Clinical evaluation of Er,Cr:YSGG laser therapy used as an adjunct to non‐surgical treatment of periodontitis: Twelve‐month results from a pilot study

Klokkevold, Perry R.; Damian, Arianna; Pham, Charlene; Mallya, Sanjay M.; Lux, Renate

doi:10.1002/jper.21-0443

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…On the contrary, a recent study by Klokkevold et al, carried out on a sample of 15 adults with 90 nonadjacent sites probing ≥ 5 mm, assessed PPD, CAL, BOP, PI, and GR at 1, 3, 6, 9, and 12 month intervals and concluded that adjunctive Er,Cr:YSGG laser therapy with SRP provides clinical improvement in the treatment of moderate-severe periodontitis similar to that of SRP alone and may offer some advantage for deeper (≥7 mm) pockets. This is contrary to our findings: at the 6- and 12-month time points (T2 and T3), the values recorded for all indicators were significantly better for the laser group [ 51 ].…”

Section: Discussioncontrasting

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: Discussioncontrasting

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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“…Thus, their procedural approach seemed to not be clinically practical and therefore not appropriate for consideration in the present study. On the other hand, quite recently, Klokkevold et al 47 . performed an RCT study for the initial active treatment of moderate to severe pockets using an Er,Cr:YSGG laser with a strategy quite similar to the present study.…”

Section: Discussionmentioning

confidence: 77%

Er:YAG laser‐assisted comprehensive periodontal pocket therapy for residual periodontal pocket treatment: A randomized controlled clinical trial

Aoki

Mizutani

Mikami

et al. 2023

Journal of Periodontology

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BackgroundThis study evaluated the effectiveness of a novel pocket therapy (Er:YAG laser‐assisted comprehensive periodontal pocket therapy [Er‐LCPT]) for residual pocket treatment, compared with conventional mechanical treatment alone, in a randomized controlled clinical trial.MethodsTwo sites in 18 patients having residual periodontal pockets of ≥5 mm depth, extant following initial active therapy, or during supportive therapy, were randomized into two groups in a split mouth design: the control group received scaling and root planing (SRP) by curette, and the test group received Er‐LCPT using curette and laser. With Er‐LCPT, after root debridement, inflamed connective tissue on the inner gingival surface and on the bone surface/within extant bone defects was thoroughly debrided. Furthermore, removal of proximate oral epithelium and coagulation of the blood clot in the pocket entrance were performed with laser. Clinical parameters were evaluated, before and after treatment, through 12 months.ResultsBoth groups showed significant improvements in clinical parameters. With Er‐LCPT, pocket debridement was thoroughly and safely performed, without any adverse side effects and complications, and favorable healing was observed in most of the cases. At 12 months, Er‐LCPT demonstrated significantly higher probing pocket depth reduction (2.78 mm vs. 1.89 mm on average; p = 0.012, Wilcoxon signed‐rank test), clinical attachment gain (1.67 mm vs. 1.06 mm; p = 0.004) as primary outcomes, and reduced BOP value (0.89 vs. 0.56; p = 0.031), compared with SRP alone.ConclusionThe results of this study indicate that Er‐LCPT is more effective for residual pocket treatment, compared with SRP alone.

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Long-term clinical outcomes of Er:YAG or Er,Cr:YSGG lasers utilized as monotherapy or as adjuncts to mechanical therapy in the treatment of chronic periodontitis: a systematic review

et al. 2023

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Purpose The aim of the present systematic review was to address the following focused question: In patients with generalized chronic periodontitis, what is the long-term effect of the Er:YAG or Er,Cr:YSGG lasers, as monotherapy or as adjuvant to mechanical therapy, on the following clinical outcomes: probing pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BOP), and gingival index (GI). Methods A thorough electronic search was performed in PubMed, Scopus, Cochrane, Web of Science, and Ovid databases according to PRISMA guidelines. The screening process and data extraction was conducted independently by two reviewers. A quality assessment using Cochrane Collaboration Methodology for randomized controlled trials (RCTs) was performed. Results Eight eligible RCTs fulfilled the criteria. Two RCTs utilising Er,Cr:YSGG laser, and six RCTs using Er:YAG laser in conjunction with non-surgical periodontal therapy. The primary outcome was PPD, while the secondary outcomes were CAL, BOP, and GI. When evaluating CAL benefits, two out of two of the included studies, which assessed Er:YAG as monotherapy in 24 months, indicated a significant difference in favor of Erbium lasers compared to SRP. It seems that Erbium lasers perform better in terms of PPD reduction compared to SRP in both 12-month and 24-month follow-up periods, especially with regard to moderate and deep periodontal pockets. The quality assessment revealed that four studies were presented with some concerns, while the rest of the studies were judged to be at low risk of bias. Conclusion It may be advocated that Er:YAG and Er,Cr:YSGG lasers as monotherapy or as adjunct to SRP seem to perform better in terms of CAL and PPD reduction in the long term, especially in deep pockets ≥ 7 mm; nevertheless, limited evidence for appropriate comparability is available in the existing literature.

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Clinical evaluation of Er,Cr:YSGG laser therapy used as an adjunct to non‐surgical treatment of periodontitis: Twelve‐month results from a pilot study

Cited by 3 publications

References 32 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

Er:YAG laser‐assisted comprehensive periodontal pocket therapy for residual periodontal pocket treatment: A randomized controlled clinical trial

Long-term clinical outcomes of Er:YAG or Er,Cr:YSGG lasers utilized as monotherapy or as adjuncts to mechanical therapy in the treatment of chronic periodontitis: a systematic review

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