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LA&HA - Journal of the Laser and Health Academy

2019 Volume: 2019 | number: 1
ISSN (print):1855-9913 | ISSN (web): 1855-9921

Combined Er:YAG and Nd:YAG Laser Treatment of Localized Gingival Overgrowth

Mojca Trost, Boris Gaspirc


Pages: 19-21

Localized gingival overgrowths belong to a common group of lesions designated as focal reactive overgrowths. They occur in response to chronic, low‑grade irritation caused by plaque or any other irritant. They have multifactorial etiopathogenesis but exhibit similar clinical features with slight variations in patient complaints. The purpose of the case presentation is to evaluate the ability of neodymium and erbium lasers to non-surgically treat the localized gingival overgrowth. A 48-year-old female patient with a gingival overgrowth in the interdental area of teeth 22 and 23 was successfully treated by Nd:YAG and Er:YAG lasers. As the first step, Nd:YAG laser was used to lower the bacterial load in the periodontal pocket and thermally ablate the ulcerated pocket epithelium. In the second step, Er:YAG laser was used to debride the root surface and lengthen the clinical crown to restore the normal gingival biological width. The patient was extremely satisfied with the significant improvement in the contour and colour of her gingiva. The lesion retreated, and completely disappeared after eight weeks.

Combined Er:YAG and Nd:YAG Laser Treatment of Localized Gingival Overgrowth

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