Comparison of Er,Cr:YSGG laser to minimally invasive surgical technique in the treatment of intrabony defects: Six-month results of a multicenter, randomized, controlled study.

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Tytuł:: Comparison of Er,Cr:YSGG laser to minimally invasive surgical technique in the treatment of intrabony defects: Six-month results of a multicenter, randomized, controlled study.
Autorzy:: Clem D; Private practice, Fullerton, CA.; A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX.
Heard R; A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX.; Private practice, Victoria, TX.
McGuire M; A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX.; Private practice, Houston, TX.
Scheyer ET; A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX.; Private practice, Houston, TX.
Richardson C; A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX.; Department of Periodontics, Virginia Commonwealth School of Dentistry, Richmond, VA.
Toback G; A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX.; Private practice, New London, CT.; Department of Periodontics, University of Connecticut School of Dental Medicine, Farmington, CT.
Gwaltney C; Private practice, Westerly, RI.
Gunsolley JC; Department of Periodontics, Virginia Commonwealth School of Dentistry, Richmond, VA.
Źródło:: Journal of periodontology [J Periodontol] 2021 Apr; Vol. 92 (4), pp. 496-506. Date of Electronic Publication: 2020 Jul 30.
Typ publikacji:: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: [Chicago] American Academy of Periodontology.
MeSH Terms:: Laser Therapy*
Lasers, Solid-State*/therapeutic use
Adult ; Aged ; Dental Scaling ; Female ; Humans ; Male ; Middle Aged ; Root Planing ; Treatment Outcome ; Young Adult
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Contributed Indexing:: Keywords: lasers; oral surgical procedures; periodontics; periodontitis
Entry Date(s):: Date Created: 20200703 Date Completed: 20210419 Latest Revision: 20210419
Update Code:: 20240105
DOI:: 10.1002/JPER.20-0028
PMID:: 32613664
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Background: The purpose of this publication is to report on the six-month clinical results and patient-reported outcomes (PROs) comparing the surgical use of the erbium, chromium-doped: yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) laser (ERL) and minimally invasive surgical technique (MIST) for the treatment of intrabony defects in subjects with generalized periodontitis stage III, grade B.
Methods: Fifty-three adults (29 females and 24 males; aged 19 to 73 years) with 79 intrabony defects were randomized following scaling and root planing (SRP) to receive ERL monotherapy (n = 27) or MIST (n = 26). Recession, probing depth (PD), clinical attachment level (CAL), treatment time, and PROs were assessed and compared for each treatment group. Clinical measurements were recorded at baseline, 4 to 6 weeks following SRP, and 6 months following surgical therapy.
Results: The following primary and secondary outcome variables were non-inferior with the following margins: CAL with a non-inferiority margin of 0.6 mm (p = 0.05), PD with a non-inferiority margin of 0.5 mm (p = 0.05). Recession with a non-inferiority margin of 0.4 mm (p = 0.05). Faster procedure times were found for ERL (16.39 ± 6.21 minutes) versus MIST (20.17 ± 5.62 minutes), p = 0.0002. In the first 2 to 3 days of post-therapeutic diary outcomes, subjects reported less bruising, facial swelling, and use of ice pack for the ERL group.
Conclusions: This is the first multicenter, randomized, masked, and controlled study demonstrating the ERL is not inferior to MIST in terms of clinical outcomes but is superior in PROs for the surgical treatment of intrabony defects.
(© 2020 American Academy of Periodontology.)

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