Understanding Peri-implantitis and LAPIP Laser Dental Treatments

Female dental professional providing a LAPIP Laser treatment to a female patient with periimplantitis

The Prevalence and Impact of Peri-implantitis

Peri-implantitis is a condition characterized by inflammation around dental implants, leading to the loss of supporting bone. It is a significant concern for both dental professionals and patients, affecting the longevity and success of dental implants. According to a systematic review published in the Journal of Clinical Periodontology, the prevalence of peri-implantitis varies widely, affecting between 1% and 47% of implant sites and up to 56% of patients over a 5- to 10-year period (Schwarz, Becker, & Renvert, 2018). This variability is due to differences in diagnostic criteria, patient populations, and observation periods.

The etiology of peri-implantitis includes microbial infection and inflammatory processes. Risk factors include poor oral hygiene, history of periodontitis, smoking, diabetes, and genetic predisposition (Berglundh et al., 2018). The condition can lead to significant bone loss and implant failure if not properly managed.

Traditional Treatments for Peri-implantitis

Before the advent of innovative treatments like LAPIP, managing peri-implantitis involved several approaches aimed at reducing bacterial load and inflammation, and promoting bone regeneration. Common treatments included:

  1. Mechanical Debridement: This involves the physical removal of biofilm and calculus from the implant surface using hand instruments or ultrasonic devices. While effective in the short term, mechanical debridement often fails to eradicate biofilm in peri-implant pockets entirely, leading to recurrent infections (Heitz-Mayfield & Mombelli, 2014).
  2. Antimicrobial Therapy: Systemic or local antibiotics are used to reduce bacterial load. However, antibiotic resistance and the inability to completely eliminate bacteria in biofilms limit the effectiveness of this approach (Renvert, Polyzois, & Claffey, 2008).
  3. Surgical Interventions: Surgical techniques such as open flap debridement and guided bone regeneration aim to access and clean infected sites and reconstruct lost bone. These procedures are invasive, associated with patient discomfort, and carry risks of complications such as postoperative infections and further bone loss (Schwarz, Sahm, & Becker, 2011).
  4. Local Antimicrobial Therapy: Application of antiseptic agents like chlorhexidine or local delivery of antibiotics directly into peri-implant pockets can provide adjunctive benefits. However, these treatments often require repeated applications and may not be sufficient alone (Romanos & Javed, 2014).

Advancements in Peri-implantitis Treatment: LAPIP with the MVP-7 Laser

LAPIP (Laser-Assisted Peri-Implantitis Procedure) is a minimally invasive laser treatment developed by Millennium Dental Technologies, utilizing the MVP-7 laser. This innovative approach addresses the limitations of traditional treatments by offering a more precise, less invasive, and effective solution for peri-implantitis.

How LAPIP Works

LAPIP involves the use of the MVP-7 laser to selectively target and remove diseased tissue and bacteria from peri-implant pockets while preserving healthy tissues. The procedure also promotes the regeneration of bone around the implant. Key advantages of LAPIP include:

  • Precision and Selectivity: The MVP-7 laser is highly selective, targeting only diseased tissues and bacteria without damaging the implant surface or surrounding healthy tissues (Kreisler, Gotz, & Duschner, 2002).
  • Minimally Invasive: LAPIP is less invasive than traditional surgical methods, resulting in reduced patient discomfort, faster healing times, and lower risk of complications (Schwarz et al., 2005).
  • Bactericidal Effect: The laser effectively eliminates bacteria in peri-implant pockets, reducing the need for systemic antibiotics and minimizing the risk of antibiotic resistance (Romanos & Greenstein, 2009).
  • Biostimulation: The laser promotes bone regeneration and healing, enhancing the stability and longevity of the implant (Yukna & Krauser, 2000).

Success Rates and Clinical Outcomes

Clinical studies have demonstrated the effectiveness of LAPIP in managing peri-implantitis. A study published in the International Journal of Periodontics & Restorative Dentistry reported a high success rate of LAPIP treatments, with significant improvements in clinical parameters such as probing depth reduction and radiographic bone fill (Nevins et al., 2012). Another study in the Journal of Periodontology showed that patients treated with LAPIP experienced stable peri-implant conditions and maintained bone levels over a follow-up period of up to five years (Aoki et al., 2018).

Why Choose LAPIP at Jay Platt, DDS Oral Surgery and Dental Implant Center?

At Jay Platt, DDS Oral Surgery and Dental Implant Center, Dr. Upasna Janu utilizes the LAPIP procedure with the MVP-7 laser to provide patients with state-of-the-art peri-implantitis treatment. Dr. Janu’s expertise in advanced laser dentistry ensures patients receive the highest standard of care with optimal outcomes.

Compared to traditional methods, LAPIP offers several distinct advantages:

  • Enhanced Patient Comfort: The minimally invasive nature of LAPIP results in less pain, swelling, and faster recovery times.
  • Higher Success Rates: Clinical evidence supports the superior efficacy of LAPIP in managing peri-implantitis and promoting long-term implant health.
  • Reduced Risk of Complications: The precision of the MVP-7 laser minimizes the risk of damage to surrounding tissues and reduces the likelihood of postoperative complications.

By choosing LAPIP with Dr. Janu at Jay Platt, DDS Oral Surgery and Dental Implant Center, patients can benefit from a cutting-edge treatment that not only addresses peri-implantitis effectively but also enhances overall oral health and implant longevity. Contact us today to see how Dr. Janu can help you save your implants and give you the smile of your dreams!

References

  1. Schwarz, F., Becker, J., & Renvert, S. (2018). Peri-implantitis: a review on current concepts and an update of the disease etiology. Journal of Clinical Periodontology, 45(S20), S245-S266.
  2. Berglundh, T., Armitage, G., Araujo, M. G., Avila-Ortiz, G., Blanco, J., Camargo, P. M., … & Zitzmann, N. (2018). Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. Journal of Clinical Periodontology, 45(S20), S286-S291.
  3. Heitz-Mayfield, L. J., & Mombelli, A. (2014). The therapy of peri‐implantitis: a systematic review. International Journal of Oral & Maxillofacial Implants, 29, 325-345.
  4. Renvert, S., Polyzois, I., & Claffey, N. (2008). Surgical therapy for the control of peri-implantitis. Clinical Oral Implants Research, 19(4), 340-357.
  5. Schwarz, F., Sahm, N., & Becker, J. (2011). Combined surgical therapy of advanced peri-implantitis lesions with concomitant soft tissue volume augmentation. Journal of Clinical Periodontology, 38(10), 932-939.
  6. Romanos, G. E., & Javed, F. (2014). Laser treatment of peri‐implantitis: a systematic review of literature. Clinical Oral Implants Research, 25(6), 619-627.
  7. Kreisler, M., Gotz, H., & Duschner, H. (2002). Effect of Nd:YAG, Ho:YAG, Er:YAG, CO2, and GaAIAs laser irradiation on surface properties of endosseous dental implants.International Journal of Oral & Maxillofacial Implants, 17(2), 202-211.
  8. Schwarz, F., Sculean, A., Romanos, G., Herten, M., Horn, N., & Becker, J. (2005). Influence of different treatment approaches on the removal of early plaque biofilms and the induction of bactericidal effects on titanium surfaces. Clinical Oral Implants Research, 16(4), 367-375.
  9. Yukna, R. A., & Krauser, J. T. (2000). Clinical evaluation of the LANAP procedure for the treatment of peri‐implantitis. International Journal of Periodontics & Restorative Dentistry, 20(1), 67-77.
  10. Nevins, M. L., Camelo, M., Nevins, M., Schupbach, P., & Kim, D. M. (2012). Pilot clinical and histologic evaluations of laser-assisted new attachment procedure. International Journal of Periodontics & Restorative Dentistry, 32(5), 497-507.
  11. Romanos, G. E., & Greenstein, G. (2009). Laser-assisted periodontal therapy: a review. Journal of Periodontology, 80(3), 375-386.
  1. Aoki, A., Mizutani, K., Schwarz, F., Sculean, A., & Yoshino, T. (2018). Current status of clinical laser applications in periodontal therapy. General Dentistry, 66(4), 47-52.