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http://dx.doi.org/10.5051/jpis.2011.41.5.234

The effect of erbium-doped: yttrium, aluminium and garnet laser irradiation on the surface microstructure and roughness of double acid-etched implants  

Kim, Ji-Hyun (Department of Periodontology, Kyung Hee University School of Dentistry)
Herr, Yeek (Department of Periodontology, Kyung Hee University School of Dentistry)
Chung, Jong-Hyuk (Department of Periodontology, Kyung Hee University School of Dentistry)
Shin, Seung-Il (Department of Periodontology, Kyung Hee University School of Dentistry)
Kwon, Young-Hyuk (Department of Periodontology, Kyung Hee University School of Dentistry)
Publication Information
Journal of Periodontal and Implant Science / v.41, no.5, 2011 , pp. 234-241 More about this Journal
Abstract
Purpose: One of the most frequent complications related to dental implants is peri-implantitis, and the characteristics of implant surfaces are closely related to the progression and resolution of inflammation. Therefore, a technical modality that can effectively detoxify the implant surface without modification to the surface is needed. The purpose of this study was to evaluate the effect of erbium-doped: yttrium, aluminium and garnet (Er:YAG) laser irradiation on the microstructural changes in double acid-etched implant surfaces according to the laser energy and the application duration. Methods: The implant surface was irradiated using an Er:YAG laser with different application energy levels (100 mJ/pulse, 140 mJ/pulse, and 180 mJ/pulse) and time periods (1 minute, 1.5 minutes, and 2 minutes). We then examined the change in surface roughness value and microstructure. Results: In a scanning electron microscopy evaluation, the double acid-etched implant surface was not altered by Er:YAG laser irradiation under the condition of 100 mJ/pulse at 10 Hz for any of the irradiation times. However, we investigated the reduced sharpness of the specific ridge microstructure that resulted under the 140 mJ/pulse and 180 mJ/pulse conditions. The reduction in sharpness became more severe as laser energy and application duration increased. In the roughness measurement, the double acid-etched implants showed a low roughness value on the valley area before the laser irradiation. Under all experimental conditions, Er:YAG laser irradiation led to a minor decrease in surface roughness, which was not statistically significant. Conclusions: The recommended application settings for Er:YAG laser irradiation on double acid-etched implant surface is less than a 100 mJ/pulse at 10 Hz, and for less than two minutes in order to detoxify the implant surface without causing surface modification.
Keywords
Dental implants; Peri-implantitis; Lasers;
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1 Sul YT, Johansson C, Albrektsson T. Which surface properties enhance bone response to implants? Comparison of oxidized magnesium, TiUnite, and Osseotite implant surfaces. Int J Prosthodont 2006;19:319-28.
2 Sul YT, Byon E, Wennerberg A. Surface characteristics of electrochemically oxidized implants and acid-etched implants: surface chemistry, morphology, pore configurations, oxide thickness, crystal structure, and roughness. Int J Oral Maxillofac Implants 2008;23:631-40.
3 Lang NP, Jepsen S; Working Group 4. Implant surfaces and design (Working Group 4). Clin Oral Implants Res 2009;20(Suppl 4):228-31.   DOI
4 Wennerberg A, Albrektsson T, Andersson B. Bone tissue response to commercially pure titanium implants blasted with fine and coarse particles of aluminum oxide. Int J Oral Maxillofac Implants 1996;11:38-45.
5 Jeong DM, Park JB, Kwon YH, Herr Y, Chung JH. The influence of tetracycline-HCl for micromorphology of thermal dual acid etched surface implants. J Korean Acad Periodontol 2007;37:265-75.   DOI
6 Kreisler M, Kohnen W, Marinello C, Gotz H, Duschner H, Jansen B, et al. Bactericidal effect of the Er:YAG laser on dental implant surfaces: an in vitro study. J Periodontol 2002;73:1292-8.   DOI   ScienceOn
7 Folwaczny M, Mehl A, Aggstaller H, Hickel R. Antimicrobial effects of 2.94 microm Er:YAG laser radiation on root surfaces: an in vitro study. J Clin Periodontol 2002;29:73-8.   DOI   ScienceOn
8 Friedmann A, Antic L, Bernimoulin JP, Purucker P. In vitro attachment of osteoblasts on contaminated rough titanium surfaces treated by Er:YAG laser. J Biomed Mater Res A 2006;79:53-60.
9 Kreisler M, Kohnen W, Christoffers AB, Gotz H, Jansen B, Duschner H, et al. In vitro evaluation of the biocompatibility of contaminated implant surfaces treated with an Er: YAG laser and an air powder system. Clin Oral Implants Res 2005;16:36-43.
10 Schwarz F, Aoki A, Sculean A, Georg T, Scherbaum W, Becker J. In vivo effects of an Er:YAG laser, an ultrasonic system and scaling and root planing on the biocompatibility of periodontally diseased root surfaces in cultures of human PDL fibroblasts. Lasers Surg Med 2003;33:140-7.   DOI   ScienceOn
11 Abrahamsson I, Zitzmann NU, Berglundh T, Wennerberg A, Lindhe J. Bone and soft tissue integration to titanium implants with different surface topography: an experimental study in the dog. Int J Oral Maxillofac Implants 2001;16:323-32.
12 Drake DR, Paul J, Keller JC. Primary bacterial colonization of implant surfaces. Int J Oral Maxillofac Implants 1999;14:226-32.
13 Renvert S, Roos-Jansaker AM, Claffey N. Non-surgical treatment of peri-implant mucositis and peri-implantitis: a literature review. J Clin Periodontol 2008;35(8 Suppl):305-15.
14 Hsu SH, Liu BS, Lin WH, Chiang HC, Huang SC, Cheng SS. Characterization and biocompatibility of a titanium dental implant with a laser irradiated and dual-acid etched surface. Biomed Mater Eng 2007;17:53-68.
15 Maximo MB, de Mendonca AC, Renata Santos V, Figueiredo LC, Feres M, Duarte PM. Short-term clinical and microbiological evaluations of peri-implant diseases before and after mechanical anti-infective therapies. Clin Oral Implants Res 2009;20:99-108.   DOI   ScienceOn
16 Kreisler M, Gotz H, Duschner H. Effect of Nd:YAG, Ho: YAG, Er:YAG, CO2, and GaAIAs laser irradiation on surface properties of endosseous dental implants. Int J Oral Maxillofac Implants 2002;17:202-11.
17 Ivanoff CJ, Widmark G, Johansson C, Wennerberg A. Histologic evaluation of bone response to oxidized and turned titanium micro-implants in human jawbone. Int J Oral Maxillofac Implants 2003;18:341-8.
18 Lazzara RJ, Testori T, Trisi P, Porter SS, Weinstein RL. A human histologic analysis of osseotite and machined surfaces using implants with 2 opposing surfaces. Int J Periodontics Restorative Dent 1999;19:117-29.
19 Trisi P, Rao W, Rebaudi A. A histometric comparison of smooth and rough titanium implants in human low-density jawbone. Int J Oral Maxillofac Implants 1999;14:689-98.
20 Grossner-Schreiber B, Teichmann J, Hannig M, Dorfer C, Wenderoth DF, Ott SJ. Modified implant surfaces show different biofilm compositions under in vivo conditions. Clin Oral Implants Res 2009;20:817-26.   DOI
21 Ando Y, Aoki A, Watanabe H, Ishikawa I. Bactericidal effect of erbium YAG laser on periodontopathic bacteria. Lasers Surg Med 1996;19:190-200.   DOI   ScienceOn
22 London RM, Roberts FA, Baker DA, Rohrer MD, O'Neal RB. Histologic comparison of a thermal dual-etched implant surface to machined, TPS, and HA surfaces: bone contact in vivo in rabbits. Int J Oral Maxillofac Implants 2002;17:369-76.
23 Park JY, Davies JE. Red blood cell and platelet interactions with titanium implant surfaces. Clin Oral Implants Res 2000;11:530-9.   DOI   ScienceOn
24 Bowers KT, Keller JC, Randolph BA, Wick DG, Michaels CM. Optimization of surface micromorphology for enhanced osteoblast responses in vitro. Int J Oral Maxillofac Implants 1992;7:302-10.
25 De Leonardis D, Garg AK, Pecora GE. Osseointegration of rough acid-etched titanium implants: 5-year follow-up of 100 minimatic implants. Int J Oral Maxillofac Implants 1999;14:384-91.
26 Yamaguchi H, Kobayashi K, Osada R, Sakuraba E, Nomura T, Arai T, et al. Effects of irradiation of an erbium:YAG laser on root surfaces. J Periodontol 1997;68:1151-5.   DOI   ScienceOn
27 Matsuyama T, Aoki A, Oda S, Yoneyama T, Ishikawa I. Effects of the Er:YAG laser irradiation on titanium implant materials and contaminated implant abutment surfaces. J Clin Laser Med Surg 2003;21:7-17.   DOI   ScienceOn
28 Albrektsson T, Wennerberg A. Oral implant surfaces: Part 1--review focusing on topographic and chemical properties of different surfaces and in vivo responses to them. Int J Prosthodont 2004;17:536-43.
29 Wennerberg A, Ektessabi A, Albrektsson T, Johansson C, Andersson B. A 1-year follow-up of implants of differing surface roughness placed in rabbit bone. Int J Oral Maxillofac Implants 1997;12:486-94.
30 Pongnarisorn NJ, Gemmell E, Tan AE, Henry PJ, Marshall RI, Seymour GJ. Inflammation associated with implants with different surface types. Clin Oral Implants Res 2007;18:114-25.
31 Meffert RM, Langer B, Fritz ME. Dental implants: a review. J Periodontol 1992;63:859-70.   DOI
32 Mombelli A. Microbiology and antimicrobial therapy of peri-implantitis. Periodontol 2000 2002;28:177-89.   DOI   ScienceOn
33 Krozer A, Hall J, Ericsson I. Chemical treatment of machined titanium surfaces. An in vitro study. Clin Oral Implants Res 1999;10:204-11.   DOI   ScienceOn
34 Schwarz F, Putz N, Georg T, Reich E. Effect of an Er:YAG laser on periodontally involved root surfaces: an in vivo and in vitro SEM comparison. Lasers Surg Med 2001;29:328-35.   DOI   ScienceOn
35 Schwarz F, Sculean A, Berakdar M, Szathmari L, Georg T, Becker J. In vivo and in vitro effects of an Er:YAG laser, a GaAlAs diode laser, and scaling and root planing on periodontally diseased root surfaces: a comparative histologic study. Lasers Surg Med 2003;32:359-66.   DOI   ScienceOn
36 Isidor F. Loss of osseointegration caused by occlusal load of oral implants. A clinical and radiographic study in monkeys. Clin Oral Implants Res 1996;7:143-52.   DOI   ScienceOn
37 Albrektsson TO, Johansson CB, Sennerby L. Biological aspects of implant dentistry: osseointegration. Periodontol 2000 1994;4:58-73.   DOI   ScienceOn
38 Mombelli A, Lang NP. The diagnosis and treatment of peri-implantitis. Periodontol 2000 1998;17:63-76.   DOI   ScienceOn
39 Quirynen M, Naert I, van Steenberghe D, Nys L. A study of 589 consecutive implants supporting complete fixed prostheses. Part I: Periodontal aspects. J Prosthet Dent 1992;68:655-63.   DOI   ScienceOn