Clinical outcomes of using lasers for peri-implantitis surface detoxification: a systematic review and meta-analysis.
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.
Graduate Periodontics, Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI.
James
J
Mailoa
Guo-Hao
GH
Lin
Hsun-Liang
HL
Chan
Mark
M
MacEachern
Hom-Lay
HL
Wang
D015921:Dental Implants / Q000382:microbiology; D004203:Disinfection / Q000379:methods; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D007834:Lasers / Q000145:classification; D057873:Peri-Implantitis / Q000601:surgery*; D016896:Treatment Outcome
D015921:Dental Implants
Decontamination; dental implants; laser therapy; lasers; meta-analysis; peri-implantitis