Laser for Extraction on Bisphosphonate Patient

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February 23, 2009 at 11:10 am #4470 Reply

d2thdr
Spectator

I’m grasping at straws to help this woman, and on the way through the discussion, began to wonder if anyone has tried to extract teeth on a patient with a long history of IV bisphosphonate therapy using the laser as a means to not traumatize the bone?

Am I daffy wondering about this? There are 3 teeth that would be removed, 2 molars and a bicuspid….all mandibular.

Thanks

September 28, 2010 at 3:44 pm #21588 Reply

smackler
Spectator

Hi, I am a very new user of LANAP and have a similiar question about a patient who has experienced significant radiotherapy for esophageal cancer for areas 17-20. teeth 18,19 have deep furcation involvement and I am searching for similiar answers. I think it should be great for LANAP but no data? thanks for any insight.

October 5, 2010 at 2:13 pm #21587 Reply

2thlaser
Spectator

@d2thdr 55188 wrote:

I’m grasping at straws to help this woman, and on the way through the discussion, began to wonder if anyone has tried to extract teeth on a patient with a long history of IV bisphosphonate therapy using the laser as a means to not traumatize the bone?

Am I daffy wondering about this? There are 3 teeth that would be removed, 2 molars and a bicuspid….all mandibular.

Thanks

Murph,
Great questions. I think the laser Er:YAG would be a great choice in using a small 200-300 micron tip to trough around the PDL, and gently loosen up the tooth, like a periotome. I have done this routinely and it works great. Next I follow with the Nd:YAG and clot the blood and biostim the site for 2 min after the procedure, and there is extremely fast healing and virtually zero pain afterwards…just my experiences….Good luck, let us know what you decide to to!
Mark
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