Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

EFFECTS ON ER,CR:YSGG LASER ON PERI-IMPLANTITIS

임프란트 주위염에 대한 Er,Cr:YSGG 레이저 조사가 미치는 영향

  • Choi, Sung-Lim (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Kim, Jin-Hwan (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Hwang, Dong-Hyeon (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Min, Seung-Ki (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University)
  • 최성림 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 김진환 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 황동현 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 민승기 (원광대학교 치과대학 구강악안면외과학교실)
  • Published : 2008.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

For Longevity of implant, considerations of biomechanical and microbiological aspects must be done. Recently, due to the remarkable development of bone grafting procedure. Implant has been implanted into the more favorable sites but peri-implantitis resulted from periodontal bacteria may obscure the long-term prognosis. Although many different modalities have been introduced to treat the failed implant. Implant's surface and irreversible bony destruction around the implant prevents good result. After Er,Cr:YSGG (waterlase) laser using the wave-length of 2780nm has been introduced to dental field, good results have been reported. Because waterlase uses the hydrokinetic force of water. It is excellent device to detoxify the implant surface mechanically without the heat generation and damage to the implant surface. We designed to evaluate waterlase effect on the peri-implantitis has been occurred after implantation. Four beagle dogs were involved. We have made four premolar extraction in each right and left side of the lower jaw and placed two implants in the anterior of the jaw as a control and six implant were placed posterior in each socket after extraction immediately as an experimental group. We tied floss-silk in each implant to make peri-implantitis intentionally. After three months, we explored peri-implant sites on each experimental fixtures. Using waterlase laser irradiation was performed on that implantitis sites under 3W, air 30% and water 20% intensity for 2 minutes. In control group, we repositioned the flap to cover the exposed fixture without any supportive care. Three months later, we sacrificed experimental animals and extracted and preparated bone blocks with Donath and Breuner (982), Donath (988)'s methods and examined under microscope. We have obtained good re-osseointegration around fixtures after treating with waterlaser irradiation. But it was shown fibroosseointegration in the control group.

Keywords

References

  1. Mombelli A, Buser D, Lang NP : Colonization of osseointegrated titanium implants in edentulous patients : Early result. Oral Microbiol Immunol 3 : 113, 1988 https://doi.org/10.1111/j.1399-302X.1988.tb00095.x
  2. Becker W, Becker BE, Newman MG et al : Clinical and microbiologic findings that may contribute to dental implant failure. Int J Oral Maxillofac Implants 5 : 31, 1990
  3. Alcoforado GA, Rams TE, Feik D et al : Microbial aspects of failing osseointegrated dental implants in humans. J Parodontol 10 : 11, 1991
  4. Albrektsson T, Isidor F : Consensus report of session IV. In: Lang NP & Karring T, eds. Procedings of the first european Workshop on Periodontology, London: Quintessence : 365, 1994
  5. Mombelli A, Lang NP : Microbial aspects of implant dentistry. Perioontol 2000 4 : 74, 1994
  6. Parham PL, Jr, Cobb CM, French AA et al : Effects of an air-powder abrasive system on plasma-sprayed titanium implant surface: an in vitro evaluation. J Oral Implantol 5 : 78, 1989
  7. Fox SC, Moriarty JD, Kusy RP : The effects of scaling a titanium implants surface with metal and plastic instruments: an in vitro study. J Periodontol 61 : 485, 1990 https://doi.org/10.1902/jop.1990.61.8.485
  8. Mombelli A, Lang NP : Antimicroial treatment of periimplant infections. Clin Oral Implants Res 3 : 162, 1992 https://doi.org/10.1034/j.1600-0501.1992.030402.x
  9. Ruhling A, Kocher T, Kreusch J et al : Treatment of subgingival implant surfaces with Teflon-coated sonic ultrasonic scaler tips and various implant curettes. An in vitro study. Clin Oral Implants Res 5 : 19, 1994 https://doi.org/10.1034/j.1600-0501.1994.050103.x
  10. Ericsson LG, Berglundh T, Edlund T et al : The effect of antimicrobial therapy on periimplantitis lesions. An experimental study in the dog. Clin Oral Implants Res 7 : 320, 1996 https://doi.org/10.1034/j.1600-0501.1996.070404.x
  11. Schenk G, Flemmig TF, Betz T et al : Controlled local delivery of tetracyclin HCl in the treatment of periimplant mucosal hyperplasia and mucositis. A controlled case series. Clin Oral Implants Res 8 : 427, 1997 https://doi.org/10.1034/j.1600-0501.1997.080510.x
  12. Augthun M, Tinschert J, Huber A : In vitro studies on the effect of cleansing method on different implants surface. J Periodontol 69 : 857, 1998 https://doi.org/10.1902/jop.1998.69.8.857
  13. Van de Velde E, Thielens P, Schutteet H et al : Subcutaneous emphysema of the oral floor during cleansing of a bridge fixed on an IMZ implant. Case report. Rev Belge Med Dent 46 : 64, 1991
  14. Oyster DK, Parker WB, Gher ME : CO$_{3}$ lasers and temperature changes of titanium implant. J Periodontol 66 : 1017, 1995 https://doi.org/10.1902/jop.1995.66.12.1017
  15. Romanos GE, Everts H, Nentwig GH : Effects of diode and Nd:YAG laser irradiation on titanium discs: a scanning electron microscope examination. J Periodontol 71 : 810, 2000 https://doi.org/10.1902/jop.2000.71.5.810
  16. Kreisler M, Al HaJ H, Gotz H et al : Effect of simulated CO$_{}$ and GaAlAs laser surface decomtamination on temperature changes in Ti-plasma sprayed dental implants. Lasers Surg Med 30 : 233, 2002 https://doi.org/10.1002/lsm.10025
  17. Maiman TH : Stimulated optical radiation in ruby. Nature 187 : 493, 1960 https://doi.org/10.1038/187493a0
  18. Kato T, Kusakari H, Hoshino E : Bactericidal Efficacy of carbon dioxide laser against bacteria-contaminated titanium implant and subsequent cellular adhesion to irradiated area. Lasers Surg Med 23 : 299, 1998 https://doi.org/10.1002/(SICI)1096-9101(1998)23:5<299::AID-LSM10>3.0.CO;2-K
  19. Kreisler M, Kohnen W, Marinello C et al : Bactericidal effect of the Er:YAG laser on dental implant surfaces: an in vitro study. J Periodontol 73 : 1292, 1996 https://doi.org/10.1902/jop.2002.73.11.1292
  20. Schwarz F, Sculean A, Berakdar M et al : In vivo and in vitro effects of an Er:YAG laser, a GaAlAs diode laser, and scaling and root planning on periodontally diseased root surfaces: a comparative histologic study. Lasers Surg Med 32 : 359, 2003 https://doi.org/10.1002/lsm.10179
  21. Eberhard J, Ehlers H, Falk W et al : Efficiency of subgingival calculus removal with Er:YAG laser compared to mechanical debridement: an in situ study. J Clin Periodontol 30 : 511, 2003 https://doi.org/10.1034/j.1600-051X.2003.00052.x
  22. Eversole LR, Rizoiu IM : Preliminary investigations on the utility of an erbium, chromium YSGG laser. J Calif Dent Assoc 23 : 41, 1995
  23. Hossain M, Nakamura Y, Yamada Y et al : Effects of Er,Cr:YSGG laser irradiation in human enamel and dentin: ablation and morphological studies. J Clin Laser Med Surg 17 : 155, 1999
  24. Persson LG, Ericsson I, Berglundh T et al : Guided bone generation in the treatment of peri-impalntitis. Clin Oral Implants Res 7 : 366, 1996 https://doi.org/10.1034/j.1600-0501.1996.070410.x
  25. Persson LG, Araujo M, Berglundh T et al : Resolution of periimplantitis following treatment. An experimental study in the dog. Clin Oral Implants Res 10 : 195, 1999 https://doi.org/10.1034/j.1600-0501.1999.100302.x
  26. Wetzel AC, Vlassis J, Hamerle CHF et al : Attempts to obtain reosseointegration following experimental periimplantitis in dogs. Clin Implants Res 10 : 111, 1999 https://doi.org/10.1034/j.1600-0501.1999.100205.x
  27. Robert RJ : Treatment of the comtaminated implant surface using the Er, Cr: YSGGG laser. Implant Dent 13 : 165, 2004 https://doi.org/10.1097/01.ID.0000127521.06443.0B
  28. El-Askary AS, Mefffert RM, Grifffin T : Why do implants fail Part II. Implant Dent 8 : 265, 1999 https://doi.org/10.1097/00008505-199903000-00008
  29. Zablosky MH, Diedrich DL, Mefffert RM : Detoxification titanium and hydroxyapatite-coated surfaces utilizing various chemotherapeutic and mechanical modalities. Implant Dent 1 : 154, 1992 https://doi.org/10.1097/00008505-199205000-00009
  30. Zablosky MH : A Retrospective analysis of the management of ailing and failing endoosseous dental implants. Implant Dent 7 : 185, 1998 https://doi.org/10.1097/00008505-199807030-00005
  31. Persson LG, Berglundh T, Sennerby L et al : Reosseointegration after treatment of peri-implantitis at different surface. An experimental study in the dog. Clin Oral Implants Res. 10 : 111, 2001 https://doi.org/10.1034/j.1600-0501.1999.100205.x
  32. Dennison DK, Heurzeler MB, Quinones C et al : Contaminated implant surfaces: An in vitro comparison of implant surface coating and treatment modalities for decontamination. J Periodontol 65 : 942, 1994 https://doi.org/10.1902/jop.1994.65.10.942
  33. Misch CE : Contemporary Implant Dentistry, 2nd ed. St. Louis, Mosby Yearbook, 1993, p.735
  34. Kornman KS, Robertson PB : Fundamental principles affecting the outcomes off therapy for osseous lesions. Periodotol 2000 22 : 22, 2000
  35. Persson LG, Berglundh T, Sennerby L et al : Carbon Dioxide Laser and Hydrogen Peroxide Conditioning in the Treatment of peri-implantitis: An experimental study in the dog. Clin Implant Dent Relat Res 6 : 101, 2004 https://doi.org/10.1111/j.1708-8208.2004.tb00032.x
  36. Deppe H, Horch H-H, Henke J et al : Peri-implant care of ailing implants with the carbon dioxide laser. Int J Oral Maxillofac Implants 16 : 659, 2001
  37. Kolonidis SG, Renvert S, Hammerle CH et al : Osseointegration on implant surfaces previously contaminated with plaque. An experimental study in the dog. Clin Oral Implants Res 3 : 107, 2002
  38. Kreisler M, Gotz H, Deuschner H, et al : Effects of Nd:YAG, Ho:YAG, CO$_{2}$, and GaAlAs laser irradiation on surface properties of endoosseous dental implants. Int J Oral Maxillofac Implants 17 : 202, 2002
  39. Kasemo B, Lausma J : Surface science aspects on inorganic biomaterials. CRC Crit Rev Biocompt 2 : 2335, 1986
  40. Eriksson A, Albrektsson T : Temperature threshold levels for heat induced bone tissue injury: a vital microscopy study in the rabbit. J Prosthet Dent 50 : 101, 1983 https://doi.org/10.1016/0022-3913(83)90174-9
  41. Mouhyi J, Sennerby L, Nammour S et al : Temperature increase during surface decontamination of titanium implants using CO$_{2}$laser. Clin Oral Implants Res 10 : 54, 1999 https://doi.org/10.1034/j.1600-0501.1999.100107.x