Hi Tom,
It’s the same problem for deep class II cavities.
Best open up the box and gain access to the interproximal gingiva, control the soft tissue , then define the floor of the box.
Hope this helps.
Ken

The diode lasers will actually remove tissue and they will also condition the tissue meaning that if you nick them afterwards with the bur , there is far less likelihood of bleeding to occur.

So I remove tissue then refine the box, or the margin. It will be easier that way to see what you are doing.

Glenn

Recently I did crown lengthening the old fashioned way- with a BP blade- on a young (20’s) woman. She didn’t heal normally due to her daily dilantin dose for control of seizures from years ago. At a post op visit I finally had my Odyssey 2 G and thought OK, I can deal with this and proceeded to ablate away the hypertpophic granulomatous tissue which had formed interproximately. The tissue was hemmorhagic and bulbous. It looked good when I finished but a week later she returned for another post op and the tissue had regrown and was more swollen and hemmorhagic than before I touched it. I have her on Peridex  and she’s to see her MD who had told her previously he thought he would take her off dilantin now as he felt it was no longer needed. I was disappointed the tissue didn’t look much better at one week and I’ll have to ablate the tissue once again once she’s off dilantin before I can get the impression. Any suggestions?

Is this typically a third molar only type of complication?

Suresh

OLaf, That was interesting. I have to say that I about choked when I saw they used use 20-25W. The I saw they were at 20,000HZ at 10ls. Now thats cool.