Abstract
Modern pediatric dentistry increasingly demands an interdisciplinary approach to efficiently manage complex orofacial anomalies, developmental disorders and traumatic dental injuries, always considering the special demands of the pediatric patient. The combination of innovative technologies such as Erbium- and Diode lasers, cone-beam computed tomography (CBCT), microsurgical techniques, early orthodontic intervention, and AI-assisted diagnostics opens new possibilities for diagnosis and treatment planning in pediatric patients. The aim of this work is to illustrate the potential benefits of an advanced multidisciplinary treatment concept in pediatric dentistry through selected clinical cases and to highlight the synergies between the individual modalities. A case series of 12 pediatric cases with different indications was retrospectively analysed, involving CBCT-guided three-dimensional diagnosis of impacted, dislocated teeth or supernumerary teeth followed by laser-assisted surgical exposure with Er,Cr:YSGG (2780nm) and Diode Laser (940nm), orthodontic alignment with AI-based automated growth prediction from digital radiographs, and interdisciplinary management of trauma patients involving combined surgical-orthodontic therapy supported by laser-assisted wound and pulp tissue treatment, with follow-up ranging from 4 months to 3 years. In all cases, the combination of technologies resulted in more precise diagnostics, reduced treatment times and improved patient compliance. CBCT enabled exact three-dimensional localization of anatomical structures, while AI algorithms significantly supported diagnostic accuracy and the predictability of orthodontic growth patterns. Laser therapy markedly reduced intraoperative and postoperative discomfort. The multidisciplinary approach incorporating modern technologies represents a promising paradigm shift in pediatric dentistry. The integration of AI, imaging, surgery, and orthodontics fosters personalized, efficient, and child-friendly treatment. Further prospective studies with larger case numbers are necessary to confirm the long-term clinical relevance and cost-effectiveness of this integrative concept.
Learning Objectives
- Discuss the advantage of CBCT for the approach and procedure of minimally invasive laser-assisted surgery.
- Name three different therapy options of an impacted tooth.
- Discuss the treatment options available in cases of trauma with a root fracture.
- Explain the advantages of a multidisciplinary approach for complex cases in pediatric dentistry.
- Identify which laser wavelengths can be used for surgical procedures and the advantages of Erbium wavelengths.
