期刊
PHOTODIAGNOSIS AND PHOTODYNAMIC THERAPY
卷 21, 期 -, 页码 147-152出版社
ELSEVIER
DOI: 10.1016/j.pdpdt.2017.11.011
关键词
Laser; Photodynamic therapy; Peri-implant mucositis; Systematic review
类别
资金
- Deanship of Scientific Research at King Saud University [RG-1438-075]
Background: The present study systematically reviewed the literature to investigate the effect of photodynamic therapy (PDT) or laser therapy (LT) in the management of peri-implant mucositis (p-iM). Methods: The electronic databases were searched until October 2017. Outcome measures were bleeding on probing (BOP), plaque index (PI), or probing depth (PD). The addressed PICO question was: Is PDT and LT effective in the management of p-iM? Results: A total of five studies included in the qualitative analysis, two of which had a low risk of bias. Three studies used PDT while two studies used LT. All studies reported a significant improvement in clinical periimplant inflammatory parameters in p-iM. For PDT, one study demonstrated a significant reduction for PDT group as compared to manual debridement (MD), while one study indicated comparable outcomes when tested with probiotics at follow-up. One study used PDT alone and indicated significant improvements in peri-implant parameters at follow-up. However, in the studies using LT, one study demonstrated a significant improvement in peri-implant parameters as compared to scaling and root planing alone, while other study indicated comparable outcomes when compared with manual debridement/chlorhexidine group at follow-up. Conclusion This systematic review demonstrated inconclusive findings to show the effect of PDT or LT in the management of p-iM due to methodological heterogeneity such as non-standard control groups, laser parameters and short follow-up period. The results of this review should be considered preliminary and further, more robust, well -designed studies with long-term follow up and standardized comparators with laser parameters are warranted.
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