Neugebauer, Jorg, Kistler, Frank, Kistler, Steffen, Vizethum, Freimut and Scheer, Martin (2015). Current treatment strategies for peri-implant diseases with antimicrobial photodynamic therapy using the HELBO system. Implantologie, 23 (3). S. 273 - 286. BERLIN: QUINTESSENZ VERLAGS-GMBH. ISSN 0943-9692

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Abstract

Because of microbiological contamination, peri-implant infection still provides a challenge for every dentist working with implants. Antimicrobial photodynamic therapy (PDT) has established itself as an adjuvant noninvasive alternative to traditional strategies with the use of antibiotics and biocides for effective biofilm management. The incubation of the photosensitizer penetrates the biofilm, especially at the nonvital, nonvascularized, contaminated implant surface, and thus enables the possibility of lethal lipid oxidation of the cell walls of the bacteria after laser irradiation. This minimally invasive decontamination process works with low-level lasers and can be applied for prevention as well as for treatment of initial and severe peri-implantitis. In reconstructive peri-implantitis therapy, the most stable results were observed when combining PDT with defect augmentation with autologous bone chips. In addition to the antimicrobial effect, a photobiological effect takes place, so that the wound healing is supported after the surgical procedure.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Neugebauer, JorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kistler, FrankUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kistler, SteffenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vizethum, FreimutUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Scheer, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-415215
Journal or Publication Title: Implantologie
Volume: 23
Number: 3
Page Range: S. 273 - 286
Date: 2015
Publisher: QUINTESSENZ VERLAGS-GMBH
Place of Publication: BERLIN
ISSN: 0943-9692
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
LEVEL LASER THERAPY; LETHAL PHOTOSENSITIZATION; AUTOGENOUS BONE; MEMBRANE; SURFACES; BACTERIA; EFFICACY; LIGHTMultiple languages
Dentistry, Oral Surgery & MedicineMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/41521

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