A Randomized Clinical Trial of an Adjunct Diode Laser Application for the Nonsurgical Treatment of Peri-Implantitis
Identifieur interne : 005F33 ( Ncbi/Checkpoint ); précédent : 005F32; suivant : 005F34A Randomized Clinical Trial of an Adjunct Diode Laser Application for the Nonsurgical Treatment of Peri-Implantitis
Auteurs : Volkan Ar San ; Zihni Cüneyt Karabuda ; Selahattin Volkan Ar C ; Nursen Topçuo Lu ; Güven KülekçiSource :
- Photomedicine and Laser Surgery [ 1549-5418 ] ; 2015.
Abstract
Url:
DOI: 10.1089/pho.2015.3956
PubMed: 26382562
PubMed Central: 4649765
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Randomized Clinical Trial of an Adjunct Diode Laser Application for the Nonsurgical Treatment of Peri-Implantitis</title>
<author><name sortKey="Ar San, Volkan" sort="Ar San, Volkan" uniqKey="Ar San V" first="Volkan" last="Ar San">Volkan Ar San</name>
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<author><name sortKey="Karabuda, Zihni Cuneyt" sort="Karabuda, Zihni Cuneyt" uniqKey="Karabuda Z" first="Zihni Cüneyt" last="Karabuda">Zihni Cüneyt Karabuda</name>
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<author><name sortKey="Ar C, Selahattin Volkan" sort="Ar C, Selahattin Volkan" uniqKey="Ar C S" first="Selahattin Volkan" last="Ar C">Selahattin Volkan Ar C</name>
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<author><name sortKey="Topcuo Lu, Nursen" sort="Topcuo Lu, Nursen" uniqKey="Topcuo Lu N" first="Nursen" last="Topçuo Lu">Nursen Topçuo Lu</name>
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<author><name sortKey="Kulekci, Guven" sort="Kulekci, Guven" uniqKey="Kulekci G" first="Güven" last="Külekçi">Güven Külekçi</name>
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<series><title level="j">Photomedicine and Laser Surgery</title>
<idno type="ISSN">1549-5418</idno>
<idno type="eISSN">1557-8550</idno>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p><bold><italic>Objective:</italic>
</bold>
In this radiographic and microbiologic split-mouth clinical trial, efficacy of a diode laser as an adjunct to conventional scaling in the nonsurgical treatment of peri-implantitis was investigated. <bold><italic>Background data:</italic>
</bold>
Eradication of pathogenic bacteria and infected sulcular epithelium presents a significant challenge in the nonsurgical treatment of peri-implantitis. <bold><italic>Materials and methods:</italic>
</bold>
Ten patients (mean age, 55.1 years; SD, 11.4) with 48 two piece, rough-surface implants and diagnosed with peri-implantitis were recruited (NCT02362854). In addition to conventional scaling and debridement (control group), crevicular sulci and the corresponding surfaces of 24 random implants were lased by a diode laser running at 1.0 W power at the pulsed mode (λ, 810 nm; energy density, 3 J/cm<sup>2</sup>
; time, 1 min; power density, 400 mW/cm2; energy, 1.5 J; and spot diameter, 1 mm); (laser group). Healing was assessed via periodontal indexes (baseline and after 1 and 6 months after the intervention), microbiologic specimens (baseline and after 1 month), and radiographs (baseline and after 6 months). <bold><italic>Results:</italic>
</bold>
Baseline mean pocket depths (4.71, SD, 0.67; and 4.38, SD 0.42 mm) and marginal bone loss (2.71, SD 0.11; and 2.88, SD 0.18 mm) were similar (<italic>p</italic>
= 0.09 and <italic>p</italic>
= 0.12) between the control and laser groups, respectively. After 6 months, the laser group revealed higher marginal bone loss (2.79, SD 0.48) than the control groups (2.63, SD 0.53) (<italic>p</italic>
< 0.0001). However, in both groups, the microbiota of the implants was found unchanged after 1 month. <bold><italic>Conclusions:</italic>
</bold>
In this clinical trial, adjunct use of diode laser did not yield any additional positive influence on the peri-implant healing compared with conventional scaling alone.</p>
</div>
</front>
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<tree><noCountry><name sortKey="Ar C, Selahattin Volkan" sort="Ar C, Selahattin Volkan" uniqKey="Ar C S" first="Selahattin Volkan" last="Ar C">Selahattin Volkan Ar C</name>
<name sortKey="Ar San, Volkan" sort="Ar San, Volkan" uniqKey="Ar San V" first="Volkan" last="Ar San">Volkan Ar San</name>
<name sortKey="Karabuda, Zihni Cuneyt" sort="Karabuda, Zihni Cuneyt" uniqKey="Karabuda Z" first="Zihni Cüneyt" last="Karabuda">Zihni Cüneyt Karabuda</name>
<name sortKey="Kulekci, Guven" sort="Kulekci, Guven" uniqKey="Kulekci G" first="Güven" last="Külekçi">Güven Külekçi</name>
<name sortKey="Topcuo Lu, Nursen" sort="Topcuo Lu, Nursen" uniqKey="Topcuo Lu N" first="Nursen" last="Topçuo Lu">Nursen Topçuo Lu</name>
</noCountry>
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