Essential laser dose parameters required for decontamination of titanium dental implant surfaces affected by Peri-implant Disease: A Systematic review and meta-analysis

Autor: Booley, Abdul-Basit, Kimmie-Dhansay, Faheema, Roberts, Tina, Holmes, Haly, Malik, Bilal, Selting, Wayne, Mollagee, Rawieyah, Booley, Haajir
Rok vydání: 2022
Předmět:
DOI: 10.17605/osf.io/xzv8e
Popis: The primary aim of the systematic review is to determine what are the ideal dose and application parameters required to decontaminate dental implant surfaces without microstructural alteration, thereby promoting osseointegration? Context and Rationale: The use of osseointegrated dental implants have become standard practice in restorative dentistry. In the USA, the prevalence of dental implant placement is estimated to affect 23% of the population by 2026. However, dental implants are not without problems and can be affected by pathology, the most common of which is Peri-implant Disease (PID), consisting of Peri-implant Mucositis (PIM) and Peri-implantitis (PI). PIM is said to affect up to 80% of subjects with dental implants. On the other hand, PI is reported to affect between 28%-56% of subjects with dental implants. Although the pathogenesis of PI remains unclear, it is thought that implant surface biofilms are a major factor in the initialization, establishment and progression of the condition. Numerous studies reflect the effectiveness of laser debridement in biofilm removal, its bactericidal effects and its ability not to damage the implant surface or affect its surface characteristics . The effectiveness of laser decontamination is directly related to the laser parameter employed. Laser settings are generally reported as standardized values with little, if any, regard for the shape or diameter of the laser tip used. A review of the current literature highlights the inconsistencies in laser dose parameters with respect to implant decontamination. Further detailed studies are required to clarify the effect of these inconsistencies on both, the micro-structured surfaces treated and on biocompatibility in order to establish a safe and reliable irradiation protocol for erbium lasers.
Databáze: OpenAIRE