Treatment of Peri-implantitis of Maxillary Central Incisor by Er:YAG Laser Combined with Surgery: A Case Report

doi:10.13701/j.cnki.kqyxyj.2025.11.014

Abstract

Abstract: The treatment outcome of moderate peri-implantitis with mixed bone defect was reported in a maxillary central incisor restoration. Implant surface decontamination was accomplished by surgical debridement with Er:YAG laser, and bone augmentation with sticky bone substitute was performed simultaneously. Perfect peri-implant biological seal was achieved with implant polishing and soft tissue augmentation, and final bone regeneration and gingival recontouring were observed.

Key words: peri-implantitis, Er:YAG laser, bone augmentation, sticky bone, soft tissue augmentation

HAN Cui, ZHONG Weijian. Treatment of Peri-implantitis of Maxillary Central Incisor by Er:YAG Laser Combined with Surgery: A Case Report[J]. Journal of Oral Science Research, 2025, 41(11): 1002-1005.

References

[1] Sinjab K, Garaicoa-Pazmino C, Wang HL. Decision making for management of periimplant diseases[J]. Implant Dent, 2018, 27(3):276-281.
[2] Poli PP, Cicciu M, Beretta M, et al. Peri-implant mucositis and peri-implantitis: A current understanding of their diagnosis, clinical implications, and a report of treatment using a combined therapy approach[J]. J Oral Implantol, 2017, 43(1):45-50.
[3] Rajan M, Gunaseelan R. Fabrication of a cement- and screw-retained implant prosthesis[J]. J Prosthet Dent, 2004, 92(6):578-580.
[4] Takasaki AA, Aoki A, Mizutani K, et al. Er:YAG laser therapy for peri-implant infection: A histological study[J]. Lasers Med Sci, 2007, 22(3):143-157.
[5] Aoki A, Ando Y, Watanabe H, et al. In vitro studies on laser scaling of subgingival calculus with an erbium:YAG laser[J]. J Periodontol, 1994, 65(12):1097-1106.
[6] Eick S, Meier I, Spoerlé F, et al. In vitro-activity of Er:YAG laser in comparison with other treatment modalities on biofilm ablation from implant and tooth surfaces[J]. PLoS One, 2017, 12(1):e0171086.
[7] Secgin-Atar A, Aykol-Sahin G, Kocak-Oztug NA, et al. Evaluation of surface change and roughness in implants lost due to peri-implantitis using erbium laser and various methods: An in vitro study[J]. Nanomaterials (Basel), 2021, 11(10):2602.
[8] 赵颖, 王左敏.无光纤传输技术Er:YAG激光口腔临床应用规范[J].中华口腔医学杂志,2024,59(6): 531-545.
[9] Bertl K, Isidor F, von Steyern PV, et al. Does implantoplasty affect the failure strength of narrow and regular diameter implants? A laboratory study[J]. Clin Oral Investig, 2021, 25(4):2203-2211.
[10] Stavropoulos A, Bertl K, Eren S, et al. Mechanical and biological complications after implantoplasty-A systematic review[J]. Clin Oral Implants Res, 2019, 30(9):833-848.
[11] RMiron RJ, Gruber R, Farshidfar N, et al. Ten years of injectable platelet-rich fibrin[J]. Periodontol 2000, 2024, 94(1):92-113.
[12] Wang X, Zhang Y, Choukroun J, et al. Effects of an injectable platelet-rich fibrin on osteoblast behavior and bone tissue formation in comparison to platelet-rich plasma[J]. Platelets, 2018, 29(1):48-55.
[13] Valles C, Vilarrasa J, Barallat L, et al. Efficacy of soft tissue augmentation procedures on tissue thickening around dental implants: A systematic review and meta-analysis[J]. Clin Oral Implants Res, 2022, 33 Suppl 23:72-99.

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