title: Er:YAG laser in the clinical management of severe peri-implantitis: a case report.
abstract: Peri-implantitis is bacterial infections of peri-implant supporting tissues, involving the peri-implant bone. Several treatment protocols have been tested in clinical practice with variable efficacy. The clinical management of peri-implantitis aims for elimination of plaque and calculus, decontamination of the failing implant surface, and regeneration of lost bone tissue. Surface decontamination is an important part of all suggested treatments. This can be accomplished with the use of chemical agents (eg, chlorhexidine) or mechanical (eg, ultrasonic) or photonic (eg, laser) devices. In this report, we present a case of severe peri-implantitis that was successfully managed with a combined nonsurgical and surgical approach. Implant surface debridement/decontamination of the implant surface was achieved with an erbium-doped yttrium aluminium garnet (Er:YAG) laser device.
authors.affiliation: Department of Periodontology, Faculty of Dental Surgery, Nantes, France.
authors.forename: Zahi
authors.initials: Z
authors.lastname: Badran
authors.forename: Céline
authors.initials: C
authors.lastname: Bories
authors.forename: Xavier
authors.initials: X
authors.lastname: Struillou
authors.forename: Afchine
authors.initials: A
authors.lastname: Saffarzadeh
authors.forename: Christian
authors.initials: C
authors.lastname: Verner
authors.forename: Assem
authors.initials: A
authors.lastname: Soueidan
mesh_terms: D000368:Aged; D003646:Debridement / Q000295:instrumentation* / Q000379:methods; D015921:Dental Implants / Q000009:adverse effects*; D003777:Dental Prophylaxis; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation / Q000379:methods*; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D057873:Peri-Implantitis / Q000601:surgery*; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants