Nd:YAG gingivectomy and cosmetics - Laser Dentistry Forum

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July 12, 2006 at 2:27 am #2752 Reply

czeqm8
Spectator

Here is a simple case with the final shot one week after the GV. Enjoy.

Periolase was set on the Gingivectomy setting.

July 12, 2006 at 3:29 pm #5720 Reply

dmd92east
Spectator

Nice, but I would have been far more aggresive with either the laser or just plain cold steel and sunshine. See articles by Tim Hempton. Good stuff on thid type of treatment.

July 12, 2006 at 8:18 pm #5722 Reply

etienne
Spectator

Nice job!!

I hate these cases, your pictures motivates me to try harder next time 😉

Take care
Etienne

July 14, 2006 at 4:24 pm #5723 Reply

DinoDMD
Spectator

Nice case Matt. And difficult too.
I maybe would have Lanaped it first and then did some tissue re-sculpting for any areas that needed to be touched up later. I have had similar cases ( not as sever as yours however) where Lanap alone let most of the “air” out of the puffy papillas. You just need to be carefull with the marginal gingiva areas as they have a tendancy of getting over-cooked a bit and later receeding. Nice case. Thanks for sharing.
Nice composites BTW!

Dino

July 17, 2006 at 2:12 am #5727 Reply

czeqm8
Spectator

Thanks for the compliments.

The reason I treated the gingiva as I did……. This patient is a young girl who has been out of ortho for about 2 weeks. I could not justify lasing more tissue as I feel the tissue will probably take care of itself soon enough. I also could not justify letting her walk around waiting for the tissue to shrink with the cruelty of other children.

Cold steel and sunshine? Really???

Matt

(Edited by czeqm8 at 10:15 pm on July 16, 2006)

July 17, 2006 at 6:51 am #5724 Reply

DinoDMD
Spectator

Ahhh, makes much more sense now.
As Dr. Evil would say: “I need the info”
Nice Job Matt.

Dino

July 17, 2006 at 2:56 pm #5721 Reply

dmd92east
Spectator

The extra info does help. I thought it was a delayed passive eruption case or medicinally induced hyperplasia. If it just plain old poor OH then great job anyway. Make this patient some custom thicker clear flexible trays and give her some peroxide. 10% carbamide variety.

July 17, 2006 at 3:50 pm #5726 Reply

czeqm8
Spectator

Sorry about the “trick” case guys. You certainly were handicapped with the information I gave.

July 24, 2006 at 12:34 am #5725 Reply

JerryD
Spectator

Seriously, great job on the composites!
Did you find you had to go back in a few times with the laser as you were prepping or etching to control bleeding?

Great case, Matt!
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Viewing 9 posts - 1 through 9 (of 9 total)