Twenty year old female presents with inflamed, redundant tissue on Mandibular anterior teeth. Tissue overgrowth to level of metallic brackets.
Normal tissue on Maxillary anterior teeth with ceramic brackets.
Gingival tissue reaction to non-precious metals, metal allergy?

Treatment with PerioLase FR pulsed Nd:YAG laser, 340 micron contact fiber.
Ortho removed arch wire.
LA 3% Carbocaine
Treatment laser gingivectomies and tissue recontouring of teeth 22-27.
Parameters: Tissue ablation 3.0W 50 Hz 150 usec
Reconouring 3.0W 20 Hz 150 usec
Less than 1 minute per tooth.
Immediately post-lase

Placed on Motrin, saline rinses and reviewed oral hygiene instructiions.
Image at 3 month recall, 2 months post-lase:

Will keep on 3-month visits. Patient is now able to maintain oral hygiene.
Procedure could have been done using my OpusDuoE, but prefer hemostatis and precision of Nd:YAG.