Been trying to use the Lasersmile more often. Been doing the decontamination and the degranulation as shown by the trainers. Have seen some nice results with a couple initial patients.
Had a patient this week that need periodontal sx. I did the degranuation on selected sites. Then flapped using the Lasersmile. I was rather surprised by the amount of granulation tissue still present. The tip was activated and with an open flap it still took a while to degranulate the area. Makes me wonder about my other cases!
Anyone seen this?
As I have done more of these the obvious hit me between the eyes. Sure I have granulation tissue left. Waving the laser fiber around in a pocket will allow some of the granulation tissue to coagulate and come out of the pocket with the fiber. The rest stays in the pocket as a coagulated clump. It curretts out quickly and easly now that it is coagulated.