Abbas Monzavi1, Reza Fekrazad2, Zahra Chinipardaz3, Sima Shahabi1, Roohollah Behruzi4, Nasim Chiniforush5. 1. Professor, Laser Research Center of Dentistry (LRCD), Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran. 2. Associate Professor, Laser Research Center in Medical Sciences (LRCMS), AJA University of Medical Sciences, Tehran, Iran. 3. Postgraduate Student, Department of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA. 4. Postgraduate Student, Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. 5. Researcher, Laser Research Center of Dentistry (LRCD), Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Abstract
PURPOSE: This study aimed to investigate and compare temperature change during implant decontamination with different laser types (carbon dioxide [Co2]/diode/neodymium-doped yttrium aluminum garnet [Nd:YAG]/erbium-doped yttrium aluminum garnet [Er:YAG]/antimicrobial photodynamic therapy [aPDT]). MATERIAL AND METHODS: Sixty implants were inserted into a bone block cut from a sheep's mandible. A 3 × 8 mm vertical lesion was made at the buccal of each implant. The bone block was placed into a 37°C water bath to simulate the in vivo oral condition. A K-type thermocouple was placed in contact with the implant to register temperature changes at 3 points (apical/middle/coronal). RESULTS: In the entire laser irradiations, the mean of temperature changes remains below 10°C. The apical temperature rise was higher than the coronal and middle regions (P < 0.05), and the apical temperature took longer time to reach the initial temperature (37°C) (P < 0.001). Temperature changes over 10°C occurred at the apical point of the implants with the Co2, Nd:YAG, and diode laser irradiations; however, only the Co2 laser reached the statistical significance in this regard (P < 0.05). CONCLUSION: Our findings indicate the promising results of Er:YAG laser and aPDT in implant decontamination. Precaution should be taken in the application of Nd:YAG, diode, and especially Co2 lasers.
PURPOSE: This study aimed to investigate and compare temperature change during implant decontamination with different laser types (carbon dioxide [Co2]/diode/neodymium-doped yttrium aluminum garnet [Nd:YAG]/erbium-doped yttrium aluminum garnet [Er:YAG]/antimicrobial photodynamic therapy [aPDT]). MATERIAL AND METHODS: Sixty implants were inserted into a bone block cut from a sheep's mandible. A 3 × 8 mm vertical lesion was made at the buccal of each implant. The bone block was placed into a 37°C water bath to simulate the in vivo oral condition. A K-type thermocouple was placed in contact with the implant to register temperature changes at 3 points (apical/middle/coronal). RESULTS: In the entire laser irradiations, the mean of temperature changes remains below 10°C. The apical temperature rise was higher than the coronal and middle regions (P < 0.05), and the apical temperature took longer time to reach the initial temperature (37°C) (P < 0.001). Temperature changes over 10°C occurred at the apical point of the implants with the Co2, Nd:YAG, and diode laser irradiations; however, only the Co2 laser reached the statistical significance in this regard (P < 0.05). CONCLUSION: Our findings indicate the promising results of Er:YAG laser and aPDT in implant decontamination. Precaution should be taken in the application of Nd:YAG, diode, and especially Co2 lasers.