Laser-assisted surgery in the treatment of chronic periodontitis

Authors

  • P. Petrov Department of Maxillofacial Surgery, Faculty of Dental Medicine, Medical University – Plovdiv, Bulgaria Author
  • D. Shopova Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University – Plovdiv, Bulgaria Author
  • I. Aleksiev Private Dental Office, Asenovgrad, Bulgaria Author
  • G. Petrov Faculty of Dental Medicine, Medical University – Plovdiv, Bulgaria Author
  • M. Dimova-Gabrovska Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University – Sofia, Bulgaria Author

DOI:

https://doi.org/10.2478/AMB-2025-0047

Keywords:

periodontitis, laser, endodontic treatment

Abstract

Background: Laser-assisted treatment of pathological processes in the hard and soft periodontal tissues is an innovative approach that offers several advantages compared to traditional methods. Root resorption is a pathological process, in which the degradation of the dental structure is observed, often as a result of trauma, infection, or orthodontic treatment. Our aim is to present a case of total periodontitis, with indications for extraction of the causative tooth, treated with a combined endodontic approach and laser-assisted periapical surgery. Case presentation: A 60-year-old female patient, with total periodontitis of tooth 11, sought help for esthetic correction 5 years ago. During the examination, the following were found: discolored upper right central incisor with a fistula, extensive carious defect involving the cervical tissues, marginal recession, root perforation, and a periapical lesion. Conclusion: Laser-assisted surgery, in combination with precisely executed endodontic treatment, increases the success rate in similar clinical cases and can be considered an appropriate treatment option for clinicians.

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Published

13.06.2025

How to Cite

Petrov, P., Shopova, D., Aleksiev, I., Petrov, G., & Dimova-Gabrovska , M. (2025). Laser-assisted surgery in the treatment of chronic periodontitis. Acta Medica Bulgarica, 52(2), 68-73. https://doi.org/10.2478/AMB-2025-0047