MINIMALLY INVASIVE PERIODONTAL SURGICAL THERAPY IN A KIDNEY TRANSPLANTED PATIENT. A CASE REPORT

Abstract

Introduction After Cota et Al. gingival overgrowth in renal transplanted patients varies in accordance with the type of the immunosuppressive treatment that’s why the integration between the medical and the dental team may be an important approach in the post-transplant maintenance routine. Case report A female patient N.C., 45 years old, retired for medical reasons, with renal transplant and diabetes, was referred in March 2013 by the general dentist for a gingival overgrowth at the level of the anterior mandibular arch. The periodontal treatment plan included: super and subgingival scaling and root planning, laser assisted surgical removal of the gingival overgrowth and splinting of the teeth from tooth 3.3 to tooth 4.3. Taking into account the very special general status of the patient we decided to perform the periodontal surgery as minimally invasive as possible that’s why we used a 940 nm wavelength diode laser instead the conventional technique. Results and discussions The final result of our case was a positive one because we succeeded in surgically removing the overgrowth using a nonconventional technique and in the same time we conserved the affected teeth on the arch. Conclusions This technique may be considered as an election technique for the periodontal surgeries performed in patients with highly significant systemic diseases.

Keywords

• kidney transplant
• diode laser
• splinting