Forums › Laser Treatment Tips and Techniques › Soft Tissue Procedures › Class II tissue removal
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PatricioSpectatorTwice recently I have had tissue above the cervical margin after banding and wedge when the tooth was a little concave in the middle of the box. I found that rather than deband etc. I could aim the laser along the matrix and at the tissue and back the tissue off enough to carry the composite to the margin. There really was no flash back from the metal. Maybe someone has a trick for wedging this type of area? The above process required removal of the composite flash at the center of the restoration following debanding.
Pat
SwpmnSpectatorPat:
Sounds good but why not just do a little laser gingivectomy prior to banding if the interproximal margin is sub-g? That’s what I do and you don’t run the risk of damaging an expensive sapphire tip.
I don’t like to use my best tips around metal because I’ve find if it does spark you ruin the tip. I save my old tips, e.g. to remove tissue around implants. However, Glenn says you can polish old chipped tips and make ’em good as new.
Al
PatricioSpectatorAl,
Thanks for your comments. I need to get organized with my tips. I can see you guys have special tips for this and for that. I think I am ready to begin to manage my tips better. Thanks for the help.
I would normally follow your tissue suggestion as it is now easy for me to remove tissue of this type. I guess I misjudged the tissue mass before banding in this case.
Pat
2thlaserSpectatorPat,
Sometimes a “dead soft” matrix band helps in these areas. Sometimes, I use a small spoon excavator to remove some of the gingival and lingual axial walls near the gingival floor, to accomodate the differing anatomy we sometimes find there, especially on the mesial of upper 1st bi’s. This then allows the band and wedge to conform to that anatomic problem.
Great posts!
Mark
gwmilicichSpectatorRe getting a bnad to conform to rootface concavtities, go to this site
Simon MacDonald (a Local dentist) has developed a completely new matrix system. The soft wedge can be purchased separately. They are great to help with the problem you are describing.
Cheers
PatricioSpectatorGraeme,
Thanks for the tip. I find this problem with some frequency with deep cervical margins and have resorted to trimming the flash after placement of the composite so a better way is welcome. Are your materials available from a source in the U. S. the U. S.? Could they be available at the Dana Point meeting in late January? I met some great guys (dentists) from Perth recently. They made it sound like heaven. It seems Australia is on the cutting edge in many ways.
Pat -
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