J Oral Laser Applications 8 (2008), No. 2 (04.07.2008)
Treatment of Peri-implantitis Lesions with Laser-assisted Therapy and a Minimally Invasive Approach: A Case Report
Efeoglu, Elvan / Eyyupoglu, Gulin T.
In addition to conventional treatment modalities, the use of lasers has been increasingly proposed for the treatment of periodontal and peri-implant infections. A 56-year-old female patient had 5 implants with severe and painful peri-implantitis lesions. Local and systemic anti-infective therapies were performed as an adjunct to mechanical treatment but suppuration still persisted. This condition resolved after 3 treatments with diode laser (810 nm) irradiation (1.0 W, CW). During the operation, 2 failed implants were removed, and Er,Cr:YSGG (2780 nm) laser was used for decontamination of implant sockets (1.0 W, 20 Hz) and implant surfaces (0.5 W, 20 Hz), then the implant sockets were augmented. After ten months, radiographic findings showed bone fill in the area of removed implants and no lesions around remaining implants. Laser decontamination provided us with the opportunity to augment the sites without losing soft and hard tissues.