Forums › Laser Treatment Tips and Techniques › Hard Tissue Procedures › Periodontal Crown Lengthening
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2thlaserSpectatorAl,
Great job. I have done quite a few myself as well. One thing you might try. When you get alot of bleeding, just give it about 5 min to “rest”, you might be surprised by what you see, and how clean the site really is. Just from my limited experience.
Mark
Robert Gregg DDSSpectatorAhhhh…….Yes! The Old, “Let-the-tissue-rest-laser hemostasis-technique”. Used it many times myself…..Works well in most occasions….:cool: Good tip Mark.
‘Nother technique: defocus and warm the soft tissue bleeding (not the bone!) Careful in esthetic areas until you get the feel. “Give it time.”
86
2thlaserSpectatorBob,
Thanks, good tip yourself, I will try that today if I have a case! Thanks,
Mark
PatricioSpectatorAl et al,
I was reading recently in the those patients with root caries where deminished saliva is a factor that there is a case for placing the restorative cervical margin within the sulcus to help reduce plaque accumulation and recurrent decay. Initially removing soft tissue but not bone, if possible, so the tissue will rebound and cover a portion of the restoration margin. I have no experience with this but am trying to develop a better strategy against reinfection and am wondering what you think.
Say ya to da UP a,
Pat
SwpmnSpectatorPat:
The gingival sulcus is full of bacteria and we all see recurrent decay at the margins of subgingival restorations. Other than esthetics, personally I believe there is no advantage to a subgingival margin. In posterior regions and where patient education allows, we place many crowns with supragingival margins.
I believe this allows the educated patient to cleanse the margin and also allows full exposure to fluoride. If the margin is subgingival it cannot be cleaned by the patient.
Al
PatricioSpectatorAl,
Your idea has always been my thinking and is what I have done over the years but root caries is a bit unique and we do not seem as a profession to have over come this devestation in the decay prone patient so I am trying to be open to new research. Thanks for all your comments on the board.
Pat
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