Tori Removal - Laser Dentistry Forum

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February 27, 2003 at 2:12 pm #3434 Reply

dkimmel
Spectator

Anyone tried removal of tori with the laser. If you can do crown lenghtening seems do able!
David

February 27, 2003 at 9:46 pm #11291 Reply

Swpmn
Spectator

Hi neighbor!!!!

I think the Erbium laser would work fine for tori removal although I’ve never tried. I have done a few crown lengthening procedures and the Erbium ablates bone efficiently. However, these were “closed” crown lengthenings where no surgical flap was reflected. Of course, there is no reason we can’t reflect a flap and then use the Erbium to remove osseous.

My thought is that for a tori removal, one would have to reflect a flap to allow proper access to the torus and also to provide an exit route for the dislodged torus. Keep in mind that the Erbium laser is an air discharging device and there might be a slight risk of air embolism underneath the flap. I’m not sure what is the actual rate of air embolism underneath a reflected flap. Although I have surgical handpieces, I have done thousands of surgical procedures over the years with conventional, air-discharging high speed turbines and never had an air embolism.

But I hear if you get one it’s a real pain in the ass. Guess that’s why they call it the Practice of Dentistry, he he he!!!!!!

Al

February 28, 2003 at 2:16 am #11288 Reply

dkimmel
Spectator

Allen,
I know what you mean by the air!!
Tori can be a pain to grind off. I remember it being much easier with a chisel and mallet– nice and clean. The patients tended to freak. Not good for private practice.
As far as cutting the bone with the laser. Is it very slow and smooth. Cleaner then grinding? It would seem with a large tori that the depth of the cut would be a problem.
DAvid

February 28, 2003 at 11:48 pm #11292 Reply

Swpmn
Spectator

David:

The laser cuts bone fairly quickly and it is possible to obtain smooth services with careful use. Whether our not it would be practical I think would depend on the size of the torus. I only try the small ones with my handpiece so I believe you could use the Erbium in these cases.

Al

March 1, 2003 at 12:26 pm #11289 Reply

dkimmel
Spectator

Al. While waiting for my laser every patient I see I ask myself is there something I could do with the laser. I will try a tori removal just as soon as I figure out which end of the thing to use.
Another issue has come up with the staff about what the laser can be used for. They are happy to be my first patients. Thing is they want things removed on body parts I really don’t want to see!! Don’t think my wife would undersatnd!!
David

April 3, 2003 at 1:45 am #11286 Reply

dkimmel
Spectator

After doing my first osseous crownlengthing you guys are too kind. It would take far too long to take a tori off. At least one of any size plus the water spray!
David

April 3, 2003 at 2:57 am #11293 Reply

Swpmn
Spectator

Probably would.

How’d the crown lengthening go?

Al

April 4, 2003 at 1:25 am #11287 Reply

dkimmel
Spectator

Al
The crownlengthing went OK. Seemed like it took longer then it did. I don’t have a real feel for contouring the tissue. Felt like I was punching a bunch of little holes in the tissue and bone and not leaving it as smooth as I would like. The patient had no discomfort the next day. I was able to get a great impression. My total time from start to final impression was 50 min. with two Hygiene check inbetween.
Bottomline is it was great but my confindence level is still low. Will try to get a few family members to practice on this weekend. Think my mother inlay needs some work!
David

April 7, 2003 at 12:52 am #11290 Reply

2thlaser
Spectator

Hi Guys,
Just getting back from lecturing in London. Still in Salt Lake waiting for my flight to Whitefish, reading the threads. I know of a dentist in Wyoming who just got the Waterlase about 2 weeks ago, and he was planning on doing a Tori removal after he called and talked with me about it. It was scheduled, I just need to follow up and see how it went for him.

David, remember, to not get those “punch like holes” just move the laser a bit faster. It contours great when you move it faster than when you want a deeper cut, which is when you move it slowly. You’ll get it, have patience.

I gave this website to all those in the UK, and I think we will get some more of them online here as well. They are doing some neat things there as well. The way they have to practice though, because of the way they get paid, it’s hard for them to do some of the more prolonged procedures, as they learn. Same in Germany. Speed is important in their practices, as they get paid so poorly by the NHS. Very interesting economics overseas. By and large, as a group of laser users though, they are really starting to move “out of the box” with some procedures.
Talk to you all later! Back in the office tomorrow!
Mark
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