Clinical Outcomes of Using Lasers for Peri-Implantitis Surface Detoxification: A Systematic Review and Meta-Analysis

• Autores: Lin Guo-Hao, Mark MacEachern, Hom-Lay Wang, Chan Hsun-Liang
• Localización: Journal of periodontology, ISSN 0022-3492, Nº. 9, 2014, págs. 1194-1202
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • The aim of this systematic review is to compare the clinical outcomes of lasers with other commonly applied detoxification methods for treating peri-implantitis. An electronic search of four databases and a hand search of peer-reviewed journals for relevant articles were conducted. Comparative human clinical trials and case series with ?6 months of follow-up in ?10 patients with peri-implantitis treated with lasers were included. Additionally, animal studies applying lasers for treating peri-implantitis were also included. The included studies had to report probing depth (PD) reduction after the therapy.

    Results: Seven human prospective clinical trials and two animal studies were included. In four and three human studies, lasers were accompanied with surgical and non-surgical treatments, respectively. The meta-analyses showed an overall weighted mean difference of 0.00 mm (95% confidence interval = -0.18 to 0.19 mm) PD reduction between the laser and conventional treatment groups (P = 0.98) for non-surgical intervention. In animal studies, laser-treated rough-surface implants had a higher percentage of bone-to-implant contact than smooth-surface implants. In a short-term follow-up, lasers resulted in similar PD reduction when compared with conventional implant surface decontamination methods.

    KEYWORDS: Decontamination, dental implants, lasers, laser therapy, meta-analysis, peri-implantitis