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High-Power Laser Application for Immediate Implant Placement in Infected Sites: A Systematic Review.

Hadi Kaseb Ghane1, Nazanin Samiei2, Pouyan Razavi3

  • 1Department of Prosthodontics, Dental Branch, Islamic Azad University of Medical Sciences, Tehran, Iran.

Photobiomodulation, Photomedicine, and Laser Surgery
|December 12, 2023
PubMed
Summary

High-power laser irradiation shows promise for immediate dental implant placement in infected sites. This treatment approach resulted in a high implant survival rate, suggesting its benefit in challenging clinical situations.

Keywords:
Er:YAG laserErCr:YSGG laserdental implantshigh-power laserinfected extraction site

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Area of Science:

  • Dental Implantology
  • Laser Dentistry
  • Infectious Disease Management

Background:

  • Immediate dental implant placement is successful but vulnerable to infection, which can lead to implant failure.
  • Infection at the implant site disrupts healing and negatively impacts treatment outcomes.
  • High-power laser application is explored as a method to manage infected sites prior to immediate implant placement.

Approach:

  • A systematic literature review was conducted using multiple electronic databases (PubMed/Medline, Embase, Web of Science, Google Scholar, Cochrane Library).
  • Studies were screened for eligibility, bias was assessed, and data were extracted by two independent reviewers.
  • Five studies met the inclusion criteria, analyzing 245 implants in 192 patients where infected sites were treated with high-power lasers.

Key Points:

  • The review focused on immediate implant placement in infected sites decontaminated with high-power lasers.
  • A total of 245 implants were analyzed, with 296 initially placed in 192 patients.
  • Implants placed in infected and laser-treated sites demonstrated a 96.3% survival rate, with only nine failures.

Conclusions:

  • High-power laser irradiation appears beneficial for immediate implant placement in infected sites.
  • Laser treatment, alone or combined with other methods, can improve outcomes in compromised implant sites.
  • Further research is warranted to fully understand the efficacy and optimal protocols for laser use in this context.