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- Title
A Novel Surgical Procedure for Er:YAG Laser-Assisted Periodontal Regenerative Therapy: Case Series.
- Authors
Yoichi Taniguchi; Akira Aoki; Kazuto Sakai; Koji Mizutani; Meinzer, Walter; Yuichi Izumi
- Abstract
The objective of this study was to evaluate an Er:YAG laser (ErL) application for periodontal regenerative surgery in angular bone defects at nine sites in six patients. Debridement was thoroughly performed using a combination of curettage with a Gracey-type curette and ErL irradiation at a panel setting of 70 mJ/pulse and 20 Hz with sterile saline spray. After applying an enamel matrix derivative and autogenous bone grafting, ErL was used to form a blood clot coagulation on the grafted bone surface at 50 mJ/pulse and 20 Hz without water spray for approximately 30 seconds. Twelve months after surgery the mean probing depth had improved from 6.2 mm to 2.0 mm, the mean clinical attachment level had reduced from 7.5 mm to 3.4 mm, and bleeding on probing had improved from (+) to (−). Mean intrabony defect depth decreased from 6.0 mm before surgery to 1.0 mm 12 months after surgery. A novel procedure for periodontal regenerative surgery applying ErL irradiation for thorough decontamination during debridement as well as blood coagulation following autogenous bone grafting seems to have achieved favorable and stable healing of periodontal pockets with significant clinical improvement and desirable regeneration of angular bone defects, including one-wall defects.
- Subjects
EQUIPMENT &; supplies; HYPERTONIC saline solutions; COMPARATIVE studies; DEBRIDEMENT; DENTAL enamel; GUIDED tissue regeneration; MEDICAL lasers; LONGITUDINAL method; CASE studies; PERIODONTAL disease; PROBABILITY theory; STATISTICS; DENTAL radiography; DATA analysis; DESCRIPTIVE statistics; THERAPEUTICS
- Publication
International Journal of Periodontics & Restorative Dentistry, 2016, Vol 36, Issue 4, p507
- ISSN
0198-7569
- Publication type
Article
- DOI
10.11607/prd.2515