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Kevin Chuang

Periodontist

Er:YAG laser-assisted minimally invasive nonsurgical therapy for upper molar intrabony defects

In current dental practice, the goal should be to provide the best patient care to maintain functional and aesthetic oral health, using the least invasive approach.And the correct protocol is always essential to achieve long-term therapeutic results,like complete root surface debridement and good supra/subgingival biofilm control...etc. for periodontal treatment. Nowadays,there are many techniques for us to treat periodontitis,and periodontal lesions by and large can be treated successfully with nonsurgical therapy(Raúl G. Caffesse,Periodontology 2000,2019).Laser is one of the most advanced techniques and it offers unprecedented benefits,such as sulcular debridement,detoxification,biostimulation and host immune response modulation...etc. Otherwise,laser is a tool for minimally invasive itself.Avoiding/reducing gingival recession is one of the most beneficial patient-centered outcomes from both of them(laser and minimally invasive). As this case shows,there is little gingival recession at 16 with PPD reduction and radiography bone density improved. Reducing gingival recession can not only increase clinical attachment gains but also diminish the negative side effects of aesthetics.

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little gingival recession at 16 with PPD reduction and radiography bone density improved post 9 months
Nonsurgical root surface debridement with Er:YAG laser-assisted minimally invasive procedures under loupes.
Blood clot stabilization with Er;YAG laser to seal the pocket entrance,and aPDT applied to avoid highly pathogenic bacteria re-colonization.
Avatar
Kevin Chuang

Periodontist

Er:YAG laser-assisted minimally invasive nonsurgical therapy for upper molar intrabony defects

In current dental practice, the goal should be to provide the best patient care to maintain functional and aesthetic oral health, using the least invasive approach.And the correct protocol is always essential to achieve long-term therapeutic results,like complete root surface debridement and good supra/subgingival biofilm control...etc. for periodontal treatment. Nowadays,there are many techniques for us to treat periodontitis,and periodontal lesions by and large can be treated successfully with nonsurgical therapy(Raúl G. Caffesse,Periodontology 2000,2019).Laser is one of the most advanced techniques and it offers unprecedented benefits,such as sulcular debridement,detoxification,biostimulation and host immune response modulation...etc. Otherwise,laser is a tool for minimally invasive itself.Avoiding/reducing gingival recession is one of the most beneficial patient-centered outcomes from both of them(laser and minimally invasive). As this case shows,there is little gingival recession at 16 with PPD reduction and radiography bone density improved. Reducing gingival recession can not only increase clinical attachment gains but also diminish the negative side effects of aesthetics.

Please rate this case
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