Diode Gingival Retraction for Crown - Laser Dentistry Forum

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June 18, 2003 at 4:14 am #3407 Reply

Swpmn
Spectator

40 yo male presents for crown preparation tooth #30. Profound local anesthesia establised lidocaine/articaine, gross reduction with diamond in electric handpiece, extensive caries excavated with Er:YAG(ConBio DELight) and composite core placed.

An 810 nm diode laser(ConBio DioDent) was used for gingival retraction around the crown margin. A 400 um bare, initiated fiber applied in a contact, hot tip mode at 1.0 Watt and Continuous Wave for approximately 45 seconds.

I was impressed by the clean, bloodless field. Is it better to NOT rinse the treatment area after application of the diode for retraction? Rinsed with water before thinking(duh!!) but did not get any hemorrhage.

Al

June 18, 2003 at 5:53 am #10983 Reply

ASI
Spectator

Nice photos and treatment, Al.

Still enjoying your Delight I see. Good for you.

How do you like the Diodent?

Andrew

June 18, 2003 at 12:18 pm #10982 Reply

whitertth
Spectator

great job, great result, great pictures…how do u like the hoya as compared to the watewrlase…u can e mail me privately if u like whiteretth@aol.com regards

June 18, 2003 at 1:24 pm #10988 Reply

Robert Gregg DDS
Spectator

Hi Al,

Very nice photo documentation, but especially your descripton and detail of what you used when.

It doesn’t matter about rinsing following activated tip with diode when the tissue is as healthy as the tissue was in this case. When the tissue is more edematous (larger capillary diameter–say 500-600 microns), THEN rinsing can cause “breakthrough” bleeding.

I always risnse to get the dried blood “bits” and tissue “crumbs” outta there so my impression is clean–yours is immaculate!

Pretty prep!

Bob

June 18, 2003 at 5:10 pm #10987 Reply

Kenneth Luk
Spectator

Hi Al,
Excellent margin. I think technicians should pay you for making their life easier and more enjoyable .
Did you replace the composite before crown prep?
Would you consider replacing the MO on the 2nd molar to achieve better contour and contact point. Also to avoid replacing it in the near future.
Ken

June 18, 2003 at 11:56 pm #10989 Reply

Swpmn
Spectator

QUOTE

Did you replace the composite before crown prep?
Would you consider replacing the MO on the 2nd molar to achieve better contour and contact point. Also to avoid replacing it in the near future.
Ken

Yes that is a new composite buildup, the old composite was bombed underneath and yes the MO amalgam on #31 looks like crap and I should have placed a new composite.

Amazing how pictures give you a different perspective isn’t it? Dr. Glenn knows a thing or two.

Thanks,

Al

June 24, 2003 at 5:31 am #10986 Reply

Glenn van As
Spectator

CLAP CLAP CLAP………awesome stuff there Al.

Just back from Anaheim lecturing for a week and havent really had time to do much else yet, so I havent posted in a while.

Try some H2O2 for any tissue tags you get as there are times when it is rough with a little tissue here and there. I put it in an Ultradent brush that you would typically use for Astringident.

Really nice impression and no fear of bleeding or fear of nicking the cementum with the laser.

Well done and awesome pics.

Cya and take care

glenn

June 26, 2003 at 10:20 pm #10980 Reply

dkimmel
Spectator

Allen, I was up early this morning and reading your post. I have been putting of using my Lasersmile for doing this troughing around preps. You got me off my butt today. Way cool. I used to use hydrocolloid and electrosurged a ton. I can still hear a lecture by Dr Spears about troughing around preps. He would always get a laugh when he called his elctro sx unit his laser. No sense in spending big bucs if you can do the same thing with electro sx. After using the diode laser today on my C&B cases all I can say is Spears must have never tried it.
Using the diode laser was much nicer. The tissue looked great . I felt I had less tissue tags, better control and better hemostatus.
So thanks for posting.
David

June 27, 2003 at 3:13 am #10990 Reply

Swpmn
Spectator

That’s great, Dave. Glad the diode retraction went well.

Here’s the one week followup so we can see how the tissue healed on #30:

Al

June 27, 2003 at 3:45 am #10984 Reply

Albodmd
Spectator

Looks like it healed up great Allen. Is that the case you showed me when I was at your office? You guys are making me want a diode now and I haven’t even received by Delight yet!
Al B

June 27, 2003 at 4:00 am #10985 Reply

Glenn van As
Spectator

Absolutely awesome pics Allen……….looks great with respect to the healing and a very nice looking crown.

Way to go buddy…….

Nice nice stuff.

Glenn

June 27, 2003 at 4:24 am #10991 Reply

Swpmn
Spectator

Albert:

No, the retraction on the case I showed you was done with the DELight Er:YAG. Thanks for the comments. Now we need the Diagnodent laser, I think we got the cart before the horse.

Glenn:

Thanks, yeah I was pleased with the healing at one week. Patient said there was no discomfort.

Al

July 2, 2003 at 2:03 am #10981 Reply

dkimmel
Spectator

Allen, Tissue looks great. Also a sign of a well done temp!
David
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