Laser Treatment of Peri-Implantitis: A Literature Review
Journal of Lasers in Medical Sciences,
Vol. 5 No. 4 (2014),
24 Mehr 2014
,
Page 153-162
Abstract
Peri-implantitis is a state defined as an inflammatory reaction around osseointegrated implants, leading to progressive loss of supporting bone. Various treatment methods are suggested in the treatment of peri-implantitis and clinicians have to choose a method over a large number of treatment protocols. Lasers have shown promising therapeutic effect in treatment of peri-implantitis. However, some controversies have been found in clinical outcomes after using lasers. Therefore, we aimed to review the current literature over the past ten years for the use of lasers in treatment of peri-implantitis, via the Pubmed electronic database of the US National Library of Medicine. Fifteen human studies were reviewed. Er:YAG (Erbium-Doped Yttrium Aluminum Garnet), CO2(Carbon Dioxide Laser) and Diode lasers were used. Despite inconsistencies and disharmonies among studies in terms of study design, positive treatment outcomes were obvious among the majority of them. However, short period of follow-ups and poor control of plaque index, as a critical confounding factor, were the major problems which these studies suffered from. It seems that one session laser therapy is not adequate for achieving optimal clinical outcome. Further studies with longer periods of follow-ups, intense control of plaque index, and various sessions of laser treatments are needed to clearly illustrate the clinical privilege of laser therapy.
- peri-implantitides
- lasers
- dental implants
How to Cite
References
Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. Journal of clinical periodontology. 2002;29(s3):197-212.
Atieh MA, Alsabeeha NH, Faggion Jr CM, Duncan WJ. The frequency of peri-implant diseases: a systematic review and meta-analysis. Journal of periodontology. 2013;84(11):1586-98.
Roos‐Jansåker AM, Renvert S, Egelberg J. Treatment of peri‐implant infections: a literature review. Journal of clinical periodontology. 2003;30(6):467-85.
Lindhe J, Meyle J. Peri‐implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. Journal of clinical periodontology. 2008;35(s8):282-5.
Froum SJ, Rosen PS. A proposed classification for peri-implantitis. International Journal of Periodontics & Restorative Dentistry. 2012;32(5).
Rosen P, Clem D, Cochran D. Peri-implant mucositis and peri-implantitis: a current understanding of their diagnoses and clinical implications. J Periodontol. 2013;84:436-43.
Silverstein LH, Kurtzman D, Gamick JJ, Schuster GS, Moskowitiz ME. The microbiota of the peri-implant region in health and disease. Implant dentistry. 1994;3(3):170-5.
Becker W, Becker BE, Newman MG, Nyman S. Clinical and microbiologic findings that may contribute to dental implant failure. International Journal of Oral & Maxillofacial Implants. 1990;5(1).
Salmeron S, Rezende ML, Consolaro A, Sant’Ana AC, Damante CA, Greghi SL, et al. Laser therapy as an effective method for implant surface decontamination: A histomorphometric study in rats. Journal of periodontology. 2013;84(5):641-9.
Esposito M, Grusovin MG, Kakisis I, Coulthard P, Worthington HV. Interventions for replacing missing teeth: treatment of perimplantitis. Cochrane Database Syst Rev. 2008;2.
Ntrouka VI, Slot DE, Louropoulou A, Van der Weijden F. The effect of chemotherapeutic agents on contaminated titanium surfaces: a systematic review. Clinical oral implants research. 2011;22(7):681-90.
Kotsovilis S, Karoussis IK, Trianti M, Fourmousis I. Therapy of peri‐implantitis: a systematic review. Journal of clinical periodontology. 2008;35(7):621-9.
Schwarz F, Jepsen S, Herten M, Sager M, Rothamel D, Becker J. Influence of different treatment approaches on non‐submerged and submerged healing of ligature induced peri‐implantitis lesions: an experimental study in dogs. Journal of clinical periodontology. 2006;33(8):584-95.
Persson LG, Mouhyi J, Berglundh T, Sennerby L, Lindhe J. Carbon dioxide laser and hydrogen peroxide conditioning in the treatment of periimplantitis: an experimental study in the dog. Clinical implant dentistry and related research. 2004;6(4):230-8.
Schwarz F, Sculean A, Berakdar M, Georg T, Reich E, Becker J. Clinical evaluation of an Er: YAG laser combined with scaling and root planing for non‐surgical periodontal treatment. Journal of clinical periodontology. 2003;30(1):26-34.
Persson GR, Salvi GE, Heitz‐Mayfield LJ, Lang NP. Antimicrobial therapy using a local drug delivery system (Arestin®) in the treatment of peri‐implantitis. I: microbiological outcomes. Clinical oral implants research. 2006;17(4):386-93.
Schwarz F, Nuesry E, Bieling K, Herten M, Becker J. Influence of an erbium, chromium-doped yttrium, scandium, gallium, and garnet (Er, Cr: YSGG) laser on the reestablishment of the biocompatibility of contaminated titanium implant surfaces. Journal of periodontology. 2006;77(11):1820-7.
Peters N, Tawse-Smith A, Leichter J, Tompkins G. Laser therapy: the future of peri-implantitis management. Braz J Periodontol. 2012;22(1):23-9.
Gosau M, Hahnel S, Schwarz F, Gerlach T, Reichert TE, Bürgers R. Effect of six different peri‐implantitis disinfection methods on in vivo human oral biofilm. Clinical oral implants research. 2010;21(8):866-72.
Matsuyama T, Aoki A, Oda S, Yoneyama T, Ishikawa I. Effects of the Er: YAG laser irradiation on titanium implant materials and contaminated implant abutment surfaces. Journal of clinical laser medicine & surgery. 2003;21(1):7-17.
Tosun E, Tasar F, Strauss R, Kıvanc DG, Ungor C. Comparative Evaluation of Antimicrobial Effects of Er: YAG, Diode, and CO< sub> 2 Lasers on Titanium Discs: An Experimental Study. Journal of Oral and Maxillofacial Surgery. 2012;70(5):1064-9.
Stübinger S, Etter C, Miskiewicz M, Homann F, Saldamli B, Wieland M, et al. Surface alterations of polished and sandblasted and acid-etched titanium implants after Er: YAG, carbon dioxide, and diode laser irradiation. International Journal of Oral & Maxillofacial Implants. 2010;25(1).
Park J-H, Heo S-J, Koak J-Y, Kim S-K, Han C-H, Lee J-H. Effects of laser irradiation on machined and anodized titanium disks. International Journal of Oral & Maxillofacial Implants. 2012;27(2).
Badran Z, Bories C, Struillou X, Saffarzadeh A, Verner C, Soueidan A. Er: YAG laser in the clinical management of severe peri-implantitis: a case report. Journal of Oral Implantology. 2011;37(sp1):212-7.
Yamamoto A, Tanabe T. Treatment of Peri-implantitis Around TiUnite-Surface Implants Using Er: YAG Laser Microexplosions. International Journal of Periodontics & Restorative Dentistry. 2013;33(1).
Persson GR, Roos-Jansåker A-M, Lindahl C, Renvert S. Microbiologic results after non-surgical erbium-doped: yttrium, aluminum, and garnet laser or air-abrasive treatment of peri-implantitis: a randomized clinical trial. Journal of periodontology. 2011;82(9):1267-78.
Schwarz F, John G, Mainusch S, Sahm N, Becker J. Combined surgical therapy of peri‐implantitis evaluating two methods of surface debridement and decontamination. A two‐year clinical follow up report. Journal of clinical periodontology. 2012;39(8):789-97.
Schwarz F, Sahm N, Iglhaut G, Becker J. Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri‐implantitis: a randomized controlled clinical study. Journal of clinical periodontology. 2011;38(3):276-84.
Renvert S, Lindahl C, Roos Jansåker AM, Persson GR. Treatment of peri‐implantitis using an Er: YAG laser or an air‐abrasive device: a randomized clinical trial. Journal of clinical periodontology. 2011;38(1):65-73.
Schwarz F, Bieling K, Nuesry E, Sculean A, Becker J. Clinical and histological healing pattern of peri‐implantitis lesions following non‐surgical treatment with an Er: YAG laser. Lasers in surgery and medicine. 2006;38(7):663-71.
Schwarz F, Bieling K, Bonsmann M, Latz T, Becker J. Nonsurgical treatment of moderate and advanced periimplantitis lesions: a controlled clinical study. Clinical Oral Investigations. 2006;10(4):279-88.
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. Clinical oral implants research. 2005;16(1):44-52.
Deppe H, Horch H-H, Neff A. Conventional Versus CO 2 Laser-Assisted Treatment of Pen-implant Defects with the Concomitant Use of Pure-Phase β-Tricalcium Phosphate: A 5-year Clinical Report. International Journal of Oral & Maxillofacial Implants. 2007;22(1).
Romanos GE, Nentwig GH. Regenerative Therapy of Deep Peri-implant Infrabony Defects After CO 2 Laser Implant Surface Decontamination. International Journal of Periodontics & Restorative Dentistry. 2008;28(3).
Romanos G, Ko H-H, Froum S, Tarnow D. The use of CO2 laser in the treatment of peri-implantitis. Photomedicine and laser surgery. 2009;27(3):381-6.
Schär D, Ramseier CA, Eick S, Arweiler NB, Sculean A, Salvi GE. Anti‐infective therapy of peri‐implantitis with adjunctive local drug delivery or photodynamic therapy: six‐month outcomes of a prospective randomized clinical trial. Clinical oral implants research. 2013;24(1):104-10.
Roncati M, Lucchese A, Carinci F. Non-surgical treatment of peri-implantitis with the adjunctive use of an 810-nm diode laser. Journal of Indian Society of Periodontology. 2013;17(6):812.
Bassetti M, Schär D, Wicki B, Eick S, Ramseier CA, Arweiler NB, et al. Anti‐infective therapy of peri‐implantitis with adjunctive local drug delivery or photodynamic therapy: 12‐month outcomes of a randomized controlled clinical trial. Clinical oral implants research. 2013.
Tonetti MS, Pini-Prato G, Cortellini P. Effect of cigarette smoking on periodontal healing following GTR in infrabony defects. A preliminary retrospective study. J Clin Periodontol. 1995 Mar;22(3):229-34.
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