Effectiveness of 980-mm diode and 1064-nm extra-long-pulse neodymium-doped yttrium aluminum garnet lasers in implant disinfection.
OBJECTIVE
To evaluate the potential of 980-nm gallium aluminum arsenide (GaAlAs) and 1064-nm neodymium-doped yttrium aluminum garnet (Nd:YAG) lasers to reduce bacteria after irradiation of implant surfaces contaminated with Enterococcus faecalis and Porphyromonas gingivalis and on irradiated implant surface morphology.


BACKGROUND
Despite the frequency of implant success, some implant loss is related to peri-implantitis because of difficulty in eliminating the biofilm.


METHODS
Implants (3.75 x 13 mm) with machined surfaces, surfaces sand blasted with titanium oxide (TiO(2)), and sand-blasted and acid-etched surfaces were exposed to P. gingivalis and E. faecalis cultures and irradiated with 980-nm GaAlAs or 1064-nm Nd:YAG lasers. After laser treatments, the number of remaining colony-forming units and implant surface morphology were analyzed using scanning electron microscopy (SEM).


RESULTS
The Nd:YAG laser was able to promote a total contamination reduction on all implants irradiated. The results with the GaAlAs laser showed 100% bacteria reduction on the implants irradiated with 3 W. Irradiation with 2.5 W and 3 W achieved 100% of bacteria reduction on P. gingivalis-contaminated implants. Decontamination was not complete for the sand-blasted TiO(2) (78.6%) and acid-etched surfaces (49.4%) contaminated with E. faecalis and irradiated with 2.5 W. SEM showed no implant surface changes.


CONCLUSIONS
The wavelengths used in this research provided bacteria reduction without damaging implant surfaces. New clinical research should be encouraged for the use of this technology in the treatment of peri-implantitis.
Gonçalves
Fábio
F
Implantology Center, University City of Sao Paulo, Sao Paulo, Brazil. fabio@topconsult.com.br
Zanetti
Artemio Luiz
AL
Zanetti
Raquel Virgínia
RV
Martelli
Francesco Savério
FS
Avila-Campos
Mario Júlio
MJ
Tomazinho
Luiz Fernando
LF
Granjeiro
José Mauro
JM
D018441:Biofilms / Q000528:radiation effects; D015921:Dental Implants / Q000382:microbiology*; D004203:Disinfection / Q000379:methods*; D013293:Enterococcus faecalis / Q000528:radiation effects; D054023:Lasers, Semiconductor; D053844:Lasers, Solid-State; D016966:Porphyromonas gingivalis / Q000528:radiation effects
D015921:Dental Implants