Microbiological Effects of Laser-Assisted Non-Surgical Treatment of Peri-Implantitis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
This systematic review evaluates microbiological outcomes of laser-assisted treatments for peri-implantitis, suggesting implications for personalized dental care.
Key Points
The central aim is to assess the microbiological effects of laser-assisted non-surgical treatments for peri-implantitis compared to mechanical debridement.
Followed PRISMA guidelines and registered in PROSPERO.
Identified randomized controlled trials focusing on microbiological changes associated with laser treatments.
Used diode, Er: YAG, and photodynamic therapy lasers in various treatment regimens.
Outcomes focused on bacterial counts and risk of bias assessed with RoB2 tool.
Quantitative synthesis performed with random-effects meta-analysis.
Included eight RCTs with 266 patients and 335 implants.
No significant differences in bacterial counts between laser and control groups at 3 and 6 months.
PDT showed short-term reductions in specific bacteria for patients with diabetes or acute abscess.
Diode and Er: YAG lasers exhibited inconsistent results.
Quality of evidence rated as very low according to GRADE.