Immediate dental implant placement in post-extraction-infected sites decontaminated with Er,Cr:YSGG laser: a retrospective cohort study

Abstract

Dental implants placed in fresh extraction alveoli provide several advantages, including shorter treatment periods and improved patient comfort. After a compromised tooth extraction, the Er,Cr:YSGG laser can considerably reduce bacterial concentration. The objective of this controlled study conducted after at least 1 year of follow-up was to compare the use of immediate post-extraction implants in infected sites treated with laser (test group) versus conventional implants in edentulous sites (control group) through an analysis of pre- and post-operative radiographs. The study was based on a series of patients treated between 2014 and 2019, with a 1-year minimum follow-up, and up to over 4 years. An analysis of the clinical history of the treated patients and pre- and post-operative radiographs was performed to evaluate the implant success and to measure the marginal bone level (MBL). Overall, 149 implants were studied. There was only one failure in the test group (1%) and no failures in the control group. The test group gained 0.1 mm of the MBL compared to the baseline, while the control group lost 0.1 mm of the MBL. The difference between the two groups of only 0.2 mm was not statistically significant (P = 0.058). Immediate dental implants in infected sockets debrided and decontaminated using Er,Cr:YSGG laser do not appear to enhance the likelihood of failure; however, peri-implantitis and associated problems must be avoided by following a certain set of protocols and procedures.

Management options and long-term follow-ups for permanent double incisors: six to eleven-year case reports

“…After 10 years, the tooth was still vital, but severe external resorption was observed [ 21 ]. In addition, a study also reported that laser application to the socket after extraction not only reduces the bacterial load but also increases epithelialization in the gingival pocket and increases healing [ 22 ]. The fact that no laser was applied to the post-extraction socket might be a limitation of the first case.…”

Influence of Er:YAG laser irradiation on the outcomes of alveolar ridge preservation at the infected molar sites: a randomized controlled trial

“…Aleksandra Križaj Dumic et al performed degranulation with an Er:YAG laser at 160 mJ and 15 Hz [ 18 ]. Crippa R et al recommended a power of 2 W and 15 Hz for debridement and decontamination [ 19 ]. In this study, the parameters were an energy of 100 mJ, a frequency of 20 Hz and an output power of 2 W. Further experiments should be performed to determine the appropriate laser parameters for ARP.…”

“…Er:YAG lasers are minimally invasive, accurate and highly efficient, and they are widely used in dentistry, including in the treatment of deep caries and peri-implantitis and in surgical resection. Recently, an Er:YAG laser was used in degranulation when performing ARP [ 18 , 19 ]. However, the Er:YAG laser was applied in combination with other types of lasers [ 17 , 19 ].…”

“…Recently, an Er:YAG laser was used in degranulation when performing ARP [ 18 , 19 ]. However, the Er:YAG laser was applied in combination with other types of lasers [ 17 , 19 ]. Whether degranulation with an Er:YAG laser at the infected site has a positive effect on bone regeneration is still controversial.…”

Clinical analysis of the tooth-implant papilla for two narrow-diameter titanium-zirconium implants in the anterior area: prospective controlled clinical study

“…Therefore, the rehabilitation of the mandibular incisors and/or maxillary lateral incisors (MI/MxLI) is a challenge for clinicians. Immediate dental implants could be a good treatment choice, but this kind of surgery is not always possible [ 16 , 17 ].…”