Innovative Regeneration Technology to Solve Peri-implantitis by Er:YAG Laser Based on the Microbiologic Diagnosis: A Case Series

Yoshino, Toshiaki; Yamamoto, Atsuhiko

doi:10.11607/prd.2116

Cited by 17 publications

(16 citation statements)

References 15 publications

(18 reference statements)

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“…Seven articles reporting four randomized controlled trials [14,30,32,33] and three prospective case series [31,34,76] were included in this review (Table 4). Two studies evaluated the photothermal effect of the diode laser [30,77], two evaluated the Er:YAG laser [32,34] and three evaluated aPDT (antimicrobial photodynamic therapy) [14,31,76] on peri-implant pathogens. Various bacterial profiles were assessed in the articles.…”

Section: Resultsmentioning

confidence: 99%

“…Yoshino et al [34], in their study on the Er:YAG laser, reported eradication of oral pathogens. Additionally, Persson et al [32] showed lower bacterial counts in the laser-treated group for F. nucleatum naviforme and F. nucleatum nucleatum at 1 month after treatment and in comparison to baseline levels.…”

Section: Resultsmentioning

confidence: 99%

“…Another two were RCTs and had some above information missing and were reported to be at a medium risk of bias [14,33]. Since three studies were prospective case series [31,34,76], they were considered to be at a high risk of bias (Table 7).…”

Section: Resultsmentioning

confidence: 99%

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Effect of Different Laser Wavelengths on Periodontopathogens in Peri-Implantitis: A Review of In Vivo Studies

et al. 2019

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Nowadays, many studies are examining the effectiveness of dental lasers in the treatment of peri-implantitis; however, most of them only report periodontal parameter changes. The authors of this review tried to address the question: “What is the effect of different laser wavelengths on oral bacteria that cause peri-implantitis?” An electronic search of PubMed and Cochrane Central Register of Controlled Trials was performed. The following search terms were used: (peri-implantitis OR periimplantitis) OR/AND (microbial OR microbiologic) AND (laser OR Er:YAG OR erbium OR diode OR Nd:YAG OR neodymium-doped OR Er,Cr:YSGG OR chromium-doped). Initially, 212 studies were identified. After screening the titles and abstracts and excluding studies according to predefined inclusion criteria, seven publications were included in the review. Three studies about the effect of aPDT (antimicrobial photodynamic therapy) reported a decrease in the different bacterial strains associated with peri-implantitis, e.g., A. actinomycetemcomitans, P. gingivalis, P. intermedia, T. denticola, T. forsythia, F. nucleatum, and C. rectus. Two studies showed that the high-power diode laser may have some effect on peri-implant pathogens. Two articles about the Er:YAG laser reported a lowering in the count of oral pathogens; however, it was hard to determine if this was due to the use of the laser. aPDT has the ability to decrease the count of peri-implant pathogens, whereas Er:YAG laser application shows no significant effect on oral bacteria in the long term.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Effect of Different Laser Wavelengths on Periodontopathogens in Peri-Implantitis: A Review of In Vivo Studies

et al. 2019

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“…Radiographically, PDs were reduced due to peri-implant defect bone fill. Similarly, Yoshino et al 66 found that antibiotic therapy significantly reduced the bacterial amount from the peri-implantitis sites and that Er:YAG laser therapy, along with bone augmentation, enhanced bone regeneration in the peri-implant bone defects.…”

Section: Simulated Radiation Emission (Lasers)mentioning

confidence: 90%

Peri-implantitis Update: Risk Indicators, Diagnosis, and Treatment

et al. 2020

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Despite the success rates of dental implants, peri-implantitis presents as the most common complication in implant dentistry. This review discusses various factors associated with peri-implantitis and various available treatments, highlighting their advantages and disadvantages. Relevant articles on peri-implantitis published in English were reviewed from August 2010 to April 2020 in MEDLINE/PubMed, Scopus, and ScienceDirect. The identified risk indicators of peri-implant diseases are plaque, smoking, history of periodontitis, surface roughness, residual cement, emergence angle >30 degrees, radiation therapy, keratinized tissue width, and function time of the implant, sex, and diabetes. Peri-implantitis treatments can be divided into nonsurgical (mechanical, antiseptic, and antibiotics), surface decontamination (chemical and laser), and surgical (air powder abrasive, resective, and regenerative). However, mechanical debridement alone may fail to eliminate the causative bacteria, and this treatment should be combined with other treatments (antiseptics and surgical treatment). Surface decontamination using chemical agents may be used as an adjuvant treatment; however, the definitive clinical benefit is yet not proven. Laser treatment may result in a short-term decrease in periodontal pocket depth, while air powder abrasive is effective in cleaning a previously contaminated implant surface. Surgical elimination of a pocket, bone recontouring and plaque control are also effective for treating peri-implantitis. The current evidence indicates that regenerative approaches to treat peri-implant defects are unpredictable.

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“…reported that a combination of Er,Cr:YSGG laser and conventional scaling and root plaining had better results compared to scaling root-plaining alone in terms of attachment level restoration. Other types of high intensity lasers such as Er:YAG and Nd:YAG lasers have been recently used in a way similar to Er,Cr:YSGG in the periodontal therapy [ 22 , 23 ]. Er:YAG lasers are securely used as an alternative to non-surgical periodontal therapy or as an adjunct for pocket treatment [ 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

The efficacy of Er,Cr:YSGG laser supported periodontal therapy on the reduction of peridodontal disease related oral malodor: a randomized clinical study

et al. 2016

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BackgroundThis study aims to evaluate the efficacy of Er,Cr:YSGG laser assisted periodontal therapy on the reduction of oral malodor and periodontal disease.MethodsSixty patients with chronic periodontitis were included in the study and allocated into two groups each containing 30 patients. The study was planned in a double blind fashion. Conventional periodontal therapy was performed in group 1 and conventional periodontal therapy was performed in association with Er,Cr:YSGG application in group 2. Periodontal parameters of probing depth, clinical attachment level, plaque index and bleeding on probing were measured with a periodontal probe. Quantitative analysis of volatile sulphure compunds (VSCs) were measured with a calibrated halimeter at baseline level and at post-treatment 1st, 3rd and 6th months. P values <0.05 were accepted as statistically significant.ResultsThere was a statistical significant reduction in VSC values in group 2 at post-treatment 3rd and 6th months (p < 0.05). Pocket depth values at post-treatment 1st month and bleeding on probing values at post-treatment 3rd and 6th months were significantly decreased in group 2 (p < 0.05). Intragroup statistical analysis revealed that there were statistically significant differences for all parameters (p < 0.01).ConclusionsEr,Cr:YSGG laser assisted conventional periodontal therapy is more effective in reducing oral malodor and improving periodontal healing compared to conventional periodontal therapy alone.

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Innovative Regeneration Technology to Solve Peri-implantitis by Er:YAG Laser Based on the Microbiologic Diagnosis: A Case Series

Cited by 17 publications

References 15 publications

Effect of Different Laser Wavelengths on Periodontopathogens in Peri-Implantitis: A Review of In Vivo Studies

Effect of Different Laser Wavelengths on Periodontopathogens in Peri-Implantitis: A Review of In Vivo Studies

Peri-implantitis Update: Risk Indicators, Diagnosis, and Treatment

The efficacy of Er,Cr:YSGG laser supported periodontal therapy on the reduction of peridodontal disease related oral malodor: a randomized clinical study

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