The clinical management of Nd-YAG laser combined with endodontic treatment in localized severe periodontitis patient: Case evaluation

This report is purposed to provide a holistic perception on treating localized severe periodontitis case. fifty-five years old male,complaining of recession on his lower incisors #42,#41,#31,#32. tooth mobility was significantly in buccal-lingual aspects (grade iii). clinical attachment loss (cal) is up to six mm. radiograph findings,the height of the alveolar bone loss is up to the apical area. it showed a radiolucent area surround the apical tooth #42 and #32. he is refusing of any tooth extraction. periodontics,endodontic and dental hygienist was elaborated as a team. the oral hygiene procedure,occlusal adjustment and also temporary splint were performed. patient had root canal treatment. after evaluation phase,pocket debridement and sulcus conditioning were executed using nd-yag laser. there was a significant enhancement in bone density (bd) and bone gain (bg). tooth mobility was reduced. comprehensive treatment plans are needed to achieve a satisfied long-term result. case selection is important to give a predictable outcome. adequate oral hygiene procedure,supportive periodontal therapy (spt) and periodic recall are required to maintain the result.