Abstract
Background: The aim of this systematic review is to compare the effectiveness of lasers in the treatment of implant mucositis and peri-implantitis compared to conventional treatment (non-surgical or surgical: resective or regenerative). Methods: Sources of PubMed, Cochrane and Google Scholar search engines were used on articles published from 1997 to 2020 in English, with selected keyword criteria applied. Nine randomized controlled trials (RCTs) were selected. Results: All included studies were considered of “high quality” according to the quality assessment scale. The comparative assessment of the RCTs was done twice for each RCT based on the type of treatment and according to wavelength. There is strong scientific evidence that, regarding non-surgical treatment, adjunct laser application can provide better results only in the short term (three months). Regarding the surgical approach, the method of decontamination plays a subordinate role. All wavelengths/applications presented similar results. Conclusion: Within the limitations of this study, the adjunctive use of lasers in the treatment of peri-implant inflammation is effective for up to three months; there is no strong evidence regarding the long term benefit compared to conventional treatment.
Highlights
The aim of this systematic review is to compare the effectiveness of the adjunctive use of lasers for the treatment of peri-implant mucositis or peri-implantitis compared to the conventional treatment
The following terms were used as keywords: (Laser or diode or Nd: YAG or Er: YAG or Er, Cr: YSGG or CO2 or photodynamic therapy or photo-bio-modulation) and
An initial search without grouping of key words yielded a total of 2573 items, but with keyword grouping this was reduced to 326 and this number was further filtered
Summary
The aim of this systematic review is to compare the effectiveness of the adjunctive use of lasers for the treatment of peri-implant mucositis or peri-implantitis compared to the conventional treatment (non-surgical or surgical: resective or regenerative). The aim of this systematic review is to compare the effectiveness of lasers in the treatment of implant mucositis and peri-implantitis compared to conventional treatment (non-surgical or surgical: resective or regenerative). There is strong scientific evidence that, regarding non-surgical treatment, adjunct laser application can provide better results only in the short term (three months). Conclusion: Within the limitations of this study, the adjunctive use of lasers in the treatment of peri-implant inflammation is effective for up to three months; there is no strong evidence regarding the long term benefit compared to conventional treatment
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