Gingivectomy

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 CO₂ 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.

Figure 15. Gingivectomy.

Figure 15. Gingivectomy.

Excess gingiva is removed with an Er:YAG Laser. The non-thermal and precise capabilities allow for controlled sculpting of the tissue and result in minimal post-operative discomfort.

Figure 16. Gingivectomy.

Figure 16. Gingivectomy.

One week later the gingiva is completely healed.

Figure 17. Crowns/Gingivectomy - Cementation.

Figure 17. Crowns/Gingivectomy - Cementation.

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.

Fig 18. Implant/Gingivectomy.

Fig 18. Implant/Gingivectomy.

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.

Gingivectomy with a diode laser (1064 nm XLASE). Procedure done by Dr. Larry Kotlow, video courtesy of Technology4Medicine, LLC.