In vitro Evaluation of Titanium Surfaces treated with Er,Cr:YSGG laser
Avaliação in vitro de Superfícies de Titânio Irradiadas com Laser de Er,Cr:YSGG
Coletti, Felipe Leite; Theodoro, Leticia Helena; Marcantonio, Rosemary Adriana Chiérice; Marcantonio Junior, Elcio; Garcia, Valdir Gouveia
Rev. odontol. UNESP, vol.40, n5, p.248-254, 2011
Abstract
Introduction: As a new alternative in the complementary treatment lasers teem different systems were employed in the decontamination of dental surfaces implants however, some systems have caused significant changes in its surface. Purpose: Analyze by Scanning Electron Microscopy (SEM) the effects of laser irradiation of Er,Cr: YSGG on different surfaces of titanium. Material and method: Study of 20 titanium discs, and 10 Machined Surface (MS) and 10 surfaces treated with acid (AC). The 10 discs with the same treatment were divided into two groups with five units each, the irradiation was performed in powers of 1 W and 2 W. Result: Showed that the irradiation with 1 W of power resulted in no significant morphological changes in the MS-irradiated compared to non-irradiated surfaces. In MS surfaces, minor changes were observed in the increase of 1000 X when compared to non-irradiated surface. With 2 W of power, there were no significant morphological changes in the MS, compared to non-irradiated areas. In AC some changes were observed in the increase of X 1000, showing areas of wear suggestive of treatment and some areas with melting point. Conclusion: Considering the results and the parameters used in this study it was concluded that the Er, Cr: YSGG irradiation can be used for the machined surfaces of implants, but in acid-treated surfaces irradiation parameters should be more controlled.
Keywords
Lasers, dental implants, Scanning Electron Microscopy
Resumo
Introdução: Como uma nova alternativa no tratamento complementar, diferentes sistemas lasers têm sido empregados na descontaminação de superfícies de implantes dentários; entretanto, alguns sistemas promoveram alterações significantes nessas superfícies. Objetivo: O propósito deste estudo foi analisar, por meio de microscopia eletrônica de varredura (MEV), os efeitos da irradiação de diferentes superfícies de titânio com o laser de Er,Cr:YSGG (Erbium, Chromium, Yttrium, Scandium, Gallium, Garnet). Material e método: Foram utilizados 20 discos de titânio, sendo dez de Superfície Usinada (SU) e dez de Superfície tratada com Ataque Ácido (SAC). Os dez discos com mesmo tratamento foram divididos em dois grupos, que receberam irradiação nas potências de 1 W (5 unidades) e 2 W (5 unidades). As superfícies foram analisadas por meio de MEV. Resultado: Com 2 W de potência, não foram observadas alterações morfológicas significantes nas SU, quando comparadas às superfícies não irradiadas. Nas SAC, algumas alterações foram observadas no aumento de 1000 ×, apresentando áreas sugestivas de desgaste do tratamento além de algumas áreas com aspecto de derretimento. Conclusão: Diante dos resultados e com os parâmetros utilizados no presente estudo, conclui-se que o laser de Er,Cr:YSGG pode ser utilizado para irradiações de superfícies usinadas de implantes; porém, em superfícies tratadas com ácido, os parâmetros de irradiação devem ser mais controlados.
Palavras-chave
Lasers, implantes dentários, microscopia eletrônica de varredura
References
1. Brånemark PI, Hannsson B, Adell R, Breine U, LindströmJ, Öhman A. Osseointegrated implants in the treatmentof the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg. 1977;16:1-132.
2. Tonetti MS, Schmid J. Pathogenesis of implant failures. Periodontol 2000. 1994;4:127-38. PMid:9673201. http://dx.doi. org/10.1111/j.1600-0757.1994.tb00013.x
3. Quirynen M, De Soete M, van Steenberghe D. Infectious risks for oral implants: a review of the literature. Clin Oral Implants Res. 2002;13(1):1-19. PMid:12005139. http://dx.doi.org/10.1034/j.1600-0501.2002.130101.x
4. Albrektsson T, Isidor F. Consensus report: implant therapy. In: Lang NP, Karring T. Proceedings of the 1st European Workshop on Periodontology. Berlin: Quintessence; 1994. p. 365–9.
5. Berglundh T, Lindhe J, Marinello C, Ericsson I, Liljenberg B. Soft tissue reaction to the new plaque formation on implants and teeth. An experimental study in the dog. Clin Oral Implants Res. 1992;3:1–8. PMid:1420721. http://dx.doi.org/10.1034/j.1600-0501.1992.030101.x
6. Zitzmann NU, Berglundh T, Marinello CP, Lindhe J. Experimental periimplant mucositis in man. J Clin Periodontol. 2001;28:517–23. PMid:11350518. http://dx.doi.org/10.1034/j.1600-051x.2001.028006517.x
7. Mombelli A. Aging and the periodontal and peri-implant microbiota. Periodontol 2000. 1998;16:44-52. PMid:10337304. http://dx.doi. org/10.1111/j.1600-0757.1998.tb00115.x
8. Mombelli A. Microbiology and antimicrobial therapy of peri-implantitis. Periodontol 2000. 2002;28:177-89. PMid:12013341. http://dx.doi.org/10.1034/j.1600-0757.2002.280107.x
9. Ando Y, Aoki A, Watanabe H, Ishikawa I. Bactericidal effect off erbium YAG laser on periodontopathic bacteria. Lasers Surg Med. 1996;19:190-200. http://dx.doi.org/10.1002/(SICI)1096-9101(1996)19:2%3C190::AID-LSM11%3E3.0.CO;2-B
10. Haypek P. Redução bacteriana pós aplicação do laser de dióxido de carbono na superfície de implantes contaminados com S. Sangui (dissertação mestrado). São Paulo: Faculdade de Odontologia da USP; 2001.
11. Ganz CH. Evaluation of the safety of the carbon dioxide laser used in conjunction with root form implants: a pilot study. J Prosthet Dent. 1994;71:27-30. http://dx.doi.org/10.1016/0022-3913(94)90251-8
12. Oyster DK, Parker WB, Gher ME. CO2 laser and temperature changes of titanium implants. J Periodontol. 1995;66:1017-24. PMid:8683413.
13. Masson ML. Using the laser for implant maintenance. Dentistry Today. 1992;11:74-5. PMid:1622586.
14. Kreisler M, Al Haj H, d’Hoedt B. Temperature changes at the implant bone-interface during simulated surface decontamination with an Er:YAG laser. Int J Prosthodont. 2002;15:582-7. PMid:12475166.
15. Schwarz F, Rothamel D, Becker J. Influence of an Er:YAG laser on the surface structure of titanium implants. Schweiz Monatsschr Zahnmed. 2003;113:660-71. PMid:12872590.
16. Shibli JA, Theodoro LH, Haypek P, Garcia VG, Marcantonio E Jr. The effect of CO2 laser irradiation on failed implant surfaces. Implant Dent. 2004;13:342-51. PMid:15591996.
17. Romanos GE, Everths H, Newtwing GH. Alterations of the implant surface after CO2 or Nd:YAG- laser irradiation: a SEM examination. J Oral Laser Applications. 2000;1:29-33.
18. Romanos GE, Everths H, Newtwing GH. Effects of diode and Nd:YAG laser irradiation on titanium discs: a scanning electron microscope examination. J Periodontol. 2001;71:810-5. PMid:10872964. http://dx.doi.org/10.1902/jop.2000.71.5.810
19. Romanos G, Crespi R, Barone A, Covani U. Osteoblast attachment on titanium discks after irradiation. Int J Oral Maxillofac Implants. 2006;21:232-6. PMid:16634493.
20. Lee JH, Heol SJ, Koak JY, Kim SK, Lee SJ, Lee SH. Cellular responses on anodized titanium discs after laser irradiation. Laser Surg Med. 2008; 40:738-42. PMid:19065563. http://dx.doi.org/10.1002/lsm.20721
21. Kato T, Kusakari H, Hoshino E. Bactericidal efficacy of carbon dioxide laser against bacteria-contaminated implants and subsequent cellular adhesion to irradiated area. Laser Surg Med. 1998;23:299-309. http://dx.doi.org/10.1002/(SICI)1096-9101(1998)23:5%3C299::AIDLSM10% 3E3.0.CO;2-K
22. Swift JQ, Jenny JE, Hargreaves KM. Heat generation in hidroxyapatite-coated implants as aresult of CO2 laser application. Oral Surg Oral Med Oral Pathol. 1995;79:410-5.
23. Mouhyi J, Sennerby L, Nammour S, Guillame P, Van Reck J, Temperature increases during surface decontamination of titanium implants using CO2 laser. Clin Oral Implants Res. 1999;10:54-61. PMid:10196790. http://dx.doi.org/10.1034/j.1600-0501.1999.100107.x
24. Schwarz F, Sculean A, Romanos G, Herten M, Horn N, Scherbaum W, et al. Influence of different treatment approaches on the removal of early plaque biofilms and the viability of SAOS2 osteoblasts grown on titanium implants. Clin Oral Invest. 2005; 9:11-117. PMid:15841403. http://dx.doi.org/10.1007/s00784-005-0305-8
25. Matsuyama T, Aoki A, Oda S, Yoneyama T, Ishikawa I. Effects of the Er:YAG laser irradiation on titanium implant materials and contaminated implant abutment surfaces. J Clin Laser Med Surg. 2003;21:7-17. http://dx.doi.org/10.1089/10445470360516680
26. Faeda RS, Tavares HS, Sartori R, Guastaldi AC, Marcantonio E Jr. Evaluation of titanium implants with surface modification by laser beam. Biomechanical study in rabbit tibias. Braz Oral Res. 2009;23:137-43. PMid:19684947. http://dx.doi.org/10.1590/S1806- 83242009000200008
27. Azzeh MM. Er ,Cr:YSGG laser-assisted surgical treatment of peri-implantitis with 1-year reentry and 18-month follow-up. J Periodontol. 2008;79:2000-5. PMid:18834257. http://dx.doi.org/10.1902/jop.2008.080045
28. Efeoglu E, Eyyupoglu GT. Treatment of peri-implantitis lesions with laser-assisted therapy and a minimally invasive approach: a case report. J Oral Laser Applications. 2008;8:109-16.