I+D with a twist - Laser Dentistry Forum

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April 19, 2003 at 3:34 pm #3370 Reply

whitertth
Spectator

Today has been a soft tissue day…new patient today with palatal abscess on #7 one week post scaling at the periodontist..peridontist was closed today so she came to me…I+D with waterlase .5 watts 14/8 emla topical prior to incision..once it was drianed i injected atridox into the site and will follow her in three days what do u think?

April 19, 2003 at 11:17 pm #10614 Reply

ASI
Spectator

Hi Ron,

What are the pocket depth and location to #7? How far down do you need to go in for I&D? How much atridox was placed?

Andrew

April 19, 2003 at 11:28 pm #10612 Reply

whitertth
Spectator

pocket depth was 7 mm..i went in about 6 or 7 mm and injected about 1/2 of a new carpule of atridox…shes comming back tuesday for a follow up so I’ll post the pic……..

April 20, 2003 at 12:11 am #10615 Reply

Robert Gregg DDS
Spectator

Hi Ron,

Nice presentation and nice job of treating gently.

I’ve seen those cases ressected down to bone as a way of “treating” it with a laser.

Any ideas as to what the cause of the lesion was? Was there a chuck of calculus, or something concrete that would point to an etilology?

What did the occlusion look like?

Thanks for posting.

Bob

April 20, 2003 at 3:06 am #10613 Reply

whitertth
Spectator

only thing i can think of is periodontist stirred things up a bit a few days prior during scaling and root planing.. Maybe sterilizing with the laser would have been enough but I had the atridox handy and I figured it definitely couldnt hurt…but there was no calculus in the pocket at all……
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