Facial decay sub-g, gingivectomy - Laser Dentistry Forum

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June 28, 2005 at 3:09 am #2742 Reply

czeqm8
Spectator

This guy is a train wreck. He has decay and pocketing. I am just trying to keep him together until he makes a commitment to his mouth.

I forgot to take a picture before I removed some of the decay, but you can see there is still plenty left.

I try to retract the gingiva to see the rest of the decay, but it is too low on the root.

Gingivectomy and decay removed. Very close to pulp as noted by the secondary dentin around pulp.

Filled with composite.

There is no need to worry about biological width here. This guy has major pocketing all over. He knows about it too. Hopefully he will come around soon.

Matt

(Edited by czeqm8 at 11:11 pm on June 27, 2005)

June 29, 2005 at 2:02 pm #5655 Reply

Robert Gregg DDS
Spectator

Nice work Matt.

How can anyone not appreciate that any other technology would not get that sort of clean result?

E-surge? Doubt it–too dangerous to underlying bone. Radio-surg. Perhaps.

Way to go!

Bob

June 30, 2005 at 12:11 am #5656 Reply

Swpmn
Spectator

Matt:

The pre-op tissue is obviously highly inflamed yet you have excellent hemostasis with minimal charring. That’s pretty cool!

Gregg brought up the topic of electro/radiosurge. Maybe just me but I see another advantage. Clinically I seem to have better results controlling hemorrhage with minimal charring when comparing a soft tissue laser to electrosurge.

Can you tell us more about the laser used and operating parameters such as power setting, rep rate and pulse duration?

Nice case and large composite restoration. Even though patient has not accepted ideal treatment you’ve provided an excellent service!

June 30, 2005 at 5:42 pm #5658 Reply

czeqm8
Spectator

I used the periolase for this treatment. As far as power and other settings, I pressed the gingevectomy button. How is that for user friendly? I am not going back to work until Tuesday, so I cannot tell you what those settings are. Maybe someone else at work can chime in here.

In similar fasion for gingival troughing, I press the troughing button, etc. There are tons of pre-set buttons on the periolase. All are easily changed, but the presets are excellent starting points.
Matt

June 30, 2005 at 11:20 pm #5657 Reply

Swpmn
Spectator

QUOTE

I used the periolase for this treatment. As far as power and other settings, I pressed the gingevectomy button. How is that for user friendly? I am not going back to work until Tuesday, so I cannot tell you what those settings are. Maybe someone else at work can chime in here.

In similar fasion for gingival troughing, I press the troughing button, etc. There are tons of pre-set buttons on the periolase. All are easily changed, but the presets are excellent starting points.
Matt

Matt:

That’s cool bro. I do all of my posting at home. Half the time can’t even remember what settings I used during the day.

PerioLase user? Nuff said. Credibility established. Remains the only laser manufacturer which will not ship the unit until the user is properly trained.

July 5, 2005 at 7:53 pm #5654 Reply

ASI
Spectator

Matt,

Very nicely handled. Was another laser used to remove the decay?

Andrew

July 8, 2005 at 2:18 am #5659 Reply

czeqm8
Spectator

Mechanical removal the old fashioned way. Sorry to disappoint.
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