The utilization of a diode laser in the surgical treatment of peri-implantitis. A randomized clinical trial

Papadopoulos, C.; Vouros, Ioannis; Menexes, George; Konstantinidis, Antonis

doi:10.1007/s00784-014-1397-9

Cited by 51 publications

(95 citation statements)

References 43 publications

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“…Finally, 6 articles were included in the review [16,17,21-23,29]. The summarized individual study characteristics are described in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…From the included studies, two were prospective randomized controlled trials [17,22,23], one was prospective cohort study [16] and two were retrospective controlled studies [21,29]. One study included a follow-up period of 6 months [17], three of 1 year [16,21,29] and two up to 3 years [22,23].…”

Section: Resultsmentioning

confidence: 99%

“…One study included a follow-up period of 6 months [17], three of 1 year [16,21,29] and two up to 3 years [22,23]. The mean reported age of the patients ranged from 55 [17] to 61.5 years [21]. …”

Section: Resultsmentioning

confidence: 99%

“…An improvement in peri-implant clinical parameters was found in four studies using access flap surgery only [17,21-23], surface decontamination with chlorhexidine (CHX) and/or cetylpyridinium chloride (CPC) [21,29] and systemic antibiotics [16]. Significant decrease in BOP scores was showed in studies reporting implantoplasty [22] or use of systemic antimicrobials [16], but not by using CHX with CPC [21,29] or diode laser [17].…”

Section: Resultsmentioning

confidence: 99%

“…Several clinical protocols for treatment of peri-implantitis have been proposed, including mechanical debridement, the use of antiseptics and local or systemic antibiotics [13-15], surgical access [16,17], and regenerative [18-20] or resective surgical procedures [21-23]. However, the currently available evidence does not provide any firm or specific recommendations for the surgical therapy of peri-implantitis [24].…”

Section: Introductionmentioning

confidence: 99%

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Surgical Non-Regenerative Treatments for Peri-Implantitis: a Systematic Review

Ramanauskaitė¹,

Daugėla²,

Almeida³

et al. 2016

JOMR

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ObjectivesThe purposes of the present study were 1) to systematically review the literature on the surgical non-regenerative treatments of peri-implantitis and 2) to determine a predictable therapeutic option for the clinical management of peri-implantitis lesions.Material and MethodsThe study search was performed on primary database MEDLINE and EMBASE from 2005 until 2016. Sequential screenings at the title, abstract, and full-text levels were performed. Clinical human studies in the English language that had reported changes in probing depth (PD) and/or bleeding on probing (BOP) and/or radiologic marginal bone level changes after peri-implantitis surgical non-regenerative treatment at 6-month follow-up or longer were included accordingly PRISMA guidelines.ResultsThe first electronic and hand search resulted in 765 citations. From 16 full-text articles reviewed, 6 were included in this systematic review. Surgical non-regenerative methods were found to be efficient in reducing clinical parameters. BOP and PD values were significantly decreased following implantoplasty and systematic administration of antibacterials, but not after local application of chemical compounds or diode laser. Similarly, significant improvement in clinical and radiographic parameters was found only after implantoplasty compared with resective surgery alone. We found significant heterogeneity in study designs and treatments provided among the pooled studies. All of the studies revealed an unclear or high risk of bias.ConclusionsSurgical non-regenerative treatment of peri-implantitis was found to be effective to reduce the soft tissue inflammation and decrease probing depth. More randomized controlled clinical trials are needed to assess the efficacy of surgical non-regenerative therapy of peri-implantitis.

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“…Finally, 6 articles were included in the review [16,17,21-23,29]. The summarized individual study characteristics are described in Table 2.…”

Section: Resultsmentioning

confidence: 99%