The effectiveness of the erbium laser in the treatment of peri-implantitis: results of clinical observation

One of the main causes of dental implant loss today is peri-implantitis. This article presents a clinical case of a 54-year-old patient A., who underwent successful treatment of peri-implantitis in the area of ​​a dental implant in position 4.2 using a method of processing the implant surface depending on its type, namely, an Er,Cr:YSGG laser (wavelength 2780 nm). Laser exposure to the surface of a dental implant made of anodized titanium dioxide (TiO₂) ensured highly effective removal of granulation tissue and bacterial biofilm from the implant surface, while preventing damage to surrounding tissues and promoting their subsequent regeneration. The identified area of ​​extensive bone resorption was filled with bone-substituting xenomaterial and covered with a collagen membrane. Clinical and radiographic control was performed 6 months after surgery. As a result of the observation, stabilization of the bone tissue level and the absence of an inflammatory process were noted. This clinical case confirms the high efficiency of the Er,Cr:YSGG laser in the complex treatment of peri-implantitis, providing gentle and effective cleaning of the implant surface and promoting bone tissue regeneration.