The clinical management of Nd-YAG laser combined with endodontic treatment in localized severe periodontitis patient: Case evaluation

This report is purposed to provide a holistic perception on treating localized severe periodontitis case. Fifty-five years old male, complaining of recession on his lower incisors #42, #41, #31, #32. Tooth mobility was significantly in buccal-lingual aspects (grade III). Clinical attachment loss (CAL) is up to six mm. Radiograph findings, the height of the alveolar bone loss is up to the apical area. It showed a radiolucent area surround the apical tooth #42 and #32. He is refusing of any tooth extraction. Periodontics, endodontic and dental hygienist was elaborated as a team. The oral hygiene procedure, occlusal adjustment and also temporary splint were performed. Patient had root canal treatment. After evaluation phase, pocket debridement and sulcus conditioning were executed using Nd-YAG LASER. There was a significant enhancement in Bone Density (BD) and Bone Gain (BG). Tooth mobility was reduced. Comprehensive treatment plans are needed to achieve a satisfied long-term result. Case selection is important to give a predictable outcome. Adequate oral hygiene procedure, supportive periodontal therapy (SPT) and periodic recall are required to maintain the result.