Very nice Jeff.

Beautiful results!

Bob

Let me first say that I think the result is good. Perfect? No. So the question comes what do I see that is not perfect? How could have the outcome have been different?

First the photos.

before

immediately after surgery

Note on this photo, the gingiva at 9 is the same height and contour as 8.

the most recent follow up.

I think that there is a bit of relapse due to bone that resides sub gingival. The tissue on tooth 9 is still coronal to the tissue on 8. Also the mesial aspect of 9 has rebounded some from the immediate post op.

How could this have been changed? I think that a flap with bone removal would actually have given a bit better result. With that said, would I have wanted to have had surgery with bone removal if I was the patient? Probably not. This result is quite nice, the smile is not a gummy smile, and the surgery would be a lot of extra stuff for very little improvement?

Overall a very nice result that you should be quite happy. I am sure the patient is.

(Edited by czeqm8 at 12:30 pm on May 29, 2006)

(Edited by czeqm8 at 12:31 pm on May 29, 2006)

Emperical evidence suggests they block the very mechanisms at the cellular level that allows biostim to work in the first place–even makes pain worse in muscular-tendon injuries.

Bob

Thanks Bob. Like Keith had mentioned, any idea on how long after steroid therapy the biostimulation could be initiated?

Al