case_images: PMC11232804_01
case_images: (a) Intraoral periapical (IOPA) radiograph revealing radiolucency of the crown in relation to 38 (caries); (b) IOPA radiograph revealing radiolucency along the entire length of roots in relation to 38 and distal to 37; (c) IOPA radiograph 1 month posttreatment; (d) IOPA radiograph 3 months' posttreatment
case_images: JISP-28-129-g001.jpg
case_images: PMC11232804_01_JISP-28-129-g001.jpg
case_images: jisp_28_23-f001
case_images: The patient revealed that one month prior to the restoration a radiograph was taken [Figure 1a]. III mobility; 37 showed grade II mobility with deep periodontal pocket of 10 mm on its distal aspect [Figure 2b]. Intraoral periapical radiograph (IOPAR) revealed radiolucency in the radicular portion between 37 and 38 [Figure 1b]. IOPAR on 1 month followup revealed radiolucency [Figure 1c]. On 3 months follow up, a decreased probing depth of 5 mm [Figure 2f] with no mobility was observed, and IOPAR revealed radiopacity extending up to the coronal third of the distal root in relation to 37 [Figure 1d].
case_images: (a) Temporary restoration in relation to 38; (b) Pre-operative probing depth of 10mm distal to 37; (c) Diode laser (970nm) (high-level laser therapy)-assisted socket decontamination; (d) Advanced-platelet-rich fibrin (A-PRF) block placed into the defect distal to 37; (e) Photobiomodulation done using 970 nm following placement of A-PRF block; (f) Postoperative probing depth of 5 mm distal to 37
case_images: JISP-28-129-g002.jpg
case_images: PMC11232804_01_JISP-28-129-g002.jpg
case_images: jisp_28_23-f002
case_images: III mobility; 37 showed grade II mobility with deep periodontal pocket of 10 mm on its distal aspect [Figure 2b]. Intraoral periapical radiograph (IOPAR) revealed radiolucency in the radicular portion between 37 and 38 [Figure 1b]. HLLT was performed on a socket using a diode laser (SiroLaser Blue, Dentsply Sirona) with the following parameters: 970 nm, 1 W, continuous emission, in contact and circular movement for 14 s at a speed of 2 mm/s [Figure 2c]. Pharma AG, Wolhusen, Switzerland) and criss-cross sutures were placed using 4-0 trulene. PBM using a diode laser (SIROLaser blue, Dentsply Sirona) was performed with the following parameters: 970 nm, 1 W, continuous emission, noncontact mode, 2 mm away from the surface on occlusal, buccal, and lingual for 20 s each [Figure 2e] with repeated sessions on 3rd, 7th, 15th, and 21st day postoperatively. On 3 months follow up, a decreased probing depth of 5 mm [Figure 2f] with no mobility was observed, and IOPAR revealed radiopacity extending up to the coronal third of the distal root in relation to 37 [Figure 1d].