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  3. Efficacy of laser monotherapy or non-surgical mechanical instrumentation in the management of untreated periodontitis patients. A systematic review and meta-analysis.
 

Efficacy of laser monotherapy or non-surgical mechanical instrumentation in the management of untreated periodontitis patients. A systematic review and meta-analysis.

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BORIS DOI
10.7892/boris.148678
Date of Publication
February 2021
Publication Type
Article
Division/Institute

Zahnmedizinische Klin...

Author
Lin, Zhikai
Zahnmedizinische Kliniken, Klinik für Parodontologie
Strauss, Franz J.
Lang, Niklaus Peter
Zahnmedizinische Kliniken, Klinik für Parodontologie
Sculean, Anton
Zahnmedizinische Kliniken, Klinik für Parodontologie
Salvi, Giovanni Edoardo
Zahnmedizinische Kliniken, Klinik für Parodontologie
Stähli, Alexandra Beatrice
Zahnmedizinische Kliniken, Klinik für Parodontologie
Subject(s)

600 - Technology::610...

Series
Clinical oral investigations
ISSN or ISBN (if monograph)
1436-3771
Publisher
Springer
Language
English
Publisher DOI
10.1007/s00784-020-03584-y
PubMed ID
33170372
Uncontrolled Keywords

Laser Laser monothera...

Description
OBJECTIVE

To evaluate and compare the effects of laser monotherapy with non-surgical mechanical instrumentation alone in untreated periodontitis patients.

MATERIALS AND METHODS

A focused question was formulated based on the Population, Intervention, Comparison, Outcome, and Study design criteria (PICOS): in patients with untreated periodontitis, does laser mono-therapy provide adjunctive effects on pocket probing depth (PPD) changes compared with non-surgical instrumentation alone? Both randomized controlled clinical trials (RCTs) and controlled clinical trials (CCTs) were included. The results of the meta-analyses are expressed as weighted mean differences (WMD) and reported according to the PRISMA guidelines.

RESULTS

The search yielded 1268 records, out of which 8 articles could be included. With respect to PPD changes, a meta-analysis including 5 articles (n = 148) failed to identify statistically significant differences in favor of laser monotherapy for PPD change (WMD = 0.14 mm; 95% CI: - 0.04/0.32; z = 1.51; p = 0.132) nor for clinical attachment level (CAL) (WMD = 0.04 mm; 95% CI: - 0.35/0.42; z = 0.19; p = 0.850). Data on cost-effectiveness are lacking. One study reported patient-related outcome measures (PROMS).

CONCLUSIONS

In untreated periodontitis patients, laser monotherapy does not yield superior clinical benefits compared with non-surgical mechanical instrumentation alone.

CLINICAL RELEVANCE

In untreated periodontitis patients, mechanical instrumentation with hand and/or ultrasonic instruments remains the standard of care.
Handle
https://boris-portal.unibe.ch/handle/20.500.12422/55698
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Lin2020_Article_EfficacyOfLaserMonotherapyOrNo.pdftextAdobe PDF727.72 KBpublishedOpen
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