Clinical effectiveness of Er,Cr:YSGG lasers in non-surgical treatment of chronic periodontitis: a meta-analysis of randomized controlled trials

Li, Mengmeng; Jia, Jinhai; Wu, Mingxuan; Zhao, Caiyun; Jia, Lijing; Hong, Shi; Zhang, Xiaolin

doi:10.1007/s10103-020-03156-2

Cited by 9 publications

(7 citation statements)

References 48 publications

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“…The data were extracted from 16 randomized controlled clinical trials, published between 2000–2020, comparing the effectiveness of SRP + Er,Cr:YSGG laser with SRP alone. The study emphasized that Er,Cr:YSGG provided additional effectiveness in PPD reduction and CAL gain at short-term follow-ups [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

Laser Therapy Effects on Periodontal Status: A Randomized Study Using Gaussian Network Analysis and Structural Equation Modeling Approach

Ciurescu,

Dima,

Ciurescu

et al. 2024

Medicina

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Background and Objectives: This paper aims to assess the role of laser therapy in periodontitis through an innovative approach involving computational prediction and advanced modeling performed through network analysis (Gaussian graphical models—GGMs) and structural equations (SEM). Materials and Methods: Forty patients, exhibiting periodontal pockets with a minimum depth of 5 mm, were randomly divided into two groups: a control group and a laser group. Four specific indicators were measured for each tooth, namely periodontal pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BOP), and plaque index (PI), and the mean of six measured values was recorded at five time markers (baseline, 6 months, 1 year, 2 years, and 4 years). The assessment algorithm included enrollment, measurements, and differential non-surgical periodontal treatment, according to the group allocation. Scaling, root planing, and chlorhexidine 1% were conducted for the control group, and scaling, root planing and erbium, chromium:yttrium-scandium-gallium-garnet (Er,CR:YSGG) laser therapy were conducted for the laser group. Results: The main results highlight that the addition of laser treatment to scaling and root planing led to notable clinical improvements, decreasing the PPD values, reducing the BOP scores, and increasing the CAL. Conclusions: Notable relationships between the specific indicators considered were highlighted by both the GGMs and by SEM, thus confirming their suitability as proxies for the success of periodontal treatment.

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Section: Discussionmentioning

confidence: 99%

Laser Therapy Effects on Periodontal Status: A Randomized Study Using Gaussian Network Analysis and Structural Equation Modeling Approach

Ciurescu,

Dima,

Ciurescu

et al. 2024

Medicina

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“…In addition, diode lasers with specific wavelengths were assessed by Qadri T et al (2015) [ 41 ] and Slot DE et al (2014) [ 35 ], where adjunctive DL therapy exhibited improvement in periodontitis treatment compared to SRP by Qadri et al (2015) [ 41 ] and Slot et al (2014) [ 35 ]. The SR that was conducted by including primary studies regardless of the types of lasers concluded a positive outcome of adjunctive laser therapy by Cheng et al (2016) [ 8 ], Coluzzi et al (2020) [ 16 ], Jia et al (2022) [ 38 ], Jiang et al (2022) [ 37 ], and Chambrone et al (2018a) [ 32 ]. The primary studies usually use one type of laser in their studies, irrespective of the study design.…”

Section: Reviewmentioning

confidence: 99%

“…Most of the studies concluded that adjunctive laser therapy with conventional SRP is effective compared to the only SRP treatment, except for a few studies that did not identify any positive effects of additional laser therapy over conventional SRP treatment [ 43 , 2 , 21 , 30 , 39 , 28 ]. Moreover, few studies claimed that laser therapy showed clinical effectiveness only in short-term follow-up; however, there was no significant benefit in long-term follow-up [ 8 , 37 , 42 , 36 ]. Moreover, among the 24 selected SRs, six studies by Coluzzi et al (2020) [ 16 ], Karlsson et al (2008) [ 43 ], Pawelczyk-Madalińska et al (2021) [ 19 ], Schwarz et al (2008) [ 29 ], Slot et al (2009a) [ 39 ], and Qadri et al (2015) [ 41 ] did not perform a meta-analysis, whereas other studies included meta-analysis regardless of the number of included studies.…”

Section: Reviewmentioning

confidence: 99%

An Overview of the Systematic Evidence on the Adjunctive Use of Laser Therapy in Non-surgical Periodontal Treatment

AlZoubi

2023

Cureus

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This overview aimed to recapitulate the evidence related to laser application in non-surgical periodontal treatment along with conventional periodontal treatment for optimum clinical practice based on the available systematic reviews (SRs). An advanced literature search in the English language was conducted in the PubMed, Medical Literature Analysis and Retrieval System Online (MEDLINE), ScienceDirect, and Scopus databases from January 2000 to October 2022. Two independent reviewers screened all the databases and extracted the data in duplicate. The risk of bias in the selected studies was assessed with the Methodological Quality of Systematic Reviews 2 (AMSTAR 2) guideline for SRs. Cohen’s kappa statistics were performed to assess the level of agreement for the assessment of the risk of bias. A total of 556 studies (PubMed = 115, Scopus = 66, ScienceDirect = 298, and MEDLINE = 77) were identified after the initial search using the keywords from different databases. After removing the duplicates and assessing the full manuscripts, a total of 24 studies were selected based on the inclusion criteria for the current overview. A total of three, four, 12, and five systematic reviews were classified as high, moderate, low, and critically low-quality SRs as per the AMSTAR 2 quality assessment tool. Cohen’s Kappa statistics showed perfect (𝛋 =1.000) agreement between the two reviewers. Adjunctive laser therapy along with conventional non-surgical periodontal treatment might be effective in short-term treatment outcomes; however, evidence of long-term effects is still lacking.

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“…Several approaches for the decontamination of the affected implants are described: from nonsurgical [17][18][19][20], to surgical procedures [21][22][23], using curettes [24], titanium brushes [25], ultrasonic devices or air-powder abrasion [20,26], photodynamic therapy [27,28], and high-power laser treatments [24,29]. Promising results were described using erbium lasers [30][31][32][33][34], however, for better outcomes, a flap should be opened [16], considering that the laser tip must be used perpendicular to the surface.…”

Section: Introductionmentioning

confidence: 99%

Effect of Er,Cr:YSGG laser with a side-firing tip on decontamination of titanium disc surface: an in vitro and in vivo study

et al. 2023

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Purpose To evaluate the effectiveness of an erbium, chromium:yttrium–scandium–gallium–garnet (Er,Cr:YSGG) laser with side-firing tip in decontamination of titanium (Ti) disc. Methods In the first test series, 29 Ti-discs were contaminated with Staphylococcus aureus and treated as follows: positive control (no treatment); Perioflow; Laser A (0.75 W, 100 Hz), Laser B (1.5 W, 30 Hz); Laser C (no radiation, 60% water); and Laser D (no radiation, 50% water). For bacterial quantification, colony forming units (CFU, vital cells only) and quantitative PCR (qPCR, vital and devital cells) were performed. In a second test series, 92 Ti-discs were used, contaminated with in vivo-grown biofilm and treated as follows: positive control (no treatment); Perioflow; Laser E (1.5 W, 30 Hz), and Laser F (no radiation, 50% water). Considering the different and unknown culture conditions, quantification of bacteria was performed by broad-spectrum bacterial qPCR only. Based on the assumption that all cells of an organism contain an equivalent complement of genetic information, genome equivalent (GE) determination ensured the detection of the different intact and semi-intact genomes, regardless of type of bacterial species and vitality, circumvent the inherent bias of cultures. Results The GE values were significantly reduced by all interventions in both test series, compared to the positive control group (p < 0.001). In the first test series with S. aureus as model organism, Perioflow yielded a lower GE than the Laser groups A–D (all p < 0.025). The number of CFUs was significantly reduced in the intervention groups compared to the positive control (p < 0.001), except for Laser A (p = 0.157) and Laser D (p = 0.393). In the second test series, none of the pairwise comparisons of the intervention conditions showed a significant difference (Perioflow vs. Laser E: p = 0.732; Perioflow vs. Laser F: p = 0.590; Laser E vs. Laser F: p = 0.379). Conclusion The Er,Cr:YSGG laser with side-firing tip and Perioflow were equally capable of effectively decontaminating a Ti-disc surface. It is assumed that the bacterial reduction was largely due to the mechanical effect of the air and water stream. Graphical Abstract

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Clinical effectiveness of Er,Cr:YSGG lasers in non-surgical treatment of chronic periodontitis: a meta-analysis of randomized controlled trials

Cited by 9 publications

References 48 publications

Laser Therapy Effects on Periodontal Status: A Randomized Study Using Gaussian Network Analysis and Structural Equation Modeling Approach

Laser Therapy Effects on Periodontal Status: A Randomized Study Using Gaussian Network Analysis and Structural Equation Modeling Approach

An Overview of the Systematic Evidence on the Adjunctive Use of Laser Therapy in Non-surgical Periodontal Treatment

Effect of Er,Cr:YSGG laser with a side-firing tip on decontamination of titanium disc surface: an in vitro and in vivo study

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