Er:YAG激光拆除种植牙全瓷冠修复体的研究进展

doi:10.13591/j.cnki.kqyx.2023.10.016

Abstract

Abstract:

All ceramic restorations are widely used in dental clinical practice, especially in implant repair. However, it is difficult to remove the cement-retained implant crowns in clinical treatment. Traditional removal methods such as grinding and knocking not only increase the time and cost of clinical diagnosis and treatment, but also bring fear and anxiety to patients. In recent years, some scholars have begun to study the use of Er:YAG laser as a new method to replace the traditional mechanical removal of implant all-ceramic restorations. But various factors, such as the material and thickness of the all-ceramic restoration, the type of cement, and the setting of laser parameters, have influence on the removal results. This article reviews the application and research progress of Er:YAG laser in removing implant all-ceramic crown restorations and provides relevant reference for doctors’ clinical operation.

Key words: Er:YAG laser, removal, implant, all-ceramic restoration, cement

CLC Number:

R783.4

CAI Pingping, ZHUO Yingying, LIN Ling, LIN Jie, ZHENG Zhiqiang. Research progress of Er:YAG laser in removing all-ceramic restorations of implant[J]. Stomatology, 2023, 43(10): 945-949.

Figures/Tables 1

Tab.1

In vitro study on laser-assisted removal of all-ceramic implant-supported crowns"

作者	样本数量/ (个/组)	材料 (基台-牙冠)	厚度/ mm	粘接剂种类	激光种类	参数设置	脱粘时间/s
Grzech-Le $s'$ niak等^[6]	20	钛-二硅酸锂	1~2	复合树脂水门汀A/树脂改性玻璃离子水门汀B	Er:YAG	300 mJ,15 Hz, 4.5 W,非接触模式	A:196.5/B:97.5
Deeb等^[7]	10	氧化锆-二硅酸锂	1~1.5	复合树脂水门汀	Er:YAG	300 mJ,15 Hz, 4.5 W,非接触模式	192
Elkharashi等^[31]	10	氧化锆-氧化锆	1~2	复合树脂水门汀	Er:YAG/ Er,Cr:YSGG	300 mJ,15 Hz, 4.5 W,非接触模式	320/355
Cai等^[30]	20	钛-氧化锆	1,2,3,4	复合树脂水门汀A/树脂改性玻璃离子水门汀B	Er:YAG	300 mJ,15 Hz, 4.5 W,非接触模式	A:201.6(1 mm), 226.5(2 mm)/B:274.8(1 mm)

Tab.1

References 38

[1]	Raigrodski AJ, Hillstead MB, Meng GK, et al. Survival and complications of zirconia-based fixed dental prostheses:A systematic review[J]. J Prosthet Dent, 2012, 107(3):170-177. doi: 10.1016/S0022-3913(12)60051-1 pmid: 22385693
[2]	Miyazaki T, Nakamura T, Matsumura H, et al. Current status of zirconia restoration[J]. J Prosthodont Res, 2013, 57(4):236-261. doi: 10.1016/j.jpor.2013.09.001 pmid: 24140561
[3]	Guess PC, Att W, Strub JR. Zirconia in fixed implant prosthodontics[J]. Clin Implant Dent Relat Res, 2012, 14(5):633-645. doi: 10.1111/j.1708-8208.2010.00317.x
[4]	Fu L, Engqvist H, Xia W. Glass-ceramics in dentistry:A review[J]. Materials (Basel), 2020, 13(5):1049. doi: 10.3390/ma13051049
[5]	Omori Y, Lang NP, Botticelli D, et al. Biological and mechanical complications of angulated abutments connected to fixed dental prostheses:A systematic review with meta-analysis[J]. J Oral Rehabil, 2020, 47(1):101-111. doi: 10.1111/joor.12877 pmid: 31441527
[6]	Grzech-Leśniak k, Bencharit S, Dalal N, et al. In vitro examin-ation of the use of Er:YAG laser to retrieve lithium disilicate crowns from titanium implant abutments[J]. J Prosthodont, 2019, 28(6):672-676.
[7]	Deeb JG, Bencharit S, Dalal N, et al. Using Er:YAG laser to remove lithium disilicate crowns from zirconia implant abutments:An in vitro study[J]. PLoS One, 2019, 14(11):e0223924. doi: 10.1371/journal.pone.0223924
[8]	Pjetursson BE, Thoma D, Jung R, et al. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years[J]. Clin Oral Implants Res, 2012, 23(Suppl 6):22-38.
[9]	Lemos CAA, de Souza Batista VE, Almeida DA, et al. Evaluation of cement-retained versus screw-retained implant-supported restorations for marginal bone loss:A systematic review and meta-analysis[J]. J Prosthet Dent, 2016, 115(4):419-427. doi: 10.1016/j.prosdent.2015.08.026
[10]	Kourtis S, Damanaki M, Kaitatzidou S, et al. Loosening of the fixing screw in single implant crowns:Predisposing factors, prevention and treatment options[J]. J Esthet Restor Dent, 2017, 29(4):233-246. doi: 10.1111/jerd.2017.29.issue-4
[11]	Tonella BP, Pellizzer EP, Ferraço R, et al. Photoelastic analysis of cemented or screwed implant-supported prostheses with different prosthetic connections[J]. J Oral Implantol, 2011, 37(4):401-410. doi: 10.1563/AAID-JOI-D-10-00044 pmid: 21851260
[12]	Lee A, Okayasu K, Wang HL. Screw- versus cement-retained implant restorations:Current concepts[J]. Implant Dent, 2010, 19(1):8-15. doi: 10.1097/ID.0b013e3181bb9033
[13]	Sharma A, Rahul GR, Poduval ST, et al. Removal of failed crown and bridge[J]. J Clin Exp Dent, 2012, 4(3):e167-e172.
[14]	Shah K, Mc Glumphy E, Lee DJ, et al. Laser retrieval of cemented zirconia single unit implant restoration:A pilot study:Part Ⅰ-Force values[J]. Int J Prosthodont, 2022, 35(4):425-433. doi: 10.11607/ijp.6345
[15]	Zhang Y, Jiang AJ. The influence of Er:YAG laser treatment on the shear bond strength of enamel and dentin:A systematic review and meta-analysis[J]. Quintessence Int, 2020, 51(1):8-16. doi: 10.3290/j.qi.a43648 pmid: 31781691
[16]	Rechmann P, Buu NCH, Rechmann BMT, et al. Laser all-ceramic crown removal-a laboratory proof-of-principle study-phase 2 crown debonding time[J]. Lasers Surg Med, 2014, 46(8):636-643. doi: 10.1002/lsm.22280 pmid: 25125242
[17]	Eriksson AR, Albrektsson T. Temperature threshold levels for heat-induced bone tissue injury:A vital-microscopic study in the rabbit[J]. J Prosthet Dent, 1983, 50(1):101-107. doi: 10.1016/0022-3913(83)90174-9 pmid: 6576145
[18]	陈宥任, 罗云, 王敏, 等. Er:YAG激光在拆除全瓷修复体中应用的研究进展[J]. 口腔疾病防治, 2022, 30(5):372-376. doi: 10.12016/j.issn.2096-1456.2022.05.011
[19]	Mirhashemi AH, Chiniforush N, Sharifi N, et al. Comparative efficacy of Er, Cr:YSGG and Er:YAG lasers for etching of composite for orthodontic bracket bonding[J]. Lasers Med Sci, 2018, 33(4):835-841. doi: 10.1007/s10103-017-2417-1
[20]	Giraldo Cifuentes H, Gómez JC, Guerrero ANL, et al. Effect of an Er, Cr:YSGG laser on the debonding of lithium disilicate veneers with four different thicknesses[J]. J Lasers Med Sci, 2020, 11(4):464-468. doi: 10.34172/jlms.2020.72 pmid: 33425298
[21]	Gurney ML, Sharples SD, Phillips WB, et al. Using an Er, Cr:YSGG laser to remove lithium disilicate restorations:A pilot study[J]. J Prosthet Dent, 2016, 115(1):90-94. doi: 10.1016/j.prosdent.2015.08.003
[22]	Morford CK, Buu NCH, Rechmann BMT, et al. Er:YAG laser debonding of porcelain veneers[J]. Lasers Surg Med, 2011, 43(10):965-974. doi: 10.1002/lsm.21144 pmid: 22127785
[23]	Sari T, Tuncel I, Usumez A, et al. Transmission of Er:YAG laser through different dental ceramics[J]. Photomed Laser Surg, 2014, 32(1):37-41. doi: 10.1089/pho.2013.3611
[24]	Tocchio RM, Williams PT, Mayer FJ, et al. Laser debonding of ceramic orthodontic brackets[J]. Am J Orthod Dentofac Orthop, 1993, 103(2):155-162. doi: 10.1016/S0889-5406(05)81765-2
[25]	ALBalkhi M, Swed E, Hamadah O. Efficiency of Er:YAG laser in debonding of porcelain laminate veneers by contact and non-contact laser application modes (in vitro study)[J]. J Esthet Restor Dent, 2018, 30(3):223-228. doi: 10.1111/jerd.12361 pmid: 29322655
[26]	Duan GR, Zhang CX, Li AM, et al. Preparation and characterization of mesoporous zirconia made by using a poly (methyl methacrylate) template[J]. Nanoscale Res Lett, 2008, 3(3):118-122. doi: 10.1007/s11671-008-9123-7 pmid: 21787437
[27]	Rechmann P, Buu NCH, Rechmann BMT, et al. Laser all-ceramic crown removal-a laboratory proof-of-principle study-phase 1 material characteristics[J]. Lasers Surg Med, 2014, 46(8):628-635. doi: 10.1002/lsm.22279 pmid: 25125132
[28]	Alghazzawi TF, Lemons J, Liu PR, et al. Evaluation of the optical properties of CAD-CAM generated yttria-stabilized zirconia and glass-ceramic laminate veneers[J]. J Prosthet Dent, 2012, 107(5):300-308. doi: 10.1016/S0022-3913(12)60079-1 pmid: 22546307
[29]	Höland W, Rheinberger V, Apel E, et al. Clinical applications of glass-ceramics in dentistry[J]. J Mater Sci:Mater Med, 2006, 17(11):1037-1042. doi: 10.1007/s10856-006-0441-y
[30]	Cai PP, Zhuo YY, Lin J, et al. Er:YAG laser removal of zirconia crowns on titanium abutment of dental implants:An in vitro study[J]. BMC Oral Health, 2022, 22(1):396. doi: 10.1186/s12903-022-02427-4
[31]	Elkharashi A, Grzech-Leśniak K, Deeb JG, et al. Exploring the use of pulsed erbium lasers to retrieve a zirconia crown from a zirconia implant abutment[J]. PLoS One, 2020, 15(6):e0233536. doi: 10.1371/journal.pone.0233536
[32]	Karagoz-Yildirak M, Gozneli R. Evaluation of rebonding strengths of leucite and lithium disilicate veneers debonded with an Er:YAG laser[J]. Lasers Med Sci, 2020, 35(4):853-860. doi: 10.1007/s10103-019-02872-8
[33]	Deeb JG, Crowell A, Richey KH, et al. In vitro study of laser-assisted prefabricated ceramic crown debonding as compared to traditional rotary instrument removal[J]. Materials (Basel), 2022, 15(10):3617. doi: 10.3390/ma15103617
[34]	Almehmadi N, Kutkut A, Al-Sabbagh M. What is thebest available luting agent for implant prosthesis?[J]. Dent Clin North Am, 2019, 63(3):531-545. doi: S0011-8532(19)30026-6 pmid: 31097143
[35]	Sheets JL, Wilcox C, Wilwerding T. Cement selection for cement-retained crown technique with dental implants[J]. J Prosthodont, 2008, 17(2):92-96. doi: 10.1111/j.1532-849X.2007.00262.x pmid: 17971122
[36]	Garg P, Pujari M, Prithviraj DR, et al. Retentiveness of various luting agents used with implant-supported prosthesis:An in vitro study[J]. J Oral Implantol, 2014, 40(6):649-654. doi: 10.1563/AAID-JOI-D-12-00008
[37]	Kellesarian SV, Ros Malignaggi V, Aldosary KM, et al. Laser-assisted removal of all ceramic fixed dental prostheses:A comprehensive review[J]. J Esthet Restor Dent, 2018, 30(3):216-222. doi: 10.1111/jerd.12360 pmid: 29282849
[38]	Ghazanfari R, Azimi N, Nokhbatolfoghahaei H, et al. Laser aided ceramic restoration removal:A comprehensive review[J]. J Lasers Med Sci, 2019, 10(2):86-91. doi: 10.15171/jlms.2019.14 pmid: 31360375

Research progress of Er:YAG laser in removing all-ceramic restorations of implant

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