Comparison of the Effects of Er, Cr: YSGG Laser and Super-Saturated Citric Acid on the Debridement of Contaminated Implant Surfaces

Overview

Journal J Lasers Med Sci

Date 2019 May 24

PMID 31119020

Citations 9

Authors

Gholam Ali Gholami

Milad Karamlou

Reza Fekrazad

Farzin Ghanavati

Neda Hakimiha

Georgios Romanos

Affiliations

Soon will be listed here.

Abstract

Several techniques such as using citric acid, plastic curettes, ultrasonic devices, and lasers have been suggested for debridement of contaminated implant surfaces. This comparative investigation aimed to assess and compare the effects of Er, Cr: YSGG laser and super-saturated citric acid on the debridement of contaminated dental implant surfaces. In this in-vitro study, 12 contaminated failed implants were collected and randomly divided into 2 groups (6 in group A, and 6 in group B). Also, one implant was considered as the control. The implants were horizontally sectioned into coronal and apical portions and subsequently irradiated by Er, Cr: YSGG laser in coronal and citric acid in apical in group A and the opposite in group B. In order to evaluate the effect of water spray on the laser section, half the laser portion of the implants was irradiated using water, while the other half was irradiated without water with an irradiation time of 1 minute. Results revealed that calculus and plaque removal was greater in the laser part of both groups (with and without water) compared to citric acid parts and the correlation between calculus removal and surface roughness were statistically significant. Furthermore, the surface roughness in the citric acid parts was significantly higher than in laser parts. Water spray during irradiation had a very small influence on understudy factors. Based on the results of this study, the Er, Cr: YSGG laser was more effective in calculus removal and caused less surface roughness compared with citric acid application.

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References

Kreisler M, Al Haj H, Gotz H, Duschner H, dHoedt B . Effect of simulated CO2 and GaAlAs laser surface decontamination on temperature changes in Ti-plasma sprayed dental implants. Lasers Surg Med. 2002; 30(3):233-9. DOI: 10.1002/lsm.10025. View

Kreisler M, Gotz H, Duschner H . Effect of Nd:YAG, Ho:YAG, Er:YAG, CO2, and GaAIAs laser irradiation on surface properties of endosseous dental implants. Int J Oral Maxillofac Implants. 2002; 17(2):202-11. View

Wang X, Ishizaki N, Suzuki N, Kimura Y, Matsumoto K . Morphological changes of bovine mandibular bone irradiated by Er,Cr:YSGG laser: an in vitro study. J Clin Laser Med Surg. 2002; 20(5):245-50. DOI: 10.1089/10445470260420740. View

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(1):7-17. DOI: 10.1089/10445470360516680. View

Block C, Mayo J, Evans G . Effects of the Nd:YAG dental laser on plasma-sprayed and hydroxyapatite-coated titanium dental implants: surface alteration and attempted sterilization. Int J Oral Maxillofac Implants. 1992; 7(4):441-9. View

Miller R . Treatment of the contaminated implant surface using the Er,Cr:YSGG laser. Implant Dent. 2004; 13(2):165-70. DOI: 10.1097/01.id.0000127521.06443.0b. View

Nair P . Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med. 2004; 15(6):348-81. DOI: 10.1177/154411130401500604. View

Lopez-Marcos J . Aetiology, classification and pathogenesis of pulp and periapical disease. Med Oral Patol Oral Cir Bucal. 2004; 9 Suppl:58-62. View

Kreisler M, Kohnen W, Christoffers A, Gotz H, Jansen B, Duschner H . In vitro evaluation of the biocompatibility of contaminated implant surfaces treated with an Er : YAG laser and an air powder system. Clin Oral Implants Res. 2005; 16(1):36-43. DOI: 10.1111/j.1600-0501.2004.01056.x. View

10.

Schwarz F, Sculean A, Rothamel D, Schwenzer K, Georg T, Becker J . Clinical evaluation of an Er:YAG laser for nonsurgical treatment of peri-implantitis: a pilot study. Clin Oral Implants Res. 2005; 16(1):44-52. DOI: 10.1111/j.1600-0501.2004.01051.x. View

11.

Park C, Kim S, Kim M, Eom T, Yoon J, Ahn S . Surface properties of endosseous dental implants after NdYAG and CO2 laser treatment at various energies. J Oral Maxillofac Surg. 2005; 63(10):1522-7. DOI: 10.1016/j.joms.2005.06.015. View

12.

Crespi R, Romanos G, 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(7):1217-22. DOI: 10.1902/jop.2006.050416. View

13.

Todisco M, Trisi P . Histomorphometric evaluation of six dental implant surfaces after early loading in augmented human sinuses. J Oral Implantol. 2006; 32(4):153-66. DOI: 10.1563/812.1. View

14.

Deppe H, Horch H, Neff A . Conventional versus CO2 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(1):79-86. View

15.

Castro G, Gallas M, Nunez I, Borrajo J, Cuevas Alvarez J, Varela L . Scanning electron microscopic analysis of diode laser-treated titanium implant surfaces. Photomed Laser Surg. 2007; 25(2):124-8. DOI: 10.1089/pho.2006.1086. View

16.

Gordon W, Atabakhsh V, Meza F, Doms A, Nissan R, Rizoiu I . The antimicrobial efficacy of the erbium, chromium:yttrium-scandium-gallium-garnet laser with radial emitting tips on root canal dentin walls infected with Enterococcus faecalis. J Am Dent Assoc. 2007; 138(7):992-1002. DOI: 10.14219/jada.archive.2007.0297. View

17.

Ting C, Fukuda M, Watanabe T, Aoki T, Sanaoka A, Noguchi T . Effects of Er,Cr:YSGG laser irradiation on the root surface: morphologic analysis and efficiency of calculus removal. J Periodontol. 2007; 78(11):2156-64. DOI: 10.1902/jop.2007.070160. View

18.

Berglundh T, Lindhe J, Ericsson I, Marinello C, Liljenberg B, Thomsen P . The soft tissue barrier at implants and teeth. Clin Oral Implants Res. 1991; 2(2):81-90. DOI: 10.1034/j.1600-0501.1991.020206.x. View

19.

Romanos G, Nentwig G . Regenerative therapy of deep peri-implant infrabony defects after CO2 laser implant surface decontamination. Int J Periodontics Restorative Dent. 2008; 28(3):245-55. View

20.

Lindhe J, Meyle J . Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol. 2008; 35(8 Suppl):282-5. DOI: 10.1111/j.1600-051X.2008.01283.x. View