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Non-surgical periodontal treatment of peri-implant diseases with the adjunctive use of diode laser: preliminary clinical study

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An Erratum to this article was published on 20 November 2015

Abstract

Peri-implant diseases present in two forms: peri-implant mucositis and peri-implantitis. The prevalence of peri-implant complications is significantly rising. The aim of this study was to compare conventional treatment of inflamed peri-implant tissues with conventional treatment together with diode laser application. Twenty-seven patients (age 36 to 67, 15 women and 12 men, 12 smokers and 15 non-smokers) requiring treatment for mucositis or peri-implantitis were taken into account for this preliminary study. Plaque index (PI), pocket depth (PD), and bleeding on probing (BoP) were recorded at baseline evaluation. Patients in control group (CG) received conventional non-surgical periodontal treatment. Patients in test group received conventional non-surgical periodontal treatment together with diode laser application (810 nm, 30 s, 1 W, 50 Hz, t on = 100 ms, t off = 100 ms, energy density = 24.87 J/cm2). Paired t test was used to evaluate the difference in repeated measurements of considered indexes at T 0 and T 1 (1 year) in both groups. A total of 606 sites were taken into account in the test group (TG) and 144 in the CG. PD mean variation in the TG was 2.66 mm ± 1.07, while mean PD variation in the CG was 0.94 ± 1.13 mm. Paired t testing of the variation in PD in CG and TG revealed a statistically significant difference between the two groups (p < 0.0001). A reduction of pathological sites from 89 % (T 0) to 14.35 % (T 1) was achieved in the TG, while reduction obtained in the CG was from 75.69 % (T 0) to 50 % (T 1); BoP scores at time T 1 had fallen below 5 % in the TG and decreased to 59.7 %, in the CG. Within the limitations of this study, diode laser seems to be an additional valuable tool for peri-implant disease treatment.

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References

  1. Albrektsson T, Isidor F (1994) Consensus report of session IV. In: Lang NP, Karring T (eds) Proceedings of the First European Workshop on Periodontology. Quintessence, London, pp 365–369

    Google Scholar 

  2. Aoki A, Mizutani K, Takasaki AA et al (2008) Current status of clinical laser applications in periodontal therapy. Gen Dent 56:674–687

    PubMed  Google Scholar 

  3. Brägger U (1994) Radiographic parameters for the evaluation of peri-implant tissues. Periodontol 2000(4):87–97

    Article  Google Scholar 

  4. Esposito M, Hirsch JM, Lekholm U, Thomsen P (1998) Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci 106:721–764

    Article  PubMed  CAS  Google Scholar 

  5. Ishikawa I, Aoki A, Takasaki AA, Mizutani K, Sasaki KM, Izumi Y (2009) Application of lasers in periodontics: true innovation or myth? Periodontol 200050:90–126

    Article  Google Scholar 

  6. Izumi Y, Aoki A, Yamada Y et al (2011) Current and future periodontal tissue engineering. Periodontol 2000(56):166–187

    Article  Google Scholar 

  7. Karoussis IK, Kotsovilis S, Fourmousis I (2007) A comprehensive and critical review of dental implant prognosis in periodontally compromised partially edentulous patients. Clin Oral Implants Res 18:669–679

    Article  PubMed  Google Scholar 

  8. Lang NP, Berglundh T (2011) Working group 4 of seventh european workshop on periodontology. Periimplant diseases: where are we now?--consensus of the seventh european workshop on periodontology. J Clin Periodontol 38(Suppl 11):178–181

    Article  PubMed  Google Scholar 

  9. Lang NP, Bosshardt DD, Lulic M (2011) Do mucositis lesions around implants differ from gingivitis lesions around teeth? J Clin Periodontol 38(Suppl 11):182–187

    Article  PubMed  Google Scholar 

  10. Lindhe J, Meyle J, Group D of European Workshop on Periodontology (2008) Peri-implant diseases: consensus report of the sixth european workshop on periodontology. J Clin Periodontol 35(Suppl 8):282–285

    Article  PubMed  Google Scholar 

  11. Meissner G, Kocher T (2011) Calculus-detection technologies and their clinical application. Periodontol 2000(55):189–204

    Article  Google Scholar 

  12. Misch CE, Perel ML, Wang HL et al (2008) Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) pisa consensus conference. Implant Dent 17:5–15

    Article  PubMed  Google Scholar 

  13. Mombelli A, Lang NP (1998) The diagnosis and treatment of peri-implantitis. Periodontol 2000(17):63–76

    Article  Google Scholar 

  14. Bach G, Neckel C, Mall C, Krekeler G (2000) Conventional versus laser-assisted therapy of periimplantitis: a five-year comparative study. Implant Dent 9:247–251

    Article  PubMed  CAS  Google Scholar 

  15. Castro GL, Gallas M, Nunez IR, Borrajo JLL, Garciavarela L (2006) Histological evaluation of the use of diode laser as an adjunct to traditional periodontal treatment. Photomed Laser Surg 24:64–68

    Article  PubMed  Google Scholar 

  16. Schwarz F, Sculean A, Rothamel D, Schwenzer K, Georg T, Becker J (2005) Clinical evaluation of an Er: YAG laser for non-surgical treatment of periimplantitis: a pilot study. Clin Oral Implants Res 16:44–52

    Article  PubMed  Google Scholar 

  17. Romeo U, Palaia G, Botti R, Leone V, Rocca JP, Polimeni A (2010) Non-surgical periodontal therapy assisted by potassium-titanyl-phosphate laser: a pilot study. Lasers Med Sci 25:891–899

    Article  PubMed  Google Scholar 

  18. Schwarz F, Sculean A, Berakdar M, Szathmari L, Georg T, Becker J (2003) In vivo and in vitro effects of an Er:YAG laser a GaAIAs diode laser, and scaling and root planing on periodontally diseased root surfaces: a comparative histologic study. Lasers Surg Med 32:359–366

    Article  PubMed  Google Scholar 

  19. Kreisler M, Al Haj H, d’Hoedt B (2005) Clinical efficacy of semiconductor laser application as an adjunct to conventional scaling and root planing. Lasers Surg Med 37:350–355

    Article  PubMed  Google Scholar 

  20. Kreisler M, Al Haj H, D’Hoedt B (2003) Temperature changes induced by 809-nm GaAlAs laser at the implant-bone interface during simulated surface decontamination. Clin Oral Implants Res 14:91–96

    Article  PubMed  Google Scholar 

  21. Romanos GE, Gutknecht N, Dieter S, Schwarz F, Crespi R, Sculean A (2009) Laser wavelengths and oral implantology. Lasers Med Sci 24:961–970

    Article  PubMed  Google Scholar 

  22. Sculean A, Schwarz F, Becker J (2005) Anti-infective therapy with an Er:YAG laser: influence on peri-implant healing. Expert Rev Med Devices 2:267–276

    Article  PubMed  Google Scholar 

  23. Soukos NS, Goodson JM (2011) Photodynamic therapy in the control of oral biofilms. Periodontol 2000(55):143–166

    Article  Google Scholar 

  24. Takasaki AA, Aoki A, Mizutani K et al (2009) Application of antimicrobial photodynamic therapy in periodontal and peri-implant diseases. Periodontol 2000(51):109–140

    Article  Google Scholar 

Download references

Compliance with ethical standards

The study was carried out in accordance with the existing local ethical requirements.

Conflicts of interests

The authors report no conflicts of interest related to this study.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Via Caserta 6, 00196, Rome, Italy

    Francesco Lerario, Gaspare Palaia & Umberto Romeo

  2. Division of Dentistry, Department of Pediatric Surgery, Bambino Gesù Children’s Hospital, Rome, Italy

    Alexandros Galanakis

  3. “Sapienza” University of Rome, Rome, Italy

    Marisa Roncati

  4. University of Palermo, Palermo, Italy

    Annalisa Gariffo

  5. Marche Politecnic University, Ancona, Italy

    Enrica Attorresi

  6. Department of Medical-Surgical Sciences of Communication and Behavior, Dental School, Ferrara University, Ferrara, Italy

    Alessandra Lucchese

Authors
  1. Francesco Lerario
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  2. Marisa Roncati
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  3. Annalisa Gariffo
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  4. Enrica Attorresi
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  5. Alessandra Lucchese
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  6. Alexandros Galanakis
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  7. Gaspare Palaia
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  8. Umberto Romeo
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Correspondence to Francesco Lerario.

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Lerario, F., Roncati, M., Gariffo, A. et al. Non-surgical periodontal treatment of peri-implant diseases with the adjunctive use of diode laser: preliminary clinical study. Lasers Med Sci 31, 1–6 (2016). https://doi.org/10.1007/s10103-015-1785-7

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  • DOI: https://doi.org/10.1007/s10103-015-1785-7

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