Case 4
“Only Upside”
Dale Brant, D.D.S.
[email protected]
LASIP
As an implant dentist I am always trying to minimize potential failures. Over the years, I have been incorporating LASIP ( Laser Assisted Surgical Implant Procedure ) when surgically placing dental implants. LASIP is performed using the Millennium Dental Technologies PerioLase MVP-7. One of the major requirements for successful long term implant health and retention is the quality of bone that we are placing our implant(s). The long term success of implant surgery depends at least partially upon the the health, if not sterility of the initial wound/ surgical site. This is in addition to having dense high quality bone and bone volume. By incorporating this into the implant protocol, we have been able to minimize the effects of the buccal plate blowouts that we sometime see when immediately placing an implant in socket of a non-restorable endodontically or failing tooth due to re-infection. It makes sense to use the PerioLase in an implant site that has active infection present from a failing tooth, but what about an asymptomatic non-restorable endodontically treated tooth? Apical to the root are we sure we have no lacuna of infection that the body has walled off over the years and when we are preparing our osteotomy for the implant and now we have disturbed this site of infection that may or may not affect our implant short term or even long term. There is no way of knowing short of sampling microbiolocally, which is not practical. This is why I now incorporate LASIP into my implant surgeries.
The protocol is very simple. When I am placing an implant in an extraction site I use the PerioLase at the ablation setting and place approximately 100-150J into the extraction site. Once the osteotomy has been completed than I again place another 100J. If there is no bleeding present one should decorticate to allow the influx of undifferentiated stem cells into the site. When placing an implant(s) in edentulous bone I place approx. 100J in the surgical site. It is a very simple procedure that adds only a few minutes to the surgical procedure and well help to ensure a stable healthy implant and can possibly, with no expected negative sequelae, create initial clot formation that is crucial to the success of any wound, planned or not..
An example of this protocol is as follows: