Effect of Different Laser Wavelengths on Periodontopathogens in Peri-Implantitis: A Review of In Vivo Studies
Abstract
:1. Introduction
2. Materials and Methods
2.1. Focused Question
2.2. Protocol
2.3. Eligibility Criteria
- Studies involving human subjects;
- Patients with peri-implantitis;
- Surgical or non-surgical use of dental lasers in the treatment of peri-implantitis;
- Evaluated changes in specified oral bacterial profiles before and after the laser treatment;
- Prospective case series;
- Non-randomized controlled clinical trials (NRS); and
- Randomized controlled clinical trials (RCT).
- Animal studies;
- In vitro studies;
- Review articles;
- No full-text accessible; or
- Duplicated publications.
2.4. Information Sources, Search Strategy, and Study Selection
2.5. Data Collection Process, Data Items
2.6. Risk of Bias in Individual Studies
2.7. Quality Assessment
2.8. Risk of Bias Across Studies
3. Results
3.1. Study Selection
3.2. General Characteristics of the Included Studies
3.3. Results of Individual Studies
3.4. Synthesis of Results
3.5. Risk of Bias Across Studies
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Focused Question | What is the Effect of Different Laser Wavelengths on Oral Bacteria that Cause Peri-Implantitis? |
---|---|
Search strategy | |
Population | Patients diagnosed with peri-implantitis |
Intervention or exposure | Surgical or non-surgical laser treatment |
Comparison | Changes in oral bacterial profiles before and after treatment |
Outcome | Changed oral bacterial profiles or the number of specified bacteria |
Search combination | (peri-implantitis OR periimplantitis) OR/AND (microbial OR microbiologic) AND (laser OR Er:YAG OR erbium OR diode OR Nd:YAG OR neodymium-doped OR Er,Cr:YSGG OR chromium-doped) |
Electronic database search | PubMed, Cochrane Central Register of Controlled Trials (CENTRAL) |
Selection criteria | |
Inclusion criteria |
|
Exclusion criteria |
|
Criteria | First Author | |||||
---|---|---|---|---|---|---|
Birang et al. [30] | Caccianiga et al. [31] | Persson et al. [32] | Arisan et al. [33] | Yoshino et al. [34] | Bassetti et al. [14] | |
Population representativeness in the treatment group (average of the population) | 1 | 1 | 1 | 1 | 0 | 1 |
Comparability of the baseline and the outcome parameters | 1 | 1 | 1 | 1 | 1 | 1 |
Accuracy of the microbial genome evaluation technique | 1 | 1 | 0 | 0 | 0 | 1 |
Randomization | 1 | 0 | 1 | 0 | 0 | 0 |
Adequate follow-up (for outcomes to occur) | 1 | 1 | 1 | 1 | 1 | 1 |
Acceptable follow-up loss (complete follow-up, subjects lost to follow-up unlikely to introduce bias) | 1 | 1 | 1 | 1 | 1 | 1 |
Total | 6 | 5 | 5 | 4 | 3 | 5 |
First Author | Year of Publication | Reason for Exclusion |
---|---|---|
Salaria et al. [35] | 2018 | No bacterial profile evaluated |
Karimi et al. [36] | 2016 | No bacterial profile evaluated |
Schwarz et al. [37] | 2011 | No bacterial profile evaluated |
Schwarz et al. [38] | 2017 | No bacterial profile evaluated |
Schwarz et al. [39] | 2015 | No bacterial profile evaluated |
Schwarz et al. [40] | 2004 | Systematic review |
Scarano et al. [41] | 2016 | An in vitro study |
Pommer et al. [42] | 2016 | No bacterial profile evaluated |
Norton [43] | 2017 | No bacterial profile evaluated |
Lerario et al. [44] | 2016 | No bacterial profile evaluated |
Hegazy et al. [45] | 2016 | No bacterial profile evaluated |
John et al. [46] | 2017 | No bacterial profile evaluated |
Valente et al. [47] | 2018 | No bacterial profile evaluated |
Romeo et al. [48] | 2016 | No bacterial profile evaluated |
Al Amri et al. [49] | 2016 | No bacterial profile evaluated |
Abduljabbar et al. [50] | 2017 | No bacterial profile evaluated |
Larsen et al. [51] | 2017 | An in vitro study |
Nicholson et al. [52] | 2017 | No bacterial profile evaluated |
Spadari et al. [53] | 2010 | No full-text accessible |
Bombeccari et al. [54] | 2013 | No bacterial profile evaluated |
Chambrone et al. [55] | 2018 | Systematic review |
Esposito et al. [56] | 2008 | Systematic review |
Ashnagar et al. [57] | 2014 | Systematic review |
Papadopoulos et al. [58] | 2015 | No bacterial profile evaluated |
Renvert et al. [59] | 2008 | Systematic review |
Renvert et al. [60] | 2011 | No bacterial profile evaluated |
Yan et al. [61] | 2015 | Systematic review |
Natto et al. [62] | 2015 | Systematic review |
Smeets et al. [63] | 2014 | Systematic review |
Kotsakis et al. [64] | 2014 | Systematic review |
Figuero et al. [65] | 2000 | Systematic review |
Suárez-López Del Amo et al. [66] | 2016 | Systematic review |
Alshehri et al. [67] | 2016 | Systematic review |
Ghanem et al. [68] | 2016 | Systematic review |
Mizutani et al. [69] | 2000 | Systematic review |
Mahato et al. [70] | 2016 | Systematic review |
Al Habashneh et al. [71] | 2015 | Systematic review |
Subramani et al. [72] | 2012 | Systematic review |
Rajesh et al. [73] | 2011 | Systematic review |
Gonçalves at al. [74] | 2010 | Systematic review |
Kotsovilis at al. [75] | 2008 | Systematic review |
First Author | Study Design (No. of Subjects) | Laser Type | Laser Parameters | Evaluated Bacteria |
---|---|---|---|---|
Birang et al. [30] | RCT | diode | 810 nm, 300 mW, 30 s per site, large-area handpiece (transgingival) or bulb fiber (intra-pocket) or bare fiber (granulation tissues), irradiation repeated after 2 weeks | Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Treponema denticola, Tannerella forsythia |
Caccianiga et al. [31] | prospective case series | diode (aPDT) | 2.5 W, 0.5 W (mean power), 10 kHz, T-on 20 us, T-off 80 us, 60 s per site, 400 micron fiber, periodontal and peri-implant pocket site, irradiation repeated after 15 days and then for the next 3 months every 20 days, 3% hydrogen peroxide | Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Treponema denticola, Tannerella forsythia, Fusobacterium nucleatum, Campylobacter rectus, Eikenella corrodens |
Persson et al. [32] | RCT | Er:YAG | 100 mJ/pulse, 10 Hz (12.7 J/cm), cone-shaped sapphire tip, parallel mode, pocket site | 74 specimens (Campylobacter showae, Capnocytophaga ochracea, P. melaninogenica, S. anaerobius, S. hae- molyticus, S.intermedius, and S. mutans) |
Arisan et al. [33] | RCT | diode | 810 nm (energy density, 3 J/cm2; power density, 400 mW/cm2; energy 1.5 J; spot diameter, 1 mm), 60 s per site, pulsed mode, power level of 1 W, 400 um optical fiber tip, peri-implant pocket area | 20 specimen (Tannerella forsythia, Treponema denticola, Porphyromonas gingivalis, Campylobacter rectus, Prevotella intermedia, Peptostreptococcus micros, Fusobacterium nucleatum, Eubacterium nodatum, Streptococcus constellatus group, Campylobacter gracilis, Prevotella nigrescens) |
Yoshino et al. [34] | prospective case series | Er:YAG | 150 mJ (10 ps), 40 mJ (10 pps), 70 mJ (25 pps), straight tip (bone area), side tip (implant area), straight-and-side (gingival sulcus area) | Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Treponema denticola, Tannerella forsythia |
Bassetti et al. [14] | RCT | diode (aPDT) | 660 nm, 100 mW, 10 s per site, peri-implant pocket area, irradiation repeated after 1 week toluidine blue O dye (TBO) | Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Treponema denticola, Tannerella forsythia, Fusobacterium nucleatum, Campylobacter rectus, Capnocytophaga gingivalis, Parvimonas micra, Eubacterium nodatum, Eikenella corrodens |
Dörtbudak et al. [76] | prospective case series | diode (aPDT) | 690 nm, 60 s per site, implant and per-implant pocket site TBO | Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia |
First author | Subject Groups | Microbial Genome Evaluation | Follow-Up |
---|---|---|---|
Birang et al. [30] | Control (mechanical debridement + diode laser), test (mechanical debridement + diode laser EmunDo) | real-time polymerase chain reaction (RT-PCR) technique | 3 months |
Caccianiga et al. [31] | Only one group (aPDT Oxylaser) | real-time polymerase chain reaction (RT-PCR) technique | 6 months |
Persson et al. [32] | Test 1 (Er:YAG laser), test 2 (air-abrasive device) | DNA–DNA hybridization method | 6 months |
Arisan et al. [33] | Control (mechanical debridement), test (mechanical debridement + diode laser) | polymerase chain reaction (PCR) technique | 6 months |
Yoshino et al. [34] | Only one group (Er:YAG laser) | polymerase chain reaction (PCR) technique | 2 years |
Bassetti et al. [14] | Control (mechanical debridement), test (mechanical debridement + aPDT) | real-time polymerase chain reaction (RT-PCR) technique | 12 months |
Dörtbudak et al. [76] | Control (no treatment), test 1 (dye), test 2 (dye + laser—aPDT) | gram staining, colony morphology, positive catalase reaction, BANA, hydrolytic activity, a-glucosidase activity, ß-galactosidase, esculin hydrolysis and indole test | Right after the therapy |
Periodontal Pathogens | Follow-Up | First Author | ||||||
---|---|---|---|---|---|---|---|---|
Birang et al. [30] | Caccianiga et al. [31] | Persson et al. [32] | Arisan et al. [33] | Yoshino et al. [34] | Bassetti et al. [14] | Dörtbudak et al. [76] | ||
Aggregatibacter actinomycetemcomitans | Right after the therapy | ne | ne | ne | ne | ne | ne | L * |
1 month | ne | ne | H | L | ne | ne | ne | |
3 months | L * | ne | H | ne | ne | L * | ne | |
6 months | ne | L * | H | ne | ne | L * | ne | |
1 year | ne | ne | ne | ne | ne | L * | ne | |
2 years | ne | ne | ne | ne | L | ne | ne | |
Porphyromonas gingivalis | Right after the therapy | ne | ne | ne | ne | ne | ne | L * |
1 month | ne | ne | H | L | ne | ne | ne | |
3 months | L * | ne | H | ne | ne | L * | ne | |
6 months | ne | L * | H | ne | ne | L * | ne | |
1 year | ne | ne | ne | ne | ne | L * | ne | |
2 years | ne | ne | ne | ne | L | ne | ne | |
Prevotella intermedia | Right after the therapy | ne | ne | ne | ne | ne | ne | L * |
1 month | ne | ne | H | 0 | ne | ne | ne | |
3 months | L | ne | H | ne | ne | L * | ne | |
6 months | ne | L * | H | ne | ne | L * | ne | |
1 year | ne | ne | ne | ne | ne | L * | ne | |
2 years | ne | ne | ne | ne | L | ne | ne | |
Treponema denticola | Right after the therapy | ne | ne | ne | ne | ne | ne | ne |
1 month | ne | ne | H | L | ne | ne | ne | |
3 months | L | ne | H | ne | ne | L * | ne | |
6 months | ne | L * | H | ne | ne | L * | ne | |
1 year | ne | ne | ne | ne | ne | L * | ne | |
2 years | ne | ne | ne | ne | L | ne | ne | |
Tannerella forsythia | Right after the therapy | ne | ne | ne | ne | ne | ne | ne |
1 month | ne | ne | H | L | ne | ne | ne | |
3 months | L * | ne | H | ne | ne | L * | ne | |
6 months | ne | L * | H | ne | ne | L * | ne | |
1 year | ne | ne | ne | ne | ne | L * | ne | |
2 years | ne | ne | ne | ne | L | ne | ne | |
Fusobacterium nucleatum | Right after the therapy | ne | ne | ne | ne | ne | ne | ne |
1 month | ne | ne | L * | 0 | ne | ne | ne | |
3 months | ne | ne | H | ne | ne | L * | ne | |
6 months | ne | L * | H | ne | ne | L * | ne | |
1 year | ne | ne | ne | ne | ne | L * | ne | |
2 years | ne | ne | ne | ne | ne | ne | ne | |
Campylobacter rectus | Right after the therapy | ne | ne | ne | ne | ne | ne | ne |
1 month | ne | ne | H | L | ne | ne | ne | |
3 months | ne | ne | H | ne | ne | L * | ne | |
6 months | ne | L * | H | ne | ne | L | ne | |
1 year | ne | ne | ne | ne | ne | L | ne | |
2 years | ne | ne | ne | ne | ne | ne | ne | |
Eikenella corrodens | Right after the therapy | ne | ne | ne | ne | ne | ne | ne |
1 month | ne | ne | H | L | ne | ne | ne | |
3 months | ne | ne | H | ne | ne | L * | ne | |
6 months | ne | H | H | ne | ne | L | ne | |
1 year | ne | ne | ne | ne | ne | L | ne | |
2 years | ne | ne | ne | ne | ne | ne | ne |
First Author | Randomization | Blinding Examiner | Blinding Patients | Statistical Methods |
---|---|---|---|---|
Birang et al. [30] | Program software | yes | yes | SPSS 20, Kruskal–Wallis test, Friedman’s and Wilcoxon tests, Wilcoxon test |
Caccianiga et al. [31] | ||||
Persson et al. [32] | Program software | yes | yes | Kruskal–Wallis test, Mann–Whitney U tests, Wilcoxon test, Spearman rank correlation, x2 analysis |
Arisan et al. [33] | Not described | Not described | Not described | D’Agastino Pearson Omnibus Normality test, Sidak’s test, Fisher’s exact test, McNemar Test |
Yoshino et al. [34] | ||||
Bassetti et al. [14] | Not described | yes | Not described | SD, Student‘s t-test, Wilcoxon test, Chi-square test, Mann–Whitney U-test, Fisher’s exact test |
Dörtbudak et al. [76] | Tukey Student test |
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Świder, K.; Dominiak, M.; Grzech-Leśniak, K.; Matys, J. Effect of Different Laser Wavelengths on Periodontopathogens in Peri-Implantitis: A Review of In Vivo Studies. Microorganisms 2019, 7, 189. https://doi.org/10.3390/microorganisms7070189
Świder K, Dominiak M, Grzech-Leśniak K, Matys J. Effect of Different Laser Wavelengths on Periodontopathogens in Peri-Implantitis: A Review of In Vivo Studies. Microorganisms. 2019; 7(7):189. https://doi.org/10.3390/microorganisms7070189
Chicago/Turabian StyleŚwider, Katarzyna, Marzena Dominiak, Kinga Grzech-Leśniak, and Jacek Matys. 2019. "Effect of Different Laser Wavelengths on Periodontopathogens in Peri-Implantitis: A Review of In Vivo Studies" Microorganisms 7, no. 7: 189. https://doi.org/10.3390/microorganisms7070189