Forums › Laser Treatment Tips and Techniques › Hard Tissue Procedures › More Laser Assisted Surgical Extractions
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AnonymousGuestHi All,
Looked slow on the board this morning so I thought I’d add a little something.Xrays
Preop Picture
10 uncovered, 7 “outlined”
Post Extraction
er,cr:YSGG
9mm perio tip
.75W 11/7 for tissue outline
4.0W 50/50 interproximal bone removal
Immediate RPD placed
SwpmnSpectatorNice case, Ron and great use of the Erbium to access the roots!!!
After interproximal osseous reduction, how did you extract number 7 and 10? Were you able to elevate the roots or did you use a particular forceps/instrument to extract these teeth?
Al
AnonymousGuestAl,
On #7 I removed a little bone on the disto-palatal and elevated the root out with a straight elevator. On 10 , even the 9mm tip was too short so I used an east/west elevator to remove a little more bone interproximally and got a purchase point and popped it out. I thought the neat part was that only the papilla between 7-8 was split, the rest were all totally or partially intact.
Glenn van AsSpectatorRon: Really neat pics……..clap clap clap.
I like the minimal tissue damage postoperatively.
Nice handling of a tough case.
Your making them a partial I guess.
Glenn
RodSpectatorRon,
did you use the laser for bone removal to get a purchase on those roots?
Rod
AnonymousGuestThe patient did get an immediate RPD. He has a wedding to go to in a week and alot of restoratiove to do lower arch.
Rod, I used the laser for bone removal and its what kept me from flapping and grinding with the handpiece. I think the best part is, that because of the laser, I didn’t have to remove bone on the buccal or lingual (except lingual of 7) so he should probably keep more bone and ridge height.
dkimmelSpectatorRon, I don’t have pictures for this but this posting of yours saved my tail today. I had to take out #9. It had endo, was prepped and the walls were paper thin. Of course it snaped just below the gum line. Here I am running behind wanting to perserve the ridge and now I have to flap this case and start removing the facial plate to get something to hold onto. Then the bulb comes on and I remember your posting. I troughed (2.5W/ 50A /30 Water )the lingual just enough to get an elevator in place. She rolled out just enough to get a 65 on and the deal was done!!!!
Thanks
DAvid
jetsfanSpectatorDavid,
I met you at Stu’s course. I know you are in Fl but I just don’t remember where. I have a former patient that has moved down there and is looking for a DDS. He lives around Boca.
dkimmelSpectatorI remember! Seems like A long time ago already. Is that Boca Raton or Boca Grande?
David
jetsfanSpectatorRaton.
dkimmelSpectatorThats on the other side. I’ve got a name of someone over there but don’t know them. I look it up at the office tomorrow.
David
dkimmelSpectatorjetsfan
Dr. Mitchell Pohl
Dr. Greg Weinstein are both over in Boca Raton. Let me know if you want phone #’s and I will e-mail those to you.
DAvid
jetsfanSpectatorSorry but no xrays or pics with this one.
Today I had a patient with scooped out #19 with decay on both roots. Roots were not separated yet. Thanks to the WCLI meeting I thought about using the laser for the ext. First I sectioned the tooth and tried to elevate individual roots. There was so much decay that the roots were disintegrating when the instrument touched them. I pulled out my new G9 tip and reoved some bone from around thr distal root. This enabled to get a purchase point on sound root and it elevated easily. The second root rolled into the empty space created by removing the distal root. It was a lot easier than flapping. Thanks WCLI.
Glenn van AsSpectatorYes Jetsfan it is very easy to use the laser for bone relief and it saves a ton of time compared to flapping and the bone with the bur is much thicker than the troughing with the laser which really obliterates it.
The sockets are much cleaner when the roots are removed after laser is used. See some of the cases I have posted.
Congrats.
Glenn
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