18 February 2014 Pulsed Nd:YAG laser treatment for failing dental implants due to peri-implantitis
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Proceedings Volume 8929, Lasers in Dentistry XX; 89290H (2014) https://doi.org/10.1117/12.2041037
Event: SPIE BiOS, 2014, San Francisco, California, United States
Abstract
A large percentage of dental implants experience complications, most commonly, infection leading to peri-implantitis and peri-mucositis, inflammatory disease involving pathogen contamination. It presents with radiographic findings of crestal bone loss. At this time there appears to be no compelling evidence for an effective intervention. The LANAP protocol is a FDA cleared surgical protocol that produces new attachment and bone regeneration when applied to periodontally infected natural teeth. The LANAP protocol and laser dosimetry have been modified to treat ailing and failing implants. Twenty-one clinicians who have been trained to perform the LANAP protocol and the LAPIPTM protocol have volunteered 26 LAPIP case reports. The time from implant to intervention ranges from 3 months to 16 years. Post-LAPIP radiographs range from 2-48 months. Ten cases were excluded for technical reasons. All 16 remaining cases provide radiographic evidence of increase in crestal bone mass around the implant and, when reported, probe depth reductions. All treating clinicians report control of the infection, reversal of bone loss and rescue of the incumbent implant. Although the success/failure rate cannot be judged from these data, any successes in this area deserve reporting and further study.
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Dawn Nicholson, Dawn Nicholson, Kris Blodgett, Kris Blodgett, Charles Braga, Charles Braga, Larry Finkbeiner, Larry Finkbeiner, Jeanne Fourrier, Jeanne Fourrier, John George, John George, Robert Gregg, Robert Gregg, Allen Honigman, Allen Honigman, Bruce Houser, Bruce Houser, William Lamas, William Lamas, Neal Lehrman, Neal Lehrman, Eric Linden, Eric Linden, Delwin McCarthy, Delwin McCarthy, Tom McCawley, Tom McCawley, Randy McCormick, Randy McCormick, Ed Marcus, Ed Marcus, Kirk Noraian, Kirk Noraian, Peter Rubelman, Peter Rubelman, Maurice Salama, Maurice Salama, Steven Saunders, Steven Saunders, Brandon Seamons, Brandon Seamons, David Thein, David Thein, Michael Toms, Michael Toms, George Vassos, George Vassos, David M. Harris, David M. Harris, } "Pulsed Nd:YAG laser treatment for failing dental implants due to peri-implantitis", Proc. SPIE 8929, Lasers in Dentistry XX, 89290H (18 February 2014); doi: 10.1117/12.2041037; https://doi.org/10.1117/12.2041037
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