Erbium-doped yttrium aluminum garnet laser and advanced plateletrich fibrin+in periodontal diseases:Two case reports and review of the literature

作     者：Kai-Seng Tan 

作者机构：DentistryRitz Digital Dental ClinicNew Taipei 238Taiwan 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第33期

页      面：12337-12344页

核心收录：

学科分类：1003[医学-口腔医学] 1002[医学-临床医学] 100302[医学-口腔临床医学] 10[医学] 

主　　题：Erbium-doped yttrium aluminum garnet laser Advanced platelet-rich fibrin+ Periodontology Tissue regeneration and healing Wound healing Case report 

摘      要：BACKGROUND The goal of periodontal disease treatment is to completely remove bacteria and promote wound *** erbium-doped yttrium aluminum garnet(Er:YAG)laser is commonly used to treat periodontal *** platelet-rich fibrin+(A-PRF+)secrets growth factors that accelerates soft-and hard-tissue regeneration and wound *** I present 2 cases of patients with oral diseases treated with a combination of Er:YAG laser and A-PRF+.CASE SUMMARY Case 1 was a female with pocket depth bone loss over 8 mm and infection of tooth 31 and 41,and severe advanced periodontitis with grade III *** 2 was a male with tooth 22 root end apical swelling and infection and alveolar bony *** outcomes were recorded at 6 and 36 *** case 1,the Er:YAG laser was used to perform open flap debridement(100 mJ/pulse,15 Hz)and remove calculus and granulation tissue(50 mJ/pulse,30 Hz).In case 2 the laser was used to create a semilunar full thickness flap incision(80 mJ/pulse,20 Hz)and eliminate the pathogen(100 mJ/pulse,15 Hz).In both patients,A-PRF+mixed with bone was used to fill bone defects,and A-PRF+autologous membranes were used to cover tension-free primary *** was no recurrent infection at 36 mo,and tissue regeneration and would healing *** Debridement with an Er:YAG laser followed by treatment with A-PRF+is effective for the treatment periodontal diseases with bone defects.