Rapid extrusion - Laser Dentistry Forum

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May 16, 2005 at 3:55 pm #2953 Reply

dkimmel
Spectator

Sometime back I think I told Ron I would post one of these. I’ll post X-rays and the post ops as we go. I see the patient once a week to release the fiber using the Er until the root is extruded enough.

May 16, 2005 at 6:33 pm #7533 Reply

kellyjblodgettdmd
Spectator

Dave – this makes a lot of sense to me. It seems like the right indication for the right wavelength with minimal trauma. Has it sped up the rate at which you can extrude the tooth? (Nice picture, by the way)

Kelly

May 16, 2005 at 11:51 pm #7532 Reply

dkimmel
Spectator

I have no clue if this is faster. I only get a case like this once or twice a year at most. Usually I just use a perio probe to cut the fibers. The laser seems to make more sense. I would expect it to be faster. We will see!

May 17, 2005 at 6:42 pm #7534 Reply

kellyjblodgettdmd
Spectator

Thanks, David. Great case. It will be interesting to follow.

Kelly

May 18, 2005 at 12:53 am #7535 Reply

Swpmn
Spectator

David:

Well I hate to once again appear stupid but can you be a little bit more descriptive?

Tooth #29 is broken off or decayed to the osseous crest. Rather than surgical crown lengthening, you want to orthodontically extrude the tooth so that there is sufficient tooth structure for placement of a post/core complex with a ferrule effect? The erbium laser is being utilized to keep the soft tissue attachment off the crest of the root so that it will extrude in a shorter time?

Thanks for the clarification,

Al

May 18, 2005 at 1:00 am #7530 Reply

dkimmel
Spectator

Allen, You said that so well.
I felt that I would have to do too extensive of an osseous reduction to do this as a sx. Instead ,if I rapiedly extrude the root with elastics and cut the attachment every week, then the root extrudes and the bone does not follow. If you go slower and do not cut the fibers then the bone follows the root.

May 18, 2005 at 2:37 am #7536 Reply

Swpmn
Spectator

Man thanks for the help I didn’t know that. Learn something every day. Common to see teeth supraerupt due to lack of antagonist and the bone follow. What you are saying is during ortho extrusion if you keep the tissue attachment off the tooth there will be less or no growth of bone. If the bone followed, you would still need to perform a surgical crown lengthening for healthy biologic width around the crown?

How long is the treatment and so how long will you have to keep lasering tissue off that root? Is the root pretty long?

Al

May 18, 2005 at 3:02 am #7531 Reply

dkimmel
Spectator

Shortest time has been 6 weeks. Longest time 10 weeks. I’ll post the x-ray for you.
You are right if the bone follows you have to do sx. It is still all right as you now won’t have to do osseous reduction on the other teeth.
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