Thanks Mickey…….gotta get some sleep now Work is in 7 hours.

I am glad that I have something to benefit those like yourself who are passionate and committed to laser dentistry.

I have often mentioned that there are a couple of reasons why I am able to do some of these things. One is the scope. It allows me an ability to precisely treat certain things that I would never have the confidence to treat previously. Another is that I live in Canada which is not so litigious yet, a third is that I have been using the laser for 5 years so I have learned a few things from my many mistakes along the way. Finally, working with Hoya and documenting these cases has caused me to go back and review alot of my cases and see now what I did wrong and my dentistry has improved I think. I am no longer focussed on restorative dentistry per se, but alot of advanced cases using the laser to help solve the daily problems I either referred previously, or didnt even realize existed (ie Biologic Width).

You know what, come to think of it, before the lasers I wouldnt have even thought to look at the tissue heights or Gingival Height of Contour and Zeniths like I did here.

its just something that I thought might be interesting, and I thought I would play a little today to see if I could improve more so on the esthetic outcome. I think it helped a little but the final result will tell the story.

Take care Mickey and your kind words really are thoughtful and most appreciated. Thanks and I will post the post op in a week or so.

Glenn

Hi Danny: humbly I say thanks for such a nice endorsement. The key is to make sure that you are not infringing upon BW. The probings were normal but there was some pseudo pocketing where the tissue was inflamed interproximally to 4mm. That is where almost all of the sculpting happened.

This is not easy to do with the diode, as you cant shave the tooth. You have to connect the dots in the diode case to do this and sometimes its tough to know how much to take off in an area. The diode can do a gingivectomy easily enough but its not very easy to debulk the papillae. This is very easy to do with the erbium just by its mechanism of action.

I think that the shaving of tissue or sculpting is something that could be used effectively in a peridodontists office as I am not sure if you have anything to help you withthis.

I actually had a lingual tongue tie+ frenectomy yesterday on a 6 year old boy. He was great but at the end I noticed some little tags on his tongue right where the lingual tongue tie attached. I was able to shave them off with the chisel tip to a smooth finish.

Its neat really, and as for the cosmetics, I just find I can shave a little , take a look, shave a little more etc, until I get the result that I am happy with.

Hope that helps and thanks, but periodontally I am much more conscious of not doing anything negative since you and hack2 posted about biology .

Cya

Glenn