2012年9月11日星期二

Periodontal pockets treatment


Clinical Explanation: 
It is a set of inflammatory diseases affecting the periodontium,i.e.,the tissues that surround and support the teeth. Periodontitis involves progressive loss of the alveolar bone around the teeth, and if left untreated, can lead to the loosening and subsequent loss of teeth. Periodontitis is caused by microorganisms that adhere to and grow on the tooth's surfaces, along with an overly aggressive immune response against these microorganisms.

Related Key-words: 
Periapical abscess,diode laser,200um bare fiber

Medical device: 
CHEESE 4W 980nm (output power 2w-3.5w,CW )

Accessories:
200um bare fiber,dental surgery handpiece with tips

Operation procedure: 
(decontamination procedure and therapy treatment)


1.While the lasing time is different, the laser motion used for both the decontamination procedure and laser therapy is exactly the same. And we penetrate to the depth of the pocket for both procedures.


2.For the decontamination procedure, the goal is to reduce the number of bacteria in the pocket around every tooth in the mouth to avoid bacteremia during the cleaning phase.So it will take 5-8 minutes to decontaminate the pocket space of 28 teeth,depending on pocket depth.


3.For the perio therapy treatment phase, of course,the goal is to eliminate the diseased tissue in the sulcus of all of the teeth in the quadrant being treated.It spends approximately 30-60s per tooth,again depending on the depth of the pocket and the severity of the inflammation present. This procedure adds about 5-7 minutes to the periodontal therapy appointment.


4.Hold the dental handpiece with a pen-like grasp,and keep high-speed suction next to the fiber while the laser power is on.Starting with the lowest power setting for the procedure that you are performing.

5.Placing the laser fiber into the gingival pocket,aiming the fiber toward the
tissue.Adjusting the power setting to the degree of inflammation as you work.(less power for less inflammation;more power as needed).

6.Using 2*2 gauze to clean the fiber tip each time you come out of the pocket.


Result:
Results were considered excellent when there was complete resolution without any skin changes (no color or textural changes) and no recurrence of the lesion after follow-up.


Advantage:
Laser treatment is painless and bloodless,it allows removal of only the diseased
tissue;meanwhile,it provides simultaneous coagulation of blood vessels,providing an optimal environment for speedy healing.






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