Laser Treatment of Peri-Implantitis: A Systematic Review of Radiographic Outcomes

(1) Background: This systematic review aimed to evaluate the effects of laser therapy on radiographic bone level (RBL) changes in peri-implantitis defects. (2) Methods: A literature search with defined inclusion criteria was performed. PubMed, Web of Science, Cochrane Library, and Google Scholar wer...

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Main Authors: Miriam Ting, Leela Subhashini C. Alluri, John G. Sulewski, Jon B. Suzuki, Andre Paes Batista da Silva
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Dentistry Journal
Subjects:
Online Access:https://www.mdpi.com/2304-6767/10/2/20
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author Miriam Ting
Leela Subhashini C. Alluri
John G. Sulewski
Jon B. Suzuki
Andre Paes Batista da Silva
author_facet Miriam Ting
Leela Subhashini C. Alluri
John G. Sulewski
Jon B. Suzuki
Andre Paes Batista da Silva
author_sort Miriam Ting
collection DOAJ
description (1) Background: This systematic review aimed to evaluate the effects of laser therapy on radiographic bone level (RBL) changes in peri-implantitis defects. (2) Methods: A literature search with defined inclusion criteria was performed. PubMed, Web of Science, Cochrane Library, and Google Scholar were searched through September 2020. The evaluated primary outcomes were RBL changes. In studies that reported RBL data, corresponding secondary clinical outcomes were probing depth (PD), bleeding on probing (BOP), and clinical attachment level (CAL). (3) Results: Thirteen articles were selected for data extraction and risk of bias assessment. Eight studies showed evidence of RBL gain in the laser groups compared to baseline, but did not report the statistical significance. Eight of these 13 studies reported comparisons to control. Five of the eight studies did not show RBL gain in the laser groups compared to control. In the laser groups compared to baseline, 11 of 13 reported reduced PD, and 6 of 13 reported significantly reduced BOP. Compared to the control, eight of the eight reported reduction of PD, and three of six reported significantly reduced BOP. Statistical significance was not consistently reported. (4) Conclusions: Within the limits of this systematic review, laser treatment may promote bone gain in peri-implantitis defects, may reduce BOP and PDs, and may be comparable to mechanical therapy. However, definitive conclusions can only be made with statistically significant data, which were found lacking in the currently available studies. This systematic review was registered with the National Institute for Health Research, international prospective register of systematic reviews (PROSPERO): CRD42020207972.
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spelling doaj.art-1d332c9e2e0e49bf9be2fd07c1229cd92023-11-23T19:27:59ZengMDPI AGDentistry Journal2304-67672022-01-011022010.3390/dj10020020Laser Treatment of Peri-Implantitis: A Systematic Review of Radiographic OutcomesMiriam Ting0Leela Subhashini C. Alluri1John G. Sulewski2Jon B. Suzuki3Andre Paes Batista da Silva4Think Dental Learning Institute, Paoli, PA 19301, USADepartment of Periodontics, Meharry Medical College School of Dentistry, Nashville, TN 37208, USAThe Institute for Advanced Dental Technologies, Huntington Woods, MI 48070, USAUniversity of Maryland, Baltimore, MD 21201, USADepartment of Periodontics, Case Western Reserve University School of Dental Medicine, Cleveland, OH 44106, USA(1) Background: This systematic review aimed to evaluate the effects of laser therapy on radiographic bone level (RBL) changes in peri-implantitis defects. (2) Methods: A literature search with defined inclusion criteria was performed. PubMed, Web of Science, Cochrane Library, and Google Scholar were searched through September 2020. The evaluated primary outcomes were RBL changes. In studies that reported RBL data, corresponding secondary clinical outcomes were probing depth (PD), bleeding on probing (BOP), and clinical attachment level (CAL). (3) Results: Thirteen articles were selected for data extraction and risk of bias assessment. Eight studies showed evidence of RBL gain in the laser groups compared to baseline, but did not report the statistical significance. Eight of these 13 studies reported comparisons to control. Five of the eight studies did not show RBL gain in the laser groups compared to control. In the laser groups compared to baseline, 11 of 13 reported reduced PD, and 6 of 13 reported significantly reduced BOP. Compared to the control, eight of the eight reported reduction of PD, and three of six reported significantly reduced BOP. Statistical significance was not consistently reported. (4) Conclusions: Within the limits of this systematic review, laser treatment may promote bone gain in peri-implantitis defects, may reduce BOP and PDs, and may be comparable to mechanical therapy. However, definitive conclusions can only be made with statistically significant data, which were found lacking in the currently available studies. This systematic review was registered with the National Institute for Health Research, international prospective register of systematic reviews (PROSPERO): CRD42020207972.https://www.mdpi.com/2304-6767/10/2/20systematic reviewperi-implant diseaseperi-implantitislaserradiographicradiograph
spellingShingle Miriam Ting
Leela Subhashini C. Alluri
John G. Sulewski
Jon B. Suzuki
Andre Paes Batista da Silva
Laser Treatment of Peri-Implantitis: A Systematic Review of Radiographic Outcomes
Dentistry Journal
systematic review
peri-implant disease
peri-implantitis
laser
radiographic
radiograph
title Laser Treatment of Peri-Implantitis: A Systematic Review of Radiographic Outcomes
title_full Laser Treatment of Peri-Implantitis: A Systematic Review of Radiographic Outcomes
title_fullStr Laser Treatment of Peri-Implantitis: A Systematic Review of Radiographic Outcomes
title_full_unstemmed Laser Treatment of Peri-Implantitis: A Systematic Review of Radiographic Outcomes
title_short Laser Treatment of Peri-Implantitis: A Systematic Review of Radiographic Outcomes
title_sort laser treatment of peri implantitis a systematic review of radiographic outcomes
topic systematic review
peri-implant disease
peri-implantitis
laser
radiographic
radiograph
url https://www.mdpi.com/2304-6767/10/2/20
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AT leelasubhashinicalluri lasertreatmentofperiimplantitisasystematicreviewofradiographicoutcomes
AT johngsulewski lasertreatmentofperiimplantitisasystematicreviewofradiographicoutcomes
AT jonbsuzuki lasertreatmentofperiimplantitisasystematicreviewofradiographicoutcomes
AT andrepaesbatistadasilva lasertreatmentofperiimplantitisasystematicreviewofradiographicoutcomes