When clinically confronted with the problem of generalized periodontitis with advanced inflammation of the periodontium, and destruction and profound loss of the anchoring tissue combined with tooth mobility, laser-supported implants with an immediately loaded prosthesis is a fast treatment with great patient compliance. For dental surgery, it is possible to use a diode-pumped Nd:YAG laser with a fiber-based system. The high pulse rate of 500 pulses per second leads to an effective interaction in tissue. The diode-pumped Nd:YAG laser with a wavelength of 1064 nm is a Diodium Laser available from Weil-Dental, a system which chiefly works in contact mode. The advantages are the nearly universal applicability in dentistry, and flexibility as a result of the small, light box. Using the fiber system in contact mode, it is possible to exactly place tissue marks through small, pre-implant drill holes in the prosthesis, to precisely locate the later implant position. Around these tissue marks, laser ablation to the bone yields a nearly bloodless operation field, sterility, and excellent visibility for pilot drilling.
Keywords: implant, Nd:YAG laser, diodium laser, prosthesis