Department of Periodontology and Oral Implantology, University of Guarulhos, Saō Paulo, Brazil
Prof. Shibli is Director and Head of Oral Implantology Program and Professor, Department of Periodontology and Oral Implantology, Dental Research Division, University of Guarulhos, SP, Brazil. In 2018 he became Vice Dean for Dental Research and Graduate Program.
Prof. Shibli received his PhD and Master’s degree in Periodontology in 2003 and 2000 respectively evaluating Peri-implant diseases and microbiology composition of these lesions in both pre-clinical and clinical studies. He also spends a PhD period at Department of Oral Biology, SUNY at Buffalo, NY, USA.
His research is focused, but not limited, on Oral Implantology and Periodontology mainly Peri-implant diseases, Guided Bone Regeneration, Growth factors, implant surface topographies, laser and Randomized Clinical Trials (RCT).
He is currently reviewer of the principal peer-reviewed journals in the field as International Journal of Oral and Maxillofacial Implants, Clinical Oral Implants Research, Journal of Clinical Periodontology, Journal of Periodontology, Clinical Implant Dentistry and Related Research, Journal of Periodontal Research, PlosOne, Journal of Biomedical Material Research, part B: applied Biomaterials, BioMed Res International, Photomedicine and Laser Surgery. He also is editorial board of Journal of International Academy of Periodontology, BioMed Res International, Case Reports in Dentistry and Brazilian Oral Research.
Prof. Shibli was ranked at position 20o. in the world based on his number of publications on Oral Implantology field. He has more than 165 papers published on PubMed and 6 textbooks.
Title: Treatment of Peri-implantitis Using Lasers: Current Clinical Approach
Peri-implantitis is an infectious disease that cause bone loss and if not treated could lead to the loss of the implant-supported restoration. The etiology of peri-implantitis is associate with a complex bacterial biofilm and systemic and local risk factors might increase the severity of the peri-implant tissues destruction.
Intriguingly, there is no specific and predictable treatment for peri-implantitis, although several surgical and non-surgical therapeutic strategies have been proposed to manage this complex-multifactorial disease. These strategies to treat peri-implantitis can be divided in anti-infective and regenerative techniques, however, the removal of the contaminants and hard deposits at implant surface alter the implant surface topography as well as the oxide layer avoiding peri-implant bone regeneration and consequently the new bone reformation.
Physical methods using lasers have been employed in both anti-infective and detoxification methods in the last decades. Sterilization and cleaning/decontamination of dental implant surfaces by means of high and low-intensity laser therapy using Er:Cr:YSGG and Er:YAG have been also employed. Laser irradiation removes not only the inflammatory soft tissue present around the peri-implant pocket but also detoxify the implant surface without damage or even alter the titanium surface neither dental implant morphology allowing a better stabilization of the blood clot with or without adding some bone graft materials during the guided bone regeneration (GBR). In addition, photobiomodulation produced as secondary effect following Er:YAG laser therapy positively modulates wound healing. This effect is caused by promotion of cell proliferation and differentiation, as well as anti-inflammatory effects playing a pivotal impact on peri-implant tissues.
The present conference will focus on the treatment of peri-implantitis using Er: YAG laser as well as the effect on the bacterial etiology. In addition, treatment of soft and hard periodontal tissues will also be discussed during the presentation.