구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제31권4호
  • /
  • Pages.340-348
  • /
  • 2015
  • /
  • 2384-4353(pISSN)
  • /
  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
권호 표지
DOI QR코드

DOI QR Code

임플란트주위염 처치에서 레이저의 이용: 문헌고찰

Laser therapy in peri-implantitis treatment: literature review

  • 이경중 (서울대학교 치의학대학원 및 구강과학연구소 치과보철학교실) ;
  • 이종호 (서울대학교 치의학대학원 및 구강과학연구소 구강악안면외과학교실) ;
  • 금기연 (서울대학교 치의학대학원 및 구강과학연구소 치과보존학교실) ;
  • 임영준 (서울대학교 치의학대학원 및 구강과학연구소 치과보철학교실)
  • Lee, Kyung-Joong (Department of Prosthodontics and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Kum, Kee-Yeon (Department of Conservative Dentistry and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Lim, Young-Jun (Department of Prosthodontics and Dental Research Institute, School of Dentistry, Seoul National University)
  • 투고 : 2015.06.16
  • 심사 : 2015.12.05
  • 발행 : 2015.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

임플란트주위염(peri-implantitis)은 기능중인 골유착 임플란트 주위의 조직에서 생기는 사이트 별 감염성 질환이며 임플란트 후기 실패(late failure)의 원인으로 가장 높은 비율을 차지한다. 여러 연구들을 통해 미생물 침착이 임플란트주위염에 미치는 영향이 보고된 바 있으며 세균막의 제거는 임플란트주위염의 치료 시 필수조건이 된다. 최근에 여러 연구들을 통해 티타늄 임플란트에 레이저를 사용하여 표면을 살균, 정화 시키는 방법에 대한 실험이 많이 보고되고 있다. 본 논문에서는 임플란트주위염 처치에 있어 레이저가 갖는 효능에 대한 최근 연구 결과들을 문헌고찰을 통해 되짚어보고자 한다.

Peri-implantitis is the most common reason for a late failure and can occur even after years of successful osseointegration. The role of microbial plaque accumulation in the development of peri-implantitis has been well documented. On the other hand, the ideal method of implant surface decontamination to re-establish the health of peri-implant tissue remains to be determined. Removal of bacterial deposits is essential in the treatment of peri-implant infections, and various therapeutic approaches have been described in the literature, including mechanical debridement, disinfection with chemotherapeutic agents, and laser therapy. Recently, there has been a plenitude of scientific data regarding the use of laser irradiation to achieve titanium surface decontamination. Thus, research is focusing on lasers' potential use in the treatment of peri-implantitis. The aim of this literature review is to analyze and evaluate the efficacy of laser therapy for the treatment of peri-implantitis.

키워드

참고문헌

  1. Ishikawa I, Aoki A, Takasaki AA, Mizutani K, Sasaki KM, Izumi Y. Application of lasers in periodontics: true innovation or myth? Periodontol 2000 2009;50:90-126. https://doi.org/10.1111/j.1600-0757.2008.00283.x
  2. Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387-416. https://doi.org/10.1016/S0300-9785(81)80077-4
  3. Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin Periodontol 2002;29 Suppl 3:197-212. https://doi.org/10.1034/j.1600-051X.29.s3.12.x
  4. Atieh MA, Alsabeeha NH, Faggion CM Jr., Duncan WJ. The frequency of peri-implant diseases: a systematic review and meta-analysis. J Periodontol 2013;84:1586-98.
  5. Lindhe J, Meyle J; Group D of European Workshop on Periodontology. Peri-implant diseases: consensus report of the sixth European workshop on Periodontology. J Clin Periodontol 2008;35 Suppl 8:282-5. https://doi.org/10.1111/j.1600-051X.2008.01283.x
  6. Froum SJ, Rosen PS. A proposed classification for peri-implantitis. Int J Periodontics Restorative Dent 2012;32:533-40.
  7. Esposito M, Grusovin MG, Kakisis I, Coulthard P, Worthington HV. Interventions for replacing missing teeth: treatment of perimplantitis. Cochrane Database Syst Rev 2008;16:CD004970.
  8. Kotsovilis S, Karoussis IK, Trianti M, Fourmousis I. Therapy of peri-implantitis: a systematic review. J Clin Periodontol 2008;35:621-9. https://doi.org/10.1111/j.1600-051X.2008.01240.x
  9. Ntrouka VI, Slot DE, Louropoulou A, Van der Weijden F. The effect of chemotherapeutic agents on contaminated titanium surfaces: a systematic review. Clin Oral Implants Res 2011;22:681-90. https://doi.org/10.1111/j.1600-0501.2010.02037.x
  10. Tosun E, Tasar F, Strauss R, Kivanc DG, Ungor C. Comparative evaluation of antimicrobial effects of Er:YAG, diode, and $CO_2$ lasers on titanium discs: an experimental study. J Oral Maxillofac Surg 2012;70:1064-9. https://doi.org/10.1016/j.joms.2011.11.021
  11. Stubinger S, Etter C, Miskiewicz M, Homann F, Saldamli B, Wieland M, Sader R. Surface alterations of polished and sandblasted and acidetched titanium implants after Er:YAG, carbon dioxide, and diode laser irradiation. Int J Oral Maxillofac Implants 2010;25:104-11.
  12. Park JH, Heo SJ, Koak JY, Kim SK, Han CH, Lee JH. Effects of laser irradiation on machined and anodized titanium disks. Int J Oral Maxillofac Implants 2012;27:265-72.
  13. Roos-Jansaker AM, Renvert S, Egelberg J. Treatment of peri-implant infections: a literature review. J Clin Periodontol 2003:30:467-85. https://doi.org/10.1034/j.1600-051X.2003.00296.x
  14. Schwarz F, Sculean A, Romanos G, Herten M, Horn N, Scherbaum W, Becker J. Influence of different treatment approaches on the removal of early plaque biofilms and the viability of SAOS2 osteoblasts grown on titanium implants. Clin Oral Investig 2005:9:111-7. https://doi.org/10.1007/s00784-005-0305-8
  15. Schou S, Holmstrup P, Jorgensen T, Skovgaard LT, Stoltze K, Hjorting-Hansen E, Wenzel A. Implant surface preparation in the surgical treatment of experimental peri-implantitis with autogenous bone graft and ePTFE membrane in cynomolgus monkeys. Clin Oral Implants Res 2003;14:412-22. https://doi.org/10.1034/j.1600-0501.2003.00912.x
  16. Kreisler M, Gotz H, Duschner H. Effect of Nd:YAG, Ho:YAG, Er:YAG, $CO_2$, and GaAIAs laser irradiation on surface properties of endosseous dental implants. Int J Oral Maxillofac Implants 2002;17:202-11.
  17. Romanos GE, Everts H, Nentwig GH. Effects of diode and Nd:YAG laser irradiation on titanium discs: a scanning electron microscope examination. J Periodontol 2000;71:810-5. https://doi.org/10.1902/jop.2000.71.5.810
  18. Matsuyama T, Aoki A, Oda S, Yoneyama T, Ishikawa I. Effects of the Er:YAG laser irradiation on titanium implant materials and contaminated implant abutment surfaces. J Clin Laser Med Surg 2003;21:7-17. https://doi.org/10.1089/10445470360516680
  19. Schwarz F, Rothamel D, Sculean A, Georg T, Scherbaum W, Becker J. Effects of an Er:YAG laser and the vector ultrasonic system on the biocompatibility of titanium implants in cultures of human osteoblast-like cells. Clin Oral Implants Res 2003;14:784-92. https://doi.org/10.1046/j.0905-7161.2003.00954.x
  20. Schwarz F, Sculean A, Romanos G, Herten M, Horn N, Scherbaum W, Becker J. Influence of different treatment approaches on the removal of early plaque biofilms and the viability of SAOS2 osteoblasts grown on titanium implants. Clin Oral Investig 2005;9:111-7. https://doi.org/10.1007/s00784-005-0305-8
  21. Friedmann A, Antic L, Bernimoulin JP, Purucker P. In vitro attachment of osteoblasts on contaminated rough titanium surfaces treated by Er:YAG laser. J Biomed Mater Res A 2006;79:53-60.
  22. Kreisler M, Al Haj H, d'Hoedt B. Temperature changes at the implant-bone interface during simulated surface decontamination with an Er:YAG laser. Int J Prosthodont 2002;15:582-7.
  23. Schwarz F, Bieling K, Bonsmann M, Latz T, Becker J. Nonsurgical treatment of moderate and advanced peri-implantitis lesions: a controlled clinical study. Clin Oral Investig 2006;10:279-88. https://doi.org/10.1007/s00784-006-0070-3
  24. Schwarz F, Sculean A, Rothamel D, Schwenzer K, Georg T, Becker J. Clinical evaluation of an Er:YAG laser for nonsurgical treatment of periimplantitis: a pilot study. Clin Oral Implants Res 2005;16:44-52.
  25. Schwarz F, Bieling K, Nuesry E, Sculean A, Becker J. Clinical and histological healing pattern of periimplantitis lesions following non-surgical treatment with an Er:YAG laser. Lasers Surg Med 2006;38:663-71. https://doi.org/10.1002/lsm.20347
  26. Renvert S, Lindahl C, Roos Jansaker AM, Persson GR. Treatment of peri-implantitis using an Er:YAG laser or an air-abrasive device: a randomized clinical trial. J Clin Periodontol 2011;38:65-73. https://doi.org/10.1111/j.1600-051X.2010.01646.x
  27. Schwarz F, Jepsen S, Herten M, Sager M, Rothamel D, Becker J. Influence of different treatment approaches on non-submerged and submerged healing of ligature induced peri-implantitis lesions: an experimental study in dogs. J Clin Periodontol 2006;33:584-95. https://doi.org/10.1111/j.1600-051X.2006.00956.x
  28. Schwarz F, John G, Mainusch S, Sahm N, Becker J. Combined surgical therapy of peri-implantitis evaluating two methods of surface debridement and decontamination. A two-year clinical follow up report. J Clin Periodontol 2012;39:789-97. https://doi.org/10.1111/j.1600-051X.2012.01867.x
  29. Takasaki AA, Aoki A, Mizutani K, Kikuchi S, Oda S, Ishikawa I. Er:YAG laser therapy for peri-implant infection: a histological study. Lasers Med Sci 2007;22:143-57. https://doi.org/10.1007/s10103-006-0430-x
  30. Crespi R, Romanos GE, Cassinelli C, Gherlone E. Effects of Er:YAG laser and ultrasonic treatment on fibroblast attachment to root surfaces: an in vitro study. J Periodontol 2006;77:1217-22. https://doi.org/10.1902/jop.2006.050416
  31. 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 1998;23:299-309. https://doi.org/10.1002/(SICI)1096-9101(1998)23:5<299::AID-LSM10>3.0.CO;2-K
  32. Stubinger S, Henke J, Donath K, Deppe H. Bone regeneration after peri-implant care with the $CO_2$ laser: a fluorescence microscopy study. Int J Oral Maxillofac Implants 2005;20:203-10.
  33. Ganz CH. Evaluation of the safety of the carbon dioxide laser used in conjunction with root form implants: a pilot study. J Prosthet Dent 1997;71:27-30.
  34. Kreisler M, Al Haj H, Gotz H, Duschner H, d' Hoedt B. Effect of simulated $CO_2$ and GaAlAs laser surface decontamination on temperature changes in Ti-plasma sprayed dental implants. Lasers Surg Med 2002;30:233-9. https://doi.org/10.1002/lsm.10025
  35. Mouhyi J, Sennerby L, Nammour S, Guillaume P, Van Reck J. Temperature increases during surface decontamination of titanium implants using $CO_2$ laser. Clin Oral Implants Res 1999;10:54-61. https://doi.org/10.1034/j.1600-0501.1999.100107.x
  36. 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 1998;23:299-309. https://doi.org/10.1002/(SICI)1096-9101(1998)23:5<299::AID-LSM10>3.0.CO;2-K
  37. Oyster DK, Parker WB, Gher ME. $CO_2$ lasers and temperature changes of titanium implants. J Periodontol 1995;66:1017-24. https://doi.org/10.1902/jop.1995.66.12.1017
  38. Deppe H, Horch HH, Neff A. Conventional versus $CO_2$ laser-assisted treatment of peri-implant defects with the concomitant use of pure-phase beta-tricalcium phosphate: a 5-year clinical report. Int J Oral Maxillofac Implants 2007;22:79-86.
  39. Romanos GE, Nentwig GH. Regenerative therapy of deep periimplant infrabony defects after $CO_2$ laser implant surface decontamination. Int J Periodontics Restorative Dent 2008;28:245-55.
  40. Schwarz F, Aoki A, Sculean A, Becker J. The impact of laser application on periodontal and peri-implant wound healing. Periodontol 2000 2009;51:79-108. https://doi.org/10.1111/j.1600-0757.2009.00301.x
  41. Kreisler M, Al Haj H, D'Hoedt B. Temperature changes induced by 809-nm GaAlAs laser at the implant-bone interface during simulated surface decontamination. Clin Oral Implants Res 2003;14:91-6. https://doi.org/10.1034/j.1600-0501.2003.140112.x
  42. Castro GL, Gallas M, Nunez IR, Borrajo JL, Alvarez JC, Varela LG. Scanning electron microscopic analysis of diode laser-treated titanium implant surfaces. Photomed Laser Surg 2007;25:124-8. https://doi.org/10.1089/pho.2006.1086
  43. Kreisler M, Kohnen W, Marinello C, Schoof J, Langnau E, Jansen B, d'Hoedt B. Antimicrobial efficacy of semiconductor laser irradiation on implant surfaces. Int J Oral Maxillofac Implants 2003;18:706-11.
  44. Schar D, Ramseier CA, Eick S, Arweiler NB, Sculean A, Salvi GE. Anti-infective therapy of periimplantitis with adjunctive local drug delivery or photodynamic therapy: six-month outcomes of a prospective randomized clinical trial. Clin Oral Implants Res 2013;24:104-10. https://doi.org/10.1111/j.1600-0501.2012.02494.x
  45. Kotsakis GA, Konstantinidis I, Karoussis IK, Ma X, Chu H. Systematic review and meta-analysis of the effect of various laser wavelengths in the treatment of peri-implantitis. J Periodontol 2014;85:1203-13. https://doi.org/10.1902/jop.2014.130610

피인용 문헌

  1. 임플란트 주위염 치료용 diode laser의 파장 및 조사시간에 따른 온도 변화와 살균효과 분석 vol.33, pp.3, 2015, https://doi.org/10.14368/jdras.2017.33.3.178