Laser-assisted uncovering of dental implants
AbstractIntroduction: Laser assisted uncovering of dental implants is one of the most interesting aspects of lasers utilization. Compared to conventional scalpel technique, this method provides less bleeding and pain and shorter healing period, leading to a better patient compliance. The objective of this study is to contribute a comprehensive review on laser assisted second-stage of implant surgery. Materials and Methods: We searched Pubmed and Google Scholar databases using combined keyword search or medical subject headings. Eight articles from 2009 to 2019 were identified and assessed. Results: Selected studies were categorized according to variables including amount of pain, need for anesthesia, soft tissue healing, temperature rise and quality of impressions. All the reviewed articles, measuring the amount of required anesthesia, agreed that laser-aided uncovering of implants needs significantly less anesthesia compared to conventional scalpel technique. Laser-assisted uncovering of their implants led to less pain. Ex-vivo studies measuring temperature rise, suggested that application of a non-contact 445nm diode laser reduces the temperature rise significantly. However, Er:YAG lasers proved to generate lower temperature rise. Diode lasers showed no significant amelioration of soft tissue healing whilst Er:YAG and Er,Cr:YSGG lasers revealed superior esthetic results and shorter healing period. Impressions can be taken 4-7 days after the laser-assisted surgery with a satisfactory quality. Conclusion: Laser-assisted uncovering of implants can be selected as an alternative over the conventional scalpel technique. But, further studies are advisable. Keywords: Laser assisted surgery; Dental implants; Uncovering; second-stage surgery.
2. 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):687–93.
3. Wilcox CW, Wilwerding TM, Watson P, Morris JT. Use of electrosurgery and lasers in the presence of dental implants. Int J Oral Maxillofac Implants. 16(4):578–82.
4. Fornaini C, Merigo E, Vescovi P, Bonanini M, Antonietti W, Leoci L, et al. Different laser wavelengths comparison in the second-stage implant surgery: an ex vivo study. Lasers Med Sci. 2015 Aug 3;30(6):1631–9.
5. Martin E. Lasers in dental implantology. Dent Clin North Am. 2004 Oct;48(4):999–1015.
6. Bornstein E. Combining multiple technologies to perform minimally invasive laser-assisted dental implant surgery. Dent Today. 2003 Jun;22(6):52–5.
7. Coleton S. Lasers in surgical periodontics and oral medicine. Dent Clin North Am. 2004 Oct;48(4):937–62.
8. Schwarz F, Aoki A, Sculean A, Becker J. The impact of laser application on periodontal and peri-implant wound healing. Periodontol 2000. 2009 Oct;51(1):79–108.
9. Aoki A, Mizutani K, Schwarz F, Sculean A, Yukna RA, Takasaki AA, et al. Periodontal and peri-implant wound healing following laser therapy. Periodontol 2000. 2015 Jun;68(1):217–69.
10. El Shenawy HM, Nasry SA, Zaky AA, Quriba MAA. Treatment of Gingival Hyperpigmentation by Diode Laser for Esthetical Purposes. Open access Maced J Med Sci. 2015 Sep 15;3(3):447–54.
11. Romanos G. Current concepts in the use of lasers in periodontal and implant dentistry. J Indian Soc Periodontol. 2015;19(5):490.
12. Stübinger S. Advances in bone surgery: the Er:YAG laser in oral surgery and implant dentistry. Clin Cosmet Investig Dent. 2010;2:47–62.
13. Jawad HA, Hamdi SA. Non Anesthetic Second Stage Implant Surgery by 970 nm Diode Laser. IOSR J Dent Med Sci Ver I. 2015;14(6):2279–861.
14. 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):633–8.
15. Kaur M, Sharma YPD, Singh P, Sharma S, Wahi A. Comparative evaluation of efficacy and soft tissue wound healing using diode laser (810 nm) versus conventional scalpel technique for second-stage implant surgery. J Indian Soc Periodontol. 2018;22(3):228–34.
16. Dominiak M, Matys J. Assessment of Pain When Uncovering Implants with Er:YAG Laser or Scalpel for Second Stage Surgery. Adv Clin Exp Med. 2016;25(6):1179–84.
17. Gianfranco S, Francesco SC, Paul RJ. Erbium and diode lasers for operculisation in the second phase of implant surgery: A case series. Timisoara Med J. 2010;60(1):117–23.
18. Arnabat-Domínguez J, Bragado-Novel M, España-Tost AJ, Berini-Aytés L, Gay-Escoda C. Advantages and esthetic results of erbium, chromium:yttrium-scandium- gallium-garnet laser application in second-stage implant surgery in patients with insufficient gingival attachment: A report of three cases. Lasers Med Sci. 2010;25(3):459–64.
19. Strauss RA, Fallon SD. Lasers in contemporary oral and maxillofacial surgery. Dent Clin North Am. 2004 Oct;48(4):861–88.
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