Systematic Review of the Adjunctive Use of Diode and Nd:YAG Lasers for Nonsurgical Periodontal Instrumentation

Roncati, Marisa; Gariffo, Annalisa

doi:10.1089/pho.2013.3695

Cited by 31 publications

(33 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The sample size required to test superiority vs. equivalence for statistical significance is generally much larger than what has been typically used in randomized controlled trials that test laser therapy against traditional therapies. In a few instances, because of small study populations, meta‐analysis has been applied in an attempt to determine if laser application in the treatment of periodontitis provides a clinical benefit . Additionally, the limited number of well‐designed longitudinal randomized controlled trials and cohort studies for each of the various laser wavelengths renders the application of lasers in periodontal therapy an adventure with a level of risk for the achievement of minimal to no clinical benefit.…”

Section: Dynamics Seldom Consideredmentioning

confidence: 99%

“…Currently, just four systematic reviews, all including a meta‐analysis, have evaluated the diode laser in the treatment of periodontitis . A focused review with meta‐analysis reported by Sgolastra et al.…”

Section: Diode Lasers and The Treatment Of Periodontitismentioning

confidence: 99%

“…Roncati & Gariffo performed a review and meta‐analysis that must be interpreted with caution. The authors entered six articles into the meta‐analysis: three were diode laser studies and three were Nd:YAG studies.…”

Section: Diode Lasers and The Treatment Of Periodontitismentioning

confidence: 99%

See 2 more Smart Citations

Lasers and the treatment of periodontitis: the essence and the noise

Cobb¹

2017

Periodontology 2000

View full text Add to dashboard Cite

The dental literature contains 25 years of accumulated reports and clinical studies addressing the utility of lasers in the treatment of periodontitis, both as a monotherapy or as an adjunct to surgical and nonsurgical therapy. Yet, the evidence from the 118 human clinical studies cited in this narrative review remains conflicted and insufficient to suggest that integration of a laser in a periodontal treatment protocol will provide antimicrobial and healing outcomes superior to those achieved by traditional therapy. When viewed as a collective body of evidence, it becomes apparent that a majority of the studies are underpowered and exhibit significant heterogeneity in design. Furthermore, the collected studies report a varied choice of parameters, even within the same wavelength of laser. There is little uniformity between studies in the reporting of measured clinical parameters. Most studies reported 3- and/or 6-month post-treatment results; however, the range of time intervals includes studies reporting results from 1 week to up to 1-12 months or longer. Lastly, many studies were considered at risk for bias as a result of a lack of examiner masking and/or calibration. There is great need for well-designed, highly controlled multicenter clinical trials that are adequately powered in terms of subject enrollment, that use similar protocols in terms of laser parameters and that report measureable outcomes in a uniform manner. Without such studies, the questions surrounding the use of lasers in the treatment of periodontal disease will persist.

show abstract

Section: Dynamics Seldom Consideredmentioning

confidence: 99%

Section: Diode Lasers and The Treatment Of Periodontitismentioning

confidence: 99%

See 1 more Smart Citation

Lasers and the treatment of periodontitis: the essence and the noise

Cobb¹

2017

Periodontology 2000

View full text Add to dashboard Cite

show abstract

“…Авторы отмечают, что диодный лазер отличают широкий спектр пока-заний, высокая надёжность и простота в управ-лении [4,5]. Его воздействие намного мягче, чем воздействие электрохирургии или скальпеля [6,7]. Излучение хорошо поглощается в пигменти-рованной ткани [8,9].…”

Section: обзорыunclassified

Diode laser in dental practice

et al. 2017

View full text Add to dashboard Cite

The review presents the possibilities and experience of using diode lasers for treatment of oral inflammatory diseases. Earlier, low-intensity laser was used in dentistry only as a physiotherapeutic device. The laser applications range has expanded significantly with the advent of new technologies. Diode laser has a high level of safety, so it can be used in periodontics and endodontics without fear of tooth tissue structure damaging. In surgical dentistry, high-intensity laser radiation is used as an alternative to cutting and rotational instruments. Features of diode laser for surgical interventions are sterile conditions during the intervention and avoidance of bleeding during and after surgery, predicted depth of injury, high incision accuracy. Accumulated experience of using a diode laser shows good hemostatic effect, which leads to minimal recession of gingival margin. Many authors emphasize that postoperative scars are absent or are more tender and elastic, not constricting tissues. In comparison with traditional methods, use of laser scalpel can reduce epithelialization time of a wound by half. Also, a number of authors claim that the diode laser stimulates immune system, reduces pathogenicity of microflora, increases its sensitivity to antibiotics, positively regulates the function of dental cement in vitro. Use of laser technology improves the quality and effectiveness of ongoing treatment, reduces repeated paient visits, shortens treatment time, avoids relapses and complications. Due to this, the question of expanding the indications for diode lasers use in dentistry and improving the methods remains of current interest.

show abstract

“…Based on the 28 reviews in Table 3, one might conclude that the aggregate of evidence indicates that lasers have little to no clinical benefit and, because of poor study design, there remains a need for well‐designed clinical trials. Two of the 28 reviews might be viewed as offering support for lasers in periodontal therapy, 62 , 67 five reviews offer equivocating conclusions, 52,57,59,72,76 and the remaining 21 reviews (78%) concluded there is insufficient, inconclusive, or no evidence showing that lasers provide additional benefit when used adjunctive to traditional non‐surgical therapy.…”

Section: The Datamentioning

confidence: 99%

Commentary: Is There Clinical Benefit From Using a Diode or Neodymium:Yttrium‐Aluminum‐Garnet Laser in the Treatment of Periodontitis?

Cobb

2016

Journal of Periodontology

View full text Add to dashboard Cite

Despite a quarter of a century of laser research, there is a persistent debate regarding the efficacy of dental lasers in the treatment of periodontitis or periodontal maintenance therapy. There are many claims and much hyperbole surrounding the use of lasers, either as a monotherapy or adjunctive to scaling and root planing, to treat periodontitis. There is little evidence that using a diode or neodymium:yttrium-aluminum-garnet laser adds clinical value over and above conventional non-surgical or surgical periodontal treatment. There is a significant need for better designed human clinical trials. Data from such trials should be analyzed according to initial probing depth and characteristics of the treated sites, such as non-molar, molar flat surfaces, and molar furcations, and evaluated for long-term post-treatment results.

show abstract

Systematic Review of the Adjunctive Use of Diode and Nd:YAG Lasers for Nonsurgical Periodontal Instrumentation

Cited by 31 publications

References 42 publications

Lasers and the treatment of periodontitis: the essence and the noise

Lasers and the treatment of periodontitis: the essence and the noise

Diode laser in dental practice

Commentary: Is There Clinical Benefit From Using a Diode or Neodymium:Yttrium‐Aluminum‐Garnet Laser in the Treatment of Periodontitis?

Contact Info

Product

Resources

About