O uso do laser de baixa intensidade no pós-operatório de recobrimento radicular com deslize para coronal: relato de caso clínico

Abstract

Gingival recession is a worldwide problem that stands for an apical migration of the gingival margin towards the cementoenamel junction (CJE), resulting in root exposure, aesthetic discomfort, besides functional problems. Mechanical and inflammatory factors can be associated with its genesis. This paper aims to assess the efficiency of the root covering surgery with coronal flap associated with low intensity laser therapy. For so, the laser Photon Lase III – DMC – São Carlos/SP – Brazil was used. The phototherapy was used to promote cellular biostimulation, diminishing inflammation and edema, contributing to the predictability of the healing. The patient on this case presented class I gingival recessions on teeth 24, 25 and 26, with a diameter of 1mm, 1.5mm and 2mm respectively. This condition, associated with wide band of keratinized made her eligible to the root covering surgery with coronal flap. The photodynamic therapy was used during the procedure and postoperatory following the protocol described by Ozcelik et al. 2008. 7 sessions were scheduled to be applied on the area after the surgery but, due to the SARS-CoV-2 pandemic, it was possible to execute 3 out of the 7 applications. At the end, it was possible to observe that there was about 85% of final coverage of the recessions and the patient reported the absence of sensibility. Thus, it was shown that the use of laser therapy was effective as an adjunct in root covering surgery with coronal flap in the treatment of gingival recession.