Introduction- Crown lengthening is a surgical procedure designed to increase the extent of supra-gingival tooth structure for esthetic and restorative purposes.
Esthetic crown lengthening is usually done in the anterior esthetic zone of oral cavity, where the major concern is to reduce excessive gingival display and increase the clinical crown height.
Crown lengthening can be limited to soft tissue only, or both soft and hard tissue can be contoured.Indications- There are several indications including: restorative needs, to increase clinical crown height lost due to caries, fracture or wear, to access sub-gingival caries, to access a perforation in the coronal third of the root, to relocate margins of restorations that are impinging on biological width, esthetics, short teeth, uneven gingival contour and gummy smile.Treatment Modality- Crown lengthening procedure can accomplished either by the use of a periodontal knife/scalpel, rotary coarse diamond bur, electrosurgery etc.
These techniques have certain disadvantages like surgical trauma, postoperative pain and swelling, bleeding during surgery, poor patient acceptance and also coronal migration of the soft tissue margins is seen during healing which makes it difficult for recording the finish lines after the tooth preparation.With recent advancements, conventional techniques are replaced by LASERS which offers a relatively bloodless surgical procedure, sterilization of the wound site, minimal swelling, reduction of surgical time, high patient acceptance, reduced postoperative pain and much lesser need of post-operative medications.PIOON Laser offers different wavelengths like 450nm/810nm or 980nm.
Out of which 450nm can used in non-contact or contact mode whereas 810nm and 980nm are used in contact mode in order to perform a crown lengthening procedure.
The most desirable among them is 450nm wavelength due to faster cutting and lesser thermal damage due to non-contact mode of operation.In the present case, clinical and radiographic evaluation revealed adequate keratinized gingiva, presence of sub-gingival caries and inadequate tooth structure on the lingual side of lower left first molar.
PIOON will bring new technologies with better products and services in 2021Merry Christmas!!!!
Thanks to every doctor who gave a lecture to PIOON in 2020.
Dr. Sana Farista, Dr. Ahmed Ramadan, Dr. Ayman Al Kayal, Dr. Walid Altayeb, Dr. Madhu Hariharan, Dr. Shabeer Hassim, Dr. Saleh Alghabban, Dr. Saud Fahad Alhaza, Dr. Thierry Maleca, Dr. Alejandro D. SteinmanWe will dedicated to supply best medical lasers, as well as the most anticipated training support.
Looking forward to more trainings from us in 2021!Merry Christmas！！
The most commonly impacted or un-erupted tooth is the permanent maxillary canine.
There has been numerous hypotheses developed regarding the etiology of canine impaction, the issue remains controversial.
Impacted canine can cause complications without such as internal or external resorption, loss in arch length, infection associated with partial eruption, and resorption of the roots of lateral incisors.
Treatment modality- Various treatment modalities have been proposed to avoid the complications associated with impacted canines such as use of scalpel, caustic agents, electrocautery and diode laser.
But in most of the cases, it first requires orthodontic preparation of the maxillary arch in order to create adequate space between the lateral incisor and first premolar prior to surgical exposure.
PIOON Laser offers different wavelengths like 450nm/810nm or 980nm.
Introduction- Maxillary incisors are aesthetically important, parents often notices it first and are troubled (1,2).
It is necessary to bring the unerupted incisor into its correct position with proper monitoring and timely surgical orthodontic intervention so as no prosthetic solution is required as nothing is better than tooth itself.
LASER have its advantages over conventional scalpel for the surgical exposure of the unerupted incisors.Diagnosis of unerupted incisors-A) Clinical evaluation-1) Firstly patient’s chronological age and dental age should be examined to determine if there is delayed eruption or not.2) The amount of space available for the eruption of tooth, space loss, midline shift, position of the adjacent teeth, and contour of the bone should be examined3) Palpation of the labial bulge on the mucosa if visible and if not visible then evaluation by radiograph4) The distance from the mucogingival junction - An adequate amount of keratinized gingival tissue that is under proper plaque control, is a fundamental requirement for periodontal health.
Labially or buccally erupting teeth show reduced dimensions of gingiva as abnormal eruption of permanent teeth restricts or eliminates the keratinized tissue between the erupting cusp and the deciduous tooth.
A lack of attached gingiva (keratinized gingiva) poses a potential risk for gingival recession in labially or buccally erupted teeth due to the possibility of accumulation of plaque and/or traumatic tooth-brushing.B) Radiographic evaluation- The accurate location of the unerupted lateral incisor by the conventional two - dimensional radiographs is done.
CBCT (Cone Beam Computed Tomography) can be used to avoid multiple exposure and to know the accurate position of the tooth.1) Firstly determine the presence of lateral incisors and if bone is present on the erupting tooth buds2) The amount of root formedIn this case the patient’s chronological age was 9 years suggesting of delayed eruption of lateral incisor.
The esthetics of smile though majorly influenced by the color, shape, and position of the teeth, is also influenced by the color of the gingival tissues.
The color of gingiva is influenced by the vascular supply, thickness and degree of keratinization of the epithelium, and presence of various pigments.
Among these, the major factor contributing to the color of gingiva is melanin.
Gingival hyperpigmentation does not pose any medical problem, but many patients may consider this an esthetic problem, particularly patients who have excessive gingival display or gummy smile.
melanin production, although some adverse habits such as smoking can further stimulate melanin pigmentation, and so intensity of pigmentation is also related to the duration of smoking and number of cigarettes consumed.Treatment Modalities Gingival depigmentation is a treatment to remove melanin hyperpigmentation of the gingiva and various methods have been used for this procedure with different degrees of success including gingivectomy, gingivectomy with free gingival autografting, acellular dermal matrix allograft, electrosurgery, cryosurgery and abrasion with diamond bur.
The drawbacks of these techniques are intraoperative and post-operative bleeding, need for anaesthesia, need of periodontal pack/dressing, risk of post-operative infection, edema etc.Laser with different wavelengths have been used easily with well-tolerated and good esthetic outcomes.
They are also known as traumatic fibromas, focal intra-oral fibrous hyperplasia, fibrous nodules, or oral polyps.Clinical Features- Fibromas are often found on the interior of the cheek, lips, or lateral borders of the tongue and result from tissue being trapped between the maxillary and mandibular teeth when occluding.
An oral fibroma presents as a firm smooth lump and is usually similar in color to the surrounding soft tissue, although it may be paler due to less vascularity and increased connective tissue within it.
Fibromas have a dome-shaped geometry but may be pedunculated (polyp-like with a short stalk-like base).Treatment Biopsy and oral fibroma removal traditionally has been performed with a scalpel that results in excision resulting in bleeding margins.
Laser selection is practitioner dependent.
PIOON Laser offers different wavelengths like 450nm/810nm or 980nm.
The most preferred among them is 450nm wavelength.
It compromises the denture retention and stability, predisposes the gingiva to recession which compromises the esthetics and often leads to dentinal hypersensitivity and root caries on exposed root surface.Vestibuloplasty is a mucogingival procedure that aims at the surgical modification of the gingiva-mucous membrane relationships including deepening of the vestibular trough, altering the position of the frenulum or muscle attachments, and widening of the zone of attached gingiva.
It is indicated to halt the progression of gingival recession, to regain the width of attached gingiva, for effective plaque control procedures, better esthetics, to improve denture retention and stability, and to prevent inflammatory alterations and tissue recession around implants.
It is contraindicated in areas showing bone loss due to chronic periodontitis or traumatic extraction and in cases with ridge resorption around implants.Treatment Modalities- A variety of vestibuloplasty techniques have been advocated in literature such as Clark’s vestibuloplasty, Edlanplasty, Kazanjian vestibuloplasty, etc.
Major drawbacks of these conventional vestibuloplasty procedures were the severe pain and discomfort and the delayed healing with the high chances of relapse making them less acceptable.Laser vestibuloplasty with the Diode laser represents a contemporary non-invasive alternative to conventional scalpel method.
PIOON Laser offers different wavelengths like 450nm, 810nm/980nm which can either be used in contact or non-contact manner to perform this procedure.
In this case wavelength of 450nm was selected and 400 micron initiated tip was used in non-contact/slightly contact mode, starting at the mucogingival junction with a horizontal stoke directing the laser parallel to the bone slowly relieving the muscle fibers till the desired depth.
Introduction- Crown lengthening is a surgical procedure designed to increase the extent of supra-gingival tooth structure for esthetic and restorative purposes.
Esthetic crown lengthening is usually done in the anterior esthetic zone of oral cavity, where the major concern is to reduce excessive gingival display and increase the clinical crown height.
Crown lengthening can be limited to soft tissue only, or both soft and hard tissue can be contoured.Indications- There are several indications including: restorative needs, to increase clinical crown height lost due to caries, fracture or wear, to access sub-gingival caries, to access a perforation in the coronal third of the root, to relocate margins of restorations that are impinging on biological width, esthetics, short teeth, uneven gingival contour and gummy smile.Treatment Modality- Crown lengthening procedure can accomplished either by the use of a periodontal knife/scalpel, rotary coarse diamond bur, electrosurgery etc.
These techniques have certain disadvantages like surgical trauma, postoperative pain and swelling, bleeding during surgery, poor patient acceptance and also coronal migration of the soft tissue margins is seen during healing which makes it difficult for recording the finish lines after the tooth preparation.With recent advancements, conventional techniques are replaced by LASERS which offers a relatively bloodless surgical procedure, sterilization of the wound site, minimal swelling, reduction of surgical time, high patient acceptance, reduced postoperative pain and much lesser need of post-operative medications.PIOON Laser offers different wavelengths like 450nm/810nm or 980nm.
Out of which 450nm can used in non-contact or contact mode whereas 810nm and 980nm are used in contact mode in order to perform a crown lengthening procedure.
The most desirable among them is 450nm wavelength due to faster cutting and lesser thermal damage due to non-contact mode of operation.In the present case, clinical and radiographic evaluation revealed adequate keratinized gingiva, presence of sub-gingival caries and inadequate tooth structure on the lingual side of lower left first molar.
Introduction- Maxillary incisors are aesthetically important, parents often notices it first and are troubled (1,2).
It is necessary to bring the unerupted incisor into its correct position with proper monitoring and timely surgical orthodontic intervention so as no prosthetic solution is required as nothing is better than tooth itself.
LASER have its advantages over conventional scalpel for the surgical exposure of the unerupted incisors.Diagnosis of unerupted incisors-A) Clinical evaluation-1) Firstly patient’s chronological age and dental age should be examined to determine if there is delayed eruption or not.2) The amount of space available for the eruption of tooth, space loss, midline shift, position of the adjacent teeth, and contour of the bone should be examined3) Palpation of the labial bulge on the mucosa if visible and if not visible then evaluation by radiograph4) The distance from the mucogingival junction - An adequate amount of keratinized gingival tissue that is under proper plaque control, is a fundamental requirement for periodontal health.
Labially or buccally erupting teeth show reduced dimensions of gingiva as abnormal eruption of permanent teeth restricts or eliminates the keratinized tissue between the erupting cusp and the deciduous tooth.
A lack of attached gingiva (keratinized gingiva) poses a potential risk for gingival recession in labially or buccally erupted teeth due to the possibility of accumulation of plaque and/or traumatic tooth-brushing.B) Radiographic evaluation- The accurate location of the unerupted lateral incisor by the conventional two - dimensional radiographs is done.
CBCT (Cone Beam Computed Tomography) can be used to avoid multiple exposure and to know the accurate position of the tooth.1) Firstly determine the presence of lateral incisors and if bone is present on the erupting tooth buds2) The amount of root formedIn this case the patient’s chronological age was 9 years suggesting of delayed eruption of lateral incisor.
The esthetics of smile though majorly influenced by the color, shape, and position of the teeth, is also influenced by the color of the gingival tissues.
The color of gingiva is influenced by the vascular supply, thickness and degree of keratinization of the epithelium, and presence of various pigments.
Among these, the major factor contributing to the color of gingiva is melanin.
Gingival hyperpigmentation does not pose any medical problem, but many patients may consider this an esthetic problem, particularly patients who have excessive gingival display or gummy smile.
melanin production, although some adverse habits such as smoking can further stimulate melanin pigmentation, and so intensity of pigmentation is also related to the duration of smoking and number of cigarettes consumed.Treatment Modalities Gingival depigmentation is a treatment to remove melanin hyperpigmentation of the gingiva and various methods have been used for this procedure with different degrees of success including gingivectomy, gingivectomy with free gingival autografting, acellular dermal matrix allograft, electrosurgery, cryosurgery and abrasion with diamond bur.
The drawbacks of these techniques are intraoperative and post-operative bleeding, need for anaesthesia, need of periodontal pack/dressing, risk of post-operative infection, edema etc.Laser with different wavelengths have been used easily with well-tolerated and good esthetic outcomes.
They are also known as traumatic fibromas, focal intra-oral fibrous hyperplasia, fibrous nodules, or oral polyps.Clinical Features- Fibromas are often found on the interior of the cheek, lips, or lateral borders of the tongue and result from tissue being trapped between the maxillary and mandibular teeth when occluding.
An oral fibroma presents as a firm smooth lump and is usually similar in color to the surrounding soft tissue, although it may be paler due to less vascularity and increased connective tissue within it.
Fibromas have a dome-shaped geometry but may be pedunculated (polyp-like with a short stalk-like base).Treatment Biopsy and oral fibroma removal traditionally has been performed with a scalpel that results in excision resulting in bleeding margins.
Laser selection is practitioner dependent.
PIOON Laser offers different wavelengths like 450nm/810nm or 980nm.
The most preferred among them is 450nm wavelength.
PIOON will bring new technologies with better products and services in 2021Merry Christmas!!!!
Thanks to every doctor who gave a lecture to PIOON in 2020.
Dr. Sana Farista, Dr. Ahmed Ramadan, Dr. Ayman Al Kayal, Dr. Walid Altayeb, Dr. Madhu Hariharan, Dr. Shabeer Hassim, Dr. Saleh Alghabban, Dr. Saud Fahad Alhaza, Dr. Thierry Maleca, Dr. Alejandro D. SteinmanWe will dedicated to supply best medical lasers, as well as the most anticipated training support.
Looking forward to more trainings from us in 2021!Merry Christmas！！
It compromises the denture retention and stability, predisposes the gingiva to recession which compromises the esthetics and often leads to dentinal hypersensitivity and root caries on exposed root surface.Vestibuloplasty is a mucogingival procedure that aims at the surgical modification of the gingiva-mucous membrane relationships including deepening of the vestibular trough, altering the position of the frenulum or muscle attachments, and widening of the zone of attached gingiva.
It is indicated to halt the progression of gingival recession, to regain the width of attached gingiva, for effective plaque control procedures, better esthetics, to improve denture retention and stability, and to prevent inflammatory alterations and tissue recession around implants.
It is contraindicated in areas showing bone loss due to chronic periodontitis or traumatic extraction and in cases with ridge resorption around implants.Treatment Modalities- A variety of vestibuloplasty techniques have been advocated in literature such as Clark’s vestibuloplasty, Edlanplasty, Kazanjian vestibuloplasty, etc.
Major drawbacks of these conventional vestibuloplasty procedures were the severe pain and discomfort and the delayed healing with the high chances of relapse making them less acceptable.Laser vestibuloplasty with the Diode laser represents a contemporary non-invasive alternative to conventional scalpel method.
PIOON Laser offers different wavelengths like 450nm, 810nm/980nm which can either be used in contact or non-contact manner to perform this procedure.
In this case wavelength of 450nm was selected and 400 micron initiated tip was used in non-contact/slightly contact mode, starting at the mucogingival junction with a horizontal stoke directing the laser parallel to the bone slowly relieving the muscle fibers till the desired depth.
The most commonly impacted or un-erupted tooth is the permanent maxillary canine.
There has been numerous hypotheses developed regarding the etiology of canine impaction, the issue remains controversial.
Impacted canine can cause complications without such as internal or external resorption, loss in arch length, infection associated with partial eruption, and resorption of the roots of lateral incisors.
Treatment modality- Various treatment modalities have been proposed to avoid the complications associated with impacted canines such as use of scalpel, caustic agents, electrocautery and diode laser.
But in most of the cases, it first requires orthodontic preparation of the maxillary arch in order to create adequate space between the lateral incisor and first premolar prior to surgical exposure.
PIOON Laser offers different wavelengths like 450nm/810nm or 980nm.