For Paul, Danny and Hack2

[Andrew Satlin]

Way to go Glenn!!!!!

Now that wasn’t so bad right?

Soon your going to have to take back all those black triangle, root sensitivity and lets extract and place an implant comments. You are doing surgical periodontics.

Just joking of course.

Very nicely done!!! Great before and after documentation.

I would have handled this case the same way!

Thanks for sharing.

Andy

[ASI]

Hi Glenn,

Excellent handling! Great usual documentation of high standard again. Which camera is this now?

Did you have to recontour the osseous level to #21 upon flap being raised, as in one photo it appeared #11 was more apical than #21?

Very very nice.

Now that a respectable osseous relief has been shown that it can be achieved closed, the question then becomes: Will the routine approach be closed or open in a similar tissue biotype and alveolar process configuration?

Thanks for posting, Glenn.

Andrew

[Glenn on the road]

Hi Andy….thanks and I take back all the dark triangle , root sensitivity, implant comments now that I am a board certified periodontist…….ah wait a minute……….

GRIN

I feel this distressing need to start reading Pubmed to look at abstracts and research!!

Nah , just joking! Thanks for the comments but I still feel like that I should be doing things differently in certain areas but I will try to get Danny to give me a few more tips.

I appreciate all the help that you and Hack gave me in Vegas at Bobs meeting and if I have any degree of success it is through the learning I have done here from others cases.

Andrew!

Hi there, well I looked at the photos, the first photo the flap is not raised high enough and what you are looking at is part of the soft tissue , not actually the root. I never touched the 21 (left central) just the right one. I tried as Danny mentioned to make the two symmetrical. There was 3mm of soft tissue at the end over the bone.

I think that for now I will continue to raise flaps and see if I can figure out when it is ok to do closed flap and when it isnt and maybe I will post photos for Danny and Andy and Hack to look at and see if they see big errors that I created from the closed flap. Low low low settings and the chisel tip seem to make a big big difference.

Anyways, hope that is what you wanted to hear and I look forward to chatting with you soon. I have a BIG big surprise ready for the March 23rd VLG meeting (actually 2 surprises for the office) but you are going to have to be here to know what they are!!

GRIN

Cya and thanks for all your kind words and friendship.

Glenn

[Author]

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