Abstract
Background
Laser-assisted treatment of pathological processes in the hard and soft periodontal tissues is an innovative approach that offers several advantages compared to traditional methods. Root resorption is a pathological process, in which the degradation of the dental structure is observed, often as a result of trauma, infection, or orthodontic treatment. Our aim is to present a case of total periodontitis, with indications for extraction of the causative tooth, treated with a combined endodontic approach and laser-assisted periapical surgery.
Case presentation
A 60-year-old female patient, with total periodontitis of tooth 11, sought help for esthetic correction 5 years ago. During the examination, the following were found: discolored upper right central incisor with a fistula, extensive carious defect involving the cervical tissues, marginal recession, root perforation, and a periapical lesion.
Conclusion
Laser-assisted surgery, in combination with precisely executed endodontic treatment, increases the success rate in similar clinical cases and can be considered an appropriate treatment option for clinicians.