Er:YAG laser for gingival recontouring

[dkimmel]

Glenn I am not sure I understand photo #1. Can you explain that one again. Oh and what pain meds do they have you on? They must be pretty good by the looks of the photos.

[Andrew Satlin]

Hi Glenn,

I don’t see any photos?

Is it just me?

Andy

[Glenn van As]

I have asked Ron to put the photos (actually uploaded to his server twice back into the post, because due to password issues they werent posted with the original thread)……I hate to upload them again.

If he doesnt do it in a day or two I will put them on the post again.

Glenn

[dkimmel]

Sure Glenn we believe you!! Take it easy, relax and get better.

[Anonymous]

Glenn, I deleted the images from the server. I think the problem was the names of the images. Can’t have any _ or spaces. Go ahead and respond to your own post and upload the images again with names not having _ or any spaces.

thanks!

[2thlaser]

David,
I think it’s the Canadian version of photos, eh? …Glenn, you just get better ok? Don’t worry about the photos, we can see them in our minds eye! Just kidding of course. We really just want our Glenn back online and in living color. Really, no one posts as well as you do. Thanks for the sharing!

M

[Glenn van As]

Alright the photos are in and I can sleep again…..sheesh!

Just kidding, now hopefully there will be some discussion over this case. I know that Osseous recontouring continues to be a huge area of debate.

This was only soft tissue not bone.

Cya

Glenn

[Andrew Satlin]

Hi Glenn,

Nice before and afters!

This does look like a good candidate for osseous judging from your preop probings. Why only soft tissue?

Andy

[Glenn van As]

Hi Andy, when I measured the probings were 3-4 mm on the facial and I wanted around 1.5mm. I felt I didnt need any extra with the osseous.

Do you feel different?

Thanks alot for the kind words.

Glenn

[Andrew Satlin]

Glenn,

I suppose time will tell. 1.5 mm seems like minimum but it depends on the patient.

Have you seen much rebound on cases in the past?

I have definitely treated patients with gingivectomy and not had problems. I am now doing more osseous using Danny Melkers flap design and philosophy and enjoying the results!

See ya

andy

[Glenn van As]

Andy, I too have learned alot from Danny. This patient actually had open flap on the lower but not the maxilla.

I actually like the results on the maxilla more but my error was that the staff thought I was doing the same on the lower arch as the maxilla and scheduled the patient for 4 hours of preps 1-2 weeks after the open flap. Tissue hadnt healed, I still went ahead, and now suspect that the lower arch may need a graft on the lower anterior. My surgical skills still dont rival many out there yet but I am trying to improve.

ALl the best and to be honest there is so much stuff coming out right now on laser assisted closed flap osseous that its mind boggling. I had a guy give me a bad time after the last Nash Institute telling me he was doing closed flap for everything and had zero problems and was wondering why I was recommending so much open flap with the laser for multiple teeth or multiple surfaces…….

Goes to show you I have come along way from yours, Hack2 and Dannys pushing.

Still not there yet but getting there!!

Glenn

[Author]

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