lasers in implantology

The laser implantology applications can be classified by the time that we are going to use it. ‎we can use it in the first surgical phase, during the second surgical phase or on posterior ‎phases that present some soft tissues or peri-implantitis diseases.. ‎in this lecture, we will be discus about the f second surgical stage of surgery and how ‎laser can assisted in the peri-implantitis. ‎in the second-stage surgery of submerged healed implants er,cr:ysgg laser has a ‎successful result, but implants located in aesthetic zone or in areas with insufficient ‎surrounded by keratinized mucosa it will be a problem. in order to improve this results the ‎we purpose a new technic to improve this procedure so instead to eliminate all the ‎keratinized mucosa, we recommend a rolling-flap, so that the keratinized mucosa in palatine ‎zone can be move to the bucal zone so the keratinized mucosa is preserved to the ‎maximum. ‎the widespread placement of dental implants throughout the world has increased even ‎further in recent years. although the implant success rates are very high, peri-implant ‎diseases are gradually appearing, with a strong impact upon many implant cases. ‎specifically, two peri-implant disorders affect dental implants: mucositis and peri-‎implantitis.‎the prevalence of mucositis and peri-implantitis has increased in recent years. in this ‎regard, the latest metaanalyses show mucositis to be manifest in 42.9% of the cases (95%ci ‎‎32-54%) and peri-implantitis in 21.7% (95%ci 14-30%)‎a number of laser systems have been used in the different phases of peri-implantitis ‎treatment. depending on the operating wavelength involved, lasers can be used in different ‎phases with the aim of securing the best results. in this regard, er,cr:ysgg, and diode have ‎been used for the decontamination of implant surfaces.‎in non-surgical peri-implantitis treatments, lasers are used to decontaminate the implant ‎surface and also to reduce inflammation of the peri-implant mucosa. some laser systems ‎are better suited for application in this phase, since such procedures do not involve the ‎raising of a tissue flap. in this regard, optical fiber lasers are the ideal choice in such ‎situations.‎