Took out #’s 2 and 4 the other day and knew pre-op that there was a good chance of oroantral communication. Both were were extracted without difficulty. But on closer examination, #2 had approx 3-4mm communication and #4 had about a 2-3mm opening. 550usec and fibrin clot sure beats gel-foam and sutures!

Saw patient one week post-op yesterday. Looking good and patient doing fine. Will continue to follow this one.

Anyone else used Nd YAG for this situation?