Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.5
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

Download PDF

Dental and Medical Problems

2019, vol. 56, nr 1, January-March, p. 111–116

doi: 10.17219/dmp/100386

Publication type: clinical case

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Creative Commons BY-NC-ND 3.0 Open Access

Er:YAG and diode laser application in implant bed preparation and implant uncovering: A case report

Zastosowanie lasera erbowo-jagowego i lasera diodowego przy wytwarzaniu łoża implantu oraz odsłanianiu implantu – opis przypadku

Katarzyna Świder1,A,B,C,D, Marzena Dominiak2,E,F

1 Private Dental Practice, Wschowa, Poland

2 Department of Oral Surgery, Faculty of Dentistry, Wroclaw Medical University, Poland

Abstract

The use of lasers in the field of dentistry has increased recently. Their numerous advantages and applications in soft and hard tissue surgeries make them a great alternative to conservative methods in dental implantology. The most commonly used lasers are diode and erbium-doped yttrium aluminium garnet (Er:YAG) lasers. The Er:YAG laser can be used in implant bed preparation, as it brings no thermal injury to the bone. The laser does not cause bone necrosis and positively affects osseointegration and the healing process. The use of the diode laser in soft tissue surgeries helps to obtain optimal hemostasis. Therefore, it can be used in implant exposure, since it allows performing immediate impressions. The present case report describes the implementation of the Er:YAG laser in the implant bed preparation of a single-tooth dental implant in position 35 (according to the World Dental Federation (Fédération Dentaire Internationale – FDI) notation) for better bone regeneration. The implant exposure was performed with the diode 980-nm laser for hemostasis and immediate impressions. The results of laser employment were compared to traditional drilling and scalpel techniques. The advantages and disadvantages of the application of the above lasers were featured.

Key words

erbium-doped yttrium aluminum garnet lasers, diode lasers, blade implantation, singletooth dental implant

Słowa kluczowe

lasery erbowo-jagowe, lasery diodowe, implantacja żyletkowa, pojedynczy implant

References (30)

  1. Grzech-Leśniak K, Nowicka J, Pajączkowska M, et al. Effects of Nd:YAG laser irradiation on the growth of Candida albicans and Streptococcus mutans: In vitro study [published online as ahead of print on August 25, 2018]. Lasers Med Sci. 2019;34(1):129–137. doi:10.1007/s10103-018-2622-6
  2. Matys J. Shear bond strength – new reports. J Clin Diagn Res. 2015;9(6):ZL01.
  3. Matys J, Dominiak M, Flieger R. Energy and power density: A key factor in lasers studies. J Clin Diagn Res. 2015;9(12):ZL01-ZL02.
  4. Fornaini C, Merigo E, Vescovi P, et al. Different laser wavelengths comparison in the second-stage implant surgery: An ex vivo study. Lasers Med Sci. 2015;30(6):1631–1639.
  5. Elanchezhiyan S, Renukadevi R, Vennila K. Comparison of diode laser-assisted surgery and conventional surgery in the management of hereditary ankyloglossia in siblings: A case report with scientific review. Lasers Med Sci. 2013;28(1):7–12.
  6. Aoki A, Mizutani K, Schwarz F, et al. Periodontal and peri‐implant wound healing following laser therapy. Periodontol 2000. 2015;68(1):217–269.
  7. Matys J, Botzenhart U, Gedrange T, Dominiak M. Thermodynamic effects after diode and Er:YAG laser irradiation of grade IV and V titanium implants placed in bone – an ex vivo study. Preliminary report. Biomed Tech (Berl). 2016;61(5):499–507.
  8. Matys J, Dominiak M. Assessment of pain when uncovering implants with Er:YAG laser or scalpel for second stage surgery. Adv Clin Exp Med. 2016;25(6):1179–1184.
  9. Matys J, Flieger R, Dominiak M. Effect of diode lasers with wavelength of 445 and 980 nm on a temperature rise when uncovering implants for second stage surgery: An ex-vivo study in pigs. Adv Clin Exp Med. 2017;26(4):687–693.
  10. Matys J, Świder K, Flieger R. Laser instant implant impression method: A case presentation. Dent Med Probl. 2017;54(1):101–106.
  11. Matys J, Grzech-Leśniak K, Flieger R, Dominiak M. Assessment of an impact of a diode laser mode with wavelength of 980 nm on a temperature rise measured by means of k-02 thermocouple: Preliminary results. Dent Med Probl. 2016;53(3):345–351.
  12. Eriksson RA, Albrektsson T. The effect of heat on bone regeneration: An experimental study in rabbit using the bone growth chamber. J Oral Maxillofac Surg. 1984;42(11):705–711.
  13. Trisi P, Berardini M, Falco A, Podaliri Vulpiani M. Effect of implant thread geometry on secondary stability, bone density, and bone-to-implant contact: A biomechanical and histological analysis. Implant Dent. 2015;24(4):384–391.
  14. Brånemark PI. Osseointegration and its experimental background. J Prosthet Dent. 1983;50(3):399–410.
  15. Eriksson RA, Albrektsson T. Temperature threshold levels for heat-induced bone tissue injury: A vital-microscopic study in the rabbit. J Prosthet Dent. 1983;50(1):101–107.
  16. Yeh S, Jain K, Andreana S. Using a diode laser to uncover dental implants in second-stage surgery. Gen Dent. 2005;53(6):414–417.
  17. El-Kholey KE. Efficacy and safety of a diode laser in second-stage implant surgery: A comparative study. Int J Oral Maxillofac Surg. 2014;43(5):633–638.
  18. Matys J, Flieger R, Dominiak M. Assessment of temperature rise and time of alveolar ridge splitting by means of Er:YAG laser, piezosurgery, and surgical saw: An ex vivo study. Biomed Res Int. 2016;2016:9654975.
  19. Matys J, Hadzik J, Dominiak M. Schneiderian membrane perforation rate and increase in bone temperature during maxillary sinus floor elevation by means of Er:YAG laser – an animal study in pigs. Implant Dent. 2017;26(2):238–244.
  20. Bornstein ES. Why wavelength and delivery systems are the most important factors in using a dental hard-tissue laser: A literature review. Compend Contin Educ Dent. 2003;24:837–848.
  21. Grzech-Leśniak K, Matys J, Jurczyszyn K, et al. Histological and thermometric examination of soft tissue de-epithelialization using digitally controlled Er:YAG laser handpiece: An ex vivo study. Photomed Laser Surg. 2018;36(6):313–319.
  22. Matys J, Flieger R, Tenore G, Grzech-Leśniak K, Romeo U, Dominiak M. Er:YAG laser, piezosurgery, and surgical drill for bone decortication during orthodontic mini-implant insertion: Primary stability analysis – an animal study. Lasers Med Sci. 2017;33(3):489–495.
  23. Zeitouni J, Clough B, Zeitouni S, Saleem M, Al Aisami K, Gregory C. The effects of the Er:YAG laser on trabecular bone micro-architecture: Comparison with conventional dental drilling by micro-computed tomographic and histological techniques. F1000Res. 2017;6:1133.
  24. Baek KW, Deibel W, Marinov D, et al. A comparative investigation of bone surface after cutting with mechanical tools and Er:YAG laser. Lasers Surg Med. 2015;47(5):426–432.
  25. Seymen G, Turgut Z, Berk G, Bodur A. Implant bed preparation with an erbium, chromium doped yttrium scandium gallium garnet (Er,Cr:YSGG) laser using stereolithographic surgical guide. J Lasers Med Sci. 2013;4(1):25–32.
  26. Lee SY, Piao C, Heo SJ, et al. A comparison of bone bed preparation with laser and conventional drill on the relationship between implant stability quotient (ISQ) values and implant insertion variables. J Adv Prosthodont. 2010;2(4):148–153.
  27. Schwarz F, Olivier W, Herten M, Sager M, Chaker A, Becker J. Influence of implant bed preparation using an Er:YAG laser on the osseointegration of titanium implants: A histomorphometrical study in dogs. J Oral Rehabil. 2007;34(4):273–281.
  28. Stübinger S, Biermeier K, Bächi B, Ferguson SJ, Sader R, von Rechenberg B. Comparison of Er:YAG laser, piezoelectric, and drill osteotomy for dental implant site preparation: A biomechanical and histological analysis in sheep. Lasers Surg Med. 2010;42(7):652–661.
  29. Ingenegeren I. Full-laser implant bed preparation: Case studies using different implant systems. J Interdiscip Dentistry. 2011;1:58–66.
  30. Puzio M, Błaszczyszyn A, Hadzik J, Dominiak M. Ultrasound assessment of soft tissue augmentation around implants in the aesthetic zone using a connective tissue graft and xenogeneic collagen matrix – 1-year randomised follow-up. Ann Anat. 2018;217:129–141.