Laser assisted dentistry with ridge preservation (LARiP)
A laser-assisted ridge preservation method is performed using a free-running (FR) pulsed neodymium yttrium aluminum garnet (Nd:YAG) laser device. The method includes one or more of photothermally denaturing and vaporizing encapsulated granulomatous tissues with the laser device on all sides of a socket of an extracted tooth, and irradiating the socket with the laser device to form a thrombus. A bone graft material may be placed into the thrombus.
1. A laser-assisted ridge preservation method, using a laser device comprising:
first photothermally denaturing and vaporizing encapsulated granulomatous tissues with a free-running pulsed neodymium yttrium aluminum garnet laser device on a plurality of sides of a socket of an extracted tooth, wherein the free-running pulsed neodymium yttrium aluminum garnet laser device operates between 2.4 to 3.0 Watts average power, wherein the free-running pulsed neodymium yttrium aluminum garnet laser device has a pulse rate of 20 Hz, wherein the free-running pulsed neodymium yttrium aluminum garnet laser device has a pulse duration of 100 to 150 μsec, wherein a socket with blood remains after a tooth extraction;
second irradiating the socket and blood with the free-running pulsed neodymium yttrium aluminum garnet laser to form a stable thrombus, wherein the irradiating is performed with a repetition rate from the free-running pulsed neodymium yttrium aluminum garnet laser between 3.0 to 3.6 Watts average power, wherein the free-running pulsed neodymium yttrium aluminum garnet laser device has a pulse rate of 10 to 30 Hz, wherein the free-running pulsed neodymium yttrium aluminum garnet laser device has a pulse duration of 550 to 650 μsec;
third placing a bone graft material into the stable thrombus; and
fourth performing photobiomodulation to accelerate wound healing wherein the photobiomodulation uses the free-running pulsed neodymium yttrium aluminum garnet laser with pulse duration of 100 μsec wherein the free-running pulsed neodymium yttrium aluminum garnet laser device operates between 1500 to 3000 Watts peak power.
2. The laser-assisted ridge preservation method of claim 1 , wherein the tooth is extracted atraumatically along a root surface and through a periodontal ligament.
3. The laser-assisted ridge preservation method of claim 1 , wherein the irradiating to achieve the stable thrombus is performed with an output energy from the free-running pulsed neodymium yttrium aluminum garnet laser between 100 to 200 Joules for a bicuspid tooth, wherein the irradiating is performed with an output energy from the free-running pulsed neodymium yttrium aluminum garnet laser between 300 to 600 Joules for a molar tooth.
4. The laser-assisted ridge preservation method of claim 1 , wherein the bone graft material is a bone substitute which has a slow resorption by host tissues.
5. The laser-assisted ridge preservation method of claim 1 , wherein the bone graft material is placed into the stable thrombus in an alveolus from the depth of the alveolar process to a crestal bone such that a graft is submerged and is contained within the stable thrombus.
6. The laser-assisted ridge preservation method of claim 1 , wherein the photobiomodulation is used to accelerate wound healing after placement of the bone graft material.
7. The laser-assisted ridge preservation method of claim 1 , wherein after the bone graft material is placed, the bone graft material is condensed.
8. The laser-assisted ridge preservation method of claim 1 , wherein photobiomodulation with the free-running pulsed neodymium yttrium aluminum garnet laser is used to accelerate wound healing after placement, submergence, and condensation of a spongious bone graft material within the stable thrombus.