title: Non-surgical periodontal treatment of peri-implant diseases with the adjunctive use of diode laser: preliminary clinical study.
abstract: Peri-implant diseases present in two forms: peri-implant mucositis and peri-implantitis. The prevalence of peri-implant complications is significantly rising. The aim of this study was to compare conventional treatment of inflamed peri-implant tissues with conventional treatment together with diode laser application. Twenty-seven patients (age 36 to 67, 15 women and 12 men, 12 smokers and 15 non-smokers) requiring treatment for mucositis or peri-implantitis were taken into account for this preliminary study. Plaque index (PI), pocket depth (PD), and bleeding on probing (BoP) were recorded at baseline evaluation. Patients in control group (CG) received conventional non-surgical periodontal treatment. Patients in test group received conventional non-surgical periodontal treatment together with diode laser application (810 nm, 30 s, 1 W, 50 Hz, t on = 100 ms, t off = 100 ms, energy density = 24.87 J/cm(2)). Paired t test was used to evaluate the difference in repeated measurements of considered indexes at T 0 and T 1 (1 year) in both groups. A total of 606 sites were taken into account in the test group (TG) and 144 in the CG. PD mean variation in the TG was 2.66 mm ± 1.07, while mean PD variation in the CG was 0.94 ± 1.13 mm. Paired t testing of the variation in PD in CG and TG revealed a statistically significant difference between the two groups (p < 0.0001). A reduction of pathological sites from 89 % (T 0) to 14.35 % (T 1) was achieved in the TG, while reduction obtained in the CG was from 75.69 % (T 0) to 50 % (T 1); BoP scores at time T 1 had fallen below 5 % in the TG and decreased to 59.7 %, in the CG. Within the limitations of this study, diode laser seems to be an additional valuable tool for peri-implant disease treatment.
authors.affiliation: Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Via Caserta 6, 00196, Rome, Italy. francescolerario@hotmail.it.
authors.forename: Francesco
authors.initials: F
authors.lastname: Lerario
authors.affiliation: "Sapienza" University of Rome, Rome, Italy. info@studioparmabenfenati.it.
authors.forename: Marisa
authors.initials: M
authors.lastname: Roncati
authors.affiliation: University of Palermo, Palermo, Italy. annalisagariffo@libero.it.
authors.forename: Annalisa
authors.initials: A
authors.lastname: Gariffo
authors.affiliation: Marche Politecnic University, Ancona, Italy. enrica.attorresi@libero.it.
authors.forename: Enrica
authors.initials: E
authors.lastname: Attorresi
authors.affiliation: Department of Medical-Surgical Sciences of Communication and Behavior, Dental School, Ferrara University, Ferrara, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Lucchese
authors.affiliation: Division of Dentistry, Department of Pediatric Surgery, Bambino Gesù Children's Hospital, Rome, Italy. agalanakis@hotmail.it.
authors.forename: Alexandros
authors.initials: A
authors.lastname: Galanakis
authors.affiliation: Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Via Caserta 6, 00196, Rome, Italy. gaspare.palaia@uniroma1.it.
authors.forename: Gaspare
authors.initials: G
authors.lastname: Palaia
authors.affiliation: Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Via Caserta 6, 00196, Rome, Italy. umberto.romeo@uniroma1.it.
authors.forename: Umberto
authors.initials: U
authors.lastname: Romeo
mesh_terms: D000328:Adult; D000368:Aged; D003774:Dental Plaque Index; D005260:Female; D006801:Humans; D054023:Lasers, Semiconductor / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D057873:Peri-Implantitis / Q000175:diagnosis / Q000628:therapy*; D010512:Periodontal Index; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Laser therapy; Lasers; Peri-implantitis; Periodontal debridement