Bony sequestrum removed - Laser Dentistry Forum

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August 2, 2003 at 12:34 am #2852 Reply

Glenn van As
Spectator

Had a new patient come in a 2 weeks or so ago after going to the oral surgeon and had a sharp point sticking out on the lingual of the #32 US (#48 international) and it cut the Heck out of his tongue.

WIthout local , using only topical (One touch and also Spray) I used the erbium without water at 30 Hz and 50 mj and then with water slightly to flush out the area and smooth it out.

He was so relieved and I was too to capture the offending piece.

The remaining solid bone was sharp on my finger so I smoothed it off a little with the laser.

He was ecstatic and really liked the fact that I could show him the case with the scope ( which helped me see it) and the laser which helped me remove it.

Neat case and easy without anesthetic needed.

Glenn

August 2, 2003 at 4:00 am #6570 Reply

ASI
Spectator

Hi Glenn,

Was the bony spicule loose enough that you just flicked it out and smooth the edge off, or did you actually have to resect it with the laser and then smooth it?

Great documentation again. Thanks for sharing.

Andrew

August 4, 2003 at 3:29 pm #6571 Reply

Glenn van As
Spectator

Hi Andrew: didnt notice your reply…

The bony spicule was loose but not that loose as only a corner was peaking through the tissue and the piece was much bigger than that.

I had to go back and smooth off the bone afterwards with the laser.

Can you imagine how tough it was to get photos and to work in this area with a tongue that was strong and sore from the ulceration. It wasnt easy.

Glenn
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