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A randomised clinical trial comparing a surgical approach for treatment of peri-implantitis to non-surgical debridement with adjunctive diode laser therapy

A Randomised Clinical Trial on Peri-Implantitis Treatment

Objective

The study aimed to compare the effectiveness of non-surgical treatment with diode laser therapy to surgical methods for managing peri-implantitis.

Materials and Methods

Forty patients with peri-implantitis were divided into two groups:

  • Test Group: Received mechanical cleaning and diode laser therapy on Days 0, 7, and 14.
  • Control Group: Received mechanical cleaning on Day 0 followed by surgery on Day 14.

Clinical evaluations were conducted at the start, and again at 3 and 12 months.

Results

Out of 40 patients, 36 completed the study (Test: 17, Control: 19). Key findings include:

  • In the Test Group, 23.5% experienced treatment failure, while the Control Group had a 100% success rate.
  • At the final evaluation, both groups showed similar disease resolution rates.
  • The Test Group reported less post-operative discomfort.
  • Surgical treatment resulted in significantly lower probing depths compared to laser therapy.

Conclusion

Surgical methods showed better outcomes for treating peri-implantitis than diode laser therapy. However, diode laser therapy may offer a less invasive option for less severe cases.

Value of Clinical Trials

Clinical trials are essential for developing effective treatments. The insights gained must be integrated into everyday healthcare practice.

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