Assessment of Er:YAG Laser-Assisted Surgical Treatment in Medication-Related Osteonecrosis of the Jaw (MRONJ): A Clinical Trial
NCT07029815 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 65
Last updated 2025-06-19
Summary
The aim of this study is assessing the effectiveness of the Er:YAG laser in relation to the use of conventional surgery in the treatment of drug-induced osteonecrosis of the jaws (MRONJ). The study compares two main treatments for advanced cases of MRONJ or cases that do not show improvement despite conservative or non-surgical treatment.
Conditions
- Medication-Related Osteonecrosis of Jaw
Interventions
- PROCEDURE
-
irradiation with Er:YAG laser
An Er:YAG laser (LightTouch, LightInstruments, Yokneam, Israel) was used with the following parameters: 400mJ (millijoules), 6W (Watt), 15Hz (Hertz), 5/8 water cooling, laser tip with a diameter of 800 microns. Tissue debridement continued until hard, healthy, lively bleeding bone was exposed, indicative of normal bone.
- PROCEDURE
-
Tissue preparation
Rose-shaped rotary drills (8 mm diameter) were used with water cooling at a speed not exceeding 40.000 rpm. Tissue preparation limits were consistent with those used for the Er:YAG laser group.
Sponsors & Collaborators
-
Wroclaw Medical University
lead OTHER
Principal Investigators
-
Kinga Grzech-Leśniak, DDS, MS PhD · Dental Surgery Department, Wroclaw Medical University, Krakowska st. 26, 50-425 Wroclaw, Poland and Department of Periodontics, School of Dentistry Virginia Commonwealth University, 12th St, Richmond, VA 23298, USA
-
Marzena Dominiak, Prof. dr hab n. med. · Dental Surgery Department, Wroclaw Medical University, Krakowska st. 26, 50-425 Wroclaw, Poland
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-02-01
- Primary Completion
- 2023-08-01
- Completion
- 2025-05-01
Countries
- Poland
Study Locations
More Related Trials
-
Evaluation of Regenerative Potential in Horizontal Bone Loss Using VCMX Along With LASER Therapy
NCT06204588 ·Status: RECRUITING ·Phase: NA
-
Non Surgical Protocol for Treatment of Mucositis
NCT03951636 ·Status: COMPLETED ·Phase: NA
-
Clinical Application of Er:YAG Dental Laser System
NCT04811144 ·Status: COMPLETED ·Phase: NA
-
Effect of Low-level Laser Therapy on Palatal Wound Healing
NCT02239042 ·Status: COMPLETED ·Phase: PHASE4
-
Non-Surgical Laser Treatment for Peri-Implantitis: Er:YAG & Diode Laser
NCT06890117 ·Status: COMPLETED ·Phase: NA
-
Er,Cr:YSGG and Diode Lasers in the Treatment of Peri-implantitis
NCT04730687 ·Status: COMPLETED ·Phase: NA
-
Patient Outcomes of Staged Ridge-splitting Using Piezo-electric Surgery in Atrophic Posterior Mandible
NCT06200077 ·Status: COMPLETED ·Phase: NA
-
Non Surgical Protocol for Treatment of Peri-implantitis
NCT03451981 ·Status: COMPLETED ·Phase: NA
-
Surgical Protocol for Peri-implantitis Treatment
NCT03801187 ·Status: UNKNOWN ·Phase: NA
-
Application of Injectable Platelet-Rich Fibrin for the Treatment of Temporomandibular Joint Osteoarthritis
NCT04810923 ·Status: COMPLETED ·Phase: NA
-
Impact of Topical Pentoxifylline and Tocopherol in Treatment and Prevention of Medically-related Osteonecrosis of the Jaws
NCT06409546 ·Status: COMPLETED ·Phase: NA
-
Er,Cr:YSGG Laser Application in Peri-implantitis
NCT06031467 ·Status: COMPLETED ·Phase: NA
-
Er,Cr:YSGG Laser for Deepithelialization in Gingival Recession.
NCT07064304 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Soft Tissue Response to Titanium Healing Abutments Treated by Erbium: YAG Laser or Plasma Spray
NCT05800795 ·Status: COMPLETED ·Phase: NA
-
Topical Application of PRF Before Radiation Therapy
NCT06406530 ·Status: RECRUITING ·Phase: NA
-
Adjunctive Laser for Periodontal Intrabony Defects
NCT04847830 ·Status: UNKNOWN ·Phase: NA
-
Nd-YAG Laser Versus Epidermal Growth Factor For Myogenic Tempromandibular Disorder.
NCT06044974 ·Status: COMPLETED ·Phase: PHASE4
-
Use of Injectable Extended Platelet-Rich Fibrin as a Local Drug Delivery in the Treatment of Stage II Periodontitis Patients
NCT07080294 ·Status: COMPLETED ·Phase: NA
-
Treatment of Intrabony Defect in Patient With Periodontitis Stage III by Using I-PRF and Xenograft
NCT07261878 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Clinical Performance and Remineralization Potential of Self- Assembling Peptide P11-4 Containing Fluoride Versus Er, Cr: YSGG Laser Treatment and Micro Tensile Bond Strength of Giomer Restoration in Carious Lesions
NCT07065305 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1
-
Laser Biostimulation on Implant Covered With PRF in Controlled Diabetics
NCT06444334 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Er: YSGG Laser in Treatment of Peri-implantitis
NCT05137821 ·Status: COMPLETED ·Phase: NA
-
MRONJ and Polynucleotides-Hyaluronic Acid Hydrogel (Regenfast®)
NCT06984107 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluation of Survival of Mature Second Premolar Treated With Regenerative Techniques
NCT02915419 ·Status: UNKNOWN ·Phase: NA
-
Low-intensity Laser Therapy in the Treatment of Gingival Recession
NCT02118155 ·Status: COMPLETED ·Phase: NA