Salvaging the second molar with platelet-rich fibrin and photobiomodulation (970 nm diode laser) following third molar extraction

Second molars are more susceptible to periodontitis when present adjacent to periodontally hopeless third molars. It is crucial to restore the health of the second molar and to prevent a dry socket after third molar extraction. To ensure complete eradication of infection along with regeneration, mer...

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Bibliographic Details
Published in:Journal of Indian Society of Periodontology 2024-01, Vol.28 (1), p.129-131
Main Authors: Deepthi, M, Gowda, Triveni Mavinakote, Shah, Rucha, Kumar, A B Tarun, Priya, Saloni
Format: Article
Language:English
Subjects:
Case Report
Decontamination
Fibrin
Lasers
low-level laser therapy
Molars
Periodontitis
platelet-rich fibrin
Platelets
Regeneration
Teeth
wound healing
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Summary:Second molars are more susceptible to periodontitis when present adjacent to periodontally hopeless third molars. It is crucial to restore the health of the second molar and to prevent a dry socket after third molar extraction. To ensure complete eradication of infection along with regeneration, mere nonsurgical periodontal therapy might be inadequate. Thus, in this case report, high-level laser therapy (HLLT), advanced-platelet-rich fibrin (A-PRF), and low-level laser therapy (photobiomodulation [PBM]) were adapted to obtain a synergistic effect. HLLT was accomplished for decontamination and clot stabilization following the third molar extraction. Further, A-PRF was placed and irradiated with PBM on 3 , 7 , 15 , and 21 days, postoperatively. There was reduced clinical probing depth and gain in clinical attachment level with a significant radiographic bone fill distal to second molar at 3 months follow-up. This combined use of HLLT, and PBM along with PRF could be a reliable treatment approach for regeneration, particularly in acute infections.
ISSN:0972-124X
0975-1580
DOI:10.4103/jisp.jisp_28_23