Department of Periodontology, University of Florence, Firenze, Italy.
J Clin Periodontol. 2010 Jun;37(6):526-33. doi: 10.1111/j.1600-051X.2010.01560.x.
This split-mouth, randomized, clinical trial aimed to evaluate the efficacy of erbium-doped:yttrium-aluminium-garnet (Er:YAG) laser application in non-surgical periodontal treatment.
A total of 27 patients underwent four modalities of non-surgical therapy: supragingival debridement; scaling and root planing (SRP)+Er:YAG laser; Er:YAG laser; and SRP. Each strategy was randomly assigned and performed in one of the four quadrants. Clinical outcomes were evaluated at 3 and 6 months. Subjective benefits of patients have been evaluated by means of questionnaires.
Six months after therapy, Er:YAG laser showed no statistical difference in clinical attachment gain with respect to supragingival scaling [0.15 mm (95% CI -0.16; 0.46)], while SRP showed a greater attachment gain than the supragingival scaling [0.37 mm (95% CI 0.05; 0.68)]. No difference resulted between Er:YAG laser+SRP and SRP alone [0.05 mm (95% CI -0.25; 0.36)].
The adjunctive use of Er:YAG laser to conventional SRP did not reveal a more effective result than SRP alone. Furthermore, the sites treated with Er:YAG laser showed similar results of the sites treated with supragingival scaling.
本分组、随机、临床试验旨在评估掺铒钇铝石榴石(Er:YAG)激光在非手术牙周治疗中的疗效。
共 27 名患者接受了 4 种非手术治疗方法:龈上洁治;龈下刮治和根面平整术(SRP)+Er:YAG 激光;Er:YAG 激光;和 SRP。每种策略均随机分配并在四个象限中的一个象限中进行。在 3 个月和 6 个月时评估临床结果。通过问卷调查评估患者的主观获益。
治疗后 6 个月,与龈上洁治相比,Er:YAG 激光在临床附着体增益方面无统计学差异[0.15 毫米(95%置信区间-0.16;0.46)],而 SRP 的附着体增益大于龈上洁治[0.37 毫米(95%置信区间 0.05;0.68)]。Er:YAG 激光+SRP 与单独 SRP 之间无差异[0.05 毫米(95%置信区间-0.25;0.36)]。
与单独的 SRP 相比,将 Er:YAG 激光辅助常规 SRP 并未显示出更有效的结果。此外,用 Er:YAG 激光治疗的部位与用龈上洁治治疗的部位结果相似。