Clinical comparison of the use of Er,Cr:YSGG and diode lasers in second stage implant surgery

Abstract

Objectives: To compare the effects of diode and erbium, chromium: yttrium-scandium-gallium-garnet (Er,Cr:YSGG) lasers in second-stage implant surgery applications. Methods: This is a cross-sectional study that was carried out on patients who received implant treatment at the Departments of Oral and Maxillofacial Surgery and Periodontology, Van Yuzuncu Yil University, Van, Turkey between January 2017 and January 2018. Implants of the patients in the first group (n=20) were exposed with 940 nm Ga-Al-As diode laser while the implants of the second group (n=20) were uncovered with 2780 nm Er,Cr:YSGG laser in the second-stage surgery. Visual analogue scale (VAS) values during day 0 and following the operation on days 1, 2, 3 intraoperative bleeding grades, number of analgesics used in the postoperative period, operation time per implant, and postoperative complications were recorded. Results: When gender, smoking, the presence of systemic disease, toothbrushing frequency, analgesic use, bleeding and complications observed at the control session were analyzed, no statistically significant relationship was found between the 2 groups. It was observed that males had statistically significant higher VAS values than females ( p <0.05). Conclusion: Since diode lasers are more economical, smaller, and can meet the clinical needs of clinicians, it is likely that these lasers may be the preferred choice of the clinicians in surgical procedures.

Comparison of clinical efficacy of diode laser and erbium, chromium: Yttrium, scandium, gallium, and garnet for implant stage 2 recovery procedure – A randomized control clinical study

“…In the study done by Tunc et al ., using the diode and Er, Cr:YSGG laser systems for implant recovery, the VAS was noticed to be increased as the time taken for the procedure was increased. [ 19 ] In the current study, the VAS scale was higher in the conventional group than the two laser groups ( P = 0.000), however the VAS score between the two laser groups did not show any statistically significant difference.…”

High-power diode laser for second-stage implant surgery: a randomized pilot clinical trial

“…The present study evaluated comparatively some clinical outcomes of an HPL and the conventional scalpel technique for second-stage implant surgery. Despite the use of different techniques for it (e.g., scalpels, electrosurgery, and HPLs) (Tunc et al, 2019), HPLs have provided similar results when compared to the traditional ones with scalpels (Al-Delayme, 2019;Fornaini et al, 2015). Many studies on the use of HPL for oral soft tissue surgery are available but few assessed this matter especially.…”

“…Edentulism is a common clinical entity considered as an expected part of aging (Bajaj et al, 2020). Dental implants, a titanium surgical fixture with a root form and placed at the original position of natural teeth (Tunc et al, 2019), have been advocated in recent decades as an excellent option to treat tooth loss (Ibidem, 2020), changing Dentistry (Fornaini et al, 2015).…”

Assessment of Effects of Laser Light Combining Three Wavelengths (450, 520 and 640 nm) on Temperature Increase and Depth of Tissue Lesions in an Ex Vivo Study

“…Lasers, including semiconductor lasers are widely used in medicine. They are mainly used in soft tissue surgery for cutting and cauterization [ 1 , 2 ]. They are also used in biostimulation and photodynamic therapy [ 3 , 4 , 5 ].…”

“…A wavelength of 2940 nm, characteristic for erbium-doped YAG lasers (Er:YAG), is in turn strongly absorbed by water and hydroxyapatite. Due to this, Er:YAG lasers are used for both soft tissue cutting and bone preparation [ 1 , 10 ]. Apart from wavelength, tissue response is affected by power, energy density and radiation dose.…”