Biofilm Removal and Antimicrobial Activity of Two Different Air‐Polishing Powders: An In Vitro Study

Drago, Lorenzo; Fabbro, Massimo Del; Bortolin, Monica; Vassena, Christian; Vecchi, Elena De; Taschieri, Silvio

doi:10.1902/jop.2014.140134

Cited by 42 publications

(65 citation statements)

References 50 publications

(100 reference statements)

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“…After reading the full‐text articles, 10 articles were excluded: three articles due to using the AA in combination with other decontamination methods, one study was not about titanium surface, two articles did not use AA for decontamination, one study was not in English and not published in a peer‐review journal, one study used the AA powder in an antimicrobial solution but did not use the AA device, one study had an in vivo design with decontamination procedures taking place in the beagle dogs, and the full text for one study was not retrieved . The 48 included articles were ultimately processed for data extraction . The summary of the search strategy is depicted in Figure .…”

Section: Resultsmentioning

confidence: 99%

Effects of air abrasive decontamination on titanium surfaces: A systematic review of in vitro studies

Moharrami¹,

Perrotti

Iaculli

et al. 2019

Clin Implant Dent Rel Res

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Background Air abrasion (AA) is one of the decontamination methods that have demonstrated promising results in treating peri‐implant diseases. Purpose This systematic review aimed at evaluating the in vitro effect of AA on surface change, cleaning efficacy, and biocompatibility of titanium surfaces and at comparing it with other decontamination methods. Materials and Methods A comprehensive search was conducted up to April 2018 using PubMed, Scopus, and Google Scholar databases to identify studies on the decontamination effect of AA. All types of titanium surfaces, abrasive powders, contaminated surfaces, and measuring methods were included. Results Overall, 1502 articles were identified. After screening the titles and abstracts, and carefully reading the full‐texts, 48 articles published between 1989 and 2018 were selected. AA was considered almost safe, particularly for the nonmodified surfaces. Nevertheless, harder powders such as sodium bicarbonate tended to damage the surface more than glycine. AA resulted in surface change similar to plastic curettes and Er: YAG lasers. Regarding the cleaning efficacy, there was no significant difference between glycine and sodium bicarbonate, but different mixtures of calcium phosphate, hydroxyapatite, and erythritol were superior to glycine. AA was superior or equal to all other decontamination methods in cleaning. Regarding biocompatibility, AA was more successful in preserving biocompatibility for noncontaminated surfaces compared with contaminated surfaces and when used with erythritol and osteoinductive powders. Conclusions AA can efficiently remove contamination without serious damage to the surface. The main drawback of the AA method seems to be its limitation in restoring the biocompatibility of the surface.

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Section: Resultsmentioning

confidence: 99%

Effects of air abrasive decontamination on titanium surfaces: A systematic review of in vitro studies

Moharrami¹,

Perrotti

Iaculli

et al. 2019

Clin Implant Dent Rel Res

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“…An in vitro study was conducted to compare the efficacy of air-polishing with 99.7% erythritol/0.3% chlorhexidine versus standard glycine powder and their antimicrobial and antibiofilm potential on Staphylococcus aureus, Bacteroides fragilis , and Candida albicans [56]. For each strain, 6 sandblasted titanium disks were used: 2 for air-polishing with water, 2 for air-polishing with glycine, and 2 for air-polishing with erythritol/chlorhexidine.…”

Section: Erythritol Supports Periodontal Therapymentioning

confidence: 99%

Erythritol Is More Effective Than Xylitol and Sorbitol in Managing Oral Health Endpoints

Cock

Mäkinen

Honkala

et al. 2016

International Journal of Dentistry

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Objective. To provide a comprehensive overview of published evidence on the impact of erythritol, a noncaloric polyol bulk sweetener, on oral health. Methods. A literature review was conducted regarding the potential effects of erythritol on dental plaque (biofilm), dental caries, and periodontal therapy. The efficacy of erythritol on oral health was compared with xylitol and sorbitol. Results. Erythritol effectively decreased weight of dental plaque and adherence of common streptococcal oral bacteria to tooth surfaces, inhibited growth and activity of associated bacteria like S. mutans, decreased expression of bacterial genes involved in sucrose metabolism, reduced the overall number of dental caries, and served as a suitable matrix for subgingival air-polishing to replace traditional root scaling. Conclusions. Important differences were reported in the effect of individual polyols on oral health. The current review provides evidence demonstrating better efficacy of erythritol compared to sorbitol and xylitol to maintain and improve oral health.

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“…In particular, use of air-powered abrasive powder, citric acid, mechanical cleaning with metal and plastic curettes, or ultrasonic devices [6][7][8], in combination with local and systemic antibiotic, have been proposed for the treatment of peri-implantitis [9]. However, none of these methods can completely eliminate bacteria from infected implants [10,11]. Instead, some of the currently used methods were reported to modify and even damage the implant surfaces, thus altering their osseo-conductive properties [12].…”

Section: Introductionmentioning

confidence: 99%

Thermal effects of λ = 808 nm GaAlAs diode laser irradiation on different titanium surfaces

Giannelli

Lasagni²,

Bani

2015

Lasers Med Sci

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Diode lasers are widely used in dental laser treatment, but little is known about their thermal effects on different titanium implant surfaces. This is a key issue because already a 10 °C increase over the normal body temperature can induce bone injury and compromise osseo-integration. The present study aimed at evaluating the temperature changes and surface alterations experienced by different titanium surfaces upon irradiation with a λ = 808 nm diode laser with different settings and modalities. Titanium discs with surfaces mimicking different dental implant surfaces including TiUnite and anodized, machined surfaces were laser-irradiated in contact and non-contact mode, and with and without airflow cooling. Settings were 0.5-2.0 W for the continuous wave mode and 10-45 μJ, 20 kHz, 5-20 μs for the pulsed wave mode. The results show that the surface characteristics have a marked influence on temperature changes in response to irradiation. The TiUnite surface, corresponding to the osseous interface of dental implants, was the most susceptible to thermal rise, while the machined surfaces, corresponding to the implant collar, were less affected. In non-contact mode and upon continuous wave emission, the temperature rose above the 50 °C tissue damage threshold. Scanning electron microscopy investigation of surface alterations revealed that laser treatment in contact mode resulted in surface scratches even when no irradiation was performed. These findings indicate that the effects of diode laser irradiation on implant surfaces depend on physical features of the titanium coating and that in order to avoid thermal or physical damage to implant surface the irradiation treatment has to be carefully selected.

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Biofilm Removal and Antimicrobial Activity of Two Different Air‐Polishing Powders: An In Vitro Study

Abstract: Air polishing with erythritol-chlorhexidine seems to be a viable alternative to the traditional glycine treatment for biofilm removal.

Cited by 42 publications

References 50 publications

Effects of air abrasive decontamination on titanium surfaces: A systematic review of in vitro studies

Effects of air abrasive decontamination on titanium surfaces: A systematic review of in vitro studies

Erythritol Is More Effective Than Xylitol and Sorbitol in Managing Oral Health Endpoints

Thermal effects of λ = 808 nm GaAlAs diode laser irradiation on different titanium surfaces

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