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- Title
Erbium lasers in non-surgical periodontal therapy: an umbrella review and evidence gap map analysis.
- Authors
Lavu, Vamsi; Kumar, Divya; Krishnakumar, Dhanadivya; Maheshkumar, Aishwarya; Agarwal, Amit; Kirubakaran, Richard; Muthu, MS
- Abstract
The literature on the efficacy of erbium lasers for nonsurgical periodontal therapy is inconsistent. The objective of the umbrella review was to collate the information available in the systematic reviews to provide a comprehensive synthesis of clinical and patient reported outcomes following the use of erbium lasers for non-surgical periodontal therapy. An electronic database search was carried out, and systematic reviews/meta-analyses which assessed the efficacy of erbium lasers as monotherapy or as an adjunct to scaling and root planing were included. The methodological quality and reporting quality of the included studies were assessed. 15 Systematic reviews/meta-analyses were obtained after title, abstract, and full text search. The meta-analyses data revealed a clinical attachment level gain, reduction in probing pocket depth at 1 and 3-month follow-up, and no additional benefit at ≥ 6-month follow-up in the erbium laser group. The evidence gap map revealed lack of clinical outcome data at > 6-month follow-up and dearth in studies assessing patient reported outcome measures and adverse events. Erbium lasers may provide short-term clinical benefits, and further studies with standardized laser parameters evaluating long-term follow-up, patient-reported outcome measures, and adverse events are needed.
- Subjects
PERIODONTAL probe; YAG lasers; PATIENT reported outcome measures; ERBIUM; KEYWORD searching; LASERS
- Publication
Lasers in Medical Science, 2022, Vol 37, Issue 1, p103
- ISSN
0268-8921
- Publication type
Article
- DOI
10.1007/s10103-022-03504-4