Advantages And Disadvantages Of Periodontal Therapy

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INTRODUCTION: LASER’ is an acronym for Light Amplification by Stimulated Emission of Radiation. The physical principle of laser was developed from Einstein’s theories in the early 1900s, and the first device was introduced in 1960 by Maiman (114). Since then, lasers have been used in many different areas in medicine and surgery. The concept of using dental lasers for periodontal therapy elicits very strong reactions from all aspects of the spectrum. Everyone has a varied opinion. Although numerous studies have been published in regard to lasers, but the ambiguity still remains. In this regard, the only certainty is confusion. There is a definite lack of clear direction in the concept of Laser Assisted Periodontal Therapy (LAPT).1 This…show more content…
Certain lasers are used specifically for soft tissue treatment. These are the CO2, Nd:YAG, and diode lasers. Others can be used for both soft and hard tissue applications. These are the Er:YAG and Er, Cr:YSGG lasers.2 In the perveiw of periodontal therapy, soft tissue lasers have a greater use. Many of the soft tissue lasers have been shown to provide periodontal treatment benefits. In order to achieve clarity and simplicity on this complex topic, this article presents the case reports for its various uses in periodontal therapy including exposure of impacted teeth, second stage implant surgery and vestibuloplasty.3 Based on its various characteristics, such as ablation or vaporization,4 hemostasis,5 and sterilization effect,6 laser treatment may serve as an adjunct or alternative to mechanical, conventional and surgical periodontal therapy. 7 CASE REPORT: The laser used for the procedures undermentioned a diode laser (Zolar photon plus laser) with a wavelength of 810-980 nm and maximum wattage of 10…show more content…
The laser was used in the contact mode till the desired vestibular depth was attained. Periodontal dressing was placed and post operative instructions were given. The patient was re-evaluated postoperatively for one week and one month. FIG 1: PREOPERATIVE VEIW FIG 2: INTRAOPERATIVE VEIW FIG 3: 1 MONTH POSTOPERATIVE VEIW Case 2: A fifty years old male patient was referred from Department of Prosthodontics for the second stage dental implant surgery. The patient was evaluated clinically and radiographically. The site of dental implants was determined. The sugical site was adequately anaesthesized using 2% Lignocaine. The laser settings of 1 watt and pulsed mode with interval of 50 ms were made.The laser was used in contact mode. The implant exposure was done until adequate diameter for the placement of gingival formers was available. The gingival formers were placed immediately. FIG 4: PRE OPERATIVE VEIW FIG 5: INTRAOPERATIVE VEIW FIG 6: POSTOPERATIVE VEIW Case 3: A twenty four year old female patient was referred from Department of Orthodontics for the exposure of impacted maxillary right canine (13). The patient was evaluated clinically

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