Forums › Erbium Lasers › General Erbium Discussion › Erbium Frenectomy goes Awry
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BenchwmerSpectatorHey Glenn,
Sorry you had problems with the case, but it’ll heal wonderfully and be successful. Good documentation.
This is an example of the problems of trying to do all procedures with one laser. This would have been an easier case on any patient, definately on this bleeder, using an Nd:YAG. You’ll see when you get that PerioLase, the advantages of fine work around papillas and teeth. I would never even think of using my OpusDuo for ginivoplasties.
Despite the heralding and promotions at the ADA meeting. There is no Swiss Army knife of lasers.
Jeff
Glenn van AsSpectatorHi Jeff: I agree with you that a soft tissue laser was the way to go here. Good points. One thing that I will say is that the Erbium is quicker and due to less depth of penetration does seem to heal very rapidly compared to diode and argon Frenectomies which are no comparison to electrosurge surgeries.
I wanted to try the frenectomy in non contact with the chisel tip as Dr. Larry Kotlow has been doing. It was neat under the scope to see the chisel tip ablate the fibers without touching them but alas when I had to release the last fibers it was then that it started bleeding.
i have an idea for next time to combine the two of them using the soft tissue component when you need it most (right before you cut through the last fibers) and with the scope at high mag this should be possible.
For the initial portion the Erbium is awesome.
Good points Jeff, and looking forward to seeing Del and Bobs machine in Canada soon.
Glenn
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