pioon laser

Introduction- The shallow vestibule was one of the mucogingival problems cited by Friedman in the late 1950s that required apicocoronal dimension of gingiva. Problems with shallow vestibule includes, - Unable to perform intra-sulcular cleaning or modified Bass method, as it requires placement of tooth brush bristle into the gingival sulcus. In patients with reduced vestibular depth this couldn’t be possible. Thus it interferes with oral hygiene procedures causing ineffective plaque control.  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 indic...

  Introduction- Crown lengthening is a surgical procedure designed to increase the extent of supra-gingival tooth structure for esthetic and restorative purposes. Based on the clinical scenario, crown lengthening procedure is categorized as either esthetic or functional. 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. While functional crown lengthening   is done to expose the crown structure so that a functional prosthesis can be placed over the exposed crown. Preservation of biologic width is the therapeutic endpoint of both these procedures. 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 ac...