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Er,Cr:YSGG Laser Debridement of an Infected Socket for Immediate Implant Placement: A Case Report
Author(s) -
Waasdorp Jonathan A.
Publication year - 2018
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1002/cap.10023
Subject(s) - debridement (dental) , medicine , implant , dentistry , granulation tissue , laser , surgery , wound healing , optics , physics
Immediate implants offer several advantages for patients, and evidence suggests they can be performed in sites with apical infection following thorough debridement. This report demonstrates the successful use of a unique erbium chromium‐doped:yttrium scandium gallium, and garnet (Er,Cr:YSGG) laser tip to degranulate a deep apical infection otherwise inaccessible to traditional instruments prior to implant placement. Case Presentation One case is presented where a failing mandibular left incisor with a deep peri‐apical infection was replaced with an immediate dental implant. Following removal of the tooth and debridement with conventional instruments, the socket was Er,Cr:YSGG laser‐ablated with a 26‐mm long radial firing tip. The granulation tissue was removed on the laser tip, and an immediate implant was placed which was successfully restored. Conclusions This report demonstrates a technique using an Er,Cr:YSGG laser with radial firing tip for debridement of extraction sites. It is a relevant, useful tool in the armamentarium as the laser energy is directed both apically and laterally. This provides a minimally invasive way to debride the site that does not entail osseous removal.