Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN:
1312-773X (Online)
Issue:
2020, vol. 26, issue3
Subject Area:
Dental Medicine
-
DOI:
10.5272/jimab.2020263.3271
Published online: 05 August 2020
Original articles

J of IMAB. 2020 Jul-Sep;26(3):3271-3277
PROTOCOL FOR PERIODONTAL TOOTH PREPARATION WITH ER-YAG LASER BEFORE FIXED PROSTHETIC TREATMENT
Plamen Nenkov1


, Metodi Z. Abadzhiev1
, Polina Velcheva2
,
1) Department of Prosthetic Dental Medicine, Faculty of dental medicine, Medical University - Varna, Bulgaria.
2) Department of Conservative Dental Treatment and Oral Pathology, Faculty of dental medicine, Medical University - Varna, Bulgaria.
ABSTRACT:
Purpose: Every clinician encounter isses with problematic periodontal tissue around teeth intended to be treatet prosthetically. Swollen, reddish, with deeper periodontal pockets and and impossible to dry up with air flow. Such teeth should be treated rapidly and minimally invasive. The purpose of this study was to create an algorithm for periodontal tooth preparation with Er-YAG laser before prosthetic treatment.
Material/Methods: It was used examination and diagnosis of teeth for the purpose of prosthodontic treatment according to the periodontal status by using UNC 15 perio-probe and electronic periodontal probe Pa-On and Er-YAG dental laser. There were examined 216 periodontal units, 106 of them treated according to the suggested protocol. An innovative approach was used by considering all treated teeth suitable for impression by the visual indicator –periodontal margin condition (lack of inflammatory symptoms, lack of bleeding, lack of redness, presence of pink, dense gingiva. Record of the day with “pink gingiva” appear was made.
Results: 216 units measured with a conventional and electronic periodontal probe in inflammatory status and after periodontal treatment. It was registered a significant difference between the data from the conventional periodontal probe and the electronic one.
Teeth prepared for prosthetic treatment were 106. By using a blind randomized clinical trial, 50% of them were prepared for prosthetic impression by using ultrasonic and the other half by using Er-YAG laser.
Teeth prepared for Prosthodontic impression are heathy between 2nd and 7th day after preparation (61.54% -2nd day; 38.46% - 7th day) while the controlled group is between the 14th and the 21st day (33.33% -14th day; 62.96% - 21st day). The total amount of attachment gain in such a short period of time by the protocol suggested by the authors is 1mm.
Conclusions: Considerable dental units show difference in periodontal pocket depth measurement to such degree that could lead to misdiagnosis and unnecessary treatment. Great difference is observed mainly between gingival pocket depth and superficial periodontitis.
Keywords: Periodontal preparation for Prosthetic treatment, Prosthetic impression, Er-YAG laser, periodontal probe, periodontal pocket depth, Pa-On,
- Download FULL TEXT /PDF 3594 KB/
Please cite this article as: Nenkov P, Abadzhiev MZ, Velcheva P. Protocol for periodontal tooth preparation with Er-YAG laser before fixed prosthetic treatment. J of IMAB. 2020 Jul-Sep;26(3):3271-3277. DOI: 10.5272/jimab.2020263.3271
Correspondence to: Plamen Nenkov, MU Varna; Prosthetic dental medicine; G. Rakovski str.63, Varna 9000, Bulgaria; E-mail: pl.nenkov@gmail.com
REFERENCES:
1. Van der Zee E, Davis EH, Newman HN. Marking width calibration from tip and tine diameter of periodontal probes. J Clin Periodontol. 1991 Aug;18(7):516-20. [PubMed] [Crossref]
2. Abadzhiev M. Comparative research of the subgingival impression quality by fixed prosthesis using one and double cord retraction technique. J of IMAB. 2009;10(2):52-54. [Crossref]
3. Lindhe J, Lang NP, Karring T. Clinical Periodontology and Implant Dentistry. 5 edition. Wiley-Blackwell. April 7, 2008. [Internet]
4. Lang NP, Tan WC, Krähenmann MA, Zwahlen M. A Systematic Review of the Effects of Full-Mouth Debridement With and Without Antiseptics in Patients With Chronic Periodontitis. J Clin Periodontol. 2008 Sep;35 (8 Suppl):8-21. [PubMed] [Crossref]
5. Aoki A, Watanabe H, Namiki N, Takiguchi T, Miyazawa Y, Suzuki M, et al. Periodontal soft tissue management with a high pulse rate Er:YAG laser. Int Congress Series. 2003 May;1248:367-9. [Crossref]
6. Aoki A, Sasaki KM, Watanabe H, Ishikawa I. Lasers in nonsurgical periodontal therapy. Periodontology 2000. 2004;36:59-97. [PubMed] [Crossref]
7. Romeo U, Libotte F, Palaia G, Del Vecchio A, Tenore G, Visca P, et al. Histological in Vitro Evaluation of the Effects of Er:YAG Laser on Oral Soft Tissues. Lasers Med Sci. 2012 Jul;27(4):749-53. [PubMed] [Crossref]
8. Krohn-Dale I, Bøe OE, Enersen M, Leknes KN. Er:YAG Laser in the Treatment of Periodontal Sites With Recurring Chronic Inflammation: A 12-month Randomized, Controlled Clinical Trial. J Clin Periodontol. 2012 Aug;39(8):745-52. [PubMed] [Crossref]
9. Petersilka GJ, Ehmke B, Flemmig TF. Antimicrobial effects of mechanical debridement. Periodontology 2000. 2002; 28:56-71. [PubMed] [Crossref]
10. Lang NP, Suvan JE, Tonetti MS. Risk Factor Assessment Tools for the Prevention of Periodontitis Progression a Systematic Review. J Clin Periodontol. 2015 Apr;42(16):59-70. [PubMed] [Crossref]
11. Kazakova RT, Tomov GT, Kissov CK, Vlahova AP, Zlatev SC, Bachurska SY. Histological Gingival Assessment after Conventional and Laser Gingivectomy. Folia Med (Plovdiv). 2018 Dec 1;60(4):610-616. [PubMed] [Crossref].
Received: 07 June 2019
Published online: 05 August 2020
back to Online Journal