MODERN APPROACHES TO EARLY DETECTION AND TREATMENT OF PERI-IMPLANTITIS: THE ROLE OF LASER THERAPY
Keywords:
Peri-implantitis, Diode laser, dental implants, mechanical debridement, Namangan, oral health, biofilm.Abstract
Peri-implantitis is a pathological condition occurring in tissues around dental implants, characterized by inflammation of the peri-implant connective tissue and progressive loss of supporting bone. With the increasing number of dental implants placed globally, the management of biological complications has become a critical challenge. Objective: The aim of this study was to evaluate the clinical efficacy of diode laser therapy as an adjunctive treatment to mechanical debridement in the management of peri-implantitis compared to conventional mechanical therapy alone. Methods: A randomized controlled clinical trial was conducted at the Namangan Regional Dental Polyclinic, involving 35 patients diagnosed with peri-implantitis. Participants were randomly assigned to two groups: the Control Group (n=17) received mechanical debridement (MD) with chlorhexidine irrigation, and the Test Group (n=18) received MD followed by diode laser irradiation (980 nm). Clinical parameters, including Probing Pocket Depth (PPD), Bleeding on Probing (BOP), and Plaque Index (PI), were assessed at baseline, 1 month, and 3 months. Results: Both groups exhibited improvements in clinical parameters. However, the Test Group showed a significantly greater reduction in PPD (from 5.8±0.4 mm to 3.2±0.3 mm) compared to the Control Group (from 5.9±0.5 mm to 4.6±0.4 mm) at the 3-month follow-up (p<0.05). The resolution of inflammation, indicated by BOP scores, was also superior in the laser-treated group. Conclusion: The adjunctive use of diode laser therapy significantly enhances the outcomes of non-surgical treatment for peri-implantitis by effectively reducing pocket depth and inflammation.
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