Clinical Application Of Er:YAG Laser In Conventional Dental Implant Prosthesis

BackgroundThe use of lasers in implantology has been historically controversial. Whilst there is ageneral acceptance that Er lasers including Er:YAG and ErCr:YSGG are capable of ablating softand osseous tissues. It seems that there is no evidence-based advocacy as to the use of any laserwavelength in producing a fully-prepared osteotomy site for the placement of conventionaldental implant placementPurposeThe aim of this study was to investigate and describe the use of the erbium:yttnium-aluminum garnet (Er: YAG) laser) in conventional dental implant prosthesis.Methods and Materials(1) Patient selection and evaluation:Patients presented at our clinic and selected for laser conventional implant treatment. A fulland comprehensive periodontal examination was performed in detailed including medical anddental history, periodontal charting, and radiograph (periapical x-ray films, panograph, and/orCT scan).(2) Laser Procedures:The laser energy from the Er:YAG laser (Syneron Medical Ltd, Israel) is in the infrared wavespectrum. The laser beam is directed at the target tissue with the lasing medium in the handpiece.The soft tissue was removed with a sapphire tip, with initial settings of20Hz and100mJ (2.0W), contact in soft mode. Then the osteotomy surgical sites with settings of20Hz,200-400mJ,(4-8W) were performed in hard mode; slight contact would have been used forward/backwardmotion. In the bone, the laser establish the implant cavity, enlarging the initial osteotomy byusing Er: YAG laser and then the self-tapping of implant directly into the bone and rotation tothe maximum resistance as needed, until an osteotomy of predetermined size is achieved; andinstalling an implant into the expanded osteotomy, to incrementally expand the osteotomy withlittle to no removal of bone material.(3)Selection and Completion of mini implant prosthesisA sole abutment was placed on the implant; the new crown is attached to the implant withan abutment and then completes the reconstruction. Temporarily or permanently, crown orcrown and bridge can also be fitted with dental implant placed immediately after implantation,under good bone mass and density.ResultsThis article demonstrated and described the use of this Er: YAG laser in conventional dentalimplant procedures. An abutment on the implant and new crown on the abutment is attached to the implant with a complete reconstruction. With today’s technology, the temporary or permanentcrown and bridges can also be constructed with implants placed immediately after. Implation. Inthese case, patients with good bone mass and density shortened Implantation time greatly in thisarticle. The Er: YAG laser system for highly precise bone ablation can be related in did not causecomplications, such as thermal damage or wound healing problems.ConclusionThe study confirmed that the Ｅr:YAG lase efficient applications in the conventionalimplant placement. It seems that dentists can now use in the hard and soft tissue in andcomplete implant reconstruction. Early loading of temporary or permanent fixedprosthesis can be immediately performed in the implant. Thus it greatly reduces theimplantation time. There are no cause-related complications, such as thermal injury orwound healing problems. Therefore, this study confirmed that the Er: YAG laser inconventional implant prosthesis with minimal trauma, efficient completion of implantsreconstruction.