Research progress of laser therapy in the root surface treatment of replanted avulsed teeth

doi:10.3877/cma.j.issn.1674-1366.2024.05.011

Abstract

Abstract:

Tooth avulsion is one of the most serious traumatic dental injuries with the worst prognosis. It mainly occurs in the permanent anterior teeth. Tooth avulsion not only causes masticatory dysfunction, but also impacts the aesthetic appearance of patients. Replantation serves as the first treatment modality for avulsed teeth. However, the success rate of replantation may be reduced by irreversible root resorption caused by periodontal tissue damage and inflammation. Therefore, effective root surface management is imperative for a good prognosis of the replanted teeth. Laser therapy has been widely used in the prevention and treatment of oral diseases in recent years. Many studies have demonstrated its positive effects on facilitating the physiological periodontal healing in the replanted avulsed teeth by promoting periodontal angiogenesis and cell adhesion as well as accelerating the deposition of periodontal collagen fibers. Meanwhile, laser therapy also reduces periodontal inflammation and the probability of root resorption. These benefits contribute to improving the success rate of the replanted avulsed teeth. This article provides an overview of the periodontal tissue healing modes and common methods of root surface treatment of replanted avulsed teeth, and discusses the underlying mechanism and related application studies in the root surface treatment of replanted avulsed teeth by laser therapy in recent years. Meanwhile, the future development of laser therapy in the replantation of avulsed teeth is prospected.

Key words: Laser, Root surface treatment, Tooth avulsion, Tooth replantation, Root resorption

Liuxin Wang, Yanxia Guo, Yongjin Chen, Min Zhang, Qiang Li. Research progress of laser therapy in the root surface treatment of replanted avulsed teeth[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2024, 18(05): 345-350.

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