Laser light in the marginal gingiva aesthetics at the staged orthopedic treatment in dentistry (practical experience)

Abstract

Purpose. To identify clinical features of laser light application for correcting the contour of soft tissues in aesthetic and functional zones at various stages of orthopedic rehabilitation of patients with fixed dentures. Material and methods. Results of examination and primary or repeated treatment of 66 patients aged 30-75 with defects in the tooth crown were taken as a basic clinical part of the work. Correction of the gingival contour by cutting off and coagulation was made with a laser device (Siro Laser Advance), fiber diameter 200 μm, output power 6W and 3W, in continuous mode. Results. In 12-36 months of follow-up, clinically and by photo protocols as well as by the index assessment, there was seen a positive trend in the inflammatory process in the periodontal tissues comparing to the initial examination; there were no signs of recession and changes in the gingival contour either. Radiographically, dentures fitted snugly, there were no signs of bone resorption as well as no signs of root caries by the cone-beam computed tomography. Conclusion. Laser light, being used at the preparatory stages of the dental orthopedic treatment, significantly improves aesthetic and functional outcomes in rehabilitation of patients with fixed dentures.