Clinical Case Evaluating Improved Gingival and Periodontal Health Indices After Laser Therapy and Local Antibiotics as an Adjunct to Periodontal Therapy

Shilpi Priyadarshini, G. Tyagi, A. Lewis, Heidi Stubblefield, Ashish Veerji
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Abstract

The article describes a case study of a 39-year-old male patient who presented to the clinic with pain on lower right side of the mouth. The patient had a medical history of hypertension and ulcerative colitis, and social history negative for smoking, alcohol, and any other recreational drug usage. A diagnosis of Chronic Generalized stage II adult periodontitis (Grade B) was made, and a treatment plan of therapeutic scaling and root planning was recommended, along with laser therapy and Arestin in the localized areas of deep pockets. Laser assisted periodontal therapy (LAPT) was initiated using 3Biolase Epic H 940 nm diode laser, and the patient received Arestin on specific sites. The article highlights the importance of oral health as a window to systemic health and emphasizes the need for dentists and physicians to actively introduce the mouth-body connection in their patient care regime. The article also emphasizes the importance of eliminating bacteria and developing treatment plans that include continuous maintenance care. With the advent of laser technology for intraoral use, periodontal therapy coupled with laser therapy and localized antibiotics lead to more predictable healing outcomes with minimal post-operative complications
评估激光治疗和局部抗生素辅助牙周治疗后牙龈和牙周健康指数改善的临床病例
本文描述了一个39岁男性患者的病例研究,他因口腔右下侧疼痛而来到诊所。患者有高血压和溃疡性结肠炎病史,吸烟、饮酒和任何其他娱乐性药物使用的社会史均为阴性。诊断为慢性全身性II期成人牙周炎(B级),建议采用治疗性刮治和根管规划的治疗方案,以及激光治疗和阿雷斯汀治疗局部深袋区域。激光辅助牙周治疗(LAPT)是使用3Biolase Epic H 940nm二极管激光启动的,患者在特定部位接受阿雷斯汀治疗。这篇文章强调了口腔健康作为系统健康窗口的重要性,并强调牙医和医生需要在他们的患者护理制度中积极引入口体联系。文章还强调了消除细菌和制定包括持续维护护理在内的治疗计划的重要性。随着口腔内使用激光技术的出现,牙周治疗与激光治疗和局部抗生素相结合,可带来更可预测的愈合结果,并将术后并发症降至最低
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