Clinical evaluation of laser microtexturing for soft tissue and bone attachment to dental implants

Gabriele E. Pecora, Rolando Ceccarelli, Marco Bonelli, Harold Alexander, John Ricci

Research output: Contribution to journalArticle

Abstract

Introduction: A tapered dental implant (Laser-Lok [LL] surface treatment) with a 2 mm wide collar, that has been laser micromachined in the lower 1.5 mm to preferentially accomplish bone and connective tissue attachment while inhibiting epithelial downgrowth, was evaluated in a prospective, controlled, multi-center clinical trial. Materials: Data are reported at measurement periods from 1 to 37 months postoperative for 20 pairs of implants in 15 patients. The implants are placed adjacent to machined collar control implants of the same design. Measurement values are reported for bleeding index, plaque index, probing depth, and crestal bone loss. Results: No statistical differences are measured for either bleeding or plaque index. At all measurement periods there are significant differences in the probing depths and the crestal bone loss differences are significant after 7 months (P < 0.001). At 37 months the mean probing depth is 2.30 mm and the mean crestal bone loss is 0.59 mm for LL versus 3.60 and 1.94 mm, respectively, for control implant. Also, comparing results in the mandible versus those in the maxilla demonstrates a bigger difference (control implant - LL) in the mean in crestal bone loss and probing depth in the maxilla. However, this result was not statistically significant. Discussion: The consistent difference in probing depth between LL and control implant demonstrates the formation of a stable soft-tissue seal above the crestal bone. LL limited the crestal bone loss to the 0.59 mm range as opposed to the 1.94 mm crestal bone loss reported for control implant. The LL implant was found to be comparable with the control implant in safety end-points plaque index and sulcular bleeding index. There is a nonstatistically significant suggestion that the LL crestal bone retention superiority is greater in the maxilla than the mandible.

Original languageEnglish (US)
Pages (from-to)57-66
Number of pages10
JournalImplant Dentistry
Volume18
Issue number1
DOIs
StatePublished - Feb 2009

Fingerprint

Dental Implants
Lasers
Bone and Bones
Maxilla
Hemorrhage
Mandible
Connective Tissue
Clinical Trials
Safety

Keywords

  • Alveolar bone loss/etiology
  • Crestal bone
  • Dental prosthesis design
  • Implant surface

ASJC Scopus subject areas

  • Oral Surgery

Cite this

Clinical evaluation of laser microtexturing for soft tissue and bone attachment to dental implants. / Pecora, Gabriele E.; Ceccarelli, Rolando; Bonelli, Marco; Alexander, Harold; Ricci, John.

In: Implant Dentistry, Vol. 18, No. 1, 02.2009, p. 57-66.

Research output: Contribution to journalArticle

Pecora, Gabriele E. ; Ceccarelli, Rolando ; Bonelli, Marco ; Alexander, Harold ; Ricci, John. / Clinical evaluation of laser microtexturing for soft tissue and bone attachment to dental implants. In: Implant Dentistry. 2009 ; Vol. 18, No. 1. pp. 57-66.
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abstract = "Introduction: A tapered dental implant (Laser-Lok [LL] surface treatment) with a 2 mm wide collar, that has been laser micromachined in the lower 1.5 mm to preferentially accomplish bone and connective tissue attachment while inhibiting epithelial downgrowth, was evaluated in a prospective, controlled, multi-center clinical trial. Materials: Data are reported at measurement periods from 1 to 37 months postoperative for 20 pairs of implants in 15 patients. The implants are placed adjacent to machined collar control implants of the same design. Measurement values are reported for bleeding index, plaque index, probing depth, and crestal bone loss. Results: No statistical differences are measured for either bleeding or plaque index. At all measurement periods there are significant differences in the probing depths and the crestal bone loss differences are significant after 7 months (P < 0.001). At 37 months the mean probing depth is 2.30 mm and the mean crestal bone loss is 0.59 mm for LL versus 3.60 and 1.94 mm, respectively, for control implant. Also, comparing results in the mandible versus those in the maxilla demonstrates a bigger difference (control implant - LL) in the mean in crestal bone loss and probing depth in the maxilla. However, this result was not statistically significant. Discussion: The consistent difference in probing depth between LL and control implant demonstrates the formation of a stable soft-tissue seal above the crestal bone. LL limited the crestal bone loss to the 0.59 mm range as opposed to the 1.94 mm crestal bone loss reported for control implant. The LL implant was found to be comparable with the control implant in safety end-points plaque index and sulcular bleeding index. There is a nonstatistically significant suggestion that the LL crestal bone retention superiority is greater in the maxilla than the mandible.",
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