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ePaper created 2017-03-17, 12:41:55 | version 1.38.0
industry | Fig. 6d: Initial frenulum. Fig. 6e: Rapid frenectomy with 445 nm 2 W laser under local anaesthesia. Fig. 6f: Follow-up after five days. Fig. 6g: Lateral view of the tongue before frenectomy. Fig. 6h: Lateral view of the tongue after frenectomy. Fig. 6e Fig. 6d Fig. 6f Fig. 6g Fig. 6h coming heated. Now we turn to irreversible gingivec- tomies (Table 1). gaining traction on impacted teeth (Figs. 6a to 6c) and for frenectomies (Figs. 6d to 6h). Of course in this clinical context, as the gingival thickness conditions are favourable, there was no need to thicken the gingiva by creating a tissue flap. The implant head 14 was covered (Fig. 4a), and it was exposed with the 970 nm 3 W CW laser before the in- troduction of a wider, higher gingiva former (Fig. 4b). Figure 4c shows wound healing on D+2; the impres- sion was then made. Finally, the bridge on implants 14/16 were in location (Fig. 4d). Surgical exposure with a 970 nm 3 W laser and bonding of the bracket at 23 is shown in Figure 6a. Fol- low-up at D+1 month is seen in Figure 6b. Follow-up at D+5 months in Figure 6c and the initial frenulum is shown in Figure 6d. Rapid frenectomy with 445 nm 2 W laser under local anaesthesia is shown in Figure 6e, along with the follow-up at D+5 in Figure 6f. The lateral view of the tongue before is displayed in Fig- ure 6g and after in Figure 6h. Haemostasis Realignment of crowns Clinical case: extraction from alveolus 38. The in- terradicular alveolar wall is still visible just after the extraction, and it was decided to biostimulate at 660 nm to induce bleeding (Fig. 5a). Haemostasis with the 445 nm 2 W diode laser at a distance of 2 mm is shown in Figure 5b. Laser and orthodontics The general dental practitioner can also use a laser as an aid in certain orthodontic treatments, such as gingivectomies in cases of hypertrophy, thus improv- ing the dental hygiene of young patients, and also for Preprosthetic treatment of mucous tissue with di- ode laser promotes rapid, painless wound healing; healing times are faster and fewer dental appoint- ments are required. The initial state is depicted in Fig- ure 7a. The crowns at 21, 22 and 23 must be realigned after determination of the depth of the biological space and of the gingival heights. The mock-up serves as a guide for marking out the new crowns with the 445 nm 2 W diode laser (Figs. 7b and 7c). Preparation and digital impression are completed on the same day under periapical an- aesthesia. Examination of the surgery and CEREC laser 1 2017 29