The Effect of an Er,Cr:YSGG Laser in the Management of Intrabony Defects Associated with Chronic Periodontitis Using Minimally Invasive Closed Flap Surgery. A Case Series

Al-Falaki, Rana; Hughes, Francis J.; Wadia, Reena; Eastman, Christie; Kontogiorgos, Elias; Low, Samuel B.

doi:10.5978/islsm.16-or-11

Cited by 12 publications

(6 citation statements)

References 27 publications

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“…Another study, comparing an SRP group with an Er,Cr:YSGG group after 1 year, concluded that both treatment modalities were effective in treating chronic periodontitis, but “the added use of laser may have advantages, particularly in molar tooth sites and deeper pockets” [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Laser Therapy Effects on Periodontal Status: A Randomized Study Using Gaussian Network Analysis and Structural Equation Modeling Approach

Ciurescu,

Dima,

Ciurescu

et al. 2024

Medicina

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Background and Objectives: This paper aims to assess the role of laser therapy in periodontitis through an innovative approach involving computational prediction and advanced modeling performed through network analysis (Gaussian graphical models—GGMs) and structural equations (SEM). Materials and Methods: Forty patients, exhibiting periodontal pockets with a minimum depth of 5 mm, were randomly divided into two groups: a control group and a laser group. Four specific indicators were measured for each tooth, namely periodontal pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BOP), and plaque index (PI), and the mean of six measured values was recorded at five time markers (baseline, 6 months, 1 year, 2 years, and 4 years). The assessment algorithm included enrollment, measurements, and differential non-surgical periodontal treatment, according to the group allocation. Scaling, root planing, and chlorhexidine 1% were conducted for the control group, and scaling, root planing and erbium, chromium:yttrium-scandium-gallium-garnet (Er,CR:YSGG) laser therapy were conducted for the laser group. Results: The main results highlight that the addition of laser treatment to scaling and root planing led to notable clinical improvements, decreasing the PPD values, reducing the BOP scores, and increasing the CAL. Conclusions: Notable relationships between the specific indicators considered were highlighted by both the GGMs and by SEM, thus confirming their suitability as proxies for the success of periodontal treatment.

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Section: Discussionmentioning

confidence: 99%

Laser Therapy Effects on Periodontal Status: A Randomized Study Using Gaussian Network Analysis and Structural Equation Modeling Approach

Ciurescu,

Dima,

Ciurescu

et al. 2024

Medicina

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“…While limited, a case report 23 and case series 24 establish some evidence of bone fill using ERL with nonstandardized radiographs. The case series by Al-Falaki et al 24 using ERL in a surgical approach expressed bone fill as a percentage at 5-8 months (19% ± 28%), with 9 of 15 defects having ≥50% defect fill beyond 12 months. As for MIST, an exhaustive search of the literature did not reveal any studies on MIST-alone regarding radiographic findings.…”

Section: Discussionmentioning

confidence: 99%

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

Clem,

Heard,

McGuire

et al. 2023

Journal of Periodontology

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BackgroundThe purpose of this publication is to report on the 12‐month clinical and radiographic results comparing the surgical use of the 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.MethodsFifty‐three adult subjects (29 females and 24 males; 19–73 years) with 79 intrabony defects were randomized following scaling and root planing (SRP) to receive ERL monotherapy (n = 27) or MIST (n = 26). Fifty subjects completed the study. Recession (REC), probing depth (PD), clinical attachment level (CAL), treatment time, and standardized radiographs were assessed and compared for each treatment group. Clinical measurements were recorded at baseline, 4–6 weeks following SRP, and 6 and 12 months following surgical therapy. Radiographic results were compared to baseline at 6 and 12 months following surgical therapy.ResultsThe following primary and secondary outcome variables were non‐inferior with the following margins: CAL with a non‐inferiority margin of 0.7 mm (p = 0.05), PD with a non‐inferiority margin of 0.7 mm (p = 0.05), and REC with a non‐inferiority margin of 0.4 mm (p = 0.05). Standardized radiographs suggest similar bone fill of 1.14 ± 1.73 mm for MIST and 1.12 ± 1.52 mm for ERL.ConclusionsThis is the first multicenter, randomized, masked, and controlled study demonstrating the ERL is not inferior to MIST at 12 months in terms of clinical outcomes and similar to MIST in terms of radiographic bone fill for the surgical treatment of intrabony defects.

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“…27 These lasers have been studied for their application in non-surgical periodontal treatments, showing their effectiveness as adjunctive to non-surgical pocket debridement. 16,[37][38][39][40][41][42][43] Based on a recent meta-analysis on the results of the application of Er,Cr:YSGG in non-surgical treatments of periodontitis, additional effectiveness was reported for this device in PD reduction and CAL gain and lower pain compared with Scaling and root planing (SRP) alone. 23 Although there exists a specific open flap surgery option on the Er,Cr:YSGG device used in the current study, its efficacy in clinical practice has not been studied in a randomized clinical trial before.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of the Er,Cr:YSGG Laser Application Versus the Conventional Method in Periodontal Flap Surgery: A Split-Mouth Randomized Control Trial

et al. 2022

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Introduction: the Er,Cr:YSGG laser has a suitable wavelength for the ablation of both hard and soft tissues of the periodontium and can be considered as a potential tool in periodontal surgeries. The current study aimed at evaluating the application of this laser versus conventional instruments in periodontal pocket reduction flap surgery. Methods: Eight patients (16 dental arches) requiring periodontal surgery were included (Trial registration number: IRCT201711129014N199). Using a split-mouth study design, two posterior sextants of a dental arch were randomly allocated into either a test group, open flap debridement periodontal surgery using the Er,Cr:YSGG laser or a control group using the conventional method. Laser parameter settings of a 2780 nm wavelength, H mode (60 µs pulse duration), 25-50 Hz, 2-3.5 W output powers and Air-20%, Water-60-80% were applied and adjusted individually for each step of the flap surgery procedure. Baseline, 1 and 3-month measurements of plaque index (PI), Gingival Index (GI), gingival recession (GR), probing depth (PD) and clinical attachment level (CAL) were recorded for comparisons. Data were analyzed by a linear model for correlated data using the generalized estimating equations (GEE) method and the least significant difference (LSD). Results: In both treatment groups, reductions in PI and GI were observed in the 3-month follow-up period. These indices were significantly lower in the laser-treated sides compared to the conventional group (P<0.05). The Mean PD and CAL were lower at 1 month and 3 months compared to the baseline in both groups (P<0.05). However, these parameters were not statistically different in the treatment groups during these follow-up timelines. An increase in GR was observed from the baseline to 1 month and 3 months with less recession in the laser-treated sides (P=0.016). Conclusion: Based on the results of the present study, the Er,Cr:YSGG laser assisted periodontal flap surgery resulted in similar treatment outcomes to the conventional method and may be considered as a safe and effective treatment modality.

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The Effect of an Er,Cr:YSGG Laser in the Management of Intrabony Defects Associated with Chronic Periodontitis Using Minimally Invasive Closed Flap Surgery. A Case Series

Cited by 12 publications

References 27 publications

Laser Therapy Effects on Periodontal Status: A Randomized Study Using Gaussian Network Analysis and Structural Equation Modeling Approach

Laser Therapy Effects on Periodontal Status: A Randomized Study Using Gaussian Network Analysis and Structural Equation Modeling Approach

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

Efficacy of the Er,Cr:YSGG Laser Application Versus the Conventional Method in Periodontal Flap Surgery: A Split-Mouth Randomized Control Trial

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