Abstract
The purpose of this study was to evaluate the effects of Er:YAG laser on degranulation and implant surface debridement in peri-implant infection. The peri-implant infection was experimentally induced in dogs, and the treatment was performed using an Er:YAG laser or a plastic curet. Animals were sacrificed after 24Â weeks, and undecalcified histological sections were prepared and analyzed. Degranulation and implant surface debridement were obtained effectively and safely by Er:YAG laser. Histologically, a favorable formation of new bone was observed on the laser-treated implant surface, and the laser group showed a tendency to produce greater bone-to-implant contact than the curet group. These results indicate that the Er:YAG laser therapy has promise in the treatment of peri-implantitis.
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References
Hale GM, Querry MR (1973) Optical constants of water in the 200-nm to 200-m wavelength region. Appl Opt 12:555–563
Aoki A, Ando Y, Watanabe H, Ishikawa I (1994) In vitro studies on laser scaling of subgingival calculus with an erbium:YAG laser. J Periodontol 65:1097–1106
Aoki A, Miura M, Akiyama F, Nakagawa N, Tanaka J, Oda S, Watanabe H, Ishikawa I (2000) In vitro evaluation of Er:YAG laser scaling of subgingival calculus in comparison with ultrasonic scaling. J Periodontal Res 35:266–277
Schwarz F, Putz N, Georg T, Reich E (2001) Effect of an Er:YAG laser on periodontally involved root surfaces: an in vivo and in vitro SEM comparison. Lasers Surg Med 29:328–335
Schwarz F, Sculean A, Berakdar M, Szathmari L, Georg T, Becker J (2003) In vivo and in vitro effects of an Er:YAG laser, a GaAlAs diode laser, and scaling and root planing on periodontally diseased root surfaces: a comparative histologic study. Lasers Surg Med 32:359–366
Mizutani K, Aoki A, Takasaki AA, Kinoshita A, Hayashi C, Oda S, Ishikawa I (2006) Periodontal tissue healing following flap surgery using an Er:YAG laser in dogs. Lasers Surg Med 38:314–324
Mombelli A, van Oosten MA, Schurch E, Jr., Land NP (1987) The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol 2:145–151
Listgarten MA, Lai CH (1999) Comparative microbiological characteristics of failing implants and periodontally diseased teeth. J Periodontol 70:431–437
Persson LG, Araujo MG, Berglundh T, Grondahl K, Lindhe J (1999) Resolution of peri-implantitis following treatment. An experimental study in the dog. Clin Oral Implants Res 10:195–203
Wetzel AC, Vlassis J, Caffesse RG, Hammerle CH, Lang NP (1999) Attempts to obtain re-osseointegration following experimental peri-implantitis in dogs. Clin Oral Implants Res 10:111–119
Persson LG, Berglundh T, Lindhe J, Sennerby L (2001) Re-osseointegration after treatment of peri-implantitis at different implant surfaces. An experimental study in the dog. Clin Oral Implants Res 12:595–603
Schwarz F, Sculean A, Rothamel D, Schwenzer K, Georg T, Becker J (2005) Clinical evaluation of an Er:YAG laser for nonsurgical treatment of peri-implantitis: a pilot study. Clin Oral Implants Res 16:44–52
Schwarz F, Bieling K, Nuesry E, Sculean A, Becker J (2006) Clinical and histological healing pattern of peri-implantitis lesions following non-surgical treatment with an Er:YAG laser. Lasers Surg Med 38:663–671
Schwarz F, Jepsen S, Herten M, Sager M, Rothamel D, Becker J (2006) 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 33:584–595
Kreisler M, Kohnen W, Christoffers AB, Gotz H, Jansen B, Duschner H, d’Hoedt B (2005) 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 16:36–43
Stubinger S, Henke J, Donath K, Deppe H (2005) Bone regeneration after peri-implant care with the CO2 laser: a fluorescence microscopy study. Int J Oral Maxillofac Implants 20:203–210
Matsuyama T, Aoki A, Oda S, Yoneyama T, Ishikawa I (2003) Effects of the Er:YAG laser irradiation on titanium implant materials and contaminated implant abutment surfaces. J Clin Laser Med Surg 21:7–17
Sasaki KM, Aoki A, Masuno H, Ichinose S, Yamada S, Ishikawa I (2002) Compositional analysis of root cementum and dentin after Er:YAG laser irradiation compared with CO2 lased and intact roots using Fourier transformed infrared spectroscopy. J Periodontal Res 37:50–59
Sasaki KM, Aoki A, Ichinose S, Ishikawa I (2002) Morphological analysis of cementum and root dentin after Er:YAG laser irradiation. Lasers Surg Med 31:79–85
Ando Y, Aoki A, Watanabe H, Ishikawa I (1996) Bactericidal effect of erbium YAG laser on periodontopathic bacteria. Lasers Surg Med 19:190–200
Folwaczny M, Mehl A, Aggstaller H, Hickel R (2002) Antimicrobial effects of 2.94 micron Er:YAG laser radiation on root surfaces: an in vitro study. J Clin Periodontol 29:73–78
Schwarz F, Aoki A, Sculean A, Georg T, Scherbaum W, Becker J (2003) In vivo effects of an Er:YAG laser, an ultrasonic system and scaling and root planing on the biocompatibility of periodontally diseased root surfaces in cultures of human PDL fibroblasts. Lasers Surg Med 33:140–147
Yamaguchi H, Kobayashi K, Osada R, Sakuraba E, Nomura T, Arai T, Nakamura J (1997) Effects of irradiation of an erbium:YAG laser on root surfaces. J Periodontol 68:1151–1155
Aoki A, Sasaki KM, Watanabe H, Ishikawa I (2004) Lasers in nonsurgical periodontal therapy. Periodontol 2000 36:59–97
Ishikawa I, Aoki A, Takasaki AA (2004) Potential applications of Erbium:YAG laser in periodontics. J Periodontal Res 39:275–285
Takasaki AA, Aoki A, Ishikawa I (2006) Erbium:YAG laser in Periodontics. Dent Jpn 42:200–206
Ashimoto A, Chen C, Bakker I, Slots J (1996) Polymerase chain reaction detection of 8 putative periodontal pathogens in subgingival plaque of gingivitis and advanced periodontitis lesions. Oral Microbiol Immunol 11:266–273
Fox SC, Moriarty JD, Kusy RP (1990) The effects of scaling a titanium implant surface with metal and plastic instruments: an in vitro study. J Periodontol 61:485–490
Shibli JA, Martins MC, Nociti FH, Jr., Garcia VG, Marcantonio E, Jr. (2003) Treatment of ligature-induced peri-implantitis by lethal photosensitization and guided bone regeneration: a preliminary histologic study in dogs. J Periodontol 74:338–345
Karring ES, Stavropoulos A, Ellegaard B, Karring T (2005) Treatment of peri-implantitis by the Vector system. Clin Oral Implants Res 16:288–293
Augthun M, Tinschert J, Huber A (1998) In vitro studies on the effect of cleaning methods on different implant surfaces. J Periodontol 69:857–864
Schwarz F, Sculean A, Romanos G, Herten M, Horn N, Scherbaum W, Becker J (2005) 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 9:111–117
Schwarz F, Papanicolau P, Rothamel D, Beck B, Herten M, Becker J (2006) Influence of plaque biofilm removal on reestablishment of the biocompatibility of contaminated titanium surfaces. J Biomed Mater Res A 77:437–444
Carlsson L, Rostlund T, Albrektsson B, Albrektsson T (1988) Removal torques for polished and rough titanium implants. Int J Oral Maxillofac Implants 3:21–24
Roos-Jansaker AM, Renvert S, Egelberg J (2003) Treatment of peri-implant infections: a literature review. J Clin Periodontol 30:467–485
Lindhe J, Berglundh T, Ericsson I, Liljenberg B, Marinello C (1992) Experimental breakdown of peri-implant and periodontal tissues. A study in the beagle dog. Clin Oral Implants Res 3:9–16
Hanisch O, Sorensen RG, Kinoshita A, Spiekermann H, Wozney JM, Wikesjo UM (2003) Effect of recombinant human bone morphogenetic protein-2 in dehiscence defects with non-submerged immediate implants: an experimental study in Cynomolgus monkeys. J Periodontol 74:648–657
Liakoni H, Barber P, Newman HN (1987) Bacterial penetration of pocket soft tissues in chronic adult and juvenile periodontitis cases. An ultrastructural study. J Clin Periodontol 14:22–28
Dongari-Bagtzoglou AI, Warren WD, Berton MT, Ebersole JL (1997) CD40 expression by gingival fibroblasts: correlation of phenotype with function. Int Immunol 9:1233–1241
Williams TM, Cobb CM, Rapley JW, Killoy WJ (1995) Histologic evaluation of alveolar bone following CO2 laser removal of connective tissue from periodontal defects. Int J Periodontics Restor Dent 15:497–506
Schwarz F, Sculean A, Georg T, Becker J (2003) Clinical evaluation of the Er:YAG laser in combination with an enamel matrix protein derivative for the treatment of intrabony periodontal defects: a pilot study. J Clin Periodontol 30:975–981
Sculean A, Schwarz F, Berakdar M, Windisch P, Arweiler NB, Romanos GE (2004) Healing of intrabony defects following surgical treatment with or without an Er:YAG laser. J Clin Periodontol 31:604–608
Kreisler M, Gotz H, Duschner H (2002) 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 17:202–211
Kato T, Kusakari H, Hoshino E (1998) Bactericidal efficacy of carbon dioxide laser against bacteria-contaminated titanium implant and subsequent cellular adhesion to irradiated area. Lasers Surg Med 23:299–309
Oyster DK, Parker WB, Gher ME (1995) CO2 lasers and temperature changes of titanium implants. J Periodontol 66:1017–1024
Mouhyi J, Sennerby L, Nammour S, Guillaume P, Van Reck J (1999) Temperature increases during surface decontamination of titanium implants using CO2 laser. Clin Oral Implants Res 10:54–61
Schwarz F, Rothamel D, Sculean A, Georg T, Scherbaum W, Becker J (2003) 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 14:784–792
Nelson JS, Yow L, Liaw LH, Macleay L, Zavar RB, Orenstein A, Wright WH, Andrews JJ, Berns MW (1988) Ablation of bone and methacrylate by a prototype mid-infrared erbium:YAG laser. Lasers Surg Med 8:494–500
Aoki A, Ishikawa I, Yamada T, Otsuki M, Watanabe H, Tagami J, Ando Y, Yamamoto H (1998) Comparison between Er:YAG laser and conventional technique for root caries treatment in vitro. J Dent Res 77:1404–1414
Sasaki KM, Aoki A, Ichinose S, Ishikawa I (2002) Ultrastructural analysis of bone tissue irradiated by Er:YAG Laser. Lasers Surg Med 31:322–332
Sasaki KM, Aoki A, Ichinose S, Yoshino T, Yamada S, Ishikawa I (2002) Scanning electron microscopy and Fourier transformed infrared spectroscopy analysis of bone removal using Er:YAG and CO2 lasers. J Periodontol 73:643–652
Dortbudak O, Haas R, Mallath-Pokorny G (2000) Biostimulation of bone marrow cells with a diode soft laser. Clin Oral Implants Res 11:540–545
Ninomiya T, Miyamoto Y, Ito T, Yamashita A, Wakita M, Nishisaka T (2003) High-intensity pulsed laser irradiation accelerates bone formation in metaphyseal trabecular bone in rat femur. J Bone Miner Metab 21:67–73
Botticelli D, Berglundh T, Persson LG, Lindhe J (2005) Bone regeneration at implants with turned or rough surfaces in self-contained defects. An experimental study in the dog. J Clin Periodontol 32:448–455
Friedmann A, Antic L, Bernimoulin JP, Purucker P (2006) In vitro attachment of osteoblasts on contaminated rough titanium surfaces treated by Er:YAG laser. J Biomed Mater Res A 79:53–60
Alberius P, Gordh M, Lindberg L, Johnell O (1996) Effect of cortical perforations of both graft and host bed on onlay incorporation to the rat skull. Eur J Oral Sci 104:554–561
Acknowledgments
This study was supported, in part, by the grant for 21st Century Center of Excellence Program for Frontier Research on Molecular Destruction and Reconstruction of Tooth and Bone in Tokyo Medical and Dental University and by a Grant-in-Aid for Scientific Research(c)(2) (No. 16592064) (A.A.), Ministry of Education, Culture, Sports, Science and Technology of Japan. The laser apparatus was provided by the HOYA Conbio Corp. (Fremont, CA, USA). Authors wish to thank Drs. Atsuhiro Kinoshita, Tatsuya Akizuki, Chie Hayashi, Kosuke Tanaka, Ikufumi Sato, and Hiroaki Maruyama for their kind technical advice and support.
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Contract grant sponsor: 21st Century Center of Excellence Program for Frontier Research on Molecular Destruction and Reconstruction of Tooth and Bone in Tokyo Medical and Dental University and a Grant-in-Aid for Scientific Research(c)(2) (No. 16592064) (A.A.), Ministry of Education, Culture, Sports, Science and Technology of Japan.
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Takasaki, A.A., Aoki, A., Mizutani, K. et al. Er:YAG laser therapy for peri-implant infection: a histological study. Lasers Med Sci 22, 143–157 (2007). https://doi.org/10.1007/s10103-006-0430-x
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DOI: https://doi.org/10.1007/s10103-006-0430-x
Keywords
- Animals
- Er:YAG laser
- Granulation tissue
- Histometrical analysis
- Implant debridement
- Peri-implantitis
- Surgery