Abstract：
Background: Modern dentistry has increasingly valued conservative and biologically less invasive clinical practices, seeking to preserve the patients\' tissues and natural dental elements. Most extractions in the dental clinic are preceded by periodontal disease that presents bone and gingival tissue loss, compromising the aesthetics as well as the support of dental elements. Objectives: The clinical approach in these cases often involves bone exertion followed by the successful installation of osseointegrated implants. Material and Methods: In this study, a case of extensive periodontal involvement and mobility of dental elements was carried out in a minimally invasive way, using the Er:YAG laser for periodontal decontamination and the hemolasertherapy technique to regenerate adjacent tissues, totaling nine weeks of treatment. Results: Clinical and radiographical improvement of tissue health and complete preservation of dental elements were observed. Conclusion: The patient underwent a follow-up appointment 2 years after the start of treatment when it was still possible to verify the stability of the clinical condition and the tissue gains obtained.
摘要：
背景：现代牙科越来越重视保守和生物学创伤小的临床实践，寻求保护患者的组织和天然牙齿元素。牙科诊所的大多数拔牙之前都是牙周病，表现为骨骼和牙龈组织丢失，损害美学以及牙科元件的支持。目标：在这些情况下，临床方法通常涉及骨骼劳累，然后成功安装骨整合植入物。材料和方法：在这项研究中，以微创方式进行了广泛的牙周受累和牙齿元素移动性的情况，使用Er:YAG激光进行牙周去污和溶血疗法技术再生邻近组织，总共9周的治疗。结果：观察到组织健康的临床和影像学改善以及牙齿元素的完全保存。结论：患者在治疗开始后2年接受了随访，但仍有可能验证临床状况的稳定性和获得的组织增益。
