Sánchez-Martos Rebeca, Kronkah Naomi-Abawa, Arias-Herrera Santiago
Universidad Europea de Valencia. Faculty of Health Sciences. Department of Dentistry.
J Clin Exp Dent. 2023 Sep 1;15(9):e760-e772. doi: 10.4317/jced.60711. eCollection 2023 Sep.
To determine whether photodynamic laser therapy or photothermal laser therapy demonstrates greater improvements in the clinical signs of peri-implant mucositis as an adjuvant to mechanical debridement.
Electronic databases were used to select articles on February 10th, 2022. The clinical outcomes analysed were the plaque index (PI), probing depth (PD) and bleeding of probing index (BoP). The following PICO question was formulated: Among patients with peri-implant mucositis, does photothermal laser therapy (PT) demonstrate greater improvement in clinical inflammatory signs in comparison to antimicrobial photodynamic therapy (aPDT) as an adjuvant to conventional therapy?
Seven randomized controlled trials (RCTs) were included in the systematic review. The clinical parameters were compared amongst all studies at baseline and 3-month follow-up appointment. aPDT reduced both PI and PD great than PT. PT showed greater reductions in BoP.
Conclusions are difficult to generalize due to the heterogeneity in the methodology of the included studies. However, this systematic review suggests that aPDT alongside mechanical debridement demonstrated greater improvements in the PI and PD. Other factors besides the laser therapy itself may account for these findings. As for BoP index, PT demonstrated greater improvements due to its photo-biomodulating effects. Clinical Relevance: In patients with peri-implant mucositis, the combination of photothermal diode laser therapy and mechanical debridement entails promising results in treating and preventing the progression of the pathology. Peri-implant mucositis, Photothermal diode laser therapy, Photodynamic diode laser therapy, Bleeding on probing.
确定光动力激光疗法或光热激光疗法作为机械清创辅助手段，在种植体周围黏膜炎临床症状改善方面是否表现更佳。
于2022年2月10日使用电子数据库筛选文章。分析的临床结局包括菌斑指数（PI）、探诊深度（PD）和探诊出血指数（BoP）。提出以下PICO问题：在种植体周围黏膜炎患者中，作为传统治疗辅助手段，光热激光疗法（PT）与抗菌光动力疗法（aPDT）相比，在临床炎症体征改善方面是否表现更佳？
系统评价纳入了7项随机对照试验（RCT）。在所有研究中对基线和3个月随访时的临床参数进行了比较。aPDT降低PI和PD的效果均优于PT。PT在降低BoP方面效果更佳。
由于纳入研究方法的异质性，结论难以一概而论。然而，本系统评价表明，aPDT联合机械清创在PI和PD改善方面表现更佳。除激光疗法本身外的其他因素可能导致这些结果。至于BoP指数，PT因其光生物调节作用而表现出更大改善。临床意义：在种植体周围黏膜炎患者中，光热二极管激光疗法与机械清创相结合在治疗和预防病情进展方面取得了有前景的结果。种植体周围黏膜炎、光热二极管激光疗法、光动力二极管激光疗法、探诊出血
