ArticleCase reports in dentistry2026
Integrated Nd:YAG-Er:YAG-SWEEPS Laser Approach for Maxillary Dental Trauma in an Anticoagulated Geriatric Patient.
Article in Case reports in dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Traumatic dental injuries (TDIs) in older adults present complex clinical and public health challenges because of frailty, multimorbidity, and antithrombotic therapy. Invasive surgery in anticoagulated patients increases the risk of hemorrhage and delayed healing. Multiwavelength laser systems provide a minimally invasive alternative, combining precise ablation, hemostasis, and disinfection. A 92-year-old woman receiving anticoagulant therapy for atrial fibrillation presented with multiple anterior maxillary fractures following a fall. The right maxillary central incisor (Tooth 11) showed a complete coronal fracture with pulp exposure (Ellis Class 3) and a palatal fracture line extending below the bone crest. Owing to systemic risk, a tooth-preserving laser-assisted approach was adopted instead of extraction. Gingivectomy was performed using an Nd:YAG laser (1064 nm; 3.5 W, 60 Hz, fluence: 72.5 J/cm
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