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  • #3466 Reply

    Glenn van As
    Spectator

    Hi folks: When I first got the laser I only used it on hard tissue.

    One day a friend of mine Don Coluzzi told me that I should try it out without anesthetic to cut soft tissue.

    Thats all he really said.

    Well, I knew I had a soft tissue tip (first pic the left hand side tip) which looked like a sharp point.

    Soft tissue tip was supposed to be used on soft tissue, well that was my first mistake and I notched the cementum because I used the wrong tip and in addition I also didnt use caution with the angulation , being perpendicular to the Class V instead of parallel to the tooth.

    I notched the cementum (as you can see) and learned to use a regular tip , parallel to the tooth like in the case I just showed you.

    I also started putting cord in the pocket to prevent iatrogenic errors.

    THe healing was fine but I learned from my mistakes.

    There are one week and 6 month healing photos at the end.

    The key photo is the 4th one showing the magnified view and you can see how I etched the cementum by mistake with pitting in several areas.

    GlennClass V errors.jpg

    #11554 Reply

    Anonymous
    Guest

    Gret pictures Glenn,
    I’ve placed EMLA in situations like this, used the erbium to incise tissue but not completely. I then use a scaler to separate the final bit of tissue attachment. Sometimes get bleeding but will then take the erbium and paint the surface to stipple and coagulate.

    Both cases look like you got a nice result, did the restoration finish on the notched cementum?

    #11556 Reply

    whitertth
    Spectator

    Glenn, Great stuff…. This forum has become a wonderful center of learning.

    #11555 Reply

    dkimmel
    Spectator

    What is EMLA ?
    DAvid

    #11557 Reply

    Glenn van As
    Spectator

    It is a topical anesthetic cream you can apply to the soft tissue with both a short and long acting anesthetic.

    Glenn

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