Mrs. C was unhappy with her current smile, which was ravaged by periodontal disease. The remaining upper teeth were extracted, 6 implants placed, and a full arch immediate load temporary inserted. 4 months later, the final prosthesis was delivered. Patients in Philadelphia, the Main Line and surrounding areas no longer need to suffer with removable dentures and “goop” to hold them in. Fixed implant restorations restore functional ability and give people renewed confidence knowing they can smile bright and eat what they want.
A new study from these renowned authors shows the effectiveness of the Er:YAG laser in treating ailing and failing dental implants. We are proud to be one of the few offices in the area using this type of laser for periodontal and implant treatment.
Use of Er:YAG Laser to Decontaminate Infected Dental Implant Surface in Preparation for Reestablishment of Bone-to-Implant Contact
Myron Nevins, DDS/Marc L. Nevins, DMD, MMSc/Atsuhiko Yamamoto, DDS, PhD/Toshiaki Yoshino, DDS, PhD/Yoshihiro Ono, DDS/Chin-Wei (Jeff) Wang, DDS/David M. Kim, DDS, DMSc
The prevalence of peri-implantitis is of concern to all clinicians participating in implant dentistry. Peri-implant inflammation results in the loss of supporting bone for the implant that may or may not be accompanied by bleeding on probing and suppuration. Early diagnosis and intervention are mandated, but there is a paucity of evidence leading to the most effective therapy. There is agreement that one of the challenges in surgically treating peri-implant defects is the process of cleaning and decontaminating the implant surface, which may be contaminated by bacterial aggregates. This preclinical canine study investigates the erbium:yttrium-aluminum-garnet laser to decontaminate the complex rough surface of the implant by stripping the contaminated oxide layer for induction of hard and soft tissue adaptation to a compromised or failing implant. The results provide evidence of new bone-to-implant contact established at a level representative of the size of the defects. The soft tissues contain little or no evidence of inflammation, which can be interpreted as an arrest of the disease progression process. The results can be translated to a treatment goal of stabilizing the prognosis of an implant that has been compromised. (Int J Periodontics Restorative Dent 2014;34:461–466. doi: 10.11607/prd.2192)
Many patients have avoided treating their gum disease because they are fearful of surgical procedures. Thankfully, we are able to offer our patients a marvelous alternative to traditional treatment. Utilizing a ErCr:YSGG laser, we can effectively manage almost all cases of periodontal disease in a minimally invasive, painless manner. The laser energy is used to kill the bacteria and removed disease tissue that are causing you to lose bone around your teeth and harming the rest of your body.
In one single office visit, Dr. Waasdorp can treat your entire mouth with a laser to eliminate this bacterial infection causing gum disease. “We have been seeing fantastic results with our laser protocol, and patients have been incredibly pleased with the treatment and postoperative course” says Dr. Waasdorp. “This is truly the biggest innovation to happen in periodontics since dental implants and should be the standard of care”
Traditional periodontal disease surgical treatment cuts away the infected tissues, which are then sutured. Laser gum disease treatment, however, involves no cutting or sewing. There is minimally post op discomfort, which has been great for our fearful patients.
Dr. Waasdorp is the only periodontist on the Main Line to offer this laser periodontal disease treatment to patients.
Periodontal Health an Important Factor in Better Diabetes Control
A new consensus report from the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) finds that periodontal health may play an important role in the management of diabetes. The report outlines clinical recommendations for dental professionals to use when treating people with diabetes and emphasizes the importance of annual comprehensive periodontal evaluations (CPE) as part of an effective diabetes management program. The consensus report is based on a large body of scientific evidence that suggests periodontal health may be helpful in controlling diabetes.
“The relationship between periodontal disease and diabetes is a bit of a catch-22,” says Dr. Stuart J. Froum, DDS, President of the AAP, clinical professor and Director of Clinical Research in the Department of Periodontics and Implant Dentistry at New York University Dental Center. “People living with diabetes are more likely to develop periodontal disease. At the same time, periodontal disease makes it more difficult for people with diabetes to control their symptoms because it can impair the body’s ability to process and/or utilize insulin.”
Periodontal disease, or gum disease, is an inflammatory condition that if left untreated may cause damage to the tissues and bone surrounding the teeth and can eventually lead to tooth loss. In addition to diabetes, periodontal disease has been linked to other systemic diseases, including cardiovascular disease, rheumatoid arthritis, and Alzheimer’s disease.
“Both periodontal disease and diabetes present serious public health problems, with millions of Americans affected by one or both of these conditions,” says Dr. Froum. “With what we now know about the impact periodontal health has on diabetes management, it is crucial for people diagnosed with diabetes to maintain healthy teeth and gums. This includes diligent home care, including brushing at least twice a day and flossing at least once a day, as well as receiving a CPE from a dental professional at least once a year. Treatment of periodontal disease in patients with diabetes has been shown to improve control of the disease.”
With Laser Periodontal Therapy, periodontal disease can be effectively managed non surgically in most cases in our Bala Cynwyd office, helping patient keep their teeth and smiles for a lifetime.
With gum disease becoming associated with a myriad of inflammatory diseases such as heart disease, diabetes, stroke, and alzheimer’s, it’s extremely important to treat the mouth as part of a comprehensive, holistic approach. Gum disease, which is an inflammatory disease in your mouth, elevates systemic inflammation which can exacerbate other diseases in your body.
Traditional therapies, although effective, have been associated with post op discomfort, cold sensitivity, and longer teeth. Laser gum treatment, which is equally effective in most cases, allows us to offer a minimally invasive, pain free solution to our patients without the side effects.
We are incredibly excited to offer this technology to the patients, and Dr. Waasdorp is proud to be the first periodontist on the Main Line to do so. Since there are no incisions made or sutures needed, patients don’t need to be taken off blood thinners for the procedure. Those that have avoided treatment due to fear of surgery can be effectively cared for in a quick, easy, virtually painless fashion.