Laser explantation of a failing endosseous dental implant

Smith, LP; Rose, T.

doi:10.1111/j.1834-7819.2010.01225.x

Cited by 23 publications

(10 citation statements)

References 13 publications

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“…Since, to correct early or later failure implants is necessary to remove them, any tool available is necessary. Five different techniques to remove failing implants provided to be successful; however, the counter torque technique, used in our study, is the highest predictability for the insertion of another implant [17, 18, 34–36]. …”

Section: Discussionmentioning

confidence: 99%

Twist removal of healed vs. nonhealed implants—a mechanical and histological study in mini pigs

2016

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PurposeThe objective of this study was to evaluate the effect of removal torque (reverse torque) of titanium implants in peri-implant bone.MethodsThe P1-M1 teeth were extracted bilaterally of 6 mini pigs (BR-1). Each animal received 6 titanium implants, three for each side of mandible. On the right side of mandible, 3 implants reminded 9 months (9M) under masticatory activity and on the left side, other 3 implants were placed and immediately removed (IR). All 36 implants were removed by removal torque, and the recorded values were statistically analyzed. Animals were euthanized right after the removal torque and recording. Each third (cervical, medium, and apical) of peri-implant bone was extracted and analyzed histological and immunohistochemically. Student’s t test was used to determine statistical differences in the values between the 9M and IR samples. Data were presented as means with standard deviations. The level of significance was set at 5% (P < 0.05).ResultsRemoval torque was higher in 9M experimental situation than in IR. Histological characteristics of mature bone were presented in the 9M experimental condition, and immature bone characteristics were presented in the IR experimental condition. Removal torque caused small fractures and rounding in the bone grooving. Immunohistochemical analysis reinforced the histological results; Student’s t test provided statistically significant differences to osteocalcin expression in 9M samples and no statistically significant differences expression to collagen I in both experimental conditions (P < 0.05).ConclusionsRemoval torque caused microscopical fractures and smoothing in the peri-implant bone grooves, but it does not compromise the bone healing.

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Section: Discussionmentioning

confidence: 99%

Twist removal of healed vs. nonhealed implants—a mechanical and histological study in mini pigs

2016

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“…Aktuell liegen einzelne Case Reports vor, welche die Explantation mittels Er,Cr:YSGG-Laser beschreiben [27,28]. Ähnlich wie bei der Piezochirurgie wird dabei die Kontaktfläche zwischen Implantat und umgebendem Knochen vergleichsweise atraumatisch aufgelöst: Der Laser generiert gepulste Photonenstrahlung, welche von Wasser absorbiert zu Mikroexplosionen und zur Destruktion des Zielgewebes führt.…”

Section: Laserchirurgieunclassified

“…Thermische Energie wird hierbei nicht erzeugt. Die zusätzliche Blutstillung sorgt für gute Sichtverhältnisse [28]. Im Vergleich zwischen Trepanbohrer und Er,Cr:YSGG-Laser wurden in einer In-vitro-Studie folgende Ergebnisse erhoben: Während sich die Explantation mittels Trepanbohrer deutlich weniger zeitintensiv durchführen ließ, ging sie mit dem 2-fachen Knochenverlust einher und führte zu thermalen Schäden im umgebenden Gewebe, während in der Lasergruppe thermische Schäden völlig fehlten.…”

Section: Laserchirurgieunclassified

Explantation: Indikation, Technik, Folgebehandlung

Eisenkopf¹,

Weischer²

2020

Zahnmedizin up2date

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“…46 Laser explantation has also been described. 47 Precautions that need to be considered with explantation include the creation of oral antral communication, damage to vital structures such as the inferior dental nerve and vasculature. 48…”

Section: Explantationmentioning

confidence: 99%

Peri-implantitis. Part 3: Current modes of management

Alani¹,

Bishop

2014

Br Dent J

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Peri-implantitis is an inflammatory condition fuelled by the presence of bacteria on the implant surface. As such, in a similar manner to periodontal disease management, the removal of biofilm from the implant surface should result in regression of the disease process. The optimal manner with which this is achieved has yet to be realised. This may be unsurprising due to the relative surface complexity of the implant surface when compared to natural tooth root. Other management strategies include surface decontamination, the removal of implant threads known as implantoplasty, and in severe cases the need to explant. Favourable defects can be reconstructed utilising guided bone regeneration techniques. The current review appraises some of the techniques for the management of peri-implantitis.

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Laser explantation of a failing endosseous dental implant

Cited by 23 publications

References 13 publications

Twist removal of healed vs. nonhealed implants—a mechanical and histological study in mini pigs

Twist removal of healed vs. nonhealed implants—a mechanical and histological study in mini pigs

Explantation: Indikation, Technik, Folgebehandlung

Peri-implantitis. Part 3: Current modes of management

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