The Use Of Lasers For Peri-Implantitis And Periodontal Surgery. A Case Study From Rana Al-Falaki, Periodontist And World Leading Laser Expert.

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The first Periodontist to use lasers in the UK, Rana Al-Falaki has built her career and transformed the way hundreds of dentists work with the help of laser dentistry.

Rana is a regular speaker nationally and internationally on the subject of lasers in dentistry. She has recently joined forces with Optident to create the course Advanced Surgical Skills for dentists who wish to expand their knowledge and practical ability.

The course tackles the challenges faced during surgical procedures; whether the clinician is a laser user, uses lasers as an adjunct to traditional methods or uses all traditional methods.

Here, we present a case study of the treatment of peri-implantitis with the Waterlase laser and ask why dentists are considering laser dentistry for surgical procedures.


"There are huge benefits to the patient in that they experience far less pain and discomfort than with traditional methods, and there are fewer side-effects. The healing period is also dramatically decreased."

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As the rise in implant surgery sees a rise in cases of peri-implantitis, the question of how to provide the best care is a common topic of discussion among clinicians. For every clinician who is happy with the traditional methods he or she practiced at university, there is a clinician who argues lasers offer an effective method of treatment that hold advantages for both patient and clinician alike.

So why consider using lasers when the scalpel has been the go-to method for so long?


Lets look at some of the differences between laser technology and traditional methods:


Traditional surgery to treat peri-implantitis involves:
  • Raised flap surgery
  • Significant blood management
  • Pain and swelling for the patient during recovery


Why consider lasers?


Laser treatment of peri-implantitis can offer:

  • Flapless treatment for many cases
  • A quicker healing time for patients
  • Potential for same day restorations
  • Minimal bleeding
  • Increased patient comfort as less pain and swelling is caused



Watch video

 Rana Al-Falaki performs a flapless treatment of peri-implantitis using the Er,Cr-YSGG laser 


Discover laser courses at Optident


Periodontal surgery and Crown lengthening

Many of the challenges faced when performing traditional methods of surgery for periodontitis and crown lengthening procedures are not experienced when using lasers.
  • Tissue rebound after traditional surgery can be unpredictable; this problem is eliminated with lasers as the final results can be much more instant.
  • When using traditional methods for osseous crown lengthening such as a scalpel, raising a flap and removing bone with a burif there is an invasion of the biological width, a second flap may have to be raised – causing potentially more discomfort and inconvenience for the patient. When using lasers, raising a flap is unnecessary in many cases.

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Deep pocket periodontal therapy - Minimally invasive removal of subgingival inflamed tissue and calculus deposits with the Er,Cr-YSGG laser.




Surgery for peri-implantitis using the Waterlase Er,Cr:YSGG laser


In this case study, Rana Al-Falaki presents one patient's six month journey to stable oral gingival health and a saved implant. Through the use of lasers to disinfect and debride, tissue regeneration and bone substitute, the implant is secured in place and the patient is now able to easily maintain a good hygiene routine.


"The Waterlase Laser is able to remove granulation tissue fully without damaging the implant surface or the bone."

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"Before treatment we see a 7mm suppurating pocket with no keratinised tissue and no access palatally to be able to clean."



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"Laser debridement and decontamination before and after."



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"Placement of Bio-oss and BioGide membrane, and primary closure of flap with sutures."



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"After 6 months, the patient showed a 2-3mm probing depth with no bleeding on probing. We have a zone of keratinised tissue and minimal recession. The patient can also now clean interdentally having facilitated access as part of the surgery."


Advanced Surgical Skills course

The aim of the course Advanced Surgical Skills is for clinicians, whether laser or non-laser user, to expand their knowledge specifically in the surgical treatment and management of:

  • Peri-implantitis
  • crown lengthening
  • periodontitis

Advanced Surgical Skills balances theory and practice; traditional and modern methods used during surgery. Soft and hard tissue lasers are incorporated into the programme to give a full understanding of each application and the capabilities of each type of laser.


Course overview:

  • Understand the indications and contra-indications for clinical crown lengthening, both cosmetic and restorative.
  • Practice crown lengthening procedures, both flapless and flapped techniques using soft and all-tissue lasers.
  • To understand the rationale for surgical periodontal therapy and clinical requirements to enhance predictability for periodontal regeneration.
  • Practice flapless minimally invasive periodontal surgery using all-tissue lasers.
  • Understand the aetiology and basic steps in successful management of peri-implantitis.
  • Practice using all tissue lasers on implant surfaces and learn the steps involved in peri-implantitis surgery.


Advanced Surgical Skills only has a limited number of places and is booking up quickly. To avoid disappointment, book your place on the course today.


About Rana Al-Falaki

Dr Rana Al-Falaki qualified from Barts and The London School of Medicine and Dentistry with distinction in 1997 and continued general profession training to pass the MFDS examination. In 2000, she began a 3-yr specialist program at Barts and The London in Periodontology and Implant Dentistry. She attained her MClinDent in Periodontics in 2002 with distinction and was entered into the Specialist List in 2003 after obtaining her exit specialist qualification of Membership in Restorative Dentistry from The Royal College of Surgeons (England). Rana has been a UK registered specialist in periodontics for over 10 years. She was an undergraduate and post-graduate clinical lecturer and an associate specialist at Barts and The London School of Medicine and Dentistry. In between specialist practice and lecturing worldwide on the subject, Rana conducts research on its applications and is pioneering use in this field. She has published articles and research on Er,Cr:YSGG lasers, in both periodontology and peri-implantitis, has a fellowship in laser dentistry and lectures on the laser MSc program in Genoa. She lectures at Guys Dental School, University of London, is a visiting professor to the Medical University of Taipei, a fellow of the Academy of Dento-Facial Esthetics, a laser trainer in the UK, and founder of the Global Periodontal Laser User Society. She is also an editorial board member for the prestigious Lasers In Dental Science Journal and a peer reviewer for many others.


For more information about lasers or to book an in-practice demo with lasers, call 01943 605050 or email



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