Abstract
Both the terms Lasers and Dental Implantology have revolutionized the concept of dentistry and are considered as a proven treatment option. Dental implants and lasers are practised worldwide. Lasers have established their various applications in dentistry and they have a potential role in dental implantology too. The simultaneous expansions of lasers and dental implantology together have a predictable outcome. Both hard and soft tissue lasers have their use in dental implantology ranging from pre-surgical preparation and through various stages of implant placement.
The mechanism of lasers working is through stimulated emission. On targeting the biological tissue, they get reflected, absorbed, or scattered in surrounding tissues, thereby reducing the bacterial contamination absorbed by the implants and surrounding tissues or may also have an effect of rising in tissue temperature where the laser is reflected back by the implant. The most commonly used lasers are solid-state lasers, Nd:YAG, Nd:YAP, Er:YAG, Er, Cr:YSGG, semiconductor diode lasers and gas lasers like CO2 lasers. These lasers have exhibited excellent coagulative properties.
In comparison to traditional methods, lasers are gentle, less invasive and less painful. Their characteristics are important as per the different reaction they produce on the implant surface. Thus, thorough knowledge and understanding is needed for the mechanism of laser action in implantology.
This chapter would highlight at a glance the various types of lasers and its various applications at different stages of dental implantology.
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References
Romanos GE, Gupta B, Yunker M, Romanos EB, Malmstrom H. Lasers use in dental implantology. Implant Den. 2013;22(3):282–8.
Marder MZ. Treatment planning for dental implants: a rationale for decision making. Part 1. Total edentulism. Dent Today. 2005;24(5):74–6, 78, 80–83.
Lindh T, Gunne J, Tillberg A, Molin M. A meta-analysis of implants in partial edentulism. Clin Oral Implants Res. 1998;9(2):80–90.
Jivraj S, Chee W. Rationale for dental implants [abstract]. Br Dent J. 2006;200:661–5.
American Academy of Implant Dentistry. Dental implants preferred option for aging bridges [news release]. May 2008. http://www.aaid-implant.org.
Goldman L, Hornby P, Meyer R, Goldman B. Impact of the laser on dental caries. Nature. 1964;203:417.
Walsh LJ. The current status of laser applications in dentistry. Aust Dent J. 2003;48:146–55.
Frentzen M, Koort HJ. Lasers in dentistry: new possibilities with advancing laser technology? Int Dent J. 1990;40:323–32.
Myers TD, Myers ED, Stone RM. First soft tissue study utilizing a pulsed Nd:YAG dental laser. Northwest Dent. 1989;68:14–7.
Romanos GE, Gupta B, Yunker M, Romanos EB, Malmstrom H. Lasers use in dental implantology. Implant Dent. 2013;22(3):282–8.
Francis L, Pillai SB. Lasers in implant dentistry. J Dent Implants. 2017;7(2):41.
Martin E. Lasers in dental implantology. Dent Clin N Am. 2004;48:999–1015, viii.
Convissar RA. Principles and Practice of Laser Dentistry-E-Book. Elsevier Health Sciences; 2015 Mar 6.
Coluzzi DJ, Parker SP, editors. Lasers in dentistry—current concepts. Springer; 2017 Sep 21.
Daniel McCarthy. The photonics dictionary. 43rd ed. Pittsfield, MA: Laurin Publishing; 1997.
Charles Coulston Gillispie. Dictionary of scientific biography. New York: Charles Scribner’s Sons; 1971.
Bohr N. The theory of spectra and atomic constitution. 2nd ed. Cambridge, MA: Cambridge University Press; 1922.
Manni JG. Denatl applications of advanced lasers. Burlington, MA: JGM Associate; 2004.
Coluzzi DJ, Convissar RA. Atlas of laser application in dentistry. Hanover Park, IL: Quintessence; 2007.
Romanos G, Nentwig GH. Diode laser (980 nm) in oral and maxillofacial surgical procedures. J Clin Laser Med Surg. 1999;17(5):193–7.
Gregg R. Laser resource and reference guide. Dent Today. Mar 2006. http://www.dentistrytoday.com/technology/lasers/1366. Accessed Oct 2014.
Fasbinder D. Dental laser technology. Compend Contin Educ Dent. 2008;29(8):459.
Romanos G. Laser surgical tools in implant dentistry for the long term prognosis of oral implants. Int Congress Series. 2003;1248:111.
Yousif A, Zwinger S, Beer F, et al. Investigation on laser dental implant decontamination. J Laser Micro/Nanoeng. 2008;3(2):119–23.
Romanos G. Question 1: is there a role for lasers in the treatment of peri-implantitis? J Can Dent Assoc. 2005;71:117–8.
Coluzzi D. Fundamentals of dental lasers: science and instruments. Dent Clin N Am. 2004;48:751–70.
Cobb CM. Lasers in periodontics: a review of the literature. J Periodontol. 2006;77:545–64.
Block CM, Mayo JA, Evans GH. 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;7:441–9.
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(5):810–5.
Schwarz F, Aoki A, Sculean A, Becker J. The impact of laser application on periodontal and peri-implant wound healing. Periodontology 2000. 2009;51(1):79–108.
Walsh LJ. The use of lasers in implantology: an overview. J Oral Implant. 1992;18(4):335.
Gonçalves F, Zanetti AL, Zanetti RV, Martelli FS, Avila-Campos MJ, Tomazinho LF, Granjeiro JM. Effectiveness of 980-mm diode and 1064-nm extra-long-pulse neodymium-doped yttrium aluminum garnet lasers in implant disinfection. Photomed Laser Surg. 2010;28(2):273–80.
Strauss R, Fallon S. Lasers in contemporary oral and maxillofacial surgery. Dent Clin N Am. 2004;48:861–8.
Deppe H, Greim H, Brill T, et al. Titanium deposition after peri implant care with carbon dioxide laser. Int J Oral Maxillofac Implants. 2002;17(5):707–14.
Aoki A, Mizutani K, Takasakim AA, et al. Current status of clinical laser applications in periodontal therapy. Gen Dent. 2008;56(7):674–84.
Deppe H, Horch H, Helmut G, et al. Peri-implant care with the CO2 laser: in vitro and in vivo results. Med Laser Appl. 2005;20:61–70.
Pang P. Lasers in Cosmetic Dentistry. Gen Dent. 2008;56(7):663–4.
Israel M. Use of the CO2 laser in soft tissue and periodontal surgery. Pract Periodontics Aesthet Dent. 1994;6:57–64.
Forrer M, Frenz M, Romano V, et al. Bone-ablation mechanism using CO2 lasers of different pulse duration and wavelength. Appl Phys B Lasers Opt. 1993;56(2):104–12.
Aoki A, Sasaki KM, Watanabe H, et al. Lasers in nonsurgical periodontal therapy. Periodontology 2000. 2004;36:59–97.
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(5):299–309.
Fonseca R. Oral and maxillofacial surgery, vol. 6. Philadelphia, PA: WB Saunders; 2000.
Scortecci G, Misch C, Benner K. Implants and restorative dentistry. New York: Martin Dunitz; 2001.
Bornstein ES. The safety and effectiveness of dental Er:YAG lasers: a literature review with specific reference to bone. Dent Today. 2003;22(10):129–33.
Dederich D, Bushick R. Lasers in dentistry: separating science from hype. J Am Dent Assoc. 2004;135(2):204–12.
Locke M. Clinical applications of dental lasers. Gen Dent. 2009;57(1):47–59.
Wahl M. Myths of dental surgery in patients receiving anticoagulant therapy. J Am Dent Assoc. 2000;131(1):77–81.
Pototski M, Amenabar J. Dental management of patients receiving anticoagulant or antiplatelet treatment. J Oral Sci. 2007;49(4):253–8.
Matjaz L, Marincek M, Grad L. Dental laser drilling: achieving optimum ablation with the latest generation Fidelis laser systems. J Laser Health Acad. 2007;7(1):1–3.
Walsh JT Jr, Flotte TJ, Deutsch TF. Er:YAG laser ablation of tissue: effect of pulse duration and tissue type on thermal damage. Lasers Surg Med. 1989;9:314–26.
Rayan G, Pitha J, Edwards J, Everett R. Effects of CO2 laser beam on cortical bone. Lasers Surg Med. 1990;11(1):58–61.
Vercellotti T, De Paoli S, Nevins M. The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure. Int J Periodontics Restorative Dent. 2001;21(6):561–7.
Tunc SK, Yayli NZ, Talmac AC, Feslihan E, Akbal D. Clinical comparison of the use of Er, Cr: YSGG and diode lasers in second stage implant surgery. Saudi Med J. 2019;40(5):490.
Chen S, Darby I. Dental implants: maintenance, care and treatment of peri-implant infection. Aust Dent J. 2003;48(4):212–20.
Santos V. Surgical anti-infective mechanical therapy for periimplantitis: a clinical report with a 12-month follow-up. Gen Dent. 2009;57(3):230–5.
Leonhardt A. Five-year clinical, microbiological, and radiological outcome following treatment of peri-implantitis in man. J Periodontol. 2003;74(10):1415–22.
Yung F. The use of an Er:YAG laser in periodontal surgery: clinical cases with long-term follow up. J Laser Dent. 2009;17(1):13–20.
Deppe H, Horch H. Laser applications in oral surgery and implant dentistry. Lasers Med Sci. 2007;22:217–21.
Schwarz F, Bieling K, Bonsmann M, et al. Nonsurgical treatment of moderate and advanced periimplantitis lesions: a controlled clinical study. Clin Oral Invest. 2006;10:279–88.
Quirynent M, Vogels R, Pauwels M, et al. Initial subgingival colonization of “pristine” pockets. J Dent Res. 2005;84(4):340–4.
Alagl AS, Madi M, Bedi S, Al Onaizan F, Al-Aql ZS. The effect of Er, Cr: YSGG and diode laser applications on dental implant surfaces contaminated with Acinetobacter Baumannii and Pseudomonas Aeruginosa. Materials. 2019;12(13):2073.
Romanos G, Ko HH, Froum S, et al. The use of CO2 laser in the treatment of peri-implantitis. Photomed Laser Surg. 2009;27:381–6.
Vohra F, Al-Rifaiy MQ, Lillywhite G, et al. Efficacy of mechanical debridement with adjunct antimicrobial photodynamic therapy for the management of periimplant diseases: a systematic review. Photochem Photobiol Sci. 2014;13:1160–8.
Schwarz F, Schmucker A, Becker J. Efficacy of alternative or adjunctive measures to conventional treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis. Int J Implant Dent. 2015;1:22–55.
Meyle J. Mechanical, chemical and laser treatments of the implant surface in the presence of marginal bone loss around implants. Eur J Oral Implantol. 2012;5(Suppl):S71–81.
Koo KT, Khoury F, Keeve PL, Schwarz F, Ramanauskaite A, Sculean A, Romanos G. Implant surface decontamination by surgical treatment of periimplantitis: a literature review. Implant Dent. 2019;28(2):173–6.
Miloro M, Ghali GE, Larsen P, Waite P. Peterson’s principles of oral and maxillofacial surgery, vol. 2. Hamilton, OH: BC Decker; 2004.
El-Montaser M, Devlin H, Dickinson M, et al. Osseointegration of titanium metal implants in erbium-YAG laser prepared bone. Implant Dent. 1999;8(1):79–85.
Sun G, Tunér J. Low-level laser therapy in dentistry. Dent Clin N Am. 2004;48:1061–76.
Mikhail FF, El-Din M, Ibrahim T, Zekry K, Nemat A, Nasry S. Effect of laser therapy on the osseointegration of immediately loaded dental implants in patients under vitamin C, Omega-3 and calcium therapy. Open Access Maced J Med Sci. 2018;6(8):1468.
Sleem SS, Zayet MK, El-Ghareeb TI, Saleh HA. Evaluation of the bio-stimulatory effect of platelet rich fibrin augmented by diode LASER compared to platelet rich fibrin alone on dental implant replacing posterior mandibular teeth. Randomised Clinical Trial: Split Mouth Study. Open Access Maced J Med Sci. 2019;7(5):869.
Romanos G. Current concepts in the use of lasers in periodontal and implant dentistry. J Indian Soc Periodontol. 2015;19(5):490.
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Miglani, S., Patro, S. (2021). Lasers in Implant Dentistry. In: Chaughule, R.S., Dashaputra, R. (eds) Advances in Dental Implantology using Nanomaterials and Allied Technology Applications. Springer, Cham. https://doi.org/10.1007/978-3-030-52207-0_10
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