Roncati Marisa, Lucchese Alessandra, Carinci Francesco
Department of Specialistic and Odontostomatologic Clinical Sciences, School for Dental Hygienists, Polytechnic University of Marche, Ancona, Italy.
Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.
J Indian Soc Periodontol. 2013 Nov;17(6):812-5. doi: 10.4103/0972-124X.124531.
An 810-nm diode laser was used to non-surgically treat a 7-mm pocket around an implant that had five threads of bone loss, BoP+, and exudate, and the patient was followed up for 5 years. Non-surgical treatment, home care reinforcement, clinical indices records, and radiographic examination were completed in two consecutive 1-h appointments within 24 h. The patient was monitored frequently for the first 3 months. Subsequently, maintenance debridement visits were scheduled at 3-month intervals. The patient had a decreased probing pocket depth and a negative BoP index compared to initial clinical data, and the results were stable after 1 year. After 5 years of follow-up visits, there appeared to be rebound of the bone level radiographically. Within the limits of this case report, conventional non-surgical periodontal therapy with the adjunctive use of an 810-nm diode laser may be a feasible alternative approach for the management of peri-implantitis. The 5-year clinical and radiographic outcomes indicated maintenance of the clinical improvement.
使用一台810纳米二极管激光对一枚种植体周围7毫米深、存在5个螺纹骨吸收、探诊出血阳性（BoP+）且有渗出物的牙周袋进行非手术治疗，并对患者进行了5年的随访。非手术治疗、强化家庭护理、临床指标记录以及影像学检查在24小时内连续两次1小时的预约就诊中完成。在最初的3个月对患者进行频繁监测。随后，每3个月安排一次维护性清创就诊。与初始临床数据相比，患者的探诊牙周袋深度减小且探诊出血指数为阴性，1年后结果稳定。经过5年的随访就诊，影像学检查显示骨水平似乎出现了反弹。在本病例报告的范围内，常规非手术牙周治疗联合使用810纳米二极管激光可能是治疗种植体周围炎的一种可行替代方法。5年的临床和影像学结果表明临床改善得以维持。
