The effects of physical decontamination methods on zirconia implant surfaces: a systematic review

Tan, Nathan Chiang Ping; Khan, Ahsen; Antunes, Elsa; Miller, Catherine M.; Sharma, Dileep

doi:10.5051/jpis.2005080254

Cited by 9 publications

(9 citation statements)

References 44 publications

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“…Twenty-two articles were excluded after title and abstract screening because they were narrative reviews [2,[9][10][11][12][13][14][15][16][17][18][19][20], did not concern the use of air powder water jet technology in dentistry [21], did not investigate APWJT for tooth/implant cleaning [22][23][24], did not report clinical in vivo data [19,[25][26][27] or their full text was not available in English [28]. After full-text screening, five other reviews were excluded because of in vitro data [30] reporting only on patient-related outcomes [31] or because their conclusion was not focused on the use of APWJT measures [32][33][34]. One study was excluded after the full-text screening because of the low methodological quality [35].…”

Section: Resultsmentioning

confidence: 99%

“…A quality assessment according to AMSTAR 2 [36] was performed (Figure 2). After full-text screening, five other reviews were excluded because of in vitro data [30] reporting only on patient-related outcomes [31] or because their conclusion was not focused on the use of APWJT measures [32][33][34]. One study was excluded after the fulltext screening because of the low methodological quality [35].…”

Section: Resultsmentioning

confidence: 99%

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An Umbrella Review on Low-Abrasive Air Powder Water Jet Technology in Periodontitis and Peri-Implantitis Patients

et al. 2022

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This umbrella review was conducted to assess the existing literature and scientific evidence on air powder water jet technology (APWJT) in periodontal and peri-implantitis therapy. A systematic literature search for systematic reviews and meta-analyses of the last decade on the use of APWJT in periodontitis and implant patients was performed in the databases of MEDLINE/Ovid, Embase, Cochrane library and Scopus. An additional hand search on PubMed and Google Scholar was conducted. Ten articles that fit the inclusion criteria were selected after the full-text screening. Two systematic reviews, including one with a meta-analysis, investigated the use of APWJT in active periodontal therapy. The use of APWJT as an adjunct to conventional scaling and root planing (SRP) in active periodontal treatment showed improved results in the test group. Six articles, including two with a meta-analysis, reported on the use of APWJT as a stand-alone therapy or as an adjunct in supportive periodontal therapy. Similarly significant improved results were reported for the use of APWJT. Regarding the active treatment of peri-implant mucositis and peri-implantitis, four systematic reviews could not show an improved clinical outcome when APWJT was used as an adjunct to conventional treatment measures. Furthermore, one article investigated APWJT as a stand-alone therapy or as an adjunct in supportive peri-implant mucositis and peri-implantitis therapy. In systematic reviews that also investigated patient perception, APWJT was generally well-tolerated by the patient. Within the limitations of this umbrella review, it can be concluded that the use of APWJT with low-abrasive powders such as glycine, erythritol or trehalose as an adjunct in active periodontitis therapy shows similar clinical results compared to conventional SRP alone. In surgical peri-implantitis treatment, APWJT can be used adjunctively. It could be considered that the use of APWJT in supportive periodontal treatment results in a comparable clinical outcome and an enhanced patient perception, as well as a shorter clinical time.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

An Umbrella Review on Low-Abrasive Air Powder Water Jet Technology in Periodontitis and Peri-Implantitis Patients

et al. 2022

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“…This laser type is not used widely in dental implant therapy, with diode lasers being much more commonplace. There is a significant gap in the literature regarding the interaction of diode laser wavelengths with dental implant surfaces of various types, and further work on this topic is necessary [122].…”

Section: Factors Influencing Ablationmentioning

confidence: 99%

Effects of lasers on titanium dental implant surfaces: a narrative review

et al. 2022

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Despite the many treatment modalities offered to prevent or manage peri-implantitis, there is currently a lack of high-quality evidence that supports any approach being regarded as a gold standard. Given that methods such as hand scaling with metal instruments and ultrasonic scaling may damage the implant surfaces, it is important to identify methods that are inherently safe for the surface being treated, and this is where interest in the use of lasers as alternative or adjunctive methods has arisen. This article provides a summary of the different types of lasers that can be used for the management and prevention of peri-implantitis. It also presents novel results from our research team related to the profile and surface characteristics of implants after treatment with different laser types and using different laser parameters. This review looks at the factors that should be considered when using lasers for the management or prevention of peri-implantitis. In conclusion, it is extremely difficult to formulate a reliable comparison between the available studies in the literature due to the high variability in laser types, settings and techniques used in each study. The review highlights the need for standardised studies in this field in order to provide recommendations to clinicians that would allow a more predictable treatment outcome.

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“…16,17 Although many studies have evaluated the effect of laser treatment on titanium implant surfaces, the literature on the effect of lasers and specifically of the Er:YAG laser on zirconia surfaces is still scarce, with a recent systematic review by Tan et al suggesting that recommendations for specific laser systems could not be fully established and further research is needed. 18 In light of this evidence and the current increased use of the Er:YAG laser in implant surface decontamination, it is crucial to evaluate the effect of its use on both titanium and zirconia implant surfaces. This study aims to evaluate the effect of Er:YAG laser treatment on titanium and zirconia disc surfaces and evaluate whether any subsequent surface alterations can potentially affect bacterial biofilm on these discs.…”

Section: Introductionmentioning

confidence: 99%

“…Although many studies have evaluated the effect of laser treatment on titanium implant surfaces, the literature on the effect of lasers and specifically of the Er:YAG laser on zirconia surfaces is still scarce, with a recent systematic review by Tan et al. suggesting that recommendations for specific laser systems could not be fully established and further research is needed 18 …”

Section: Introductionmentioning

confidence: 99%

The effect of Er:YAG laser treatment on biofilm formation on titanium and zirconia disc surfaces

Assery

Alomeir

Zeng

et al. 2022

Journal of Periodontology

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Background Lasers represent a promising method for implant decontamination, but evidence on implant surface changes and subsequent biofilm formation is limited. This study aimed to assess the effect of erbium‐doped yttrium aluminum garnet (Er:YAG) laser treatment on zirconia and titanium discs, and the differences in biofilm formation as a result of surface alterations. Methods A two‐stage (in vitro and in vivo) experiment utilizing Er:YAG laser on titanium and zirconia discs was performed. In vitro, surface alterations, roughness, and elemental‐material weight differences following laser treatment were assessed using scanning electron microscopy and atomic force microscopy. In vivo, four participants wore custom‐made intra‐oral stents, embedded with laser‐treated and untreated titanium and zirconia discs overnight. Biofilm‐coated discs were stained using nucleic acid fluorescence dye and visualized using multiphoton confocal laser scanning microscopy. Biofilm 3D structure, biomass, thickness, and live‐to‐dead bacteria ratio were assessed. Results Both titanium and zirconia discs treated with Er:YAG laser resulted in visual surface alterations, but showed no significant change in average surface roughness (titanium P = 0.53, zirconia P = 0.34) or elemental‐material‐weight (titanium, P = 0.98), (zirconia, P = 0.96). No significant differences in biofilm biomass, average thickness, and live‐to‐dead bacteria ratio of laser‐treated titanium and zirconia discs were identified compared to untreated groups (titanium P > 0.05, zirconia P > 0.05). Generally, zirconia discs presented with a lower live‐to‐dead bacteria ratio compared to titanium discs, regardless of laser treatment. Conclusion Er:YAG laser treatment of titanium and zirconia implant surfaces does not significantly affect surface roughness, elemental material weight, or early biofilm formation in the oral cavity.

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The effects of physical decontamination methods on zirconia implant surfaces: a systematic review

Cited by 9 publications

References 44 publications

An Umbrella Review on Low-Abrasive Air Powder Water Jet Technology in Periodontitis and Peri-Implantitis Patients

An Umbrella Review on Low-Abrasive Air Powder Water Jet Technology in Periodontitis and Peri-Implantitis Patients

Effects of lasers on titanium dental implant surfaces: a narrative review

The effect of Er:YAG laser treatment on biofilm formation on titanium and zirconia disc surfaces

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