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Adding Er,Cr:YSGG to non-surgical periodontal treatment: which questions should you ask?｜證據鏈
The foundations of non-surgical periodontal treatment remain diagnosis, oral hygiene instruction, control of supra- and subgingival plaque and calculus, root-surface treatment, risk modification and reassessment. In some trials, Er,Cr:YSGG has been placed alongside this process. The research question should be “as an adjunct, does it add a clinically meaningful improvement?”, not “can a device replace standard debridement?” In a split-mouth pilot study of 15 adults and 90 sites at least 5 mm deep, the mean improvements at 12 months were similar with Er,Cr:YSGG plus standard treatment and with standard treatment alone. Probing depth fell from 6.1 to 4.2 mm at test sites and from 6.2 to 4.3 mm at control sites. Only the subgroup with a baseline depth of at least 7 mm showed a significant difference in the proportion of sites achieving shallower pockets at 9 and 12 months. The small sample and subgroup result are suitable for generating questions for subsequent research, but not for claiming an added benefit for every deep pocket.
Adding Er,Cr:YSGG to non-surgical periodontal treatment: which questions should you ask?｜證據鏈
本頁逐條列出本卡每一個 [Fn] 標記對應的文獻出處。
- F1｜Clinical evaluation of Er,Cr:YSGG laser therapy used as an adjunct to non-surgical treatment of periodontitis: Twelve-month results from a pilot study. [PMID:35239185]（https://pubmed.ncbi.nlm.nih.gov/35239185/）
- F2｜Clinical and Immunological Effects of Er,Cr:YSGG Laser in Nonsurgical Periodontal Treatment: A Randomized Clinical Trial. [PMID:32427555]（https://pubmed.ncbi.nlm.nih.gov/32427555/）
- F3｜Effects of diode and erbium lasers as an adjunct to scaling and root planing on clinical and immunological parameters in non-surgical periodontal treatment: a split-mouth randomized controlled clinical trial. [PMID:35718807]（https://pubmed.ncbi.nlm.nih.gov/35718807/）
- F4｜Adjunctive use of InGaAsP and Er,Cr:YSGG lasers in nonsurgical periodontal therapy: a randomized controlled clinical study. [PMID:31111123]（https://pubmed.ncbi.nlm.nih.gov/31111123/）
- F5｜Two-year outcomes following the adjunctive use of InGaAsP and Er,Cr:YSGG lasers in nonsurgical periodontal therapy in patients with stages III and IV periodontitis. [PMID:34235909]（https://pubmed.ncbi.nlm.nih.gov/34235909/）
FAQ
- Can Er,Cr:YSGG replace scaling and root planing?
- Existing trials compare or combine it with ultrasonic or hand debridement and have not established evidence that control of infection and calculus can be omitted.
- Er,Cr:YSGG はスケーリング・ルートプレーニングに代わりますか？ — 現在の試験では超音波または手用器具によるデブライドメントと比較または併用されており、感染と歯石のコントロールを省略できるというエビデンスは確立されていません。
- Can Er,Cr:YSGG replace scaling and root planing? — Existing trials compare or combine it with ultrasonic or hand debridement and have not established evidence that control of infection and calculus can be omitted.
Source anchors
- Clinical evaluation of Er,Cr:YSGG laser therapy used as an adjunct to non-surgical treatment of periodontitis: Twelve-month results from a pilot study. [PMID:35239185] · https://pubmed.ncbi.nlm.nih.gov/35239185/ · 在 IDAEO 的其他引用
- Clinical and Immunological Effects of Er,Cr:YSGG Laser in Nonsurgical Periodontal Treatment: A Randomized Clinical Trial. [PMID:32427555] · https://pubmed.ncbi.nlm.nih.gov/32427555/ · 在 IDAEO 的其他引用
- Effects of diode and erbium lasers as an adjunct to scaling and root planing on clinical and immunological parameters in non-surgical periodontal treatment: a split-mouth randomized controlled clinical trial. [PMID:35718807] · https://pubmed.ncbi.nlm.nih.gov/35718807/ · 在 IDAEO 的其他引用
- Adjunctive use of InGaAsP and Er,Cr:YSGG lasers in nonsurgical periodontal therapy: a randomized controlled clinical study. [PMID:31111123] · https://pubmed.ncbi.nlm.nih.gov/31111123/ · 在 IDAEO 的其他引用
- Two-year outcomes following the adjunctive use of InGaAsP and Er,Cr:YSGG lasers in nonsurgical periodontal therapy in patients with stages III and IV periodontitis. [PMID:34235909] · https://pubmed.ncbi.nlm.nih.gov/34235909/ · 在 IDAEO 的其他引用
Cite this article
Lucy・《Adding Er,Cr:YSGG to non-surgical periodontal treatment: which questions should you ask?｜證據鏈》・IDAEO 知識庫・2026-08-16・https://km.idaeo.ai/post/reports/dental-ercrysgg-nonsurgical-periodontal-evidenceUpdated 2026-08-19