Influence of an Er:YAG laser on healing of periodontal and peri-implant infections: experimental and clinical studies
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| Format: | Buch |
| Sprache: | English |
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2004
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Düsseldorf, Univ., Habil.-Schrift, 2004 |
| Beschreibung: | 192 Bl. Ill., graph. Darst. 30 cm |
Internformat
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| 245 | 1 | 0 | |a Influence of an Er:YAG laser on healing of periodontal and peri-implant infections |b experimental and clinical studies |c von Frank Schwarz |
| 264 | 1 | |c 2004 | |
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Datensatz im Suchindex
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| adam_text | Content
1. zusammenfassung 5
1.1. Potenzieller Einsatz eines Er:YAG Lasers bei der Behandlung marginaler Parodontopathien 5
1.2. Potenzieller Einsatz eines Er:YAG Lasers bei der Behandlung periimplantarer Infektionen 12
2. SUMMARY 19
2.1. Potential use of an Er:YAG laser for treatment of periodontitis 19
2.2. Potential use of an Er:YAG laser for treatment of peri implantitis 25
3. LIST OF ABBREVIATIONS 31
4. INTRODUCTION 32
4.1. Pathogenesis and prevalence of periodontitis and peri implantitis 32
4.2. Potential use of lasers for treatment of periodontitis and peri implantitis 33
4.3. Application of lasers in periodontal therapy 37
4.4. Application of lasers for the treatment of peri implantitis 39
4.5. Laser characteristics in general 41
4.6. Characteristics and current research on different laser systems 43
4.6.1. CO2 Laser 43
4.6.1.1. Characteristics 43
4.6.1.2. Basic studies on root surface preparation and calculus removal 45
4.6.2. Nd:YAG Laser 46
4.6.2.1. Characteristics 46
4.6.2.2. Basic studies calculus removal 47
4.6.2.3. Root Surface Treatment 48
4.6.2.4. Clinical Studies 50
4.6.3. GaAlAs Diode laser 53
4.6.3.1. Characteristics 53
4.6.3.2. Basic Studies 54
4.6.3.3. Clinical Studies 55
4.6.3.4. Other Applications 55
4.6.4. Argon laser 56
4.6.4.1. Characteristics 56
4.6.4.2. Basic and Clinical Studies 57
4.6.5. Alexandrite laser 57
4.6.6. Excimer laser 58
4.6.7. Er:YAG laser 59
4.6.7.1. Characteristics and mechanism of tissue ablation with the Er:YAG laser 59
4.6.7.2. Removal of subgingival calculus with the Er:YAG laser 61
4.6.7.3. Root substance removal during Er:YAG laser scaling 63
4.6.7.4. Root surface alteration following Er:YAG laser irradiation 67
4.6.7.5. Thermal generation during EnYAG laser treatment 69
4.6.7.6. Antimicrobial effects 71
4.6.7.7. Clinical studies 72
4.6.7.8. Summary of clinical application of the EnYAG laser 73
1
5. AIMS OF THE STUDIES 75
5.1. Potential use of an EnYAG laser for treatment of periodontitis 75
5.2. Potential use of an EnYAG laser for treatment of peri implantitis 76
6. MATERIALS AND METHODS 77
6.1. In vivo and in vitro effects of an EnYAG laser, a GaAlAs diode laser and scaling and root planing on
periodontally diseased root surfaces 77
6.1.1. Experimental design 77
6.1.2. Treatments and histological examination 77
6.1.3. Statistical Analysis 80
6.2. Periodontal treatment with an Er:YAG laser or scaling and root planing 80
6.2.1. Subject selection and experimental design 80
6.2.2. Oral hygiene program and treatments 81
6.2.3. Clinical measurements and examiner calibration 81
6.2.4. Microbiological evaluation 82
6.2.5. Statistical analysis 82
6.3. Periodontal treatment with an Er:YAG laser compared to ultrasonic instrumentation 83
6.3.1. Subject selection and experimental design 83
6.3.2. Oral hygiene program and treatments 83
6.3.3. Clinical measurements and examiner calibration 84
6.3.4. Statistical analysis 85
6.4. Clinical evaluation of an EnYAG laser combined with scaling and root planing for nonsurgical periodontal
treatment 86
6.4.1. Subject selection and experimental design 86
6.4.2. Oral hygiene program and treatments 86
6.4.3. Clinical measurements and examiner calibration 87
6.4.4. Microbiological evaluation 88
6.4.5. Statistical analysis 88
6.5. Clinical and histologic evaluation of human intrabony defects treated with an EnYAG laser 89
6.5.1. Subject selection 89
6.5.2. Oral hygiene program and treatments 89
6.5.3. Clinical measurements 90
6.5.4. Biopsy removal and histological preparation 91
6.6. Effects of an EnYAG laser and the Vector® ultrasonic system on the biocompatibility of titanium implants
in cultures of human osteoblast like cells 92
6.6.1. Titanium discs and treatments 92
6.6.2. Cell cultures 93
6.6.3. Microscopic analysis and SEM observation 94
6.6.4. Statistical analysis 94
6.7. Effects of an EnYAG laser on mitochondrial activity of human osteosarcoma derived osteoblasts in vitro. 95
6.7.1. Cell cultures and cell viability assay 95
6.7.2. Treatment procedure 96
6.7.3. Statistical Analysis 96
6.8. Influence of different treatment approaches on the removal of early plaque biofilms and the viability of
SaOs 2 osteoblasts grown on titanium implants 97
6.8.1. Subject selection, splints and titanium discs 97
6.8.2. Treatment procedures 98
6.8.3. Measurement of residual plaque biofilm areas and clean implant surface areas 99
6.8.4. Cell cultures and cell viability assay 99
6.8.5. Statistical analysis 100
2
6.9. Clinical evaluation of an Er:YAG laser for nonsurgical treatment of peri implantitis 100
6.9.1. Subject selection and experimental design 100
6.9.2. Oral hygiene program and treatments 102
6.9.3. Clinical measurements and examiner calibration 103
6.9.4. Statistical analysis 104
7. RESULTS 105
7.1. In vivo and in vitro effects of an Er:YAG laser, a GaAlAs diode laser and scaling and root planing on
periodontally diseased root surfaces 105
7.1.1. Instrumentation in vivo 105
7.1.2. Instrumentation in vitro 106
7.1.3. Calculus ablation 106
7.2. Periodontal treatment with an Er:YAG laser or scaling and root planing 109
7.2.1. Clinical measurements 109
7.2.2. Microbiological evaluation 110
7.3. Periodontal treatment with an Er:YAG laser compared to ultrasonic instrumentation 116
7.3.1. Clinical measurements 116
7.4. Clinical evaluation of an Er:YAG laser combined with scaling and root planing for nonsurgical periodontal
treatment 120
7.4.1. Clinical measurements 120
7.4.2. Microbiological evaluation 121
7.5. Clinical and histologic evaluation of human intrabony defects treated with an Er:YAG laser 127
7.5.1. Clinical measurements and histologic observations 127
7.6. Effects of an Er:YAG laser and the Vector® ultrasonic system on the biocompatibility of titanium implants
in cultures of human osteoblast like cells 130
7.6.1. Assessment of cell numbers 130
7.6.2. Surface pattern and cell morphology 130
7.7. Effects of an EnYAG laser on mitochondrial activity of human osteosarcoma derived osteoblasts in vitro 33
7.7.1. Viability assay 133
7.8. Influence of different treatment approaches on the removal of early plaque biofilms and the viability of
SaOs 2 osteoblasts grown on titanium implants 135
7.8.1. Residual plaque biofilm areas and clean implant surface areas 135
7.8.2. Cell viability 135
7.9. Clinical evaluation of an Er:YAG laser for nonsurgical treatment of peri implantitis 138
7.9.1. Clinical measurements 138
8. DISCUSSION 144
8.1. In vivo and in vitro effects of an EnYAG laser, a GaAlAs diode laser and scaling and root planing on
periodontally diseased root surfaces 144
8.2. Periodontal treatment with an EnYAG laser or scaling and root planing 147
8.3. Periodontal treatment with an EnYAG laser compared to ultrasonic instrumentation 149
8.4. Clinical evaluation of an EnYAG laser combined with scaling and root planing for nonsurgical periodontal
treatment 152
8.5. Clinical and histologic evaluation of human intrabony defects treated with an EnYAG laser 155
3
8.6. Effects of an EnYAG laser and the Vector® ultrasonic system on the biocompatibility of titanium implants
in cultures of human osteoblast like cells 158
8.7. Effects of an EnYAG laser on mitochondrial activity of human osteosarcoma derived osteoblasts in vitro 6
8.8. Influence of different treatment approaches on the removal of early plaque biofilms and the viability of
SaOs 2 osteoblasts grown on titanium implants 163
8.9. Clinical evaluation of an EnYAG laser for nonsurgical treatment of peri implantitis 167
9. CONCLUSIONS 170
9.1. Potential use of an EnYAG laser for treatment of periodontitis 170
9.2. Potential use of an EnYAG laser for treatment of peri implantitis 171
10. SUBSEQUENT RESEARCH 172
10.1. Treatment of ligatur induced peri implantitis with an EnYAG laser. An experimental study in dogs 172
11. REFERENCES 174
12. ACKNOWLEDGEMENTS 191
4
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| adam_txt |
Content
1. zusammenfassung 5
1.1. Potenzieller Einsatz eines Er:YAG Lasers bei der Behandlung marginaler Parodontopathien 5
1.2. Potenzieller Einsatz eines Er:YAG Lasers bei der Behandlung periimplantarer Infektionen 12
2. SUMMARY 19
2.1. Potential use of an Er:YAG laser for treatment of periodontitis 19
2.2. Potential use of an Er:YAG laser for treatment of peri implantitis 25
3. LIST OF ABBREVIATIONS 31
4. INTRODUCTION 32
4.1. Pathogenesis and prevalence of periodontitis and peri implantitis 32
4.2. Potential use of lasers for treatment of periodontitis and peri implantitis 33
4.3. Application of lasers in periodontal therapy 37
4.4. Application of lasers for the treatment of peri implantitis 39
4.5. Laser characteristics in general 41
4.6. Characteristics and current research on different laser systems 43
4.6.1. CO2 Laser 43
4.6.1.1. Characteristics 43
4.6.1.2. Basic studies on root surface preparation and calculus removal 45
4.6.2. Nd:YAG Laser 46
4.6.2.1. Characteristics 46
4.6.2.2. Basic studies calculus removal 47
4.6.2.3. Root Surface Treatment 48
4.6.2.4. Clinical Studies 50
4.6.3. GaAlAs Diode laser 53
4.6.3.1. Characteristics 53
4.6.3.2. Basic Studies 54
4.6.3.3. Clinical Studies 55
4.6.3.4. Other Applications 55
4.6.4. Argon laser 56
4.6.4.1. Characteristics 56
4.6.4.2. Basic and Clinical Studies 57
4.6.5. Alexandrite laser 57
4.6.6. Excimer laser 58
4.6.7. Er:YAG laser 59
4.6.7.1. Characteristics and mechanism of tissue ablation with the Er:YAG laser 59
4.6.7.2. Removal of subgingival calculus with the Er:YAG laser 61
4.6.7.3. Root substance removal during Er:YAG laser scaling 63
4.6.7.4. Root surface alteration following Er:YAG laser irradiation 67
4.6.7.5. Thermal generation during EnYAG laser treatment 69
4.6.7.6. Antimicrobial effects 71
4.6.7.7. Clinical studies 72
4.6.7.8. Summary of clinical application of the EnYAG laser 73
1
5. AIMS OF THE STUDIES 75
5.1. Potential use of an EnYAG laser for treatment of periodontitis 75
5.2. Potential use of an EnYAG laser for treatment of peri implantitis 76
6. MATERIALS AND METHODS 77
6.1. In vivo and in vitro effects of an EnYAG laser, a GaAlAs diode laser and scaling and root planing on
periodontally diseased root surfaces 77
6.1.1. Experimental design 77
6.1.2. Treatments and histological examination 77
6.1.3. Statistical Analysis 80
6.2. Periodontal treatment with an Er:YAG laser or scaling and root planing 80
6.2.1. Subject selection and experimental design 80
6.2.2. Oral hygiene program and treatments 81
6.2.3. Clinical measurements and examiner calibration 81
6.2.4. Microbiological evaluation 82
6.2.5. Statistical analysis 82
6.3. Periodontal treatment with an Er:YAG laser compared to ultrasonic instrumentation 83
6.3.1. Subject selection and experimental design 83
6.3.2. Oral hygiene program and treatments 83
6.3.3. Clinical measurements and examiner calibration 84
6.3.4. Statistical analysis 85
6.4. Clinical evaluation of an EnYAG laser combined with scaling and root planing for nonsurgical periodontal
treatment 86
6.4.1. Subject selection and experimental design 86
6.4.2. Oral hygiene program and treatments 86
6.4.3. Clinical measurements and examiner calibration 87
6.4.4. Microbiological evaluation 88
6.4.5. Statistical analysis 88
6.5. Clinical and histologic evaluation of human intrabony defects treated with an EnYAG laser 89
6.5.1. Subject selection 89
6.5.2. Oral hygiene program and treatments 89
6.5.3. Clinical measurements 90
6.5.4. Biopsy removal and histological preparation 91
6.6. Effects of an EnYAG laser and the Vector® ultrasonic system on the biocompatibility of titanium implants
in cultures of human osteoblast like cells 92
6.6.1. Titanium discs and treatments 92
6.6.2. Cell cultures 93
6.6.3. Microscopic analysis and SEM observation 94
6.6.4. Statistical analysis 94
6.7. Effects of an EnYAG laser on mitochondrial activity of human osteosarcoma derived osteoblasts in vitro. 95
6.7.1. Cell cultures and cell viability assay 95
6.7.2. Treatment procedure 96
6.7.3. Statistical Analysis 96
6.8. Influence of different treatment approaches on the removal of early plaque biofilms and the viability of
SaOs 2 osteoblasts grown on titanium implants 97
6.8.1. Subject selection, splints and titanium discs 97
6.8.2. Treatment procedures 98
6.8.3. Measurement of residual plaque biofilm areas and clean implant surface areas 99
6.8.4. Cell cultures and cell viability assay 99
6.8.5. Statistical analysis 100
2
6.9. Clinical evaluation of an Er:YAG laser for nonsurgical treatment of peri implantitis 100
6.9.1. Subject selection and experimental design 100
6.9.2. Oral hygiene program and treatments 102
6.9.3. Clinical measurements and examiner calibration 103
6.9.4. Statistical analysis 104
7. RESULTS 105
7.1. In vivo and in vitro effects of an Er:YAG laser, a GaAlAs diode laser and scaling and root planing on
periodontally diseased root surfaces 105
7.1.1. Instrumentation in vivo 105
7.1.2. Instrumentation in vitro 106
7.1.3. Calculus ablation 106
7.2. Periodontal treatment with an Er:YAG laser or scaling and root planing 109
7.2.1. Clinical measurements 109
7.2.2. Microbiological evaluation 110
7.3. Periodontal treatment with an Er:YAG laser compared to ultrasonic instrumentation 116
7.3.1. Clinical measurements 116
7.4. Clinical evaluation of an Er:YAG laser combined with scaling and root planing for nonsurgical periodontal
treatment 120
7.4.1. Clinical measurements 120
7.4.2. Microbiological evaluation 121
7.5. Clinical and histologic evaluation of human intrabony defects treated with an Er:YAG laser 127
7.5.1. Clinical measurements and histologic observations 127
7.6. Effects of an Er:YAG laser and the Vector® ultrasonic system on the biocompatibility of titanium implants
in cultures of human osteoblast like cells 130
7.6.1. Assessment of cell numbers 130
7.6.2. Surface pattern and cell morphology 130
7.7. Effects of an EnYAG laser on mitochondrial activity of human osteosarcoma derived osteoblasts in vitro\33
7.7.1. Viability assay 133
7.8. Influence of different treatment approaches on the removal of early plaque biofilms and the viability of
SaOs 2 osteoblasts grown on titanium implants 135
7.8.1. Residual plaque biofilm areas and clean implant surface areas 135
7.8.2. Cell viability 135
7.9. Clinical evaluation of an Er:YAG laser for nonsurgical treatment of peri implantitis 138
7.9.1. Clinical measurements 138
8. DISCUSSION 144
8.1. In vivo and in vitro effects of an EnYAG laser, a GaAlAs diode laser and scaling and root planing on
periodontally diseased root surfaces 144
8.2. Periodontal treatment with an EnYAG laser or scaling and root planing 147
8.3. Periodontal treatment with an EnYAG laser compared to ultrasonic instrumentation 149
8.4. Clinical evaluation of an EnYAG laser combined with scaling and root planing for nonsurgical periodontal
treatment 152
8.5. Clinical and histologic evaluation of human intrabony defects treated with an EnYAG laser 155
3
8.6. Effects of an EnYAG laser and the Vector® ultrasonic system on the biocompatibility of titanium implants
in cultures of human osteoblast like cells 158
8.7. Effects of an EnYAG laser on mitochondrial activity of human osteosarcoma derived osteoblasts in vitro\6\
8.8. Influence of different treatment approaches on the removal of early plaque biofilms and the viability of
SaOs 2 osteoblasts grown on titanium implants 163
8.9. Clinical evaluation of an EnYAG laser for nonsurgical treatment of peri implantitis 167
9. CONCLUSIONS 170
9.1. Potential use of an EnYAG laser for treatment of periodontitis 170
9.2. Potential use of an EnYAG laser for treatment of peri implantitis 171
10. SUBSEQUENT RESEARCH 172
10.1. Treatment of ligatur induced peri implantitis with an EnYAG laser. An experimental study in dogs 172
11. REFERENCES 174
12. ACKNOWLEDGEMENTS 191
4 |
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| spelling | Schwarz, Frank 1972- Verfasser (DE-588)123179351 aut Influence of an Er:YAG laser on healing of periodontal and peri-implant infections experimental and clinical studies von Frank Schwarz 2004 192 Bl. Ill., graph. Darst. 30 cm txt rdacontent n rdamedia nc rdacarrier Düsseldorf, Univ., Habil.-Schrift, 2004 (DE-588)4113937-9 Hochschulschrift gnd-content HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=014182607&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Schwarz, Frank 1972- Influence of an Er:YAG laser on healing of periodontal and peri-implant infections experimental and clinical studies |
| subject_GND | (DE-588)4113937-9 |
| title | Influence of an Er:YAG laser on healing of periodontal and peri-implant infections experimental and clinical studies |
| title_auth | Influence of an Er:YAG laser on healing of periodontal and peri-implant infections experimental and clinical studies |
| title_exact_search | Influence of an Er:YAG laser on healing of periodontal and peri-implant infections experimental and clinical studies |
| title_exact_search_txtP | Influence of an Er:YAG laser on healing of periodontal and peri-implant infections experimental and clinical studies |
| title_full | Influence of an Er:YAG laser on healing of periodontal and peri-implant infections experimental and clinical studies von Frank Schwarz |
| title_fullStr | Influence of an Er:YAG laser on healing of periodontal and peri-implant infections experimental and clinical studies von Frank Schwarz |
| title_full_unstemmed | Influence of an Er:YAG laser on healing of periodontal and peri-implant infections experimental and clinical studies von Frank Schwarz |
| title_short | Influence of an Er:YAG laser on healing of periodontal and peri-implant infections |
| title_sort | influence of an er yag laser on healing of periodontal and peri implant infections experimental and clinical studies |
| title_sub | experimental and clinical studies |
| topic_facet | Hochschulschrift |
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