New Smile

[Benchwmer]

Post-op at 4 weeks:
Note: Healing, knife-edge gingival contours

Before and after photos:

After

Before

Jeff

(Edited by Benchwmer at 12:04 pm on Mar. 7, 2004)

(Edited by Benchwmer at 12:07 pm on Mar. 7, 2004)

[kellyjblodgettdmd]

Jeff – nice result. Did you take any “natural” smile pictures? I’d love to see how this affected her smile without the cheek retractors.

She must be very pleased!

Kelly

[ASI]

Hi Jeff,

Good result to bring out the true tooth dimension that was hidden.

Thanks for sharing.

Andrew

[Robert Gregg DDS]

Jeff–

Really nice result in maintaining the papilla and not getting any recession or black triangle.

I noticed that you had some “beveled” tissue. Is that because you aimed your near-IR FRP Nd:YAG towards the tooth to act as a heat sink, instead of the soft tissue?

Well done and nice photos.

Bob

[Benchwmer]

Bob,
This case shows my answer to one of the 10 questions on on BioLase claims. The Erbium is not the ideal laser for gingivectomies. Where I can approach the gingival tissue at a 90 degree angle w/ the Nd:YAG, remove the bulk of tissue under tension from a tissue forcep, then contour w/o any damage to the underlying tooth. With my Erbium I would have approached the tissue with the laser tip parrallel to the tooth, more difficult to visual the amount of tissue to remove, more bloody.
I have a choice of lasers. It wasn’t a hard choice in this case.
Jeff

[kellyjblodgettdmd]

Jeff – it’s nice having the choice of Er or Diode/Nd:YAG, isn’t it. You make a great point regarding the appropriate uses of each.

Kelly

[John Eaton]

Jeff, it appears that the frenum reattached at a level near were it started. Is that the case?

[Author]

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