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Peri-ImplantitisNCT06890117

Non-Surgical Laser Treatment for Peri-Implantitis: Er:YAG & Diode Laser

A study testing Ultrasonic Scalers with EMS PI tip and Saline Irrigation and Er:YAG (2940nm) and Diode (808nm) Laser in people with Peri-Implantitis, run by Aristotle University Of Thessaloniki at 1 site in Greece.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A prospective, randomized clinical trial with a 3-month duration was designed to evaluate the efficacy of non-surgical treatment for peri-implantitis. Patients presenting at the Postgraduate Periodontology Clinic of the School of Dentistry, Aristotle University of Thessaloniki, with a diagnosis of peri-implantitis in… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Peri-Implantitis
What is being tested?
Ultrasonic Scalers with EMS PI tip and Saline Irrigation and Er:YAG (2940nm) and Diode (808nm) Laser
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteGreece
Study dates
30 Jan 2025to 5 Jun 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients presenting at the Postgraduate Periodontology Clinic with a diagnosis of peri-implantitis in at least one implant, based on the 2018 Classification of Periodontal and Peri-Implant Diseases (EFP 2018).
  • Probing pocket depth (PPD) of up to 10 mm.
  • Periodontally healthy individuals (no active periodontal disease).
  • Implants must have been in function (loaded) for at least one year.
  • Age ≥ 18 years.
  • Medically healthy individuals or those with well-controlled systemic conditions.
Show all 9Show fewer
  • Implant-supported restorations must be accessible for proper oral hygiene.
  • Patients must provide signed informed consent for participation.
  • Non-smokers only

Who cannot join

  • Presence of systemic diseases or medications that could influence treatment outcomes (e.g., uncontrolled diabetes, chemotherapy, immunosuppression).
  • Underwent peri-implantitis treatment in the past 3 months.
  • Use of antibiotics or antimicrobial therapy in the past 3 months.
  • Pregnancy or breastfeeding.
  • Smokers

Trial locations and contacts

1 site in 1 country.

Greece1 site
  • Aristotle University of Thessaloniki

    Thessaloniki, 54124

Other trials in Greece

About this study

Official title: Non-surgical Treatment of Peri-implantitis Using Combined Er: YAG (2940nm) and Diode Laser (808nm): a Randomized Controlled Clinical Trial. Clinical, Microbiological Parameters and Metabolomics

A prospective, randomized clinical trial with a 3-month duration was designed to evaluate the efficacy of non-surgical treatment for peri-implantitis. Patients presenting at the Postgraduate Periodontology Clinic of the School of Dentistry, Aristotle University of Thessaloniki, with a diagnosis of peri-implantitis in at least one implant (based on the new classification of periodontal and peri-implant diseases, EFP 2018) will be included.

After clinical and radiographic evaluation, patients will be randomly assigned to two groups, with each patient participating in the study with one implant. The control group will receive non-surgical treatment using ultrasonic scalers designed for implants, combined with saline irrigation. The experimental group will undergo non-surgical treatment with Er:YAG (2940nm) and Diode (808nm) laser. All patients will receive oral hygiene instructions at baseline and during each subsequent visit.

Read more

Microbial plaque samples will be collected using two sterile paper cones from the deepest peri-implant pocket before treatment and three months after treatment. The presence and absolute counts of Porphyromonas gingivalis and Filifactor alocis will be assessed using quantitative polymerase chain reaction (qPCR). Additionally, peri-implant crevicular fluid will be collected from the second deepest peri-implant pocket using three sterile paper cones before treatment and three months post-treatment for metabolomic analysis.

Clinical parameters, including probing pocket depth (PPD), bleeding on probing (BOP), clinical attachment level (CAL), peri-implant mucosal recession (REC), and suppuration (SUP), will be recorded at baseline and at the end of the experimental period (3 months). Treatment success will be evaluated at the 3-month mark, defined as a pocket depth ≤5 mm with no bleeding on probing at more than one of six implant sites and no suppuration, according to the EFP S3 level clinical practice guideline.

Additionally, patients will complete a home questionnaire to assess pain at different time points (immediately after treatment, 24, 48, and 72 hours post-treatment). Pain levels will be evaluated using a 100-mm visual analog scale (VAS), where 0 mm indicates "no pain" and 100 mm represents "worst pain." The total number of analgesics consumed daily for one week post-treatment will also be recorded. At the end of the week, patients will answer four Yes/No/Don't Know questions to assess their satisfaction with the treatment.

Read the detailed description

This study aims to compare the effectiveness of non-surgical peri-implantitis treatment using conventional ultrasonic debridement versus a laser-assisted approach. The primary objective is to assess clinical, microbiological, and metabolomic outcomes associated with each treatment modality.

The study will be conducted at the Postgraduate Periodontology Clinic of the School of Dentistry, Aristotle University of Thessaloniki. Participants will be screened based on inclusion and exclusion criteria, and those diagnosed with peri-implantitis in at least one implant will be randomly assigned to either the control or experimental group.

Study Procedures:

Control Group: Treatment with ultrasonic scalers designed for implants and saline irrigation.

Experimental Group: Treatment with Er:YAG (2940nm) and Diode (808nm) laser.

Oral Hygiene Instructions: Provided at baseline and each follow-up visit.

Microbiological Sampling: Collection of subgingival plaque using sterile paper cones before and after treatment (3 months), with analysis of P. gingivalis and F. alocis using qPCR.

Metabolomic Analysis: Collection of peri-implant crevicular fluid before and after treatment for metabolomic profiling.

Clinical Parameters: PPD, BOP, CAL, REC, and SUP will be recorded at baseline and after 3 months.

Pain and Patient Satisfaction: VAS pain assessment at multiple time points and tracking of analgesic consumption. A patient satisfaction questionnaire will be completed at the end of the study.

Study Outcomes:

Primary Outcome: Reduction in peri-implant pocket depth and inflammation.

Secondary Outcomes: Changes in microbiological and metabolomic markers, pain perception, and patient-reported satisfaction.

This randomized controlled clinical trial aims to provide valuable insights into the efficacy of laser-assisted non-surgical therapy for peri-implantitis compared to conventional ultrasonic debridement. The findings could contribute to the optimization of non-surgical treatment protocols for peri-implant disease management.

Being tested
Ultrasonic Scalers with EMS PI tip and Saline Irrigation, Er:YAG (2940nm) and Diode (808nm) Laser
Keywords
Non-surgical therapy, Er:YAG laser, Diode laser, Microbiological analysis, Metabolomics, RCT
Medical subject headings
Peri-Implantitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ultrasonic Scalers with EMS PI tip and Saline IrrigationDevice

    Also called Ultrasonic Debridement

    Control Group: Non-surgical peri-implantitis treatment using ultrasonic scalers and EMS PI tips designed for implants, combined with saline irrigation to remove plaque and biofilm from implant surfaces.

  • Er:YAG (2940nm) and Diode (808nm) LaserDevice

    Also called Laser-Assisted Peri-Implantitis Treatment

    Experimental Group: Non-surgical peri-implantitis treatment using Er:YAG laser (2940nm) and Diode laser (808nm) for decontamination of the implant surface and surrounding tissues. The Er:YAG laser is used for mechanical debridement and biofilm removal, while the Diode laser has biostimulatory effects.

Study groups in NCT06890117
Study groupRoleWhat they receive
Ultrasonic Debridement + Saline IrrigationActive comparatorParticipants in this group will receive non-surgical mechanical debridement using ultrasonic scalers specifically designed for implant surfaces, followed by irrigation with saline solution. No additional laser therapy will be applied.
Receives: Device: Ultrasonic Scalers with EMS PI tip and Saline Irrigation
Er:YAG + Diode LaserExperimentalParticipants in this group will receive non-surgical peri-implantitis treatment using Er:YAG (2940 nm) and Diode (808 nm) lasers. The Er:YAG laser will be used for implant surface decontamination, while the Diode laser will be applied for biostimulation.
Receives: Device: Er:YAG (2940nm) and Diode (808nm) Laser

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Probing Pocket Depth (PPD)

    Change in peri-implant probing pocket depth (PPD) from baseline to 3 months post-treatment. PPD is measured using a periodontal probe at six sites per implant.

    Measured: Baseline and 3 months post-treatment

Secondary outcomes (11)
  1. Bleeding on Probing (BOP)

    Assessment of bleeding upon gentle probing at six sites per implant to evaluate inflammation.

    Measured: Baseline and 3 months post-treatment

  2. Clinical Attachment Level (CAL)

    Measurement of the distance from the implant shoulder to the base of the peri-implant pocket.

    Measured: Baseline and 3 months post-treatment

  3. Peri-implant Mucosal Recession (REC)

    Measurement of the vertical soft tissue recession at six implant sites.

    Measured: Baseline and 3 months post-treatment

  4. Presence of Suppuration (SUP)

    Assessment of purulent exudate upon probing, indicating ongoing infection.

    Measured: Baseline and 3 months post-treatment

  5. Treatment Success (Yes/No)

    Defined as pocket depth ≤5 mm with no bleeding on probing at more than one of six implant sites and no suppuration, per EFP S3 guidelines.

    Measured: 3 months post-treatment

  6. Change in P. gingivalis Levels

    Quantification of Porphyromonas gingivalis using qPCR from subgingival plaque samples.

    Measured: Baseline and 3 months post-treatment

  7. Change in F. alocis Levels

    Quantification of Filifactor alocis using qPCR from subgingival plaque samples.

    Measured: Baseline and 3 months post-treatment

  8. Metabolomic Profile Changes

    Analysis of peri-implant crevicular fluid metabolites to assess biochemical changes post-treatment.

    Measured: Baseline and 3 months post-treatment

  9. Pain Evaluation (VAS Scale)

    Pain assessment using a 100-mm Visual Analog Scale (VAS) at different time points (immediately post-treatment, 24, 48, and 72 hours). The VAS for Pain ranges from 0 to 100, where 0 represents no pain and 100 represents the worst possible pain. Higher scores indicate greater pain severity.

    Measured: 0, 24, 48, and 72 hours post-treatment

  10. Analgesic Consumption

    Total number of analgesics taken by patients in the first week post-treatment.

    Measured: Daily for 7 days post-treatment

  11. Patient Satisfaction

    Yes/No/Don't Know questionnaire assessing patient satisfaction with treatment outcomes.

    Measured: 1 week post-treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Mar 2025
  2. Study start30 Jan 2025
  3. Primary completion5 Jun 2025
  4. Study completion5 Jun 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomly assigned to one of two parallel groups: a control group receiving non-surgical ultrasonic debridement and an experimental group receiving Er:YAG and Diode laser treatment.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06890117
Sponsor's protocol ID
26/29.01.2025
Status last verified
Jan 2026
First submitted
17 Mar 2025
Last updated
27 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The individual participant data (IPD) collected during this study, including clinical data (e.g., probing pocket depth, bleeding on probing), microbiological data (e.g., counts of P. gingivalis and F. alocis), and metabolomics data, will be made available to other researchers after the study's completion. This data will be shared for the purpose of further analysis, with a focus on advancing research in peri-implantitis and dental treatments.

Publications

  • Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, Chen S, Cochran D, Derks J, Figuero E, Hammerle CHF, Heitz-Mayfield LJA, Huynh-Ba G, Iacono V, Koo KT, Lambert F, McCauley L, Quirynen M, Renvert S, Salvi GE, Schwarz F, Tarnow D, Tomasi C, Wang HL, Zitzmann N. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol. 2018 Jun;45 Suppl 20:S286-S291. doi: 10.1111/jcpe.12957.

    PubMed 29926491
  • Camps-Font O, Perez-Beltran I, Fornes-Nieto V, Gonzalez-Barnadas A, Costa-Berenguer X, Garcia-Garcia M, Figueiredo R, Valmaseda-Castellon E. Patient-centered outcomes after surgical treatment of peri-implantitis: a prospective clinical study. Med Oral Patol Oral Cir Bucal. 2023 Jan 1;28(1):e72-e80. doi: 10.4317/medoral.25587.

    PubMed 36243998
  • Grzech-Lesniak K, Sculean A, Gaspirc B. Laser reduction of specific microorganisms in the periodontal pocket using Er:YAG and Nd:YAG lasers: a randomized controlled clinical study. Lasers Med Sci. 2018 Sep;33(7):1461-1470. doi: 10.1007/s10103-018-2491-z. Epub 2018 May 15.

    PubMed 29766330
  • Mills MP, Rosen PS, Chambrone L, Greenwell H, Kao RT, Klokkevold PR, McAllister BS, Reynolds MA, Romanos GE, Wang HL. American Academy of Periodontology best evidence consensus statement on the efficacy of laser therapy used alone or as an adjunct to non-surgical and surgical treatment of periodontitis and peri-implant diseases. J Periodontol. 2018 Jul;89(7):737-742. doi: 10.1002/JPER.17-0356. No abstract available.

    PubMed 29693260
  • Schwarz F, Aoki A, Becker J, Sculean A. Laser application in non-surgical periodontal therapy: a systematic review. J Clin Periodontol. 2008 Sep;35(8 Suppl):29-44. doi: 10.1111/j.1600-051X.2008.01259.x.

    PubMed 18724840
  • Schwarz F, Sculean A, Georg T, Reich E. Periodontal treatment with an Er: YAG laser compared to scaling and root planing. A controlled clinical study. J Periodontol. 2001 Mar;72(3):361-7. doi: 10.1902/jop.2001.72.3.361.

    PubMed 11327064
  • Schwarz F, Sculean A, Rothamel D, Schwenzer K, Georg T, Becker J. Clinical evaluation of an Er:YAG laser for nonsurgical treatment of peri-implantitis: a pilot study. Clin Oral Implants Res. 2005 Feb;16(1):44-52. doi: 10.1111/j.1600-0501.2004.01051.x.

    PubMed 15642030

Questions about this trial

What is this clinical trial studying?

A study testing Ultrasonic Scalers with EMS PI tip and Saline Irrigation and Er:YAG (2940nm) and Diode (808nm) Laser in people with Peri-Implantitis, run by Aristotle University Of Thessaloniki at 1 site in Greece.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Greece. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Probing Pocket Depth (PPD) (time frame: Baseline and 3 months post-treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06890117, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2026.

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