Conventional versus laser-assisted therapy of periimplantitis: a five-year comparative study.
Between 1994 and 1999, 50 patients were treated with either profound parodontopathy (30) or periimplantitis (20). Half of each of the two groups of patients was treated conventionally, and the other half was treated with laser support. Before the operation, microbiological examinations were carried out, in addition to registering the clinical findings and taking x-rays. These procedures were repeated after the operation, and again after 6, 12, 24, 36, 48, and 60 months. The surgical part of therapy for each half of the patient groups included surface decontamination with diode laser light (1-watt output, maximum of 20 seconds) in addition to conventional procedures. The values of the laser-supported therapy were lower than those specified in the relevant literature. The relapse rate of the two diseases (13% for the periimplantitis and 23% for the parodontopathy group) after 5 years was lower than the comparative values of researched literature where decontamination was not included in the therapy. We think that integrating diode laser light decontamination in the approved treatment schemes for periimplantitis and parodontitis contributes considerably to the success of this therapy.
Bach
G
G
Department of Periodontology, University of Freiburg/Breisgau, Germany. doc.bach@t-online.de
Neckel
C
C
Mall
C
C
Krekeler
G
G
D000328:Adult; D016301:Alveolar Bone Loss / Q000382:microbiology / Q000532:radiotherapy / Q000628:therapy; D001419:Bacteria / Q000145:classification; D003646:Debridement; D015921:Dental Implants / Q000009:adverse effects / Q000382:microbiology; D019232:Dental Restoration Failure; D012534:Dental Scaling; D004202:Disinfectants / Q000627:therapeutic use; D004866:Equipment Contamination; D005260:Female; D005500:Follow-Up Studies; D005884:Gingival Hemorrhage / Q000382:microbiology / Q000532:radiotherapy / Q000628:therapy; D005891:Gingivitis / Q000382:microbiology / Q000532:radiotherapy / Q000628:therapy; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D010510:Periodontal Diseases / Q000000981:diagnostic imaging / Q000382:microbiology / Q000532:radiotherapy / Q000628:therapy*; D010512:Periodontal Index; D010514:Periodontal Pocket / Q000382:microbiology / Q000532:radiotherapy / Q000628:therapy; D010518:Periodontitis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000532:radiotherapy / Q000628:therapy*; D011859:Radiography; D012008:Recurrence; D013524:Surgical Flaps; D016896:Treatment Outcome
D015921:Dental Implants; D004202:Disinfectants