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A randomized clinical trial of an adjunct diode laser application for the nonsurgical treatment of peri-implantitis.


ABSTRACT: In this radiographic and microbiologic split-mouth clinical trial, efficacy of a diode laser as an adjunct to conventional scaling in the nonsurgical treatment of peri-implantitis was investigated.Eradication of pathogenic bacteria and infected sulcular epithelium presents a significant challenge in the nonsurgical treatment of peri-implantitis.Ten patients (mean age, 55.1 years; SD, 11.4) with 48 two piece, rough-surface implants and diagnosed with peri-implantitis were recruited (NCT02362854). In addition to conventional scaling and debridement (control group), crevicular sulci and the corresponding surfaces of 24 random implants were lased by a diode laser running at 1.0?W power at the pulsed mode (?, 810?nm; energy density, 3?J/cm(2); time, 1?min; power density, 400?mW/cm2; energy, 1.5 J; and spot diameter, 1?mm); (laser group). Healing was assessed via periodontal indexes (baseline and after 1 and 6 months after the intervention), microbiologic specimens (baseline and after 1 month), and radiographs (baseline and after 6 months).Baseline mean pocket depths (4.71, SD, 0.67; and 4.38, SD 0.42?mm) and marginal bone loss (2.71, SD 0.11; and 2.88, SD 0.18?mm) were similar (p?=?0.09 and p?=?0.12) between the control and laser groups, respectively. After 6 months, the laser group revealed higher marginal bone loss (2.79, SD 0.48) than the control groups (2.63, SD 0.53) (p?

SUBMITTER: Ar?san V 

PROVIDER: S-EPMC4649765 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature

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A randomized clinical trial of an adjunct diode laser application for the nonsurgical treatment of peri-implantitis.

Arısan Volkan V   Karabuda Zihni Cüneyt ZC   Arıcı Selahattin Volkan SV   Topçuoğlu Nursen N   Külekçi Güven G  

Photomedicine and laser surgery 20150918 11


<h4>Objective</h4>In this radiographic and microbiologic split-mouth clinical trial, efficacy of a diode laser as an adjunct to conventional scaling in the nonsurgical treatment of peri-implantitis was investigated.<h4>Background data</h4>Eradication of pathogenic bacteria and infected sulcular epithelium presents a significant challenge in the nonsurgical treatment of peri-implantitis.<h4>Materials and methods</h4>Ten patients (mean age, 55.1 years; SD, 11.4) with 48 two piece, rough-surface im  ...[more]

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