This clinical report presents the use of a diode laser for a gingivectomy procedure in a case of excess gingival clinical crown coverage due to altered passive eruption. L asers are used as a principal instrument or adjunct in many dental procedures today. Depending on the application, clinicians have their choice of technologies, as various therapies require different laser wavelengths due to the nature of how tissue reacts. Dental lasers include those either primarily or exclusively used on soft tissue such as Nd:YAG, diode and Applications for soft tissue use include sulcular debridement, the laser-assisted new attachment procedure, reduction of bacterial levels, biopsies, frenectomies and gingivectomy procedures.
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Gingivectomy is the most common procedure performed with dental lasers. All laser wavelengths can be used to precisely incise gingiva for restorative, cosmetic, and periodontal indications. Rapid healing and reduced pain are commonly seen post operatively and patients rarely need periodontal packing or sutures. The thermal effects of diodes, Nd:YAG and CO 2 lasers must be understood to avoid collateral damage, but in properly trained hands these devices are quite effective.
Erbium edlasers pulsed technology, shallow penetration, and water absorption produce a minimal thermal effect and minor procedures can sometimes be achieved with no anesthetic at all.
The nearly "cold cutting" effect of erbium tissue interaction creates a remarkable post-operative course. You did not finish creating your certificate. Failure to complete ALL the steps will result in a loss of this test score, and you will not receive credit for this course. Save your progress. Previous Next Gingivectomy. Figure Pre-operative severe idiopathic gingival hyperplasia.
The anterior teeth were highly restored with multiple restorations and resin veneers. No osseous reduction was needed, as there was no biological width disruption. Teeth were temporized with a chair-side fabricated six unit splint and the patient returned for impressions one week later.
The patient complained of minor discomfort only. The gingiva already appears well healed with stippling apparent just one week later.
Gingivectomy and ClasssV Restoration - An elderly patient lost a classV restoration while hospitalized The gingiva grew into the defect significantly. The patient was on Plavix and aspirin. Er:YAG gingivectmoy allowed for precise control of the gingival margin and placement of a restoration.
Fibrous gingiva growing over implant healing cap excised with Er:YAG laser at abutment placement appointment. No anesthesia was required. Erbium lasers do not interact with titanium and can be safely used around titanium implants. Video 2. Show Transcript. No narrative to video. Procedure done by Dr. Print Save your progress. Your session is about to expire. Do you want to continue logged in? Cancel Continue.
Dental Pain Free Laser
Study record managers: refer to the Data Element Definitions if submitting registration or results information. The study was blinded in regard to the statistical analysis: blinding was obtained by eliminating from the elaboration file every reference to patient group assignment. Initially, the Periodontal Probing Depth was measured and when sufficient anesthesia was achieved, biologic width calculation was done by the trans-gingival probing method. Once the amount of gingival tissue to be excised was demarcated, an external bevel incision was performed by using a scalpel blade Device: scalpel blade No. Left out tissue tags and any beads of granulations tissue were removed to attain a smooth surface.
Materials and methods: 50 patients divided into two equal groups, Group 1 gingivectomy was done by Diode Laser, Group 2 gingivectomy was done by scalpel, plaque and gingival index were measured at 1st, 2nd and 3rd visit, swab were taken and sent foe detecting bacterial growth and biopsy were taken for histopathological examination. Group 1 show no significant differences in plaque and gingival means between the visits, the bacteriological examination showed no growth of bacteria and histological examination revealed less inflammatory cells than Group 2. Group 2 show significant differences in plaque and gingival indices between the visits. Though scalpel remains the gold standard choice in gingivectomy but Diode laser may have some advantages over it. Akram H. M, Ali O.