背景:种植体周围炎是一种引起植入物周围组织炎症的感染性疾病。本文献系统综述的目的是评估激光在非手术治疗种植体周围炎的效果,以评估其与常规治疗相比的益处。
方法:评论方案已在PROSPERO国际预期注册处注册。研究策略是根据PRISMA指南进行的。纳入标准为:体内研究,用英语写的,临床参数的测量,最低随访时间为6个月,非手术对照组,关于光动力疗法的研究,随机临床试验,和临床试验。电子(在Pubmed上,科克伦,LILACS和EPC数据库)和手动搜索(在文章参考中)一直进行到2021年7月。借助CochraneCollaboration的工具,评估了每个参考的偏倚风险。
结果:共有12项随机临床试验,有大量的证据,在本系统综述中进行了选择和调查。表格总结了从这些文章中提取的数据。看来,通过使用激光,参数得到了有利的改善,但没有任何显著差异。
结论:根据研究分析,我们的结果表明,在非手术治疗种植体周围炎的临床参数方面,具有特定特征的激光治疗可以在短期和中期内对伤口愈合产生有益的治疗效果.关于其长期有用性,这还没有得到证实。然而,其益处仍然有限,因为结果一致认为激光的效果与使用常规疗法获得的效果相似。
BACKGROUND: Peri-implantitis is an infectious disease that causes inflammation of the tissue surrounding an implant. The aim of this systematic
review of the literature is to assess the effect of the use of lasers in the nonsurgical treatment of peri-implantitis in order to estimate its benefits compared to conventional therapies.
METHODS: the
review\'s protocol has been registered on PROSPERO international prospective register. The research strategy was performed according to the PRISMA guidelines. The inclusion criteria were: in vivo studies, written in English, measurements of clinical parameters, minimum follow-up at 6 months and with nonsurgical control group, studies about photodynamic therapy, randomized clinical trial, and clinical trial. Electronic (on Pubmed, Cochrane, LILACS and EPC databases) and manual searches (in articles\' referencies) were conducted until July 2021. Risk of bias was assessed for each reference thanks to the Cochrane Collaboration\'s tool.
RESULTS: A total of 12 randomized clinical trials, with a high level of evidence, were selected and investigated in this systematic
review. A table summarizes data extracted from these articles. It appears that the parameters improve favorably by using lasers, but without any significant difference.
CONCLUSIONS: in accordance with the analysis of studies, our results show that laser therapy with specific characteristics allows to obtain beneficial therapeutic effects on wound healing in the short and the medium-term concerning the clinical parameters in the nonsurgical treatment of peri-implantitis. Concerning its long-term usefulness, it has yet to be confirmed. However, its benefits remains limited since the results agree that the effects of the laser are similar to those obtained by using conventional therapy.