Osseous Recontouring AGAIN - Laser Dentistry Forum

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February 20, 2003 at 4:44 am #2972 Reply

Glenn van As
Spectator

Hi there folks: Here is a case that I saw yesterday. Patient went to Costa Rica today and came in yesterday.

He had an endo done not all that long ago (dont have PA here)

Patient broke whole buccal shelf 7 days ago down to osseous level.

Only had 1 hour to do something for him.

I used the erbium laser 400 micron tip with water at 30 Hz and 100 mj -120 mj. First cut tissue without water then used water on bone to expose the buccal margin.

Only removed 2-3 mm of bone in almost a vertical fashion on the buccal.

Built up tooth with composite then prepped quick crown prep and had dental assistant put on temp crown…….I thought she did a nice job of relining an Ion crown form.

Didnt have time for impression darn it all.

Bill for the 1 hour was core, post , crown lengthening was around 600 dollars not including most of crown done.

How would you alll have handled it.

Glenn

PS used anesthetic……….not that brave yet.

Glenn

February 21, 2003 at 12:21 am #7741 Reply

Swpmn
Spectator

Glenn:

I think you did an outstanding job and this is a perfect case for crown lengthening using the Erbium. This case will heal very nicely – I would just be scared to take the impression same day if patient expects an esthetic margin.

Rodger Kurthy in California is doing a lot of crown lengthening with the Biolase Erbium and I have been bugging him to publish/post cases like this so we can learn. Rod says he takes impression same day and they turn out beautiful.

I like the way you are now posting cases on the Forum rather than the former link method with clickable thumbnails. I can click on and save your “collage” .jpegs – makes it a lot easier to follow the case!!!!

Al

February 21, 2003 at 4:39 am #7739 Reply

Glenn van As
Spectator

Thanks Allen….I am not sure if this is the right way to do it. I wish some of the Biolase gurus would post cases so that I could learn as well from there successes and failures.

I only get a chance to experiment and see how my cases heal.

I hope this one works out and then I will post the pics.

I am gathering alot of cases now that I never did before because I didnt have the laser. Now with the erbium I am trying things and sometimes it works sometimes it doesnt.

Well its great to post here amongst friends. There has been a bit of a hornets nest on DT, some of it self induced but the atmosphere here with the ease of posting photos is easier than it is on DT to post cases.

Kudos to Ron for all his efforts.

Thanks Allen, you kind words mean alot (especially after the day I had and then to come home and read some of the posts it makes you want to just say forget it all, I will keep my information to myself and let others struggle to find out what I have already discovered)

Thanks for you kind words.

Glenn

March 5, 2003 at 2:15 am #7738 Reply

greg holm
Spectator

Today I removed a 5 unit brige with 3 abuts that had been in place for 30+yrs. #10 had been rc’d and had broken below the gumline.
I really wanted to keep this as an abut and add on #9 additionally.
I was also really sorry that I did not have my delight or waterlase as I sharpened up my machete and burs to crown lengthen around this area. Just kidding about the machete but I hope you get the idea
Tell me, would laser have been simpler for me and would there be less post op discomfort for the pt? Would healing time be shortened?
Greg

March 5, 2003 at 5:18 am #7740 Reply

Glenn van As
Spectator

Greg: Like anything there is a learning curve and that is why I come here to try and learn more about how to use these items. Mark, Rod, ROn and especially Bob have really helped me alot.

AL and Pat have chipped in as well alot of times.

I think that the laser will make some things easier but the tissue will bleed and you will find it slower than a bur but it will heal very very nice.

Keep asking the questions and you will find answers.

Glenn

PS dont hesitate to buy one, market the heck out of it as in 5 years it wont be such a novelty.
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