Pulsed Nd:YAG laser treatment for failing dental implants due to peri-implantitis

Nicholson, Dawn M.; Blodgett, Kris; Braga, Charles; Finkbeiner, Larry; Fourrier, Jeanne; George, John V; Gregg, Robert H.; Honigman, Allen; Houser, Bruce; Lamas, William; Lehrman, Neal; Linden, Eric; McCarthy, D; McCawley, Tom; McCormick, Randy M.; Marcus, Ed; Noraian, Kirk; Rubelman, Peter; Salama, Maurice; Saunders, S; Seamons, Brandon; Thein, D.J.; Toms, Michael; Vassos, George; Harris, David

doi:10.1117/12.2041037

Cited by 3 publications

(35 citation statements)

References 7 publications

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“…After screening of the titles and abstracts, 177 studies were excluded. Forty-eight studies were selected for thorough full-text screening, from which 41 were excluded according to predefined inclusion criteria [35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75] (Table 3). Finally, seven publications were included in the review [14,15,30,31,32,33,76] (Table 4).…”

Section: Resultsmentioning

confidence: 99%

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%

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

et al. 2019

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“…The risk of bias ( Table 1 ) of the selected six randomized trials [ 19 , 22 , 24 , 25 , 32 , 33 ] were mostly “definitely or probably low risk of bias”, and the risk of bias for the other seven non-randomized studies [ 14 , 26 , 27 , 28 , 29 , 30 , 31 ] scored varying degrees of bias ranging from “definitely high risk to definitely low risk of bias”. In these seven studies, the increase in scoring of “probably high risk of bias” was due to failure to report details of the study protocol ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…In these seven studies, the increase in scoring of “probably high risk of bias” was due to failure to report details of the study protocol ( Table 1 ). Of these seven studies, four studies were at “definitely high risk of bias” for detection bias [ 27 , 31 ] or selective reporting bias [ 29 , 30 ]. As approximately two-thirds of the included studies were “definitely low risk of bias” to “probably high risk of bias”, the overall level of evidence level of this systematic review is moderate to low.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 13 studies ( Table 2 ), one was retrospective [ 30 ] and 12 were prospective [ 14 , 19 , 22 , 24 , 25 , 26 , 27 , 28 , 29 , 31 , 32 , 33 ]. Of the 12 prospective studies, eight were controlled trials [ 19 , 22 , 24 , 25 , 28 , 29 , 32 , 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…Of the laser types evaluated in 13 studies ( Table 3 ), two were diode (810 nm) [ 25 , 26 ], two were Nd:YAG (1064 nm) [ 24 , 30 ], six were Er:YAG (2940 nm) [ 19 , 22 , 27 , 31 , 32 , 33 ], and three were CO 2 (10,600 nm) [ 14 , 28 , 29 ]. On the method of use, 8 of the 13 studies elevated a full-thickness flap before using the laser [ 14 , 26 , 27 , 28 , 29 , 31 , 32 , 33 ].…”

Section: Resultsmentioning

confidence: 99%

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Laser Treatment of Peri-Implantitis: A Systematic Review of Radiographic Outcomes

Ting¹,

Alluri

Sulewski³

et al. 2022

Dentistry Journal

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(1) Background: This systematic review aimed to evaluate the effects of laser therapy on radiographic bone level (RBL) changes in peri-implantitis defects. (2) Methods: A literature search with defined inclusion criteria was performed. PubMed, Web of Science, Cochrane Library, and Google Scholar were searched through September 2020. The evaluated primary outcomes were RBL changes. In studies that reported RBL data, corresponding secondary clinical outcomes were probing depth (PD), bleeding on probing (BOP), and clinical attachment level (CAL). (3) Results: Thirteen articles were selected for data extraction and risk of bias assessment. Eight studies showed evidence of RBL gain in the laser groups compared to baseline, but did not report the statistical significance. Eight of these 13 studies reported comparisons to control. Five of the eight studies did not show RBL gain in the laser groups compared to control. In the laser groups compared to baseline, 11 of 13 reported reduced PD, and 6 of 13 reported significantly reduced BOP. Compared to the control, eight of the eight reported reduction of PD, and three of six reported significantly reduced BOP. Statistical significance was not consistently reported. (4) Conclusions: Within the limits of this systematic review, laser treatment may promote bone gain in peri-implantitis defects, may reduce BOP and PDs, and may be comparable to mechanical therapy. However, definitive conclusions can only be made with statistically significant data, which were found lacking in the currently available studies. This systematic review was registered with the National Institute for Health Research, international prospective register of systematic reviews (PROSPERO): CRD42020207972.

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Medicolegal REFIIDs related to implant complications

Zinman¹

2015

Dental Implant Complications

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Pulsed Nd:YAG laser treatment for failing dental implants due to peri-implantitis

Cited by 3 publications

References 7 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

Laser Treatment of Peri-Implantitis: A Systematic Review of Radiographic Outcomes

Medicolegal REFIIDs related to implant complications

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