Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2022; 10(33): 12337-12344
Published online Nov 26, 2022. doi: 10.12998/wjcc.v10.i33.12337
Erbium-doped yttrium aluminum garnet laser and advanced platelet-rich fibrin+ in periodontal diseases: Two case reports and review of the literature
Kai-Seng Tan
Kai-Seng Tan, Dentistry, Ritz Digital Dental Clinic, New Taipei 238, Taiwan
Author contributions: Tan KS participated in conception, evaluation, and writing of this case report.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
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Corresponding author: Kai-Seng Tan, DDS, MS, Attending Doctor, Dentistry, Ritz Digital Dental Clinic, 1F., No. 64, Zhenqian St., Shulin Dist., New Taipei 238, Taiwan. dr.tankaiseng@gmail.com
Received: July 15, 2022
Peer-review started: July 15, 2022
First decision: September 25, 2022
Revised: October 5, 2022
Accepted: October 26, 2022
Article in press: October 26, 2022
Published online: November 26, 2022
Processing time: 131 Days and 5.4 Hours
Abstract
BACKGROUND

The goal of periodontal disease treatment is to completely remove bacteria and promote wound healing. The erbium-doped yttrium aluminum garnet (Er:YAG) laser is commonly used to treat periodontal disease. Advanced platelet-rich fibrin+ (A-PRF+) secrets growth factors that accelerates soft- and hard-tissue regeneration and wound healing. Herein 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 mobility. Case 2 was a male with tooth 22 root end apical swelling and infection and alveolar bony defects. Clinical outcomes were recorded at 6 and 36 mo. In 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 flaps. There was no recurrent infection at 36 mo, and tissue regeneration and would healing occurred.

CONCLUSION

Debridement with an Er:YAG laser followed by treatment with A-PRF+ is effective for the treatment periodontal diseases with bone defects.

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

Core Tip: Combined treatment with an erbium-doped yttrium aluminum garnet laser and advanced platelet-rich fibrin+ is effective for the management of severe periodontal disease and infection and in alveolar bone defects.