Laser-Assisted Therapy for Peri-implant Diseases

  • Jeff CW. Wang
  • Hom-Lay WangEmail author


Peri-implant disease is a new prevalent biological complication emerged from the popularity of implant therapy. Currently, there is no predictable treatment to manage advanced peri-implantitis lesions. Dental laser has a huge potential for the treatment of peri-implant disease, given that it provides a method to decontaminate implant surface without damaging its microstructures for re-osseointegration. In addition, biosimulation from low-energy laser attenuates the inflammatory status of the peri-implant defect to facilitate re-establishment of homeostasis. There are several wavelengths of dental laser available. Both Nd:YAG and Er:YAG lasers have shown promising results in vitro, and erbium lasers seem to be the most promising one due to its application on hard tissues. Although a few pilot randomized clinical trials did not show conclusive results, more well-designed controlled trials are warranted to optimize the application of laser-assisted therapy in identifying ideal indications and developing evidence-based protocol.


Laser Treatment Peri-mucositis Peri-implantitis 



The authors thank the assistant graphic designer Victoria Zakrzeski at the University of Michigan School of Dentistry for constructing the figure and the courtesy of postdoctoral resident Dr. Carlos Garaicoa, Graduate Periodontics, for sharing the case.


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Periodontics and Oral MedicineUniversity of Michigan School of DentistryAnn ArborUSA

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