One-stage, Full-mouth Sulcular Debridement with FRP 1064 Nd:YAG as Adjunctive to a Full Mouth Initial Periodontal Therapy: A Clinical Case Series Retrospective Study
*Corresponding Author: Beatrijs Deruyter, Liedekerke, Belgium.
Received: September 25, 2021; Published: December 16, 2021
Objective: In an attempt to enhance the treatment outcomes of anti-infective periodontal therapy, the one-stage, full-mouth therapy has been the most logic way of treating chronic adult periodontitis. Still, quadrant scaling and root planing are considered standard treatment with accepted limited results and loss of dental structures. One-stage, full-mouth debridement with FRP 1064nm Nd:YAG in conjunction with ultrasonic scaling can provide a cost-effective alternative procedure for gain in clinical attachment to meet patients’ and clinicians’ expectations. In this limited study in a private practice, clinical attachment levels are compared to what is known as the standard conventional treatment in periodontics. One-stage, full-mouth procedure eliminates cross-contamination. The Thermal laser effect, might play an important role in the significant difference in results between compared to other alternative protocols to treat chronic periodontitis. Simplification of the protocol with FRP 1064nm Nd:YAG leads to a cost-effective procedure with more predictable results.
Summary Background Data: This retrospective study evaluates a series of clinical cases.
Material and Methods: Data were collected from 53 patients with a severe periodontal screening index. All were treated with the same protocol of one-stage, full-mouth disinfection of scaling, in combination with laser attachment procedure (LAP), FRP 1064 nm Nd:YAG and indicated antimicrobial therapy where necessary. Clinical attachment gain was compared to the results of other one-stage, full-mouth procedures and quadrant treatment. Clinical evaluation of the attachment gain was assessed after two months, eight months, up to 14 months.
Conclusion: The combination of one-stage, full-mouth scaling, laser attachment procedure for debridement of the pocket, disinfection of the exposed dentine and specific indicated antibiotics where needed, provides a predictable outcome of statistically significant gain in attachment level. Because of its simplicity, the treatment can be performed in a one-hour chairside protocol and can be provided for most patients, even those with serious medical antecedents.
Keywords: One-stage; Full-mouth Disinfection; Nd:YAG; Gain in Clinical Attachment; Cost-effective Procedure; Thermal Confinement
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