Traumatic Scaring - Laser Dentistry Forum

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March 3, 2005 at 9:08 am #3303 Reply

drnewitt
Spectator

Well this is one of my biggest posts. took lots of pics but damn if I can get them all without blur. This is a lady who we were prepared to do open flap with osseous after original GV but found that there was plenty of room for BW. I hope I am correct on that. I did probe, no picture of that as they were really blurred close ups, but I will get one next visit.

She was missing laterals since birth. We did dx wax ups with Osseous re-contour taken into account. She knew it would not be perfect due to the size of the space we were trying to fill and she did not want 6 teeth done. I was very happy with result of GV and lack of bleeding. She was VERY happy with the results at Temp stage.

Can’t believe the Full shots are blurred. I think I needed more light. still learning.

March 3, 2005 at 2:52 pm #10027 Reply

Glenn van As
Spectator

Phenomenal case and wonderful pics. I never thought the final would look so nice in the temps as I thought there would be too much space only doing 4 but you really did a beautiful job.

I noticed two great things.

1. THe tissue after the GV removal made the teeth look so much better, it shows how focussing on the PINK makes the WHITE look better.

2. THe final result in temps is escellent so make sure that you take the impression of the temps for her.

Paul , you should be darn proud of the results, the layou and your treatment……..

Clap clap clap

Glenn

March 3, 2005 at 6:29 pm #10029 Reply

Vince C Fava
Spectator

Real nice Paul.

When you sounded to bone, what were your numbers? Low crest patient I assume.

Thanks.

Vince

March 3, 2005 at 8:35 pm #10020 Reply

drnewitt
Spectator

Thanks Glenn. appreciate the kind comments.

Vince – that is what surprised me. I had my 15 blade and sutures all ready to go. Finished up the GV and sounded to bone. 3mm from repositioned hieght of gingivae. I checked again, put the #15 back in its package and said. hmm.

She is happy with Temps and doesn’t mind staying in them for a time to see healing. I will see her again next week for follow up.

March 4, 2005 at 3:33 pm #10026 Reply

Dan Melker
Spectator

The patient must have freaked out over the beautiful provisionals!
Great documentation.
Danny

(Edited by Dan Melker at 10:45 am on Mar. 4, 2005)

March 4, 2005 at 4:40 pm #10021 Reply

drnewitt
Spectator

Thanks Danny

I was thinking of you when I first sat down with this case. Made sure I was well prepared for the open flap osseous. That’s one area I would really like to improve my skill level.

Interestingly this patient came back for a follow up, Custom shade session with my lab tech, and told us that the only person who had noticed that there was a change was her roommate. And get this, her roommate said she thought her teeth were much cuter before tx! Glad the room mate it not a patient!

March 7, 2005 at 10:23 pm #10028 Reply

N8RV
Spectator

Kudos on the great case! When you have both Glenn AND Danny patting you on the back, you have ARRIVED! 🙂

Someday …

— Don

March 8, 2005 at 4:24 am #10023 Reply

whitertth
Spectator

Paul,
Nice stuff and great case….just curious what program did u use to do the case presentation, and pictures?
Nice stuff!!

March 8, 2005 at 5:47 am #10022 Reply

drnewitt
Spectator

Thanks guys

I should have follow ups very soon as she is in at the end of the week for a bisque try in. I will get some non-fuzzy photos.

Ron, I transfer the photos into iPhoto and from there they link directly to my image ready program where I set up the slides. I based these 4 up slides on Glenn’s posts as I really like his presentation. I optimize the images to drop the file size after I have placed the background and text.

The image sizes are 800×565 pixels and the total file size is 88kb after optimization. these are jpeg images at high resolution 60%. The font is Neuropol. Hope that helps.

March 8, 2005 at 6:24 am #10024 Reply

ASI
Spectator

Hi Paul,

Great post! Very good documentation and pics and handling of the case.

You might consider raising the gingival level to the first premolars though as these will mimic as canines. They may involve osseous relief if the sulcular depth is shallower than the anteriors for optimal BW purpose. You might get your chance for a flap after all….

The gingival display may not warrant this especially if the patient chooses not to undergo another procedure….

Good stuff, Paul.

Andrew

March 8, 2005 at 4:22 pm #10025 Reply

Dan Melker
Spectator

<a href="http://www.dentaltown.com/idealbb/view.asp?topicID=34301&forumID=10&catID=10&search=1&searchstring=&sessionID={8C71EF4D-D4EA-4421-853E-AFD568A7C7C2}

The” target=”_blank”>http://www.dentaltown.com/idealbb….}

The above thread is how to change a bicuspid into a cuspid and a cuspid into a lateral.
As Andrew suggested.
Danny
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