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

Świder, Katarzyna; Dominiak, Marzena

doi:10.17219/dmp/100386

Cited by 5 publications

(2 citation statements)

References 26 publications

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“…In recent years, studies in dental implantology using the Er:YAG laser have demonstrated an extremely favorable effect on osseointegration. Rapid healing processes and accelerated osseointegration have been observed [39,52].…”

Section: Laser Technologymentioning

confidence: 99%

Effect of Er:YAG Laser Exposure on the Amorphous Smear Layer in the Marginal Zone of the Osteotomy Site for Placement of Dental Screw Implants: A Histomorphological Study

Kanazirski

Vladova

Neychev

et al. 2023

JFB

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The placement of dental screw implants typically involves the use of rotary techniques and drills to create a bone bed. This study explores the potential benefits of combining this method with an Er:YAG laser. Split osteotomies were performed on 10 jaws of euthanized domestic pigs (Sus scrofa domestica), with 12 mandibular implant osteotomies in each jaw, divided into 4 groups. In order to make a comprehensive assessment of the effect of Er:YAG lasers, histomorphological techniques were used to measure the reduction in amorphous layer thickness after Er:YAG laser treatment, both with and without the placement of dental screw implants from different manufacturers. Following bone decalcification and staining, the thickness of the amorphous layer was measured in four groups: Group A—osteotomy performed without Er:YAG laser treatment—had amorphous layer thicknesses ranging from 21.813 to 222.13 µm; Group B—osteotomy performed with Er:YAG laser treatment—had amorphous layer thicknesses ranging from 6.08 to 64.64 µm; Group C—an implant placed in the bone without laser treatment—had amorphous layer thicknesses of 5.90 to 54.52 µm; and Group D—an implant placed after bone treatment with Er:YAG laser—had amorphous layer thicknesses of 1.29 to 7.98 µm. The examination and photomicrodocumentation was performed using a LEICA DM1000 LED microscope (Germany) and LAS V 4.8 software (Leica Application Suite V4, Leica Microsystems, Germany). When comparing group A to group B and group C to D, statistically significant differences were indicated (p-value = 0.000, p < 0.05). The study demonstrates the synergistic effects and the possibility of integrating lasers into the conventional implantation protocol. By applying our own method of biomodification, the smear layer formed during rotary osteotomy can be reduced using Er:YAG lasers. This reduction leads to a narrower peri-implant space and improved bone-to-implant contact, facilitating accelerated osseointegration.

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Section: Laser Technologymentioning

confidence: 99%

Effect of Er:YAG Laser Exposure on the Amorphous Smear Layer in the Marginal Zone of the Osteotomy Site for Placement of Dental Screw Implants: A Histomorphological Study

Kanazirski

Vladova

Neychev

et al. 2023

JFB

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“…In the last few decades, different approaches were proposed in order to ameliorate dental treatments. [1][2][3][4][5][6][7][8][9] The use of implants to rehabilitate maxillary and mandibular edentulous areas has become a common practice worldwide, with reliable long-term results. In different clinical situations, a lack of supporting bone as a result of physiologic bone rearrangement, surgical trauma, or delayed restoration, generates problems in implant insertions.…”

Section: Introductionmentioning

confidence: 99%

Minimal Invasive Flapless Piezotome Alveolar Crest Horizontal Split Technique: Preliminary Results

Scavia

Roncucci

Bianco

et al. 2020

The Journal of Contemporary Dental Practice

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Introduction: Alveolar split crest is an established surgical technique to enable implant insertion into narrow and atrophic alveolar crest. This surgical technique is adopted to position standard or large implants so that postextractive anatomy compromises with this attempt. The aim of this study was to evaluate the horizontal alveolar bone augmentation and its stability along time with a minimally invasive flapless technique. Materials and methods: Twenty-four implants were inserted in 10 patients during a 15-month period. Clinical parameters such as horizontal bone augmentation, intrasurgical complications, patient morbidity, implant loss, and vertical bone loss (VBL) were recorded in the first 3 years after surgery. Using cone-beam computed tomography (CBCT), alveolar bone width was measured for both implants position and bone reconstructions. 6 months later, at the time of implant integration, a new low-dose CBCT was performed. Implant survival (IS) and VBL were evaluated radiographically for 3 years. Results: The initial bone thickness measured on the ridge is between 0.82 mm and 5.40 mm (average 2.43 mm), after the split crest the bone width is between 4.65 mm and 8.09 mm (average 6.39 mm). This leads to an increase in the alveolar bone width of between 0.80 mm and 6.01 mm (average 3.71 mm) on the ridge. No implant was lost at 3 years, and all implants are stable at the end of the study. Three years after the surgery, controls showed a VBL of between 0.0 mm and 1.2 mm (average 0.63 mm) around the inserted implants. These parameters suggest using a flapless technique to reduce bone resorption around the implant neck. Conclusion:A minimally invasive approach allows to reduce the surgical trauma and postsurgical discomfort. The complete vascular supply is maintained, the bone resorption is reduced, and the connective epithelium does not undergo postsurgical retraction, achieving the full maintenance of the residual keratinized gingiva. Clinical significance: A technique such as split crest can be a valid option to avoid autologous or heterologous bone grafts.

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Combined use of PRPP, diode laser and piezosurgery device improves reparative osteogenesis before dental implants placement

Menchisheva,

Menzhanova,

Espolayeva

et al. 2025

Asian Journal of Surgery

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

Cited by 5 publications

References 26 publications

Effect of Er:YAG Laser Exposure on the Amorphous Smear Layer in the Marginal Zone of the Osteotomy Site for Placement of Dental Screw Implants: A Histomorphological Study

Effect of Er:YAG Laser Exposure on the Amorphous Smear Layer in the Marginal Zone of the Osteotomy Site for Placement of Dental Screw Implants: A Histomorphological Study

Minimal Invasive Flapless Piezotome Alveolar Crest Horizontal Split Technique: Preliminary Results

Combined use of PRPP, diode laser and piezosurgery device improves reparative osteogenesis before dental implants placement

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