Published online Aug 20, 2014. doi: 10.5321/wjs.v3.i3.25
Revised: June 12, 2014
Accepted: July 17, 2014
Published online: August 20, 2014
Processing time: 111 Days and 17.3 Hours
We report the case of 27-year-old female patient applied to our clinic with several pain at her upper teeth and weakness complaints. Anamnesis revealed that she experienced laser gingivectomy to have remarkable teeth. Clinical examination showed that maxillar alveolar bone was partially uncovered with gingivae and periosteum. Interproximal necrosed area was observed. She had sensitivity at her maxillar anterior teeth. Furthermore, she was so anxious and depressed. In order to ensure more blood supply and clot formation, perforations on uncovered cortical bone was prepared. Avoiding from infection antibiotic, antiseptic gel and for epithelization vitamin E gel were prescribed. During one month she was recalled every third day. Recall times diminished periodically, as new tissue evolves. Although laser’s irreversible photothermal effects on soft and hard tissue, after a year all denuded areas were covered with healthy tissues without any surgical procedures. Histopathologic comparing showed severe lymphocyte infiltration and increased fibrosis and kollagenization in restored gingiva, additionally epithelial loss was observed. Since there is not a case report about the complications of laser gingivectomy in literature, we tried to represent a treatment plan that may be elucidative for clinicians.
Core tip: A female patient who was exposed to an improper laser gingivectomy had serious soft and hard tissue loss. Maxillar alveolar bone was partially uncovered with gingiva and periosteum. Moreover necrosed area was observed on bone. Although high heat released during laser application caused several irreversible tissue loss, non-surgical treatment we established resulted in satisfactory aesthetic and functional gains.