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New Technologies in Minimally Invasive Dentistry
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New Technologies in Minimally Invasive Dentistry

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Dentistry and Oral Sciences".

Deadline for manuscript submissions: closed (31 March 2021) | Viewed by 12474

Special Issue Editors

Dr. Gianluigi Caccianiga

E-Mail Website
Guest Editor
School of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy
Interests: periodontology; implantology; orthodontics; laser in dentistry; photodynamic therapy; photobiomodulation
Special Issues, Collections and Topics in MDPI journals
Dr. Dorina Lauritano

E-Mail Website
Guest Editor
Dipartimento di Medicina Traslazionale e per la Romagna, Università degli Studi di Ferrara, 44121 Ferrara, Italy
Interests: oral pathology; pediatric dentistry; orthodontics; periodontology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In medicine and surgery, minimally invasive procedures are requested in order to reduce the post-surgery discomfort for the patients treated. In dentistry, progress is in the same direction in all fields. In diagnosis, CBCT reduced the invasiveness of examinations, enhancing the quantity and quality of the information. Digital scanners matched with the CBCT information and CAD/CAM technologies help to reduce the invasiveness of the surgical approach in implantology, and improve aesthetic treatments in orthodontics and in restorative dentistry. Lasers can provide minimally invasive treatments in periodontology and implantology, due to their decontaminating and photo-biomodulating effects. Tissue engineering can improve soft and hard tissue regeneration.

This Special Issue of Applied Sciences, "New Technologies in Minimally Invasive Dentistry", invites articles focused on research regarding the development of new technologies in dentistry. Experimental, theoretical, and computational studies in the field of dentistry are all encouraged.

Topics include, but are not limited to:

  • Lasers in periodontology, peri-implantitis, orthodontics, and prosthodontics;
  • Innovations in restorative dentistry, prosthodontics, orthodontics, and oral surgery;
  • CAD/CAM in prosthodontics, implant surgery and orthodontics;
  • Innovations in digital dentistry

Dr. Gianluigi Caccianiga
Dr. Dorina Lauritano
Guest Editors

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Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Applied Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • lasers
  • decontamination
  • photo-bio-modulation
  • peri-implantitis
  • periodontitis
  • CAD/CAM
  • CBCT
  • digital scanner
  • periodontology
  • bone regeneration
  • soft tissues regeneration
  • scaffold
  • bio-engineering
  • orthodontics
  • prosthodontics
  • restorative dentistry
  • minimally invasive treatment

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Published Papers (4 papers)

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Research

11 pages, 1781 KiB  
Article
Laser Management of Peri-Implantitis: A Comparison between Photodynamic Therapy Combined with Hydrogen Peroxide (OHLLT) and OHLLT + Er:YAG Laser. A Retrospective Controlled Study
by Gianluigi Caccianiga, Gérard Rey, Paolo Caccianiga, Alessandro Leonida, Marco Baldoni, Alessandro Baldoni and Saverio Ceraulo
Appl. Sci. 2021, 11(15), 6771; https://doi.org/10.3390/app11156771 - 23 Jul 2021
Cited by 20 | Viewed by 2893
Abstract
In peri-implantitis, treatment lasers are effectively used to enhance implant surfaces’ decontamination of bacteria. The type of lasers commonly used and tested in dentistry are Nd:YAG, Er:YAG and diodes. The Er:YAG laser is considered to be effective in removing biofilm from implant surfaces. [...] Read more.
In peri-implantitis, treatment lasers are effectively used to enhance implant surfaces’ decontamination of bacteria. The type of lasers commonly used and tested in dentistry are Nd:YAG, Er:YAG and diodes. The Er:YAG laser is considered to be effective in removing biofilm from implant surfaces. Photodynamic therapy (PDT), realized with low-level laser therapy (LLLT) and a photosensitizer, seems to have limited efficacy in peri-implantitis management, while diode lasers used with high frequency and power (Wiser, Doctor Smile), performed with hydrogen peroxide 10 vol. 3% (OHLLT), seems to lead to a deep sanitization of implant surfaces, without any thermal effect. The aim of our retrospective controlled study is to compare an oxygen high-level laser therapy (OHLLT) protocol with OHLLT with an Er:YAG laser (Pluser, Doctor Smile) in order to maximize bacterial removal and to evaluate if an Er:YAG laser could improve hard tissue regeneration with respect to OHLLT alone. Two hundred and ten implants affected by peri-implantitis were divided into two groups: 88 implants were treated with OHLLT alone (control group) while 122 underwent OHLLT and Er:YAG treatment (test group). Mean bone loss before (T0) and after treatment (T1) (with a follow-up of 5 years) was registered for all implants. The collected data were analyzed with the Statistical Package for Social Sciences (SPSS) version 11.5. No statistically significant differences were found. In the OHLLT group, we noticed a mean bone loss after treatment of 2.1 mm in the upper arch and 2.4 mm in the mandible. In the OHLLT + Er:YAG group, the results indicate a mean bone loss of 2.0 mm in the upper arch and 2.5 mm in the mandible. Both groups showed a mean bone loss after treatment of 2.3 mm. According to the Kolmogorov–Smirnov test, overall, data followed a normal distribution (value of the K-S test statistic = 0.0912; p = 0.36112). OHLLT plays a central role in enhancing clinical results in peri-implantitis treatment, leading to an effective bacterial decontamination. Our results showed no statistically significant differences between OHLLT and OHLLT + Er:YAG laser; thus, the potential advantageous role of Er:YAG has been downgraded with the analysis of our study. Full article
(This article belongs to the Special Issue New Technologies in Minimally Invasive Dentistry)
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10 pages, 3095 KiB  
Article
Peri-Implantitis Management: Surgical versus Non-Surgical Approach Using Photodynamic Therapy Combined with Hydrogen Peroxide (OHLLT—Oxygen High Level Laser Therapy): A Retrospective Controlled Study
by Gianluigi Caccianiga, Gérard Rey, Paolo Caccianiga, Alessandro Leonida, Marco Baldoni, Alessandro Baldoni and Saverio Ceraulo
Appl. Sci. 2021, 11(11), 5073; https://doi.org/10.3390/app11115073 - 30 May 2021
Cited by 18 | Viewed by 2306
Abstract
Peri-implantitis management could be performed either with a surgical or non-surgical approach to the implant surfaces. Various treatment options have been proposed in the literature, such as antiseptic and antibiotic therapies, chemical agents, curettes, ultrasonic, air abrasive, rotary titanium brushes and laser treatments; [...] Read more.
Peri-implantitis management could be performed either with a surgical or non-surgical approach to the implant surfaces. Various treatment options have been proposed in the literature, such as antiseptic and antibiotic therapies, chemical agents, curettes, ultrasonic, air abrasive, rotary titanium brushes and laser treatments; in particular, photodynamic therapy combined with hydrogen peroxide (OHLLT) has proved to be efficient in the removal of bacterial biofilm from implant surfaces. The aim of our study is to compare OHLLT performed with a surgical approach to a non-surgical approach. We selected a cluster of 227 implants affected by peri-implantitis: 139 implants were treated with a non-surgical approach and 88 implants with a surgical approach. Bone loss pre-operative and post-operative (with a follow-up of five years) have been registered. The collected data were entered on the Statistical Package for Social Sciences (SPSS) version 11.5. The results indicate a statistically significant difference between the two groups, with a mean bone loss after treatment of 2.3 mm for OHLLT with a surgical approach and 3.8 mm for OHLLT with a non-surgical approach; according to the Kolmogorov–Smirnov test, the overall data followed a normal distribution (value of the Kolmogorov–Smirnov test statistic = 0.0891; p = 0.35794). Thus, a surgical approach in the case of peri-implantitis seems to be more effective, probably due to the possibility of a deeper sanitization of implant surfaces, hardly reachable with only non-surgical approach. Full article
(This article belongs to the Special Issue New Technologies in Minimally Invasive Dentistry)
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12 pages, 2826 KiB  
Article
Rough Dental Implant Surfaces and Peri-Implantitis: Role of Phase-Contrast Microscopy, Laser Protocols, and Modified Home Oral Hygiene in Maintenance. A 10-Year Retrospective Study
by Gianluigi Caccianiga, Gérard Rey, Paolo Caccianiga, Alessandro Leonida, Marco Baldoni, Alessandro Baldoni and Saverio Ceraulo
Appl. Sci. 2021, 11(11), 4985; https://doi.org/10.3390/app11114985 - 28 May 2021
Cited by 21 | Viewed by 3414
Abstract
The aim of this study was to evaluate two different kinds of rough implant surface and to assess their tendency to peri-implantitis disease, with a follow-up of more than 10 years. Data were obtained from a cluster of 500 implants with Ti-Unite surface [...] Read more.
The aim of this study was to evaluate two different kinds of rough implant surface and to assess their tendency to peri-implantitis disease, with a follow-up of more than 10 years. Data were obtained from a cluster of 500 implants with Ti-Unite surface and 1000 implants with Ossean surface, with a minimum follow-up of 10 years. Implants had been inserted both in pristine bone and regenerated bone. We registered incidence of peri-implantitis and other causes of implant loss. All patients agreed with the following maintenance protocol: sonic brush with vertical movement (Broxo), interdental brushes, and oral irrigators (Broxo) at least two times every day. For all patients with implants, we evaluated subgingival plaque samples by phase-contrast microscopy every 4 months for a period of more than 10-years. Ti-Unite surface implants underwent peri-implantitis in 1.6% of the total number of implants inserted and Ossean surface implants showed peri-implantitis in 1.5% of the total number of implants. The total percentage of implant lost was 4% for Ti-Unite surfaces and 3.6% for Ossean surfaces. Strict control of implants leads to low percentage of peri-implantitis even for rough surfaces dental implants. Full article
(This article belongs to the Special Issue New Technologies in Minimally Invasive Dentistry)
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12 pages, 2453 KiB  
Article
Periodontal Decontamination Induced by Light and Not by Heat: Comparison between Oxygen High Level Laser Therapy (OHLLT) and LANAP
by Gianluigi Caccianiga, Gerard Rey, Marco Baldoni, Paolo Caccianiga, Alessandro Baldoni and Saverio Ceraulo
Appl. Sci. 2021, 11(10), 4629; https://doi.org/10.3390/app11104629 - 19 May 2021
Cited by 26 | Viewed by 2983
Abstract
In periodontology, lasers have been suggested for the nonsurgical treatment of chronic periodontitis. Many wavelengths were tested, but unfortunately, most parts were not efficient. An Nd:YAG laser was applied in a specific protocol named the laser-assisted new attachment procedure (LANAP). LANAP seems to [...] Read more.
In periodontology, lasers have been suggested for the nonsurgical treatment of chronic periodontitis. Many wavelengths were tested, but unfortunately, most parts were not efficient. An Nd:YAG laser was applied in a specific protocol named the laser-assisted new attachment procedure (LANAP). LANAP seems to facilitate the refurbishment of new tissues from supporting structures of the periodontium, wherein the unhealthy surface of the roots exhibits pristine attachments in human beings. Photodynamic therapy (PDT) was investigated too. The aim of our study is to show the effects of oxygen high-level laser therapy (OHLLT) in removing all bacterial deposits on the root or implant surface by means of mechanical instrumentation and laser irradiation compared to LANAP and to nonsurgical debridement of periodontal pockets. At 7 days post-treatment, a real-time PCR test had similar results on the OHLLT and LANAP groups. After 9 months, all periodontal pockets were treated successfully, not showing significant differences in the clinical results between OHLLT and LANAP and with a decrease in the plaque index, bleeding on probing and probing depth compared with the nonsurgical debridement group. Full article
(This article belongs to the Special Issue New Technologies in Minimally Invasive Dentistry)
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