Effect of Er: YAG laser therapy in non-surgical periodontal treatment: an umbrella review.

IF 2.6 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE BMC Oral Health Pub Date : 2024-11-06 DOI:10.1186/s12903-024-05120-w

Khalid Gufran, Abdullah Saad Alqahtani, Mohammed Alasqah, Abdulaziz Alsakr, Hassan Alkharaan, Hanadi Ghurmallah Alzahrani, Abdullah Almutairi

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Abstract

Aim: The current umbrella review aimed to summarize the effect of erbium-doped yttrium aluminum garnet (Er: YAG) laser adjunct with the conventional non-surgical periodontal treatment which was evidenced from available systematic reviews.

Methods: An extensive literature search was piloted by two independent reviewers in the PubMed, Scopus, Science Direct, and Google Scholar databases. The search was limited to the English language from 2011 to 2023 years. The methodological quality of systematic reviews 2 (AMSTAR 2) guideline was followed to evaluate the risk of bias for the selected studies. Cohen's kappa statistic was implemented to evaluate the level of agreement to assess the risk of bias in the selected studies.

Results: A total of 472 studies were initially identified. After removing the duplicates and screening, a total of four studies were selected for the current overview. Based on the quality assessment tool, each study scored as high, moderate, low, and critically low-quality study following AMSTAR 2 tool. Inter-rater reliability by Cohen's Kappa statistics showed near-perfect agreement (0.95) between the two reviewers.

Conclusion: Even though weak evidence of effectiveness was observed for Er: YAG laser application in non-surgical periodontal treatment, the clinical benefits are still lacking.

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Er: YAG 激光疗法在非手术牙周治疗中的效果：综述。

目的：本综述旨在总结掺铒钇铝石榴石（Er：YAG）激光辅助传统非手术牙周治疗的效果，这些效果已从现有的系统综述中得到证实：方法：两位独立审稿人在 PubMed、Scopus、Science Direct 和 Google Scholar 数据库中进行了广泛的文献检索。搜索仅限于 2011 年至 2023 年的英文文献。在对所选研究进行偏倚风险评估时，遵循了系统综述方法质量 2 (AMSTAR 2) 指南。采用 Cohen's kappa 统计法来评估所选研究的偏倚风险：最初共确定了 472 项研究。结果：最初共确定了 472 项研究，在去除重复研究并进行筛选后，本综述共选取了 4 项研究。根据质量评估工具，每项研究按照 AMSTAR 2 工具分为高质量、中等质量、低质量和极低质量研究。根据科恩卡帕（Cohen's Kappa）统计，两位评审员之间的评分可靠性接近完美一致（0.95）：结论：尽管在非手术牙周治疗中应用 Er: YAG 激光的有效性证据不足，但仍缺乏临床效益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Oral Health DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.90

自引率

6.90%

发文量

481

审稿时长

6-12 weeks

期刊介绍： BMC Oral Health is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of disorders of the mouth, teeth and gums, as well as related molecular genetics, pathophysiology, and epidemiology.