Orthotown June 2013 - (Page 8)

wired for // success Incorporating Laser Treatments into Routine Orthodontic Practice by Alan A. Curtis, DDS, MS, Editorial Director, Orthotown Magazine Like many of you, soft-tissue laser treatments were not a part of my orthodontic curriculum. Incorporation of soft-tissue management in my practice has been something that has developed over time. The purpose of this article is to share with you a few cases that illustrate typical uses of a diode laser in routine orthodontic care. Maxillary Frenectomies EXAMPLE Maxillary diastemas are a frequent occurrence in the orthodontic office. While their etiology may vary, often the cause is a low maxillary frenum. A handyman would be foolish to restore the wet drywall before repairing the leaky pipe behind the wall. Unfortunately, far too often the diastema is closed but the cause of the gap (low frenum position) remains untreated. During my initial exam, low fremun attachments are discussed and the associated laser frenum treatment is planned for after the orthodontic treatment. I have chosen to include the cost of the procedure as part of the comprehensive treatment plan. Parents are typically grateful and understand the necessity of the procedure. Gingival Architecture EXAMPLES Upon finishing a case, gingival architecture is evaluated for aesthetics. Zenith position of the central incisor and its relationship to the lateral incisors and cuspids are compared together with probing depths to determine proper relationships. Pseudo-pocketing (depths greater than 3mm) indicates areas where contouring can be performed. Cuspids and central incisors should have equal relative gingival margins. The zenith of the central incisor should be placed distal to the long axis of the central incisor. 8 JUNE 2013 // orthotown.com http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown June 2013

Orthotown.com Highlights
Wired for Success: Incorporating Laser Treatments into Routine Orthodontic Practice
I Am So Tired
The Latest Technologies Advancing Ortho Care
Why Ever Do a 4 Bi in a Class II Case?
Best Flowable Composite?
What’s Your Practice’s Online Reputation?
Office Visit: Self-made in Manhattan
Orthodontic Practice Rescue – Becoming the Pre-eminent Orthodontist
Do You Have a Laser Yet? It’s Time to Get One!
Ad Index

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