Forums Diode Lasers General Diode Forum Diode is back and so am I

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  • #3014 Reply

    Glenn van As
    Spectator

    Hi there folks…….a couple of cool cases for you today.

    I got my 810 nm diode back for good today and of course had to use it for a couple of cases.

    This dynamite looking lady had a consult with an orthodontist for her maxillary and mandibular crowding but wouldnt go through with it.

    She also didnt want a graft (sent her to the periodontist ) for the lower anterior.

    We did 4 veneers for the maxilla and now she wanted the lower anterior done. Wanted them straight and all the edges the same length and the teeth were bleached to match the maxillary incisors.

    I did the 4 veneer preps today and actually we precontoured the gingiva as she felt the gingiva was too V shaped and not round enough. She also is adamant about the length so I kept the left central with the greatest recession as the marker for the rest and took of 1 mm on the others and made the gingival contours more round.

    We then did a frenectomy ( all settings were pulsed (cheap mans Periolase) at 15 Hz and 1.0 watt , air and initiated fiber).

    I then prepped the teeth and also troughed with the diodent laser from hoya for the tissue management, and we then took impressions and made provisionals from a putty impression relined with light body of the wax up.

    The temps were cemented with spot etching and the shade was a B1 shade of protemp.

    Hope that was interesting.

    Next case is cool too.

    Cya

    Glenn

    Resize of Lower Anterior pg 1.jpg

    Resize of Lower Anterior pg 2.jpg

    Resize of Lower Anterior pg 3.jpg

    #8042 Reply

    vince
    Spectator

    Hi Glen,

    Really well done, temps look great.

    Vince

    #8047 Reply

    Swpmn
    Spectator

    Glenn:

    I use the Williams probe, get it, Williams probe??? 😉 Ok, Ok, you know, the old metal one. Is the first black mark on your probe 3mm? In the photos are you pushing the probe all the way through the attachment until it stops on osseous to determine your biologic width? What if the biologic width is less than what you probed? That means we have to reduce the osseous crest right?

    The purpose of gating or pulsing the diode was to give the tissue time to relax from the thermal insult correct? Like Dr. Bob’s always talking about?

    Please make sure to add a post op to this thread when you complete the case. I want to see how the tissue heals so I can learn how to do these cases.

    Thanks for sharing,

    Al

    #8043 Reply

    whitertth
    Spectator

    glenn, great stuff…i must say i love your posts…… always learn something….thanks again…………

    #8045 Reply

    Glenn van As
    Spectator

    Thanks Vince and Ron …….nice of you guys to compliment me. These cosmetic cases on demanding patients are tough, especially the temps for veneers…..sheesh.

    Anyways Allen…….as for the probe, yes the first spot is 3mm and so to the bone was deeper but the pocket was 2-3 mm so I could take a mm or so but not much more. I like to leave 2 mm or so total.

    I cant probe all the way to bone with these probes as they are a little soft for that (bend a little).

    I will post the finals.

    Hope they work out but again if there is inflammation ( we will just do closed flap erbium osseous reduction).

    glenn

    #8046 Reply

    RS4 Molar
    Spectator

    Geez, nice work Glenn! Thanks for the links for the frenectomies, right to go. I'll post to show, probably on docere.
    Cheers

    #8044 Reply

    whitertth
    Spectator

    nice case…whos plastic tip do u use on the diode?
    Thanks
    Ron

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