Carbon dioxide laser-assisted bone regenerative therapy without membrane use

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Dental Sciences Pub Date : 2025-07-15 DOI:10.1016/j.jds.2025.06.018

Yoichi Taniguchi , Akira Aoki , Koji Mizutani , Taichen Lin , Takanori Iwata

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Abstract

Favorable outcomes have been reported with periodontal regeneration therapies using dental lasers for blood clot formation. Herein, we presented the clinical and radiographic outcomes of carbon dioxide laser-assisted bone regenerative therapy (LBRT) in periodontology. A 60-year-old man presented with mobility in teeth 43 and 44. Accordingly, the extraction of tooth 44 and periodontal regeneration using carbon dioxide-LBRT around tooth 43 were planned. After thorough debridement, enamel matrix derivative and carbonated apatite (CA) were applied to the root surface and bone defects, respectively. Thereafter, the filled blood-mixed CA was irradiated using a carbon dioxide laser to accelerate blood clot formation for stabilizing the bone graft. At the 13-month follow-up, significant improvements in clinical parameters were observed, indicating substantial bone regeneration. In this patient, the excellent clinical and radiographic healing demonstrated the efficacy of carbon dioxide-LBRT for periodontal regeneration. Blood clot formation using a carbon dioxide laser may lead to favorable outcomes.

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无膜二氧化碳激光辅助骨再生治疗

据报道，使用牙科激光治疗血栓形成的牙周再生治疗有良好的结果。在此，我们介绍了二氧化碳激光辅助骨再生治疗（LBRT）在牙周病中的临床和影像学结果。60岁男性，43号和44号牙齿活动。因此，我们计划对第44号牙进行拔除，并在第43号牙周围采用二氧化碳- lbrt进行牙周再生。彻底清创后，牙釉质基质衍生物和碳酸磷灰石（CA）分别应用于根面和骨缺损。之后，用二氧化碳激光照射充满血液的混合CA，以加速血凝块的形成，以稳定骨移植物。在13个月的随访中，观察到临床参数的显著改善，表明有大量的骨再生。在这个病人中，良好的临床和影像学愈合证明了二氧化碳- lbrt治疗牙周再生的疗效。使用二氧化碳激光形成血凝块可能会导致良好的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Dental Sciences 医学-牙科与口腔外科

CiteScore

5.10

自引率

14.30%

发文量

348

审稿时长

6 days

期刊介绍： he Journal of Dental Sciences (JDS), published quarterly, is the official and open access publication of the Association for Dental Sciences of the Republic of China (ADS-ROC). The precedent journal of the JDS is the Chinese Dental Journal (CDJ) which had already been covered by MEDLINE in 1988. As the CDJ continued to prove its importance in the region, the ADS-ROC decided to move to the international community by publishing an English journal. Hence, the birth of the JDS in 2006. The JDS is indexed in the SCI Expanded since 2008. It is also indexed in Scopus, and EMCare, ScienceDirect, SIIC Data Bases. The topics covered by the JDS include all fields of basic and clinical dentistry. Some manuscripts focusing on the study of certain endemic diseases such as dental caries and periodontal diseases in particular regions of any country as well as oral pre-cancers, oral cancers, and oral submucous fibrosis related to betel nut chewing habit are also considered for publication. Besides, the JDS also publishes articles about the efficacy of a new treatment modality on oral verrucous hyperplasia or early oral squamous cell carcinoma.