Using Er:YAG laser to remove lithium disilicate crowns from zirconia implant abutments: An in vitro study


Autoři: Janina Golob Deeb aff001;  Sompop Bencharit aff002;  Nishchal Dalal aff005;  Aous Abdulmajeed aff002;  Kinga Grzech-Leśniak aff006
Působiště autorů: Department of Periodontics, School of Dentistry, Virginia Commonwealth University, Richmond, Virginia, United States of America aff001;  Department of General Practice, School of Dentistry, Virginia Commonwealth University, Richmond, Virginia, United States of America aff002;  Department of Oral and Maxillofacial Surgery, School of Dentistry, Virginia Commonwealth University, Richmond, Virginia, United States of America aff003;  Department of Biomedical Engineering, College of Engineering, Virginia Commonwealth University, Richmond, Virginia, United States of America aff004;  School of Dentistry, Virginia Commonwealth University, Richmond, Virginia, United States of America aff005;  Department of Oral Surgery, Wroclaw Medical University, Wroclaw, Poland aff006
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223924

Souhrn

Background

When implants are restored with cement-retained restorations, prosthetic retrievability can be difficult and often requires sectioning using rotary instruments. Sometimes repeated removals of a cement-retained implant crown are needed such as for treatment of peri-implantitis or immediate implant provisionalization. The purpose of this study was to evaluate the effect of erbium-doped yttrium aluminum garnet (Er:YAG) laser as a non-invasive treatment modality to remove lithium disilicate crowns from zirconia implant abutments following long-term cementation, repetitive debonding and re-cementation, and short-term retrieval.

Material and methods

Twenty identical lithium disilicate crowns were cemented onto zirconia prefabricated abutments using composite resin cement. Ten cemented crowns were removed at 48 hours after cementation as a short-term group (ST), while another 10 were removed 6 months after cementation as a long-term group (LT). To mimicking repetitive recementation and retrieval, the LT crowns were then recemented and removed after 48 hours as a long-term recemention (LTR) group. The LTR crowns were then again recemented and removed after 48 hours as a long-term repeated recemention (LTRR) group. Er:YAG laser was used to facilitate the retrieval of these crowns. recorded and analyzed using ANOVA and t-test. The surfaces of the crown and the abutment were further examined using light microscopy and scanning electron microscopy (SEM). Temperature changes of the abutment and crown upto 10 minutes were also measured and statistically analyzed (paired t-test).

Results

The average times of crown removal from zirconia abutments were 4 minutes (min) and 42 second (sec) in LT to 3 min 24 sec in LTR, and 3 min 12 sec in LTRR and ST groups. LTR took the longest time to remove, statistically (ANOVA and t-test, p < .001). No statistical differences were observed among the removal times of LTR, LTRR, and ST groups (t-test, p = .246, .246 and 1). SEM examination of the material surface showed no visual surface damaging from treatment with Er:YAG laser. The temperatures during irradiation ranged from 18.4°C to 20°C and 22.2°C to 24.5°C (Paired t-test, p < .0001) for the abutment and the crown during irradiation from 1 min to 10 mins.

Conclusions

Long-term cementation can increase time in lithium disilicate crown removal from zirconia abutment using Er:YAG. Er:YAG laser is a non-invasive tool to remove cement-retained implant prostheses and should be considered as a viable alternative to rotary instruments.

Klíčová slova:

Biomaterial implants – Cements – Lasers – Prosthetics – Scanning electron microscopy – Teeth – Titanium implants – Lithium


Zdroje

1. Tartaglia GM, Sidoti E, Sforza C. Seven-year prospective clinical study on zirconia-based single crowns and fixed dental prostheses. Clin Oral Investig. 2015;19: 1137–1145. doi: 10.1007/s00784-014-1330-2 25304166

2. Naveau A, Rignon-Bret C, Wulfman C. Zirconia abutments in the anterior region: A systematic review of mechanical and esthetic outcomes. J Prosthet Dent. 2019; doi: 10.1016/j.prosdent.2018.08.005 30617036

3. Bidra AS, Rungruanganunt P. Clinical outcomes of implant abutments in the anterior region: a systematic review. J Esthet Restor Dent. 2013;25: 159–176. doi: 10.1111/jerd.12031 23773511

4. Pommer B, Zechner W, Watzak G, Ulm C, Watzek G, Tepper G. Progress and trends in patients’ mindset on dental implants. I: level of information, sources of information and need for patient information. Clin Oral Implants Res. 2011;22: 223–229. doi: 10.1111/j.1600-0501.2010.02035.x 21087319

5. Wittneben JG, Gavric J, Belser UC, Bornstein MM, Joda T, Chappuis V, et al. Esthetic and Clinical Performance of Implant-Supported All-Ceramic Crowns Made with Prefabricated or CAD/CAM Zirconia Abutments: A Randomized, Multicenter Clinical Trial [Internet]. Journal of Dental Research. 2017. pp. 163–170. doi: 10.1177/0022034516681767 27927884

6. Larsson C, Vult von Steyern P. Five-year follow-up of implant-supported Y-TZP and ZTA fixed dental prostheses. A randomized, prospective clinical trial comparing two different material systems. Int J Prosthodont. 2010;23: 555–561. 21209993

7. Bencharit S, Byrd WC, Hosseini B. Immediate placement of a porous-tantalum, trabecular metal-enhanced titanium dental implant with demineralized bone matrix into a socket with deficient buccal bone: a clinical report. J Prosthet Dent. 2015;113: 262–269. doi: 10.1016/j.prosdent.2014.09.022 25702965

8. Ristic L, Dakovic D, Postic S, Lazic Z, Bacevic M, Vucevic D. Clinical Characteristics of Abutment Teeth with Gingival Discoloration. J Prosthodont. 2019;28: e45–e50. doi: 10.1111/jopr.12612 28383139

9. Cai H, Chen J, Li C, Wang J, Wan Q, Liang X. Quantitative discoloration assessment of peri-implant soft tissue around zirconia and other abutments with different colours: A systematic review and meta-analysis [Internet]. Journal of Dentistry. 2018. pp. 110–117. doi: 10.1016/j.jdent.2018.01.003 29371043

10. Mehl C, Harder S, Wolfart M, Kern M, Wolfart S. Retrievability of implant-retained crowns following cementation. Clin Oral Implants Res. 2008;19: 1304–1311. doi: 10.1111/j.1600-0501.2008.01587.x 19040447

11. Gervais MJ, Wilson PR. A rationale for retrievability of fixed, implant-supported prostheses: a complication-based analysis. Int J Prosthodont. 2007;20: 13–24. 17319357

12. Maló P, de Araújo Nobre M, Borges J, Almeida R. Retrievable Metal Ceramic Implant-Supported Fixed Prostheses with Milled Titanium Frameworks and All-Ceramic Crowns: Retrospective Clinical Study with up to 10 Years of Follow-Up [Internet]. Journal of Prosthodontics. 2012. pp. 256–264. doi: 10.1111/j.1532-849x.2011.00824.x 22339902

13. Heinemann F, Mundt T, Biffar R. Retrospective evaluation of temporary cemented, tooth and implant supported fixed partial dentures. J Craniomaxillofac Surg. 2006;34 Suppl 2: 86–90.

14. Yi -W, -W. Yi S, Carlsson GE, Ericsson I, -K. Kim C. Patient evaluation of treatment with fixed implant- supported partial dentures [Internet]. Journal of Oral Rehabilitation. 2008. pp. 998–1002. doi: 10.1111/j.1365-2842.2001.00819.x

15. Grzech-Leśniak K. Making Use of Lasers in Periodontal Treatment: A New Gold Standard? Photomed Laser Surg. 2017;35: 513–514. doi: 10.1089/pho.2017.4323 28622479

16. Matys J, Flieger R, Tenore G, Grzech-Leśniak K, Romeo U, Dominiak M. Er:YAG laser, piezosurgery, and surgical drill for bone decortication during orthodontic mini-implant insertion: primary stability analysis-an animal study. Lasers Med Sci. 2018;33: 489–495. doi: 10.1007/s10103-017-2381-9 29127605

17. Grzech-Leśniak K, Matys J, Żmuda-Stawowiak D, Mroczka K, Dominiak M, Junior AB, et al. Er:YAG Laser for Metal and Ceramic Bracket Debonding: An In Vitro Study on Intrapulpal Temperature, SEM, and EDS Analysis [Internet]. Photomedicine and Laser Surgery. 2018. pp. 595–600. doi: 10.1089/pho.2017.4412 29905504

18. Pourzarandian A, Watanabe H, Aoki A, Ichinose S, Sasaki KM, Nitta H, et al. Histological and TEM Examination of Early Stages of Bone Healing after Er:YAG Laser Irradiation [Internet]. Photomedicine and Laser Surgery. 2004. pp. 342–350. doi: 10.1089/pho.2004.22.342 15345179

19. Kellesarian SV, Malignaggi VR, Aldosary KM, Javed F. Laser-assisted removal of all ceramic fixed dental prostheses: A comprehensive review [Internet]. Journal of Esthetic and Restorative Dentistry. 2018. pp. 216–222. doi: 10.1111/jerd.12360 29282849

20. Rechmann P, Buu NCH, Rechmann BMT, Finzen FC. Laser all-ceramic crown removal-a laboratory proof-of-principle study-Phase 2 crown debonding time. Lasers Surg Med. 2014;46: 636–643. doi: 10.1002/lsm.22280 25125242

21. Correa-Afonso AM, Palma-Dibb RG, Pécora JD. Composite filling removal with erbium:yttrium-aluminum-garnet laser: morphological analyses. Lasers Med Sci. 2010;25: 1–7. doi: 10.1007/s10103-008-0581-z 18600292

22. Grzech-Leśniak K, Bencharit S, Dalal N, Mroczka K, Deeb JG. In Vitro Examination of the Use of Er:YAG Laser to Retrieve Lithium Disilicate Crowns from Titanium Implant Abutments. J Prosthodont. 2019; doi: 10.1111/jopr.13077 31125150

23. Kursoglu P, Gursoy H. Removal of Fractured Laminate Veneers with Er:YAG Laser: Report of Two Cases [Internet]. Photomedicine and Laser Surgery. 2013. pp. 41–43. doi: 10.1089/pho.2012.3410 23248979

24. Cranska JP. Laser Removal of All-Ceramic Restorations. Solving a Difficult Clinical Challenge. Dent Today. 2015;34: 110–113.

25. Gurney ML, Sharples SD, Phillips WB, Lee DJ. Using an Er,Cr:YSGG laser to remove lithium disilicate restorations: A pilot study. J Prosthet Dent. 2016;115: 90–94. doi: 10.1016/j.prosdent.2015.08.003 26460169

26. Rechmann P, Buu NCH, Rechmann BMT, Le CQ, Finzen FC, Featherstone JDB. Laser all-ceramic crown removal-A laboratory proof-of-principle study-Phase 1 material characteristics. Lasers Surg Med. 2014;46: 628–635. doi: 10.1002/lsm.22279 25125132

27. Rechmann P, Buu NCH, Rechmann BMT, Finzen FC. Laser all-ceramic crown removal and pulpal temperature—a laboratory proof-of-principle study. Lasers Med Sci. 2015;30: 2087–2093. doi: 10.1007/s10103-015-1738-1 25782432

28. Eriksson AR, Albrektsson T. Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit. J Prosthet Dent. 1983;50: 101–107. doi: 10.1016/0022-3913(83)90174-9 6576145

29. Eriksson RA, Albrektsson T, Magnusson B. Assessment of Bone Viability After Heat Trauma: A Histological, Histochemical and Vital Microscopic Study in the Rabbit. Scand J Plast Reconstr Surg. 1984;18: 261–268. 6549359

30. Rios FG, Viana ER, Ribeiro GM, González JC, Abelenda A, Peruzzo DC. Temperature evaluation of dental implant surface irradiated with high-power diode laser. Lasers Med Sci. 2016;31: 1309–1316. doi: 10.1007/s10103-016-1974-z 27365109

31. Świder K, Dominiak M, Grzech-Leśniak K, Matys J. Effect of Different Laser Wavelengths on Periodontopathogens in Peri-Implantitis: A Review of In Vivo Studies. Microorganisms. 2019;7(7). pii: E189.

32. Clem D, Gunsolley JC. Peri-implantitis Treatment Using Er:YAG Laser and Bone Grafting. A Prospective Consecutive Case Series Evaluation: 1 Year Posttherapy. Int J Periodontics Restorative Dent. 2019;39:479–489. doi: 10.11607/prd.4158 31226185

33. Nejem Wakim R, Namour M, Nguyen HV, Peremans A, Zeinoun T, Vanheusden A, Rompen E, Nammour S. Decontamination of Dental Implant Surfaces by the Er:YAG Laser Beam: A Comparative in Vitro Study of Various Protocols. Dent J (Basel). 2018;6. pii: E66.

34. Lin GH, Suárez López Del Amo F, Wang HL. Laser therapy for treatment of peri-implant mucositis and peri-implantitis: An American Academy of Periodontology best evidence review. J Periodontol. 2018;89:766–782. doi: 10.1902/jop.2017.160483 30133748


Článek vyšel v časopise

PLOS One


2019 Číslo 11