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Case Reports
. 2013 Nov;17(6):812-5.
doi: 10.4103/0972-124X.124531.

Non-surgical treatment of peri-implantitis with the adjunctive use of an 810-nm diode laser

Marisa Roncati  1 , Alessandra Lucchese  2 , Francesco Carinci  2
Affiliations
Case Reports

Non-surgical treatment of peri-implantitis with the adjunctive use of an 810-nm diode laser

Marisa Roncati et al. J Indian Soc Periodontol. 2013 Nov.

Abstract

An 810-nm diode laser was used to non-surgically treat a 7-mm pocket around an implant that had five threads of bone loss, BoP+, and exudate, and the patient was followed up for 5 years. Non-surgical treatment, home care reinforcement, clinical indices records, and radiographic examination were completed in two consecutive 1-h appointments within 24 h. The patient was monitored frequently for the first 3 months. Subsequently, maintenance debridement visits were scheduled at 3-month intervals. The patient had a decreased probing pocket depth and a negative BoP index compared to initial clinical data, and the results were stable after 1 year. After 5 years of follow-up visits, there appeared to be rebound of the bone level radiographically. Within the limits of this case report, conventional non-surgical periodontal therapy with the adjunctive use of an 810-nm diode laser may be a feasible alternative approach for the management of peri-implantitis. The 5-year clinical and radiographic outcomes indicated maintenance of the clinical improvement.

Keywords: Diode laser; inflammation; non-surgical periodontal treatment; peri-implantitis; periodontal maintenance.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Clinical examination revealed 7-mm probing depths, circumferentially around a mandibular implant, bleeding on probing, and the presence of exudate and gingival inflammatory edema
Figure 2
Figure 2
Periapical radiography shows bone loss for five fixture threads on the most distal mandibular left implant
Figure 3
Figure 3
The patient was treated using an 810-nm diode laser to disinfect the area and facilitate bacterial biofilm removal by mechanical and manual periodontal instrumentation
Figure 4
Figure 4
Periapical radiograph: 1-year post-non-surgical treatment
Figure 5
Figure 5
Periapical radiograph: 5-year follow-up
Figure 6
Figure 6
Clinical probing depth: 5-year follow-up
Figure 7
Figure 7
The diode laser has mainly bactericidal effect. Threaded implants have a different morphology than root surfaces; therefore, debridement instruments may differ. The laser may facilitate detoxification of the implant surface
See this image and copyright information in PMC

References

    1. Albrektson T, Isidor F. Consensus Report: Implant therapy. In: Lang NP, Karring T, editors. Proceedings of the 1st European Workshop on Periodontology. Berlin: Quintessence; 1994. pp. 365–9.
    1. Lindhe J, Meyle J. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol. 2008;35:282–5. - PubMed
    1. Kreisler M, Gotz H, Duschner H. 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. 2002;17:202–11. - PubMed
    1. 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;71:810–5. - PubMed
    1. Esposito M, Grusovin MG, Tzanetea E, Piattelli A, Worthington HV. Interventions for replacing missing teeth: Treatment of perimplantitis. Cochrane Database Syst Rev. CD004970. - PubMed

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