Soft tissue reflection for removal of third molar

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March 15, 2003 at 8:30 pm #2907 Reply

Glenn van As
Spectator

Hi folks: Happy Saturday to you all! Here is a case I did yesterday for a nice lady who was suffering from pericoronitis for a lower third molar.

We used the erbium laser to incise and release the tissue and then used it to remove a small piece of tisse on the DL that may have been annoying to her tongue.

I used the unique chisel tip to cut the tissue, without water at 30 Hz and 80-100 mj. Not that much bleeding either.

I could have used a scalpel but there would have been more bleeding.

She was a tetracycline user for a while for acne around 14 or so…..you can see it in the roots.

Have a great weekend…….

Glenn

March 17, 2003 at 11:01 pm #7056 Reply

Swpmn
Spectator

That’s pretty cool.

The chisel tip is coming straight off your attachment to the fiber, correct? In other words it is parallel to the direction of the fiber?

Are there advantages/disadvantages to using the Er: YAG vs. your Argon laser in this situation?

Photo of the stained root is quite interesting. I used tetracycline at about the same age and wonder if mine had those bands. Apparently your patient ceased treatment as the apical portions were formed.

Just out of curiosity, do you happen to have a pre-op radiograph of that tooth in digital format?

Al

March 18, 2003 at 5:18 am #7055 Reply

Glenn van As
Spectator

Hi Allen: thanks for the kind words.

The chisel tip is parallel to the fiber (it comes straight out of the pen type delivery system). Parallel to the fiber is right.

The Er:Yag is faster than the Argon (much much faster) and the chisel tip is very very efficient. I am making a video of using it for the flap that I cut for an osseous on a tooth…….its on this site.

The bleeding of course is often more than the Argon but faster healing in my books and bloody quick.

I dont have anything here but I do have a pan at work.
Want me to take a photo of it tomorrow and I will post it.

Glenn
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