Year :
2021
| Month :
February
| Volume :
15
| Issue :
2
| Page :
ZD05 - ZD09
Full Version
Use of Diode Lasers to Enhance Aesthetics of Anterior Implant Supported Prosthesis: A Report of Two Cases
Published: February 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/46407.14514
Mohit Dhiman, Gunjan Pruthi, Tejomaya D Shastry, Sudhir Bhandari
1. Senior Resident, Department of Prosthodontics, Oral Health Sciences Centre, PGIMER, Chandigarh, India.
2. Assistant Professor, Department of Prosthodontics, Oral Health Sciences Centre, PGIMER, Chandigarh, India.
3. Senior Resident, Department of Prosthodontics, Oral Health Sciences Centre, PGIMER, Chandigarh, India.
4. Additional Professor, Department of Prosthodontics, Oral Health Sciences Centre, PGIMER, Chandigarh, India.
Correspondence Address :
Dr. Gunjan Pruthi,
Room 107, Ground Floor, Madhya Marg, Sector 12, Chandigarh, India.
E-mail: gunjan_prostho@yahoo.co.in
Abstract
Diode lasers have been used for multiple applications in dentistry; however, its use for soft tissue management around dental implants has not been reported much. The role of symmetrical gingival tissue with properly positioned zenith is paramount to achieving aesthetics. The gingival zenith can be described as the most apical point on the marginal gingiva; its ideal placement should be at the crest of the curvature of the gingival margin for the central incisors, canines, and premolars, this should be ideally located slightly distal to the middle of the long axis on these teeth. This produces a slight inclination of the distal root which plays a vital role in the foundation of a beautiful smile. If this gingival complex is malpositioned in maxillary anterior region, it may result in an unaesthetic appearance even if the artificial teeth are perfectly aligned. Here, authors are presenting two patients with missing anterior teeth, who were not satisfied with the final aesthetic outcome of their implant supported prostheses. Due to history of trauma and painful course of treatment, patients were not comfortable with one more exposure to injectable anaesthesia, use of scalpel, or long healing process when they were almost nearing completion of their treatment. So, Diode laser was used for soft tissue excision around implants followed by gingival contouring in pontic region to achieve the desired gingival zenith and contour. The procedure was painless, blood free, followed by quick healing and effective in achieving optimal aesthetic outcome for both the patients.
Keywords
Dental implant, Gingivectomy, Gingival zenith, Second stage surgery
10.7860/JCDR/2021/46407.14514
Date of Submission: Aug 22, 2020
Date of Peer Review: Oct 06, 2020
Date of Acceptance: Nov 30, 2020
Date of Publishing: Feb 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Sep 07, 2020
• Manual Googling: Nov 25, 2020
• iThenticate Software: Dec 21, 2020 (6%)
ETYMOLOGY: Author Origin
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