Forums Nd:YAG lasers General Nd:YAG Forum Frenectomy-Gingivoplasty

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  • #2753 Reply

    Benchwmer
    Spectator

    Fifteen year old female post-Ortho

    Cdavis21306A.jpg

    Treatment will consist of gingival recountouting and a Maxillary frenectomy.
    Laser parameters 3.5W 20 Hz 100usec for gingivoplasty and initial dissection of frenum fibers at gingival crest
    3.5W 50Hz 100usec for hot tip affect to remove remainder of frenum and fibers

    Cdavis21306B.jpg

    Immediate post-lase view

    No post-op pain. Returned at 2 weeks for post-op

    Cdavis3106A.jpg

    2 week photo

    Cdavis3806A.jpg

    three week photo, immediately after laser bleaching of Maxillary teeth.
    Used Nd:YAG 4.0W 20Hz 100usec defocused as heat source, w/ Shofu Hi-Lite
    Jeff

    #5732 Reply

    Glenn van As
    Spectator

    Great result Jeff and I think these cases are perfect for a little nip and tuck with whatever soft tissue laser you have.
    Beautiful result and no osseous needed.

    I dont think that you can do what you did with either a bur, electrosurge or a scalpel..

    Nicely done my friend………

    CLAP CLAP CLAP

    Glenn

    #5728 Reply

    mkatz
    Spectator

    I agree that it is a nice result… and it can be done easily with a scalpel. Don’t underestimate the power of “old” standby tools.

    #5729 Reply

    Benchwmer
    Spectator

    I haven’t picked up a scalpel for a gingival surgery since 1999.
    Why would I?
    Increased patient comfort, increased rate of healing, less anesthetic, no sutures, less chairtime, bloodless.
    Patients go to soccer practice right after surgery. No pain killers needed. Parents sit in the operatory and watch if they want. Quick, clean, fast. Wonderful technology and service for my patients.
    Jeff

    #5730 Reply

    Benchwmer
    Spectator

    Three month follow-up photos, after frenectomy, gingivoplasty, tooth whitening.

    CDavis5106B.jpg

    CDavis5106A.jpg

    Jeff

    #5733 Reply

    Robert Gregg DDS
    Spectator

    Very nice Jeff.

    Beautiful results!

    Bob

    #5734 Reply

    vmarino
    Spectator

    Jeff, I am new to Periolase. I was just referred a patient for bleaching/whitening.
    Can you please give me the details of the procedure or refer me to a source?
    Thanks
    Val

    #5731 Reply

    Benchwmer
    Spectator

    Val,
    I usually use 30 minute tray bleaching (Colgate).
    For a single tooth or special case, I use rubber dam, a mixed gel or powder/liquid inoffice whitening (Shofu)
    Use NdYAG defocused as the heat source , 3 times.
    Takes too long for everyday full mouth bleaching.
    Jeff

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