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PERIODONTIC SECTION
































           Fig 10-11: A collagen membrane was placed before primary closure of the surgical site with sutures


                                                                    implant, and provide greater control and more precise targeting of
                                                                    infected tissue  than can  be  achieved  with conventional protocols
                                                                    (Figure 12).
                                                                      As  such,  the  use of  erbium YAG  lasers can  help  restore  the
                                                                    implant surface to its original condition, improving the long-term
                                                                    outlook for bone and soft tissue health, longevity of the implant and,
                                                                    ultimately, the patient experience. n
                                                                    References:
                                                                    •  Baudot F (2017) Er:YAG laser for peri-implantitis treatment.
                                                                     Implantology 4: 6-12
                                                                    •  Shibli  JA  (2018)  Is  laser  the  best  choice  for  the
                                                                     treatment of periimplantitis? Photomedicine and Laser Surgery
                                                                     36(11): 569-70
           Fig 12: Improved reach and control can be achieved with
           erbium YAG laser technology

           of the surgical site with a closed flap technique and sutures (Figures
           10 and 11).                                                ABOUT THE AUTHOR
              The patient’s postoperative care included 500mg of amoxicillin
           three times daily for seven days, and he was advised to follow a softer   Dr Senthil Thiagarajan,
           diet for six weeks.                                                      BDS, MPH, IQE,MFDS, MSc
              The use of a salt-water mouthwash was recommended during the          Senthil is the clinical director and principal
           24 hours after treatment, with analgesics as required.                   dentist at Smile Suffolk. He has a keen
              After two weeks, the patient returned for the healing site to be      interest in the fields of cosmetic dentistry
           examined. He will be invited back after three months and, should         and dental implantology. Senthil holds an
                                                                                    MSc in oral surgery and dental implants
           the hard and soft tissues look favourable, he will be fitted with a new   as well as a postgraduate certificate
           abutment and crown.                                                      in cosmetic and aesthetic restorative
                                                                                    dentistry. Since graduating, Senthil has
           IMPROVED REACH AND CONTROL                                 advanced his clinical experience by holding senior house
           Laser technology as part of the treatment workflow for peri-implantitis   officer posts in oral and maxillofacial surgery at several
           offers the clinician the most advanced tool to deal with this condition.  hospitals. Senthil regularly holds in-practice observation
              All-tissue lasers extend the reach for difficult-to-access parts of the   days covering all applications of laser dentistry.

           18  Dental Practice I November-December 2024 I Vol 20 No 5
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