported on a higher reduction in PD values for the sites treated with adjunctive aPDT [ 27 ]. Similarly, the additional application of a diode laser resulted in similar BOP and PD changes compared to the mechanical treatment alone over 3- and 12-month periods [ 30 , 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…Non-surgical treatment of peri-implant mucositis: • Alternative measures for biofilm removal (4 RCTs [23][24][25][26]); • Adjunctive diode laser/antimicrobial photodynamic therapy (aPDT) (4 RCTs (5 publications) [27][28][29][30][31]); • Adjunctive local antiseptics (4 RCTs [32][33][34][35]); • Adjunctive systemic antibiotics (2 RCTs [29,36]); • Adjunctive probiotics (2 RCTs [37,38]); • Adjunctive antiseptic home care mouthrinse ).…”

Section: Subdivision Of Selected Studiesmentioning

confidence: 99%

“…In 4 RCTs (5 publications), either antimicrobial photodynamic therapy (aPDT) [27][28][29] or a diode laser [30,31] was used in addition to mechanical debridement. Over a 3-month period, adjunctive use of aPDT led to similar treatment outcomes in terms of BOP [27][28][29] and PD changes [28,29], while 1 study reported on a higher reduction in PD values for the sites treated with adjunctive aPDT [27].…”

Section: Adjunctive Diode Laser/apdtmentioning

confidence: 99%

See 4 more Smart Citations

Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis

2021

View full text Add to dashboard Cite

Purpose To evaluate the efficacy of alternative or adjunctive measures to conventional non-surgical or surgical treatment of peri-implant mucositis and peri-implantitis. Material and methods Prospective randomized and nonrandomized controlled studies comparing alternative or adjunctive measures, and reporting on changes in bleeding scores (i.e., bleed0ing index (BI) or bleeding on probing (BOP)), probing depth (PD) values or suppuration (SUPP) were searched. Results Peri-implant mucositis: adjunctive use of local antiseptics lead to greater PD reduction (weighted mean difference (WMD) = − 0.23 mm; p = 0.03, respectively), whereas changes in BOP were comparable (WMD = − 5.30%; p = 0.29). Non-surgical treatment of peri-implantitis: alternative measures for biofilm removal and systemic antibiotics yielded higher BOP reduction (WMD = − 28.09%; p = 0.01 and WMD = − 17.35%; p = 0.01, respectively). Surgical non-reconstructive peri-implantitis treatment: WMD in PD amounted to − 1.11 mm favoring adjunctive implantoplasty (p = 0.02). Adjunctive reconstructive measures lead to significantly higher radiographic bone defect fill/reduction (WMD = 56.46%; p = 0.01 and WMD = − 1.47 mm; p = 0.01), PD (− 0.51 mm; p = 0.01) and lower soft-tissue recession (WMD = − 0.63 mm; p = 0.01), while changes in BOP were not significant (WMD = − 11.11%; p = 0.11). Conclusions Alternative and adjunctive measures provided no beneficial effect in resolving peri-implant mucositis, while alternative measures were superior in reducing BOP values following non-surgical treatment of peri-implantitis. Adjunctive reconstructive measures were beneficial regarding radiographic bone-defect fill/reduction, PD reduction and lower soft-tissue recession, although they did not improve the resolution of mucosal inflammation.

show abstract

“…Adjunctive diode laser/antimicrobial photodynamic therapy (aPDT) (4 RCTs (5 publications) [ 27 – 31 ]);…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Subdivision Of Selected Studiesmentioning

confidence: 99%

Section: Adjunctive Diode Laser/apdtmentioning

confidence: 99%

See 3 more Smart Citations

Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis

2021

View full text Add to dashboard Cite

show abstract

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

Atieh

Fadhul

Shah

et al. 2022

International Dental Journal

View full text Add to dashboard Cite

Treatment of Peri-implant Diseases using Lasers: A Systematic Review

AlMarzooqi,

Ramachandra,

Kukreja

et al. 2023

TODENTJ

View full text Add to dashboard Cite

Background: Adjuncts to mechanical debridement, including administration of systemically and locally delivered antimicrobials, are constantly evaluated to achieve additional benefits while treating peri-implantitis. However, the potential for the development of antimicrobial resistance limits their use. Evaluation of the use of lasers for the treatment of peri-implantitis has provided varying results. Objective: This study aimed to summarize the existing literature on the additional benefits of lasers as adjuncts to mechanical debridement while treating peri-implant diseases. Methods: Randomised clinical trials published in English till Sept 2022 in PubMed, Medline, and clinical trial registries using the MeSH terms “peri-implant diseases”, “peri-implant mucositis”, “peri-implantitis”, and “lasers”, were included in the study. Case reports, case series, longitudinal studies, and retrospective analysis were excluded. Results: A total of fifteen (n=15) randomised clinical trials pertaining to peri-implantitis and three (n=3) trials pertaining to peri-implant mucositis were assessed. The trials assessed the use of diode, Nd: YAG, Er:YAG, CO2 lasers, and photodynamic therapy as adjuncts in the treatment of peri-implant diseases. Conclusion: The existing evidence regarding the use of laser for peri-implant mucositis is inconclusive, whereas for peri-implantitis, the majority of the studies support the use of lasers. Future trials should utilize the 2018 classification of peri-implantitis, so that a comparison of trials based on the studied parameters would be more accurate.

show abstract

One-year clinical outcomes following non-surgical treatment of peri-implant mucositis with adjunctive diode laser application

Cited by 5 publications

References 39 publications

Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis

Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis

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

Treatment of Peri-implant Diseases using Lasers: A Systematic Review

Contact Info

Product

Resources

About