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Donato Dental Middletown NY
Dentist Orange County NY
Donato Napoletano, D.M.D
General, Cosmetic & Laser Dentistry
(845)342-6444
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Albums Archives: CategoriesLaser Treatment

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Laser Treatment-Acute Periodontal Abscess

Posted on March 3, 2015
By sdevine Laser Treatment
In addition to resolving the acute inflammatory condition, tooth mobility was also significantly reduced.
Various treatment options were discussed, including extraction and implant since the prognosis in saving the acutely infected tooth was guarded due to advanced bone destruction and excessive mobility. Patient chose the Laser treatment option first since the remaining teeth needed to be treated for the chronic condition anyway in order to prevent further destruction of bone and subsequent loss of other teeth.Pre-operative close-up view. Note the exudate of puss (suppuration) from the gingival margin.This photo was taken a year post-operatively. While it could be argued from a cosmetic standpoint that an extraction and implant could have produced a more cosmetically pleasing result, this patient was more concerned in not losing her own front tooth. Every patient is different, and for some, losing a front tooth can be psychologically traumatizing.

An acute periodontal abscess typically occurs in patients with untreated chronic periodontitis (gum disease) and in association with moderate-to-deep periodontal pockets. Periodontal abscesses often arise as an acute exacerbation of a preexisting pocket. This case was effectively managed with Laser Therapy. Lasers come in various wavelengths. Dr. Donato Napoletano is trained and certified in utilizing 3 laser wavelengths: Diode, Erbium (Er:YAG) & Neodymium (Nd:YAG). A PerioLase Nd:YAG laser was used in treating this patient’s acute and chronic periodontal condition with a procedure known as LANAP (Laser Assisted New Attachment Procedure).

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LASER Treatment of Failing Implant

Posted on March 3, 2015
By sdevine Laser Treatment
Pocket depth was reduced from 7mm to 3mm. Note also that the gingiva no longer bleeds upon probing.
This patient presented to me for laser treatment of a failing implant (peri-implantitis). Implants were placed about a year previously and patient had undergone 2 surgical grafting procedures to try and save the failing implant. Arrows drawn on x-ray indicate areas of bone deterioration due to persistent chronic infection.Slight compression of gingiva with a probe produced suppuration (puss) which can be seen exiting at the gum-line.Probing into the gum pocket produced more puss and much bleeding.A 7mm pocket depth was present.This photo was taken immediately following LASER treatment with an Nd:YAG Laser. The adjacent implant and teeth were also treated in order to kill any bacteria which may have migrated. The blood clot is left undisturbed and no stitches were required. Patient experienced no discomfort during or following the procedure.This photo was taken about a year later. Note that compression of gingiva no longer produced puss.Before and after x-rays indicate bone regeneration around failing implant. This Peri-implantitis case was treated 4 years ago and is still functioning fine today.

Peri-Impantitis treatment with an Nd:YAG Laser (PerioLase)

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Index of Articles
  • Dental Operating Microscope
    November 2, 2014
  • Using Microscopes to Provide Better Patient Care
    February 23, 2009
  • PerioLase® Gum Surgery
    August 12, 2005
  • A Crowning Achievement in Dental Technology
    November 24, 2004
  • Single-Visit Crowns and Onlays using CEREC 3D
    September 10, 2004
  • Minimally Invasive Dentistry with Lasers and Surgical Microscopes
    July 11, 2004
  • Donato Dental adds Laser Periodontal Therapy to Practice
    May 10, 2004
  • Donato Dental incorporates Microscopic Dentistry to Practice
    April 26, 2004
  • Who Needs Anesthesia?
    March 3, 2004
  • Donato Dental adds Laser Microdentistry to Practice
    January 6, 2004
  • Donato Dental Incorporates Digital Radiography to Practice
    March 3, 2003
Donato Napoletano, D.M.D
(845)342-6444
450 East Main Street
Middletown NY 10940

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