Evidence map›Paper›PMID 42387326›Full record

Trial reportClinical oral implants research2026

Evaluation of the Adjunctive Use of Er:YAG Laser or Erythritol Air-Polishing in the Non-Surgical Treatment of Peri-Implantitis: A Pilot RCT.

Marco Clementini, Margherita Minoli, Simone Fabrizi, Isabella De Rubertis, Nicola Discepoli, Massimo de Sanctis

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral implants research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03451981 (Evaluation of the Adjunctive Use of Er), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03451981 nacompletednot on this map

Evaluation of the Adjunctive Use of Er:YAG Laser or Erythritol Air-polishing in the Non-surgical Treatment of Peri-implantitis: a RCT

TypeinterventionalSponsorUniversità Vita-Salute San RaffaeleRan2018 to 2021Enrolled47ConditionsPeri-ImplantitisArmsmechanical instrumentation, Er:YAG laser, Air Powder
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marco ClementiniDepartment of Periodontology, UniCamillus-Saint Camillus International University of Health Sciences, Rome, Italy.ORCID https://orcid.org/0000-0002-1827-5200
Margherita MinoliDepartment of Periodontics, Universidad Complutense de Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0002-5299-1753
Simone FabriziDepartment of Medical Biotechnologies, Unit of Periodontics, Università Degli Studi di Siena, Siena, Italy.ORCID https://orcid.org/0009-0005-1345-8744
Isabella De RubertisDepartment of Medical Biotechnologies, Unit of Periodontics, Università Degli Studi di Siena, Siena, Italy.ORCID https://orcid.org/0009-0008-8704-5813
Nicola DiscepoliDepartment of Medical Biotechnologies, Unit of Periodontics, Università Degli Studi di Siena, Siena, Italy.ORCID https://orcid.org/0000-0003-1805-2899
Massimo de SanctisDepartment of Periodontology, Vita-Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0000-0002-5915-566X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimEvaluate the efficacy of adjunctive mechanical/physical decontamination to non-surgical submarginal instrumentation in patients with peri-implantitis. MATERIAL AND

methodsPatients with at least one implant diagnosed with peri-implantitis were included in this 6-month single-masked randomized clinical trial with three parallel groups: non-surgical submarginal instrumentation with titanium curettes (control); control plus erythritol air-polishing (test 1) and control plus Er:YAG laser (test 2). Clinical variables were collected at baseline, 1, 3 and 6 months. The primary outcome was probing pocket depth (PPD) reduction. Secondary outcomes included bleeding on probing (BoP) reduction and endpoint of therapy (implants with PPD ≤ 5 mm, BoP ≤ 1 site, no suppuration). A multilevel logistic model was computed to evaluate the predictive value of implant- and patient-level variables.

resultsForty-seven patients (84 implants) were enrolled. PPD reductions were observed in all groups (mean: 1-1.4 mm at 1 month), remaining stable at 3 months, with slight relapse at 6 months. All treatments led to significant BoP reduction (24%-36%) at 1 month, with no further significant changes at later follow-ups and no intergroup differences. Therapeutic endpoint rates were 12%-18%. Multilevel analysis suggested an association between the presence of ≥ 2 mm vestibular keratinized mucosa and the use of Er:YAG with higher odds of achieving treatment success. Healing was uneventful in all groups, except for one case of surgical emphysema associated with erythritol air-polishing.

conclusionIrrespective of the adjunctive treatment modality, achievement of peri-implantitis therapeutic endpoint was limited across groups. Possible associations with treatment outcomes were observed; these findings require confirmation in larger studies.

trial registrationClinicalTrials.gov identifier: NCT03451981.

Indexed as

Air Abrasion, DentalErythritolLasers, Solid-StatePeri-ImplantitisFemaleHumansMaleMiddle AgedPilot ProjectsSingle-Blind MethodTreatment OutcomeErythritolEr:YAG lasererythritol powder air‐polishingnon‐surgical treatmentperi‐implantitissubmarginal instrumentation

Identifiers

PMID42387326
PMCPMC13542774

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.