Lasers in Medical Science

, Volume 31, Issue 1, pp 1–6 | Cite as

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

  • Francesco Lerario
  • Marisa Roncati
  • Annalisa Gariffo
  • Enrica Attorresi
  • Alessandra Lucchese
  • Alexandros Galanakis
  • Gaspare Palaia
  • Umberto Romeo
Original Article
First Online:
Received:
Accepted:

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.

Keywords

Lasers Peri-implantitis Periodontal debridement Laser therapy 
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Notes

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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Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  • Francesco Lerario
    • 1
  • Marisa Roncati
    • 3
  • Annalisa Gariffo
    • 4
  • Enrica Attorresi
    • 5
  • Alessandra Lucchese
    • 6
  • Alexandros Galanakis
    • 2
  • Gaspare Palaia
    • 1
  • Umberto Romeo
    • 1
  1. 1.Department of Oral and Maxillofacial Sciences“Sapienza” University of RomeRomeItaly
  2. 2.Division of Dentistry, Department of Pediatric SurgeryBambino Gesù Children’s HospitalRomeItaly
  3. 3.“Sapienza” University of RomeRomeItaly
  4. 4.University of PalermoPalermoItaly
  5. 5.Marche Politecnic UniversityAnconaItaly
  6. 6.Department of Medical-Surgical Sciences of Communication and Behavior, Dental SchoolFerrara UniversityFerraraItaly

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