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Lasers in Dental Science
Published in: Lasers in Dental Science 2/2019

01-06-2019 | Laser | Review Article

Effectiveness of periodontal treatment with Nd:YAG laser therapy adjunct to scaling and root planing: a systemic review and meta-analysis

Authors: Zaeem Arif Abbasi, Ayesha Tariq Niaz, Saima Akram Butt

Published in: Lasers in Dental Science | Issue 2/2019

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Abstract

Purpose

To determine if management with neodymium-doped yttrium aluminum garnet (Nd:YAG) laser therapy as an adjunct to scaling and root planing (SRP) yields a better periodontal outcome in terms of reduction in periodontal probing depth (PPD) and interleukin 1-beta (IL-1β) level, as compared to SRP alone for the treatment of periodontitis.

Methods

Searches were conducted on various online databases up to and including October 2018. Studies in which Nd:YAG laser therapy was used for the treatment of periodontitis were scrutinized procedurally, and studies fulfilling the inclusion criteria were retrieved and encompassed in the present study.

Result

Five studies were included in this analysis, which used the combined approach of Nd:YAG laser therapy + SRP (test group) and SRP only (control group). The follow-up period ranged from 8 to 12 weeks. The Nd:YAG laser used in all of the studies had wavelengths, energy/pulse, and duration of irradiation of 1064 nm, 75–100 mJ, and 60–120 s, respectively. Meta-analysis showed significant PPD reduction (Q value = 75.4, DF = 3, P value < 0.0001, I2 = 96.02%) and IL-1β reduction (Q value = 86.2, DF = 3, P value < 0.0001, I2 = 96.52%) for the test group as compared to the control group at follow-up.

Conclusion

It is still debatable and yet to be determined, whether Nd:YAG laser therapy + SRP yields better result when compared to SRP alone in reducing PPD and IL-1β level for treatment of periodontitis, given that there is lack of research related to it.
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Metadata
Title
Effectiveness of periodontal treatment with Nd:YAG laser therapy adjunct to scaling and root planing: a systemic review and meta-analysis
Authors
Zaeem Arif Abbasi
Ayesha Tariq Niaz
Saima Akram Butt
Publication date
01-06-2019
Publisher
Springer International Publishing
Published in
Lasers in Dental Science / Issue 2/2019
Electronic ISSN: 2367-2587
DOI
https://doi.org/10.1007/s41547-019-00064-9

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