{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:56:43Z","timestamp":1791187003662,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":277,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Dentistry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    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\u2010year\u2010old 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\u2010preserving laser\u2010assisted approach was adopted instead of extraction. Gingivectomy was performed using an Nd:YAG laser (1064\u2009nm; 3.5\u2009W,\u200960\u2009Hz, fluence: 72.5\u2009J\/cm\n                    <jats:sup>2<\/jats:sup>\n                    , power density: 4.36\u2009kW\/cm\n                    <jats:sup>2<\/jats:sup>\n                    ) to achieve hemostasis and soft\u2010tissue decontamination. Bone vaporization was completed with an Er:YAG laser (2940\u2009nm; QSP mode, H14 handpiece; 250\u2009mJ, 15\u2009Hz) to expose the fracture margin. Root\u2010canal decontamination used the Er:YAG SWEEPS technique for photoacoustic activation of irrigants (NaOCl: 5%, EDTA: 17%), enhancing biofilm removal and smear\u2010layer disruption. The tooth was reconstructed with fiber\u2010post and composite resin buildup, followed by monolithic zirconia crowns on both central incisors. Soft\u2010tissue healing was complete at 15 days, and functional rehabilitation was achieved without complications. Two\u2010year clinical and radiographic follow\u2010up confirmed stable periapical conditions, preserved gingival contours, and satisfactory aesthetics. The coordinated use of Nd:YAG, Er:YAG, and Er:YAG\u2009SWEEPS lasers enabled selective tissue management\u2014hemostasis, bone remodeling, and endodontic disinfection\u2014under continuous anticoagulation, avoiding extraction and minimizing operative trauma. Rapid soft\u2010tissue healing was observed clinically during follow\u2010up. Within the limitations of a single case report, multiwavelength laser\u2010assisted therapy may represent a conservative treatment option for managing dental trauma in anticoagulated geriatric patients, supporting tooth preservation and functional rehabilitation.\n                  <\/jats:p>","DOI":"10.1155\/crid\/8134806","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:49:37Z","timestamp":1791186577000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrated Nd:YAG\u2013Er:YAG\u2013SWEEPS Laser Approach for Maxillary Dental Trauma in an Anticoagulated Geriatric Patient"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8157-4046","authenticated-orcid":false,"given":"Ilaria","family":"Giovannacci","sequence":"first","affiliation":[{"name":"Department of Medicine and of Surgery University of Parma  Parma Italy  unipr.it"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5182-594X","authenticated-orcid":false,"given":"Beatrice","family":"Spaggiari","sequence":"additional","affiliation":[{"name":"Department of Medicine and of Surgery University of Parma  Parma Italy  unipr.it"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2149-4380","authenticated-orcid":false,"given":"Rita","family":"Antonelli","sequence":"additional","affiliation":[{"name":"Department of Medicine and of Surgery University of Parma  Parma Italy  unipr.it"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9111-3224","authenticated-orcid":false,"given":"Marco","family":"Meleti","sequence":"additional","affiliation":[{"name":"Department of Medicine and of Surgery University of Parma  Parma Italy  unipr.it"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4734-0921","authenticated-orcid":false,"given":"Paolo","family":"Vescovi","sequence":"additional","affiliation":[{"name":"Department of Medicine and of Surgery University of Parma  Parma Italy  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