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Immediate Placement of Ultrashort Implants in an Infected Site With Severe Loss of Soft Tissues and Bone Assisted by Lasers and Light‐Emitting Diode: Case Report With 3‐Year Follow‐Up
Author(s) -
Giannelli Marco,
Materassi Fabrizio,
Bani Daniele
Publication year - 2017
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 - 10.1902/cap.2016.160070
Subject(s) - medicine , soft tissue , dentistry , periodontitis , dental alveolus , bone grafting , implant , surgery
Alveolar bone resorption, a consequence of tooth extraction in infected sites, can substantially jeopardize the outcome of dental implant placement. This report describes a new therapeutic approach in a patient with severe dental‐periodontal infection based on laser and light‐emitting diode (LED) sources for decontamination, anti‐inflammation, and repair/regeneration of soft and hard tissues, and simultaneous placement of implants and biomaterials. Case Presentation: A 55‐year‐old white male with a history of chronic periodontitis presented with destructive dental‐periodontal infection and extended loss of alveolar bone, requiring removal of tooth #11. The patient underwent irradiation with diode (λ 810 and 635 nm) and erbium:yttrium‐aluminum‐garnet lasers and LED (λ 405 nm) for soft and hard tissue decontamination, anti‐inflammation, and biostimulation; grafting of biomaterials for osseoinduction; and simultaneous placement of ultrashort locking taper implants for prosthetic reconstruction. Conclusions: Within the limitations of this single case report, this method gave satisfactory clinical and esthetic results during a 3‐year follow up. This method allowed faster and better healing, rapid prosthetic restoration, and no need for local or systemic antibiotics, with obvious advantages in terms of reduction of discomfort for the patient, number of surgical sessions, and costs.