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A Randomized Clinical Trial of an Adjunct Diode Laser Application for the Nonsurgical Treatment of Peri-Implantitis

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A 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 Külekçi

Source :

Photomedicine and Laser Surgery [ 1549-5418 ] ; 2015.

RBID : PMC:4649765

Abstract

Objective: 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. Background data: Eradication of pathogenic bacteria and infected sulcular epithelium presents a significant challenge in the nonsurgical treatment of peri-implantitis. Materials and methods: 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/cm²; 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). Results: 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 (p = 0.09 and p = 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) (p < 0.0001). However, in both groups, the microbiota of the implants was found unchanged after 1 month. Conclusions: 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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4649765

DOI: 10.1089/pho.2015.3956
PubMed: 26382562
PubMed Central: 4649765

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Le document en format XML

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<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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<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>
<affiliation><nlm:aff id="aff1"></nlm:aff>
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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>
<affiliation><nlm:aff id="aff1"></nlm:aff>
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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>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Topcuo Lu, Nursen" sort="Topcuo Lu, Nursen" uniqKey="Topcuo Lu N" first="Nursen" last="Topçuo Lu">Nursen Topçuo Lu</name>
<affiliation><nlm:aff id="aff2"></nlm:aff>
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<author><name sortKey="Kulekci, Guven" sort="Kulekci, Guven" uniqKey="Kulekci G" first="Güven" last="Külekçi">Güven Külekçi</name>
<affiliation><nlm:aff id="aff2"></nlm:aff>
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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>
<imprint><date when="2015">2015</date>
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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>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">Photomed Laser Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Photomed Laser Surg</journal-id>
<journal-id journal-id-type="publisher-id">pho</journal-id>
<journal-title-group><journal-title>Photomedicine and Laser Surgery</journal-title>
</journal-title-group>
<issn pub-type="ppub">1549-5418</issn>
<issn pub-type="epub">1557-8550</issn>
<publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name>
<publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26382562</article-id>
<article-id pub-id-type="pmc">4649765</article-id>
<article-id pub-id-type="publisher-id">10.1089/pho.2015.3956</article-id>
<article-id pub-id-type="doi">10.1089/pho.2015.3956</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>A Randomized Clinical Trial of an Adjunct Diode Laser Application for the Nonsurgical Treatment of Peri-Implantitis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Arısan</surname>
<given-names>Volkan</given-names>
</name>
<degrees>DDS, PhD, Assoc ProfDr</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Karabuda</surname>
<given-names>Zihni Cüneyt</given-names>
</name>
<degrees>DDS, PhD, ProfDr</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Arıcı</surname>
<given-names>Selahattin Volkan</given-names>
</name>
<degrees>DDS, PhD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Topçuoğlu</surname>
<given-names>Nursen</given-names>
</name>
<degrees>DDS, PhD, Assoc ProfDr</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Külekçi</surname>
<given-names>Güven</given-names>
</name>
<degrees>DDS, PhD, ProfDr</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<aff id="aff1"><label><sup>1</sup>
</label>
Department of Oral Implantology, Faculty of Dentistry,<institution>Istanbul University</institution>
, Capa- Fatih, Istanbul,<country>Turkey</country>
.</aff>
<aff id="aff2"><label><sup>2</sup>
</label>
Department of Oral Microbiology, Faculty of Dentistry,<institution>Istanbul University</institution>
, Capa- Fatih, Istanbul,<country>Turkey</country>
.</aff>
</contrib-group>
<author-notes><corresp><addr-line>Address correspondence to:</addr-line>
<addr-line><italic>Volkan Arısan</italic>
</addr-line>
<addr-line><italic>Department of Oral Implantology</italic>
</addr-line>
<addr-line><italic>Faculty of Dentistry</italic>
</addr-line>
<institution><italic>Istanbul University</italic>
</institution>
<addr-line><italic>Millet Cd, 34093-Capa</italic>
</addr-line>
<addr-line><italic>Istanbul</italic>
</addr-line>
<country>Turkey</country>
<break></break>
<italic>E-mail:</italic>
<email xlink:href="mailto:varisan@istanbul.edu.tr">varisan@istanbul.edu.tr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>01</day>
<month>11</month>
<year>2015</year>
<pmc-comment>string-date: November 2015</pmc-comment>
      </pub-date>
<volume>33</volume>
<issue>11</issue>
<fpage>547</fpage>
<lpage>554</lpage>
<permissions><copyright-statement>Copyright 2015, Mary Ann Liebert, Inc.</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="pho.2015.3956.pdf"></self-uri>
<abstract><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>
</abstract>
<counts><fig-count count="5"></fig-count>
<table-count count="4"></table-count>
<ref-count count="37"></ref-count>
<page-count count="8"></page-count>
</counts>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<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>
</tree>
</affiliations>
</record>

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A Randomized Clinical Trial of an Adjunct Diode Laser Application for the Nonsurgical Treatment of Peri-Implantitis

A Randomized Clinical Trial of an Adjunct Diode Laser Application for the Nonsurgical Treatment of Peri-Implantitis

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