Forums › Laser Treatment Tips and Techniques › Soft Tissue Procedures › max labial frenectomy
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adelddsSpectatorYesterday I test drove the DeLight in my office for the first time. I am amazed.
My hygienest volunteered for a max labial frenectomy (yes, she needed one).
The procedure went very smooth. I think I used a 10/30-50 and no H2O. When it started to bleed I backed away a bit, increased the mj and basically corterized it from a far. Then I went back in at a lower setting to continue. The procedure was so smooth and my entire staff was flabergasted. I only used Dr K soln and no local. She reported little if any pain. I did take some pics that I wll try to post in the future.
What do you guys recommend for post op? Do you apply anything to the area? (btw I am a pedo DDS so a perio pack will not do) Any Abx? Pain meds? Eating or brushing restrictions? Follow up time? How long does the avg pt experience discomfort?
btw – she took some advil later in the evening after working in the office for 5 hours. I spoke with her this morning and she feels great! She said it feels like a scab is in her mouth but for the most part normal.
She can’t believe when she smiles that you can now see her upper incisors!!!
I am officialy hooked!
I just ordered two of Hoya’s versawaves.
Marc
AnonymousGuestHi Marc, glad things went so well.
We open a capsule of vitamin E and apply a little right after the procedure and give the patient a couple more to take home and do the same thing with.
We just tell them to stay away from spicey foods and take whatever they prefer in the way of OTC antiinflammatories. If I have any concerns [or if I want pics 😉 ] we’ll see them in a week.
adelddsSpectatorwhy Vit E? Do you do this with other soft tissue procedures?
Thanks,
Marc
Glenn van AsSpectatorHi Marc…..congrats on this procedure, settings you used without anesthetic are good. I like to use 30Hz for soft tissue as the cut is faster and smoother and you may get less bleeding than 10 Hz. To do work without anesthetic in non contact you need to use 30Hz and 30mj.
In addition I am now using mainly the chisel tip in non contact, it works great for ablating the tissue without bleeding and I can use slightly higher settings for the bigger footprint of this tip.
Post op instructions…..
1. Advil p.r.n. as needed, most patients dont need much.
2. Dont worry about the white scab that forms as this is predictable healing as the lesion fills in by secondary intention, it will disappear in 6-10 days.
3. No spicy foods for the first 2-3 days as this will hurt the area.
4. Chlorhexidine on a cotton swab 2x per day is ok in our office to prevent any risk of 2ndary infection.
5. Sometimes patients feel some pain on day three as many of the nerve fibers are regenerating at that point and most of the patients havent felt much til then.
6. For the kids the best part is lots of cold foods and drinks on day 1 to keep the swelling down, ice cream , slurpies and freezies!!!!Hope that helps. Let me know if you want more photos but here is one case.
Glenn
adelddsSpectatorgreat pics Glenn. I can’t wait for Charlotte in March!!!
Glenn van AsSpectatorYes Marc….it is filling up fast so if people are interested make sure you get involved now to avoid not being registered.
Should be fun and thanks for the kind words
glenn
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