Gingivoplasty Using Diode Laser

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Postoperative View (Courtesy- Dr.Sana Farista)
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2020-12-05
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Gingivoplasty Using Diode Laser
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Etiology- It may be due to altered passive
eruption of teeth, dentoalveolar extrusion, short
or hyperactive lip muscles, short clinical crown,
extensive subgingival caries, and subgingival
tooth fractures at dentogingival junction.
Treatment is performed to improve the dental
esthetic by increasing the clinical crown height,
thus it restores the normal dentogingival
relationships.
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In the present case, the smile analysis revealed
irregular gingival contour and midline diastema.
Initially, it was observed that the tooth axis
and the gingival zenith contours were not
satisfactory. Prior to the diastema closure it is
important to normalize the gingival zenith.
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Firstly Assessment of Biological width was done
by probing to the bone level (referred to as
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subtracting the sulcus depth from the resulting
measurement. If this distance is lt2 mm a
diagnosis of biologic width violation can be
confirmed.
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As there was sufficient sulcus depth of 4mm,
gingivoplasty procedure could be performed with
laser in this case to lengthen the tooth without
encroaching the biological width which was
followed by midline diastema closure with
composite restoration. T
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Fornaini C et al. in 2016 carried out the study
to compare the effectiveness of the different
laser wavelength and they concluded that use of
wavelength 450nm gives a proper contouring to the
gingiva with less thermal damage to the tissues
which accelerates the healing time.
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Rationale behind Use of Lasers It has
advantages over scalpel surgical procedures which
include greater precision, a relatively bloodless
surgical and postsurgical field, sterilization of
the surgical area, minimal swelling and scarring,
coagulation, no suturing, and less or no
postsurgical pain.
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There is decrease in post-operative pain after
the use of laser which is due to the formation of
protein coagulum on the wound surface, thereby
acting as a biologic dressing and sealing the
ends of the sensory nerves.
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Preoperative View (Courtesy- Dr. Sana Farista)
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Postoperative View (Courtesy- Dr.Sana Farista)
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By Dr. Rufi Patel
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MDS Periodontics
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Divas in Laser
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