Antibacterial effect of diode lasers in the treatment of peri-implantitis and their effects on implant surfaces: a literature review

Smeo, Khaled; Nasher, Riman; Gutknecht, Norbert

doi:10.1007/s41547-018-0039-y

Cited by 6 publications

(4 citation statements)

References 35 publications

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“…They also promote rapid wound healing and repair, have a low possibility of developing bacterial resistance, can showcase selective targeting of microflora and cause minimal tissue damage without any surface texture alteration. [ 9 27 28 29 30 ] This was in concordance with Aimetti et al ., who concluded that lasers brought about a decrease in clinical parameters such as bleeding on probing, plaque index, and probing pocket depth that was comparable to the conventional mechanical debridement alone. [ 31 ]…”

Section: Discussionsupporting

confidence: 91%

Comparative evaluation of the antibacterial activity of red diode laser therapy and 0.2% chlorhexidine against Aggregatibacter actinomycetemcomitans on implant healing abutments: An ex vivo study

Sengupta

Ganesh

Meenakshi

et al. 2023

J Indian Prosthodont Soc

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Aims: The intraoral microbiota has a high potential to undergo dysbiosis, causing inflammatory changes with respect to the tissues surrounding either a natural tooth or an implant. Thus, the longevity of implant prosthesis depends on a thorough implant decontamination protocol. Among all the techniques available for doing so, laser is garnering increasing popularity, owing to minimal bleeding, high efficiency, and faster healing. However, limited literature exists regarding the superiority of lasers over chlorhexidine (CHX), the indisputable gold standard antibacterial chemical agent. The aim of this study was to compare the percentage of bacterial reduction of Aggregatibacter actinomycetemcomitans from implant healing abutments post red diode laser therapy versus 0.2% CHX treatment. Settings and Design: The current study had an ex vivo , observational, case–control design. Materials and Methods: Patients reporting for the second stage of the implant surgery were taken as the source of data and the healing abutments, the clinical samples. Eleven patients were chosen with one intraoral implant serving as the test site for laser treatment and another, the control site for CHX treatment. Microbiological analysis was performed via quantitative real time polymerase chain reaction to compare the bacterial reduction percentage after each treatment. Statistical Analysis Used: Repeated measures ANOVA and independent sample t test were used. Results: The mean bacterial viability of the test group (laser) was 1.2%–1.6%, and 0.6%–1.4% for the control group (CHX). The former caused a mean bacterial reduction of 96.1% while the latter, 96.3%. Both the treatments caused a highly statistically significant reduction of viable bacterial counts ( P = 0.001). However, when compared, there was no statistically significant difference in the bacterial reduction, when compared in between the two ( P = 0.902). Conclusion: Laser treatment is at par with chemical implant surface decontamination. It can help bypass the complications of CHX and revolutionize the protocols for implant surface decontamination.

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Section: Discussionsupporting

confidence: 91%

Comparative evaluation of the antibacterial activity of red diode laser therapy and 0.2% chlorhexidine against Aggregatibacter actinomycetemcomitans on implant healing abutments: An ex vivo study

Sengupta

Ganesh

Meenakshi

et al. 2023

J Indian Prosthodont Soc

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“…A systematic review by Mattar et al [ 4 ] showed that the available data in the current literature did not support the use of 810-nm diode lasers in the treatment of PI. On the contrary, another review study concluded that 810-nm diode lasers with low average power and optimal irradiation time significantly improved the clinical parameters in PI [ 29 ]. This difference may be related to various factors such as laser settings, wavelengths, and study plans [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the effectiveness of diode laser therapy in conjunction with nonsurgical treatment of peri-implantitis

Altındal

Alkan

Çalışır

2023

J Periodontal Implant Sci

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Purpose Peri-implantitis (PI) is an inflammatory condition associated with the destruction of bone tissue around a dental implant, and diode lasers can be used to treat this disease. In this study, we aimed to evaluate the effectiveness of a 940-nm diode laser for the nonsurgical treatment of PI. Methods Twenty patients (8 women and 12 men) were enrolled in a split-mouth randomized controlled study. In the control group (CG), mechanical debridement with titanium curettes accompanied by airflow was performed around the implants. The test group (TG) was treated similarly, but with the use of a diode laser. Clinical measurements (plaque index, gingival index [GI], probing pocket depth [PPD], bleeding on probing [BOP], clinical attachment level, and interleukin-1β [IL-1β] in the peri-implant crevicular fluid) were evaluated and recorded at baseline and 3 months. IL-1β levels were determined using the enzyme-linked immunosorbent assay method. Results The symptoms were alleviated in both groups at 3 months as assessed through clinical measurements. GI, BOP, and PPD were significantly lower in the TG than in the CG ( P <0.05). The IL-1β level increased post-treatment in both groups, but this increase was only statistically significant ( P <0.05) in the CG. Conclusions The diode laser enabled improvements in clinical parameters in the peri-implant tissue. However, it did not reduce IL-1β levels after treatment. Further studies about the use of diode lasers in the treatment of PI will be necessary to evaluate the effects of diode lasers in PI treatment.

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“…Primarily, soft tissues lasers are of various types; diode, CO 2 and YAG family lasers are the most commonly used, with each possessing unique benefits [ 11 ]. Diode lasers are poorly absorbed by hard dental tissues in contrast to the skin pigments melanin and hemoglobin, which readily absorb their irradiation with far greater thermal effects [ 12 ]. Usage of lasers, especially CO 2 lasers, has also reportedly shown effective results due to the high absorption of its photons in water [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Lasers in Treatment of Oral Mucocele in Pediatric Patients: A Systematic Review

et al. 2022

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The mucocele is the most common minor salivary gland associated disease of the oral cavity. It is also considered one of the most common biopsied oral lesions in pediatric patients. In recent years, extensive evidence has been published about the usage of lasers in treating mucoceles in pediatric patients. The aim of the present study was to assess the effectiveness of laser irradiation in the treatment of pediatric mucocele. An electronic search of databases (PubMed, Scopus, Web of Science and Google Scholar) was carried out in order to identify all relevant articles using a combination of the following keywords: “Pediatric”, “Oral”, “Mucocele”, “Dental”, “Oral Medicine”, “Soft Dental Lasers”, “Hard Dental Lasers”, and “Lasers,” for all case reports, case series, case-control and cohort studies published from 2007 to 2021. After limiting the search results, removing duplicate titles, and eligibility evaluation, 17 papers were enrolled in the study. Out of the total studies included, 10 articles were related to the diode (635 nm, 808 nm, 810 nm, and 980 nm), 5 to CO2 (10,600 nm), 3 to Er, Cr: YSGG (2780 nm), and 1 involving KTP lasers (532 nm). All studies indicated successful clinical results on mucocele excision with better intra- and post-operative indicators. The general characteristics and outcomes were summarized, and the quality of the studies was assessed using CARE guidelines in this systematic review. The reduction or absence of pain and bleeding, hemostasis, reduced operating time, minimal analgesic consumption, and an antibacterial effect were among the advantages of laser irradiation in the included studies. The laser has proven itself to play an effective role in the treatment of oral mucocele in paediatric patients.

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Antibacterial effect of diode lasers in the treatment of peri-implantitis and their effects on implant surfaces: a literature review

Cited by 6 publications

References 35 publications

Comparative evaluation of the antibacterial activity of red diode laser therapy and 0.2% chlorhexidine against Aggregatibacter actinomycetemcomitans on implant healing abutments: An ex vivo study

Comparative evaluation of the antibacterial activity of red diode laser therapy and 0.2% chlorhexidine against Aggregatibacter actinomycetemcomitans on implant healing abutments: An ex vivo study

Evaluation of the effectiveness of diode laser therapy in conjunction with nonsurgical treatment of peri-implantitis

The Effectiveness of Lasers in Treatment of Oral Mucocele in Pediatric Patients: A Systematic Review

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