Journal of Prevention and Treatment for Stomatological Diseases ›› 2016, Vol. 24 ›› Issue (5): 303-305.doi: 10.12016/j.issn.2096-1456.2016.05.009

• Clinical Study • Previous Articles     Next Articles

Clinical effect evaluation of the application of Er:YAG laser to peri-implantitis

LI Feng-zhou1(),XUE Fan2   

  1. 1Department of Periodontics, Guangdong Provincial Stomatological Hospital & the Affiliated Stomatological Hospital of Southern Medical University, Guangzhou 510280, China
  • Received:2016-01-04 Revised:2016-02-08 Online:2016-05-20 Published:2016-05-20
  • Contact: Feng-zhou LI E-mail:yudsh@mail.sysu.edu.cn

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Abstract:

Objective To compare the effectiveness of an Er:YAG laser and mechanical debridement for the treatment of peri-implantitis. Methods 22 cases of peri-implantitis patients were divided into 2 groups according to the single blind randomized control principle. The experimental group was treated by Er:YAG laser irradiation, the laser energy was set to 100 mJ/pulse, frequency of 10 Hz; plastic curette and 0.2% chlorhexidine antimicrobial therapy was used in the control group. Clinical periodontal index test including plaque index, bleeding index, probing depth and clinical attachment level was conducted at baseline, 3 months and 6 months. Results At baseline, the difference of clinical periodontal index between the experimental group and the control group had no statistical significance (P>0.05). After 3 months of treatment (P<0.01) and 6 months (P<0.05), bleeding index, plaque index of test group and control group had significant difference. Probing depth was reduced by 3 and 6 months after treatment in both 2 groups, and the probing depth had significant difference (P<0.05); while clinical attachment level value showed no statistical significance between the two groups (P>0.05). Conclusion The research shows that the Er:YAG laser treatment can significantly improve peri implant inflammation level, effectiveness of peri-implantitis control is superior than the mechanical curettage treatment.

Key words: Er:YAG laser, Peri-implantitis, Mechanical debridement, Probing depth, Bleeding index

CLC Number: 

  • R781.4

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组别 n 基线 3个月 6个月
出血指数 菌斑指数 探诊深度
(mm)		 临床附着水平
(mm)		 出血指数 菌斑指数 探诊深度
(mm)		 临床附着水平
(mm)		 出血指数 菌斑指数 探诊深度
(mm)		 临床附着水平
(mm)
对照组 15 2.19±0.46 1.84±0.31 4.83±0.36 5.51±0.39 1.87±0.35 1.76±0.41 4.41±0.53 5.35±0.40 2.01±0.61 1.81±0.52 4.47±0.41 5.26±0.39
试验组 12 2.15±0.53 1.76±0.46 4.76±0.49 5.48±0.62 1.24±0.77 1.23±0.57 3.97±0.56 5.29±0.36 1.52±0.48 1.44±0.38 4.04±0.62 5.22±0.73
t值 0.21 0.54 0.43 0.15 2.83 2.81 2.09 0.40 2.27 2.06 2.16 0.18
P值 >0.05 >0.05 >0.05 >0.05 <0.01 <0.01 <0.05 >0.05 <0.05 <0.05 <0.05 >0.05
[1] Derdilopoulou FV, Nonhoff J, Neumann K , et al. Microbiological findings after periodontal therapy using curettes, Er:YAG laser, sonic, and ultrasonic scalers[J]. J Clin Periodontol, 2007,34(7):588-598.
doi: 10.1111/cpe.2007.34.issue-7
[2] Sanz-Sánchez I, Ortiz-Vigón A, Matos R , et al. Clinical efficacy of subgingival debridement with adjunctive Er:YAG laser in chronic periodontitis patients. a randomised clinical trial[J]. J Periodontol, 2014,28(12):1-15.
[3] Qadri T, Poddani P, Javed F , et al. A short-term evaluation of Nd:YAG laser as an adjunct to scaling and root planing in the treatment of periodontal inflammation[J]. J Periodontol, 2010,81(8):1161-1166.
doi: 10.1902/jop.2010.090700
[4] Renvert S, Lindahl C, Roos Jansåker AM , et al. Treatment of peri-implantitis using an Er:YAG laser or an air-abrasive device: a randomized clinical trial[J]. J Clin Periodontol, 2011,38(1):65-73.
doi: 10.1111/cpe.2010.38.issue-1
[5] 穆月, 李倩, 赵继志 . 激光在口腔种植中的应用[J]. 中国医学科学院学报, 2014,36(5):560-564.
doi: 10.3881/j.issn.1000-503X.2014.05.021
[6] Kreisler M, Kohnen W, Marinello C , et al. Bactericidal effect of the Er:YAG laser on dental implant surfaces: an in vitro study[J]. J Periodontol, 2002,73(11):1292-1298.
doi: 10.1902/jop.2002.73.11.1292
[7] Schwarz F, Sculean A, Rothamel D , et al. Clinical evaluation of an Er:YAG laser for nonsurgical treatment of peri-implantitis: a pilot study[J]. Clin Oral Implants Res, 2005,16(1):44-52.
[8] Heitz-Mayfield LJ, Lang NP . Comparative biology of chronic and aggressive periodontitis vs. peri-implantitis[J]. Periodontol 2000, 2010,53(6):167-181.
doi: 10.1111/prd.2010.53.issue-1
[9] Koyanagi T, Sakamoto M, Takeuchi Y , et al. Comprehensive microbiological findings in peri-implantitis and periodontitis[J]. J Clin Periodontol, 2013,40(3):218-226.
doi: 10.1111/jcpe.12047
[10] Crespi R, Romanos GE, Cassinelli C , et al. Effects of Er:YAG laser and ultrasonic treatment on fibroblast attachment to root sufaces:an in viro study[J]. J Periodontol, 2006,77(7):1217-1222.
doi: 10.1902/jop.2006.050416
[11] Renvert S, Roos-Jansaker AM, Lindahl C , et al. Infection at titanium implants with or without a clinical diagnosis of inflammation[J]. Clin Oral Implant Res, 2007,18(4):509-516.
doi: 10.1111/clr.2007.18.issue-4
[12] Persson GR, Roos-Jansaker AM, Lindahl C , et al. Microbiologic results after non-surgical erbium-doped:yttrium, aluminum, and garnet laser or air-abrasive treatment of peri-implantitis: a randomized clinical trial[J]. J Periodontol, 2011,82(9):1267-1278.
doi: 10.1902/jop.2011.100660
[13] Peng TK . Clinical applications of Er:YAG lasers in periodontal therapy[J]. Aust Dent Pract, 2008,2008(9/10):130-136.
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