Forums › Nd:YAG lasers › General Nd:YAG Forum › Cosmetic Gingivectomy
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BenchwmerSpectatorBefore and then Photo from 6-month post-op.
Before
6 Month After
Jeff
Dan MelkerSpectatorJeff,
Great use of the laser following sound Biologic principles. It is amazing how beautiful cases look when technology is used with Biology.
Great result
Thanks,
Danny
Glenn van AsSpectatorHey Jeff, it looks great. I actually expected more rebound and it didnt. Wonderful service and a great looking photo.
Glenn
Robert Gregg DDSSpectatorJeff,
Very nicely done! Terrific documentation and follow up.
Thanks for posting that.
Bob
BenchwmerSpectatorPhoto at 1 year post-lase.
Jeff
(Edited by Benchwmer at 10:36 pm on Mar. 23, 2005)
Dan MelkerSpectatorBeautiful result. Just a question? Do you see any relapse?
Thanks,
Danny
BenchwmerSpectatorDan,
Looked good in the mouth. On Kodachrome looks like we could be losing some ground. No inflamation. Might just be the angulation vs. the 6-month pix. Will see over time.
Thanks.
Jeff
Dan MelkerSpectatorActually, tissue looks extremely healthy and much improved cosmetics over original length!
Thanks,
Danny
BenchwmerSpectatorPost-op after 18 months
Jeff
(Edited by Benchwmer at 6:41 pm on Dec. 14, 2005)
czeqm8SpectatorAwesome result for this patient. Well done.
I think I might have a problem with this statement though.
” you need 2.6mm of biologic width. I measured 3mm from crest of the gingiva to the base of the pocket, under LA I sounded bone at 5mm from the gingival crest. That gives me 5.0mm minus 2.6mm or 2.4mm of free gingiva I can excise without violating BW.”
I think that 2.6 is an average number, and in reality patients can range from 1-4mm from the bone to the bottom of the pocket for their biological width. (correct me if I am wrong, please) I don’t think that you can use 2.6 on everyone. This patient did not rebound much, but some will (by my understanding) need more room than 2.6mm.
Am I incorrect in my thinking?
Glenn van AsSpectatorNeat result Jeff…….looking back I think a tad of osseous would have helped here just prevent the slight rebound.
You could do it now but I am sure the patient is pleased.
There was 1mm to 1.5mm rebound though. This is tough to get perfect….
You did a beautiful job.
Clap clap clap
Glenn
toothsloothSpectatorGlenn,
I have some that I got from N.O…I’d be happy to share some with you if you need it soon. Just give me a ring and I’ll send it over!
Regards,
Jimmy
Glenn van AsSpectatorHey Jimmy…..some what?
Glenn
PS I have a cool case of Osseous that I did recently like this I might post in a day or two.
Cya
Glenn
Andrew SatlinSpectatorHi Glenn!!
When you say osseous now you do mean open… right?
With sutures and sensitive roots and black triangles?
Why not just extract and place implants?
That seems to be the reputation most of us periodontists have been accused of lately.
Pardon the sarcasm, I have just been reading alot of anti – periodontist posting recently on this forum and I find it a bit alienating for those of us who enjoy being here.
Truth is I would love to see your cases when you get a chance to post them.
andy
Glenn van AsSpectatorHi Andy……did I say with sutures, sensitive roots and black triangles recently?
If I did then I apologize.
I do believe that the current push in perio is more a concentration on implants and Connective tissue grafts , more predictable than periodontal therapy and less sensitive than full flapped osseous.
I also know that you have a penchant for trying to save teeth, hence your interest and usage of the NdYAG.
Not all marbles are the same size or color.
Finally, I have cases of closed and open flap that I have been doing. I am getting some interesting results. Some of the closed look great, some look ok. Some of my open look worse than some of my closed. Want to know why.
I dont handle the tissue as well as you , hack2 or Danny. That is your area of expertise and you guys are masters at that.
In any event , there is alot of room out there for lasers. Lots of cool things that we are always pushing the envelope. I for one am not so bold to put these up now because people seem to get all upset and anxious about whatever I am trying to do.
Some say that people will copy it, others say its not right to teach this….
So its easier to post the simple stuff here, but suffice it to say that I am getting feedback on stuff, because I am trying to figure out how the laser fits into the osseous world.
Some would say it doesnt, I wouldnt. Many of my patients might not either !
Andy, all the best and keep trying to save teeth, have an open mind to lasers (I know you do) and you will always be in my mind a winner!
Cya and happy holidays.
Glenn
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