Erbium lasers in non-surgical periodontal therapy: an umbrella review and evidence gap map analysis.

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Title: Erbium lasers in non-surgical periodontal therapy: an umbrella review and evidence gap map analysis.
Authors: Lavu, Vamsi1 (AUTHOR), Kumar, Divya1 (AUTHOR), Krishnakumar, Dhanadivya1 (AUTHOR), Maheshkumar, Aishwarya2 (AUTHOR), Agarwal, Amit3 (AUTHOR), Kirubakaran, Richard4 (AUTHOR), Muthu, MS5 (AUTHOR) muthumurugan@gmail.com
Source: Lasers in Medical Science. Feb2022, Vol. 37 Issue 1, p103-120. 18p.
Subjects: Periodontal probe, YAG lasers, Patient reported outcome measures, Erbium, Keyword searching, Lasers
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. [ABSTRACT FROM AUTHOR]
Copyright of Lasers in Medical Science is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Erbium lasers in non-surgical periodontal therapy: an umbrella review and evidence gap map analysis.
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  Data: <searchLink fieldCode="AR" term="%22Lavu%2C+Vamsi%22">Lavu, Vamsi</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kumar%2C+Divya%22">Kumar, Divya</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Krishnakumar%2C+Dhanadivya%22">Krishnakumar, Dhanadivya</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maheshkumar%2C+Aishwarya%22">Maheshkumar, Aishwarya</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Agarwal%2C+Amit%22">Agarwal, Amit</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kirubakaran%2C+Richard%22">Kirubakaran, Richard</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Muthu%2C+MS%22">Muthu, MS</searchLink><relatesTo>5</relatesTo> (AUTHOR)<i> muthumurugan@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Lasers+in+Medical+Science%22">Lasers in Medical Science</searchLink>. Feb2022, Vol. 37 Issue 1, p103-120. 18p.
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  Data: <searchLink fieldCode="DE" term="%22Periodontal+probe%22">Periodontal probe</searchLink><br /><searchLink fieldCode="DE" term="%22YAG+lasers%22">YAG lasers</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+reported+outcome+measures%22">Patient reported outcome measures</searchLink><br /><searchLink fieldCode="DE" term="%22Erbium%22">Erbium</searchLink><br /><searchLink fieldCode="DE" term="%22Keyword+searching%22">Keyword searching</searchLink><br /><searchLink fieldCode="DE" term="%22Lasers%22">Lasers</searchLink>
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  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Lasers in Medical Science is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10103-022-03504-4
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        Text: English
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        Type: general
      – SubjectFull: YAG lasers
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      – SubjectFull: Patient reported outcome measures
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      – SubjectFull: Erbium
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      – SubjectFull: Lasers
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      – TitleFull: Erbium lasers in non-surgical periodontal therapy: an umbrella review and evidence gap map analysis.
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              Text: Feb2022
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              Y: 2022
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