Application of Laser Technology in the Non-surgical Management of Periprosthetic Joint Infection (PJI); Novel Insights from Peri-implantitis

Authors

Kareem Giovanni Elhage, Wayne State UniversityFollow
Mohamed Awad, Medical College of Georgia, Hull College of BusinessFollow
Ahmad Hasan, Wayne State UniversityFollow
Brendan Farley, Central Michigan UniversityFollow
Khaled Saleh, VAMC, Michigan State UniversityFollow

Research Mentor Name

Dr. Khaled Saleh

Research Mentor Email Address

kjsaleh@gmail.com

Institution / Department

VAMC Department of Orthopedic Surgery

Document Type

Research Abstract

Research Type

clinicalresearch

Level of Research

no

Abstract

Introduction: The management of periprosthetic joint infection (PJI) is challenging, and its socio-economic impact is significant. Moreover, the incidence of MRSA and other resistant organisms are on the rise. Recently, laser technology has been incorporated into treatment protocols of dental peri-implantitis. This review explores the possibility of using laser technology to manage peri-implantitis.

Methods: This article will provide a detailed, comprehensive, and perspective review of the existing evidence of laser technology in management of dental peri-implantitis.

Results: Dental literature investigated the efficacy of several types of lasers. It was shown that diode lasers improved periodontal probing depth (PPD) and bleeding on probing (BOP). CO₂ and Nd:YAG lasers have bactericidal and decontaminant functions. Er:YAG and Er,Cr:YSGG lasers seem to have the least heat-related side effects and can be safely used for cleaning of implants in dentistry. Photodynamic therapy is shown to decontaminate 2 types of implants used in PJI.

Discussion and Conclusion: A combination of good surgical skills and application of novel technologies will deliver the best outcomes. Our aim is to provide orthopedic surgeons with the effect size and quality analysis of the current evidence behind different laser techniques to decontaminate the implant surface and preserve the surrounding tissue.

Disciplines

Medicine and Health Sciences | Musculoskeletal System | Orthopedics | Surgical Procedures, Operative

Recommended Citation

Elhage, Kareem Giovanni; Awad, Mohamed; Hasan, Ahmad; Farley, Brendan; and Saleh, Khaled, "Application of Laser Technology in the Non-surgical Management of Periprosthetic Joint Infection (PJI); Novel Insights from Peri-implantitis" (2020). Medical Student Research Symposium. 27.
https://digitalcommons.wayne.edu/som_srs/27