激光辅助从种植体基台提取骨水泥保留种植体支持修复体：相关因素的系统回顾。

IF 5.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of dentistry Pub Date : 2025-08-30 DOI:10.1016/j.jdent.2025.106076

Nareudee Limpuangthip , Nan Hsu Myat Mon Hlaing , Jae-Hyun Lee , Jason D. Lee , Sang J. Lee

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引用次数: 0

摘要

目的：本系统综述旨在综合和批判性地评价影响激光辅助从种植基台提取骨水泥保留种植体修复体性能的因素的现有证据。数据来源：PubMed/MEDLINE、Scopus、Embase和Cochrane图书馆，检索截止到2025年3月，无语言限制，同时手工检索相关研究的参考文献。研究选择：符合条件的研究包括研究激光辅助从基台取出或取出种植体支持的假体的原始研究，考虑与水泥、假体材料、基台或激光参数相关的变量。最后，纳入了7项体外研究。使用体外研究报告清单评估偏倚风险。结果包括移除时间、粘结强度、产生的温度以及修复体和基台结构的保存。结论：本系统综述的体外研究结果表明，激光辅助骨水泥保留种植体修复受到多种因素的影响，包括修复材料的类型和厚度、骨水泥特性和激光功率设置。掺铒钇铝石榴石（Er:YAG）和掺铒铬钇钪镓石榴石（Er,Cr:YSGG）激光都能有效地恢复修复体，而不会因热效应而造成结构损伤。进一步的临床验证建议建立最佳的激光参数，因为这些会影响回收效率和热的产生。临床意义：现有的体外证据表明，Er:YAG和Er，Cr:YSGG激光具有临床有效和安全的修复种植体支持修复体的潜力，具有最小的热损伤，保留陶瓷修复体和基台重复使用，减少手术时间，避免不必要的更换，降低成本，提高修复效率。

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Laser-assisted retrieval of cement-retained implant-supported restorations from implant abutments: A systematic review of related factors

Objectives

This systematic review aimed to synthesize and critically evaluate the existing evidence on factors influencing the performance of laser-assisted retrieval of cement-retained implant-supported dental restorations from implant abutments.

Data sources

PubMed/MEDLINE, Scopus, Embase, and Cochrane Library were searched until March 2025 without language restrictions, along with a manual search of references from relevant studies.

Study selection

Eligible studies included original research investigating laser-assisted removal or retrieval of implant-supported prostheses from abutments, considering variables related to cements, prosthetic materials, abutments, or laser parameters. Finally, seven in vitro studies were included. Risk of bias was assessed using the Checklist for Reporting In Vitro Studies. Outcomes included removal time, bond strength, temperature generation, and preservation of restoration and abutment structures.

Conclusions

The findings from this systematic review of in vitro studies indicate that laser-assisted retrieval of cement-retained implant restorations is influenced by multiple factors, including the type and thickness of restorative materials, cement characteristics, and laser power settings. Both erbium-doped yttrium aluminum garnet (Er:YAG) and erbium, chromium-doped yttrium scandium gallium garnet (Er,Cr:YSGG) lasers effectively retrieved restorations without causing structural damage due to thermal effects. Further clinical validation is recommended to establish optimal laser parameters, as these can affect retrieval efficiency and thermal generation.

Clinical significance

Available in vitro evidence suggests that Er:YAG and Er,Cr:YSGG lasers have potential for clinically efficient and safe retrieval of implant-supported restorations with minimal thermal damage, preserving ceramic restorations and abutments for reuse, reducing procedure time, avoiding unnecessary replacement, lowering costs, and improving prosthodontic efficiency.

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来源期刊

Journal of dentistry 医学-牙科与口腔外科

CiteScore

7.30

自引率

11.40%

发文量

349

审稿时长

35 days

期刊介绍： The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.