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Comparison of Er,Cr:YSGG laser to minimally invasive surgical technique in the treatment of intrabony defects: Six-month results of a multicenter, randomized, controlled study.
J Periodontol. 2020 Jul 02 [Online ahead of print]JP

Abstract

BACKGROUND

The purpose of this publication is to report on the six-month clinical results and patient-reported outcomes (PROs) comparing the surgical use of the erbium, chromium-doped:yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) laser (ERL) and minimally invasive surgical technique (MIST) for the treatment of intrabony defects in subjects with generalized periodontitis stage III, grade B.

METHODS

Fifty-three adults (29 females and 24 males; aged 19 to 73 years) with 79 intrabony defects were randomized following scaling and root planing (SRP) to receive ERL monotherapy (n = 27) or MIST (n = 26). Recession, probing depth (PD), clinical attachment level (CAL), treatment time, and PROs were assessed and compared for each treatment group. Clinical measurements were recorded at baseline, 4 to 6 weeks following SRP, and 6 months following surgical therapy.

RESULTS

The following primary and secondary outcome variables were non-inferior with the following margins: CAL with a non-inferiority margin of 0.6 mm (P = 0.05), PD with a non-inferiority margin of 0.5 mm (P = 0.05). Recession with a non-inferiority margin of 0.4 mm (P = 0.05). Faster procedure times were found for ERL (16.39 ± 6.21 minutes) versus MIST (20.17 ± 5.62 minutes), P = 0.0002. In the first 2 to 3 days of post-therapeutic diary outcomes, subjects reported less bruising, facial swelling, and use of ice pack for the ERL group.

CONCLUSIONS

This is the first multicenter, randomized, masked, and controlled study demonstrating the ERL is not inferior to MIST in terms of clinical outcomes but is superior in PROs for the surgical treatment of intrabony defects.

Authors+Show Affiliations

Fullerton, CA. A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX.A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX. Victoria, TX.A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX. Houston, TX.A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX. Houston, TX.A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX. Department of Periodontics, Virginia Commonwealth School of Dentistry, Richmond, VA.A McGuire Institute Study, Private Practice-Based Clinical Research Network, Houston, TX. New London, CT. Department of Periodontics, University of Connecticut School of Dental Medicine, Farmington, CT.Westerly, RI.Department of Periodontics, Virginia Commonwealth School of Dentistry, Richmond, VA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32613664

Citation

Clem, Donald, et al. "Comparison of Er,Cr:YSGG Laser to Minimally Invasive Surgical Technique in the Treatment of Intrabony Defects: Six-month Results of a Multicenter, Randomized, Controlled Study." Journal of Periodontology, 2020.
Clem D, Heard R, McGuire M, et al. Comparison of Er,Cr:YSGG laser to minimally invasive surgical technique in the treatment of intrabony defects: Six-month results of a multicenter, randomized, controlled study. J Periodontol. 2020.
Clem, D., Heard, R., McGuire, M., Scheyer, E. T., Richardson, C., Toback, G., Gwaltney, C., & Gunsolley, J. C. (2020). Comparison of Er,Cr:YSGG laser to minimally invasive surgical technique in the treatment of intrabony defects: Six-month results of a multicenter, randomized, controlled study. Journal of Periodontology. https://doi.org/10.1002/JPER.20-0028
Clem D, et al. Comparison of Er,Cr:YSGG Laser to Minimally Invasive Surgical Technique in the Treatment of Intrabony Defects: Six-month Results of a Multicenter, Randomized, Controlled Study. J Periodontol. 2020 Jul 2; PubMed PMID: 32613664.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of Er,Cr:YSGG laser to minimally invasive surgical technique in the treatment of intrabony defects: Six-month results of a multicenter, randomized, controlled study. AU - Clem,Donald, AU - Heard,Rick, AU - McGuire,Michael, AU - Scheyer,E Todd, AU - Richardson,Chris, AU - Toback,Gregory, AU - Gwaltney,Chad, AU - Gunsolley,John C, Y1 - 2020/07/02/ PY - 2020/01/14/received PY - 2020/03/22/revised PY - 2020/03/26/accepted PY - 2020/7/3/pubmed PY - 2020/7/3/medline PY - 2020/7/3/entrez KW - lasers KW - oral surgical procedures KW - periodontics KW - periodontitis JF - Journal of periodontology JO - J. Periodontol. N2 - BACKGROUND: The purpose of this publication is to report on the six-month clinical results and patient-reported outcomes (PROs) comparing the surgical use of the erbium, chromium-doped:yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) laser (ERL) and minimally invasive surgical technique (MIST) for the treatment of intrabony defects in subjects with generalized periodontitis stage III, grade B. METHODS: Fifty-three adults (29 females and 24 males; aged 19 to 73 years) with 79 intrabony defects were randomized following scaling and root planing (SRP) to receive ERL monotherapy (n = 27) or MIST (n = 26). Recession, probing depth (PD), clinical attachment level (CAL), treatment time, and PROs were assessed and compared for each treatment group. Clinical measurements were recorded at baseline, 4 to 6 weeks following SRP, and 6 months following surgical therapy. RESULTS: The following primary and secondary outcome variables were non-inferior with the following margins: CAL with a non-inferiority margin of 0.6 mm (P = 0.05), PD with a non-inferiority margin of 0.5 mm (P = 0.05). Recession with a non-inferiority margin of 0.4 mm (P = 0.05). Faster procedure times were found for ERL (16.39 ± 6.21 minutes) versus MIST (20.17 ± 5.62 minutes), P = 0.0002. In the first 2 to 3 days of post-therapeutic diary outcomes, subjects reported less bruising, facial swelling, and use of ice pack for the ERL group. CONCLUSIONS: This is the first multicenter, randomized, masked, and controlled study demonstrating the ERL is not inferior to MIST in terms of clinical outcomes but is superior in PROs for the surgical treatment of intrabony defects. SN - 1943-3670 UR - https://www.unboundmedicine.com/medline/citation/32613664/A_comparison_of_Er,Cr:YSGG_laser_to_minimally_invasive_surgical_technique_in_the_treatment_of_intrabony_defects:_six-month_results_of_a_multicenter,_randomized,_controlled_study L2 - https://doi.org/10.1002/JPER.20-0028 DB - PRIME DP - Unbound Medicine ER -
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