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18 February 2014Pulsed Nd:YAG laser treatment for failing dental implants due to peri-implantitis
Dawn Nicholson D.D.S.,1 Kris Blodgett D.D.S.,2 Charles Braga D.D.S.,2 Larry Finkbeiner D.D.S.,2 Jeanne Fourrier D.D.S.,2 John George D.D.S.,2 Robert Gregg D.D.S.,1 Allen Honigman D.D.S.,2 Bruce Houser D.D.S.,2 William Lamas D.D.S.,2 Neal Lehrman D.D.S.,2 Eric Linden D.D.S.,2 Delwin McCarthy D.D.S.,1 Tom McCawley D.D.S.,2 Randy McCormick D.D.S.,2 Ed Marcus D.D.S.,2 Kirk Noraian D.D.S.,2 Peter Rubelman D.D.S.,2 Maurice Salama D.D.S.,2 Steven Saunders D.D.S.,2 Brandon Seamons D.D.S.,2 David Thein D.D.S.,2 Michael Toms D.D.S.,2 George Vassos D.D.S.,2 David M. Harris3
1Institute for Advanced Laser Dentistry (United States) 2Private Dental Practice (United States) 3Bio-Medical Consultants, Inc. (United States)
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 D.D.S., Kris Blodgett D.D.S., Charles Braga D.D.S., Larry Finkbeiner D.D.S., Jeanne Fourrier D.D.S., John George D.D.S., Robert Gregg D.D.S., Allen Honigman D.D.S., Bruce Houser D.D.S., William Lamas D.D.S., Neal Lehrman D.D.S., Eric Linden D.D.S., Delwin McCarthy D.D.S., Tom McCawley D.D.S., Randy McCormick D.D.S., Ed Marcus D.D.S., Kirk Noraian D.D.S., Peter Rubelman D.D.S., Maurice Salama D.D.S., Steven Saunders D.D.S., Brandon Seamons D.D.S., David Thein D.D.S., Michael Toms D.D.S., George Vassos D.D.S., 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);