The utilization of a diode laser in the surgical treatment of peri-implantitis. A randomized clinical trial
Objectives A comparison of different treatment modalities of peri-implantitis can lead to the development and application of more effective and efficient methods of therapy in clinical practice. This study compares the effectiveness of open flap debridement used alone, with an approach employing the...
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| Veröffentlicht in: | Clinical oral investigations 2015-11, Vol.19 (8), p.1851-1860 |
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| creator | Papadopoulos, Christos A. Vouros, Ioannis Menexes, Georgios Konstantinidis, Antonis |
| description | Objectives
A comparison of different treatment modalities of peri-implantitis can lead to the development and application of more effective and efficient methods of therapy in clinical practice. This study compares the effectiveness of open flap debridement used alone, with an approach employing the additional use of a diode laser for the treatment of peri-implantitis.
Materials and methods
Nineteen patients were divided into two groups and treated for peri-implantitis. In the control group (C group), the therapy utilized access flaps, plastic curettes, and sterilized gauzes soaked in saline. The test group (L group) was treated similarly but with additional irradiation using a diode laser. The parameters studied were pocket depth (PD) as the primary outcome variable, clinical attachment level (CAL), bleeding on probing (BOP), and plaque index (PI) as secondary variables. Measurements were performed at three different time points, baseline (BSL), 3 months, and 6 months after treatment. Three months after treatment, a mean PD reduction of 1.19 mm for the control group and 1.38 mm for the laser group was recorded. The corresponding BOP changes were 72.9 and 66.7 %, respectively. These changes were significant and remained at the same levels at the 6-month examination (
p
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| doi_str_mv | 10.1007/s00784-014-1397-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1768568525</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3829087491</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-7386b2b914d5614060fc6a669f03320dd5233e1183268c40b32438be5aadf7b23</originalsourceid><addsrcrecordid>eNqNkU1rHSEUhqU0NJ8_oJsidJONiUcdHZchJE0gkM3NWpzRSU3n41adRe-vj5O5LaVQCIge8Hnfcw4vQp-BXgCl6jKVqxaEgiDAtSL6AzoCwSXhSsHHt5oRqWs4RMcpvdACSsU_oUNWScZ5zY7Qj813j-cc-rCzOUwjnjpssQuT87i3yUccRpwLk-b4HFrb4xy9zYMf84JufQwkDNvejjnkkC7wFY52dNMQdt7htg_jXhRsf4oOOtsnf7Z_T9DT7c3m-o48PH67v756IK1QVSaK17JhjQbhKgmCStq10kqpO8o5o85VZXYPUHMm61bQhjPB68ZX1rpONYyfoPPVdxunn7NP2Qwhtb4vQ_ppTgaUrKtyWPUOFLQArSQt6Nd_0JdpjmNZZKUqzWDpDSvVximl6DuzjWGw8ZcBapbQzBqaKVmYJTSji-bL3nluBu_-KH6nVAC2Aql8jc8-_tX6v66vhqSgQg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1719459212</pqid></control><display><type>article</type><title>The utilization of a diode laser in the surgical treatment of peri-implantitis. A randomized clinical trial</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Papadopoulos, Christos A. ; Vouros, Ioannis ; Menexes, Georgios ; Konstantinidis, Antonis</creator><creatorcontrib>Papadopoulos, Christos A. ; Vouros, Ioannis ; Menexes, Georgios ; Konstantinidis, Antonis</creatorcontrib><description>Objectives
A comparison of different treatment modalities of peri-implantitis can lead to the development and application of more effective and efficient methods of therapy in clinical practice. This study compares the effectiveness of open flap debridement used alone, with an approach employing the additional use of a diode laser for the treatment of peri-implantitis.
Materials and methods
Nineteen patients were divided into two groups and treated for peri-implantitis. In the control group (C group), the therapy utilized access flaps, plastic curettes, and sterilized gauzes soaked in saline. The test group (L group) was treated similarly but with additional irradiation using a diode laser. The parameters studied were pocket depth (PD) as the primary outcome variable, clinical attachment level (CAL), bleeding on probing (BOP), and plaque index (PI) as secondary variables. Measurements were performed at three different time points, baseline (BSL), 3 months, and 6 months after treatment. Three months after treatment, a mean PD reduction of 1.19 mm for the control group and 1.38 mm for the laser group was recorded. The corresponding BOP changes were 72.9 and 66.7 %, respectively. These changes were significant and remained at the same levels at the 6-month examination (
p
< 0.05). CAL was reduced significantly only in group L from 5.25 mm at baseline to 4.54 mm at 3 months, remaining at this level at 6 months (
p
< 0.05). PI was reduced significantly in group C at 3 months from 37.5 to 6.3 %. The 6-month data showed no statistically significant difference (
p
< 0.05) from the 3-month measurements.
Results
The two methods of therapy for peri-implantitis examined seemed to be equally efficient in the reduction of the PD and BOP 3 months after surgery, with the results sustained at the same levels after 6 months. CAL significantly improved only in the test group after 3 months. PI was reduced and maintained at low levels in both groups.
Conclusions
Surgical treatment of peri-implantitis by access flaps leads to improvement of all clinical parameters studied while the additional use of diode laser does not seem to have an extra beneficiary effect.
Clinical relevance
The additional use of a diode laser in the surgical treatment of peri-implantitis offers a limited clinical benefit.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-014-1397-9</identifier><identifier>PMID: 25623382</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Dentistry ; Female ; Follow-Up Studies ; Humans ; Laser Therapy - instrumentation ; Laser Therapy - methods ; Lasers, Semiconductor ; Male ; Medicine ; Middle Aged ; Original Article ; Peri-Implantitis - surgery ; Periodontal Debridement - instrumentation ; Periodontal Debridement - methods</subject><ispartof>Clinical oral investigations, 2015-11, Vol.19 (8), p.1851-1860</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-7386b2b914d5614060fc6a669f03320dd5233e1183268c40b32438be5aadf7b23</citedby><cites>FETCH-LOGICAL-c475t-7386b2b914d5614060fc6a669f03320dd5233e1183268c40b32438be5aadf7b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-014-1397-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-014-1397-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25623382$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Papadopoulos, Christos A.</creatorcontrib><creatorcontrib>Vouros, Ioannis</creatorcontrib><creatorcontrib>Menexes, Georgios</creatorcontrib><creatorcontrib>Konstantinidis, Antonis</creatorcontrib><title>The utilization of a diode laser in the surgical treatment of peri-implantitis. A randomized clinical trial</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives
A comparison of different treatment modalities of peri-implantitis can lead to the development and application of more effective and efficient methods of therapy in clinical practice. This study compares the effectiveness of open flap debridement used alone, with an approach employing the additional use of a diode laser for the treatment of peri-implantitis.
Materials and methods
Nineteen patients were divided into two groups and treated for peri-implantitis. In the control group (C group), the therapy utilized access flaps, plastic curettes, and sterilized gauzes soaked in saline. The test group (L group) was treated similarly but with additional irradiation using a diode laser. The parameters studied were pocket depth (PD) as the primary outcome variable, clinical attachment level (CAL), bleeding on probing (BOP), and plaque index (PI) as secondary variables. Measurements were performed at three different time points, baseline (BSL), 3 months, and 6 months after treatment. Three months after treatment, a mean PD reduction of 1.19 mm for the control group and 1.38 mm for the laser group was recorded. The corresponding BOP changes were 72.9 and 66.7 %, respectively. These changes were significant and remained at the same levels at the 6-month examination (
p
< 0.05). CAL was reduced significantly only in group L from 5.25 mm at baseline to 4.54 mm at 3 months, remaining at this level at 6 months (
p
< 0.05). PI was reduced significantly in group C at 3 months from 37.5 to 6.3 %. The 6-month data showed no statistically significant difference (
p
< 0.05) from the 3-month measurements.
Results
The two methods of therapy for peri-implantitis examined seemed to be equally efficient in the reduction of the PD and BOP 3 months after surgery, with the results sustained at the same levels after 6 months. CAL significantly improved only in the test group after 3 months. PI was reduced and maintained at low levels in both groups.
Conclusions
Surgical treatment of peri-implantitis by access flaps leads to improvement of all clinical parameters studied while the additional use of diode laser does not seem to have an extra beneficiary effect.
Clinical relevance
The additional use of a diode laser in the surgical treatment of peri-implantitis offers a limited clinical benefit.</description><subject>Adult</subject><subject>Aged</subject><subject>Dentistry</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laser Therapy - instrumentation</subject><subject>Laser Therapy - methods</subject><subject>Lasers, Semiconductor</subject><subject>Male</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Peri-Implantitis - surgery</subject><subject>Periodontal Debridement - instrumentation</subject><subject>Periodontal Debridement - methods</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkU1rHSEUhqU0NJ8_oJsidJONiUcdHZchJE0gkM3NWpzRSU3n41adRe-vj5O5LaVQCIge8Hnfcw4vQp-BXgCl6jKVqxaEgiDAtSL6AzoCwSXhSsHHt5oRqWs4RMcpvdACSsU_oUNWScZ5zY7Qj813j-cc-rCzOUwjnjpssQuT87i3yUccRpwLk-b4HFrb4xy9zYMf84JufQwkDNvejjnkkC7wFY52dNMQdt7htg_jXhRsf4oOOtsnf7Z_T9DT7c3m-o48PH67v756IK1QVSaK17JhjQbhKgmCStq10kqpO8o5o85VZXYPUHMm61bQhjPB68ZX1rpONYyfoPPVdxunn7NP2Qwhtb4vQ_ppTgaUrKtyWPUOFLQArSQt6Nd_0JdpjmNZZKUqzWDpDSvVximl6DuzjWGw8ZcBapbQzBqaKVmYJTSji-bL3nluBu_-KH6nVAC2Aql8jc8-_tX6v66vhqSgQg</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Papadopoulos, Christos A.</creator><creator>Vouros, Ioannis</creator><creator>Menexes, Georgios</creator><creator>Konstantinidis, Antonis</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20151101</creationdate><title>The utilization of a diode laser in the surgical treatment of peri-implantitis. A randomized clinical trial</title><author>Papadopoulos, Christos A. ; Vouros, Ioannis ; Menexes, Georgios ; Konstantinidis, Antonis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-7386b2b914d5614060fc6a669f03320dd5233e1183268c40b32438be5aadf7b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Dentistry</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laser Therapy - instrumentation</topic><topic>Laser Therapy - methods</topic><topic>Lasers, Semiconductor</topic><topic>Male</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Peri-Implantitis - surgery</topic><topic>Periodontal Debridement - instrumentation</topic><topic>Periodontal Debridement - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Papadopoulos, Christos A.</creatorcontrib><creatorcontrib>Vouros, Ioannis</creatorcontrib><creatorcontrib>Menexes, Georgios</creatorcontrib><creatorcontrib>Konstantinidis, Antonis</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Papadopoulos, Christos A.</au><au>Vouros, Ioannis</au><au>Menexes, Georgios</au><au>Konstantinidis, Antonis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The utilization of a diode laser in the surgical treatment of peri-implantitis. A randomized clinical trial</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>19</volume><issue>8</issue><spage>1851</spage><epage>1860</epage><pages>1851-1860</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives
A comparison of different treatment modalities of peri-implantitis can lead to the development and application of more effective and efficient methods of therapy in clinical practice. This study compares the effectiveness of open flap debridement used alone, with an approach employing the additional use of a diode laser for the treatment of peri-implantitis.
Materials and methods
Nineteen patients were divided into two groups and treated for peri-implantitis. In the control group (C group), the therapy utilized access flaps, plastic curettes, and sterilized gauzes soaked in saline. The test group (L group) was treated similarly but with additional irradiation using a diode laser. The parameters studied were pocket depth (PD) as the primary outcome variable, clinical attachment level (CAL), bleeding on probing (BOP), and plaque index (PI) as secondary variables. Measurements were performed at three different time points, baseline (BSL), 3 months, and 6 months after treatment. Three months after treatment, a mean PD reduction of 1.19 mm for the control group and 1.38 mm for the laser group was recorded. The corresponding BOP changes were 72.9 and 66.7 %, respectively. These changes were significant and remained at the same levels at the 6-month examination (
p
< 0.05). CAL was reduced significantly only in group L from 5.25 mm at baseline to 4.54 mm at 3 months, remaining at this level at 6 months (
p
< 0.05). PI was reduced significantly in group C at 3 months from 37.5 to 6.3 %. The 6-month data showed no statistically significant difference (
p
< 0.05) from the 3-month measurements.
Results
The two methods of therapy for peri-implantitis examined seemed to be equally efficient in the reduction of the PD and BOP 3 months after surgery, with the results sustained at the same levels after 6 months. CAL significantly improved only in the test group after 3 months. PI was reduced and maintained at low levels in both groups.
Conclusions
Surgical treatment of peri-implantitis by access flaps leads to improvement of all clinical parameters studied while the additional use of diode laser does not seem to have an extra beneficiary effect.
Clinical relevance
The additional use of a diode laser in the surgical treatment of peri-implantitis offers a limited clinical benefit.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25623382</pmid><doi>10.1007/s00784-014-1397-9</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-6981 |
| ispartof | Clinical oral investigations, 2015-11, Vol.19 (8), p.1851-1860 |
| issn | 1432-6981 1436-3771 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1768568525 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Dentistry Female Follow-Up Studies Humans Laser Therapy - instrumentation Laser Therapy - methods Lasers, Semiconductor Male Medicine Middle Aged Original Article Peri-Implantitis - surgery Periodontal Debridement - instrumentation Periodontal Debridement - methods |
| title | The utilization of a diode laser in the surgical treatment of peri-implantitis. A randomized clinical trial |
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