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The Effect on Treatment of Peri-implantitis with Carbon Dioxide Laser: An Experimental Study in Dogs  

Kim, Hak-kyun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University)
Kim, Su-gwan (Department of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University)
Kang, Dong-wan (Department of Prosthodontics, College of Dentistry, Chosun University)
Lim, Sung-chul (Department of Pathology, College of Medicine, Chosun University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.23, no.1, 2007 , pp. 43-53 More about this Journal
Abstract
The purpose of this experimental study was to examine the effect of the decontamination of carbon dioxide ($CO_2$) laser in treatment of ligature-induced peri-implantitis in dogs. A total 24 implants with a sandblasted with large-grit and acid-etched (SLA) surface were inserted in six mongrel dogs. After a 3-month healing period, experimental peri-implantitis characterized by a bone loss of about 3mm was established by inducing with wires. And then wires were removed and plaque control was implemented. Surgical treatment involving flap procedure + debridement of implants surface with chlorhexidine and saline (group 1), flap procedure + GBR with absorbable collagen membrane (Bio-Gide) and mineralized bone graft (Bio-Oss) (group 2), and flap procedure + $CO_2$ laser application + GBR (group 3) was performed. The animals were killed 8 weeks and 16 weeks after treatment, respectively. A histomorphometric analysis confirmed statistically considerable new bone formation within the limit of the 5 most coronal threads in group 3 compared with group 1 at 16 weeks (P<0.05). And intragroup analysis showed considerable increase of new bone formation in group 3 at 16 weeks compared with 8 weeks (P<0.05). The present study demonstrates considerable new bone formation after treatment of experimental peri-implantitis with flap procedure, $CO_2$ laser application and GBR.
Keywords
carbon dioxide laser; peri-implantitis;
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