Dentaltown September 2021 - 54

by Dr. Samuel B. Low
Dr. Samuel B. Low was named vice president, dental
and clinical affairs, and chief dental offi cer of Biolase in
October 2016. He is professor emeritus at the University
of Florida College of Dentistry and an associate faculty
member of the Pankey Institute, with 30 years of private
practice experience in periodontics, lasers and implant
placement. He is also a diplomate of the American Board of
Periodontology and past president of the American Academy
of Periodontology.
Dueling Lasers
A gingival treatment case study and a look at today's laser options
While it may be diffi cult to determine when the fi rst gingivectomy was performed in the oral
cavity, some suggest it was performed by the French dentist Etienne Bourdet, who in 1757 created a
V-shaped incision between a patient's teeth to the bottom of the pocket. However, the gingivectomy
did not truly become highlighted in the discipline of periodontics until the mid-1940s. Major
periodontal icons such as Goldman, Glickman, Beube and Hirschfeld all describe the gingivectomy
as a major " go-to " in managing periodontal pockets. With the advent of the fl ap procedure in the
1950s, the gingivectomy slowly became less popular because of patient complaints of discomfort
and the signifi cant recession as the result of the blade excisions.
Traditional defi nitions for the gingivectomy can be convoluted, but still should be differentiated
from the gingivoplasty. Defi nitions of each can be found below:
Gingivectomy: Excision of gingiva by removing the diseased pocket wall, thereby exposing tooth
surface to provide the visibility and accessibility that are essential for the complete removal of irritating
surface deposits and thorough smoothing of the roots. Benefi ts include:
* Diseased tissue is removed.
* Pocket depth is reduced.
* Periodontal disease is controlled.
* Patient has improved ability to maintain good hygiene.
Gingivoplasty: A surgical reshaping of the gingiva for a more ideal physiologic contour, including
sculpting gingivae for aesthetic reasons. Benefi ts include:
* Reducing a gummy smile.
* Fixing uneven gingival contours.
With the advent of the fl ap creating excellent visualization for access to both teeth and osseous
structures, the gingivectomy should be utilized more frequently as a monotherapy for the management of
periodontal disease. It is an excellent procedure for excisional removal of supragingival (pseudo-pocket)
tissue to gain access for multiple objectives, from orthodontics to restorative. It indeed is an angular
excision to the tooth structure with the resulting collar removed for exposure. Therefore, the new,
more modern defi nition of gingivoplasty would be contouring existing gingiva without a complete
dissection of the connective tissue and more sculpting of the gingivae.
54 SEPTEMBER 2021 // dentaltown.com
http://www.dentaltown.com

Dentaltown September 2021

Table of Contents for the Digital Edition of Dentaltown September 2021

Table of Contents
Howard Speaks: Dentistry is a Numbers Game
Professional Courtesy: Joyful Dentistry
Continuing Education Update
Industry News
New Products
Townie Poll: Lasers
Show Your Work: Warm Up To Something New by Dr. Ron Kaminer
Message Board: Oral Pathology
Message Board: Endodontic Healing
Industry Insights: Ivoclar Vivadent
Office Visit: Dr. Grant Olson
Dueling Lasers by Dr. Samuel B. Low
Rolling Back 'The Cloud' by Andrew Malcolmson
Ad Index
Keep Your Story Straight by Paul Edwards
Play Your Cards Right by Dr. Jason Annan
Staffing Up by Jay Geier
Dentally Incorrect
Dentaltown September 2021 - EdgeEndo_CT
Dentaltown September 2021 - Cover1
Dentaltown September 2021 - Cover2
Dentaltown September 2021 - 1
Dentaltown September 2021 - 2
Dentaltown September 2021 - 3
Dentaltown September 2021 - Table of Contents
Dentaltown September 2021 - 5
Dentaltown September 2021 - 6
Dentaltown September 2021 - 7
Dentaltown September 2021 - 8
Dentaltown September 2021 - 9
Dentaltown September 2021 - Howard Speaks: Dentistry is a Numbers Game
Dentaltown September 2021 - 11
Dentaltown September 2021 - Professional Courtesy: Joyful Dentistry
Dentaltown September 2021 - 13
Dentaltown September 2021 - Continuing Education Update
Dentaltown September 2021 - 15
Dentaltown September 2021 - Industry News
Dentaltown September 2021 - 17
Dentaltown September 2021 - New Products
Dentaltown September 2021 - 19
Dentaltown September 2021 - Townie Poll: Lasers
Dentaltown September 2021 - 21
Dentaltown September 2021 - Show Your Work: Warm Up To Something New by Dr. Ron Kaminer
Dentaltown September 2021 - 23
Dentaltown September 2021 - 24
Dentaltown September 2021 - 25
Dentaltown September 2021 - Message Board: Oral Pathology
Dentaltown September 2021 - 27
Dentaltown September 2021 - 28
Dentaltown September 2021 - 29
Dentaltown September 2021 - 30
Dentaltown September 2021 - 31
Dentaltown September 2021 - 32
Dentaltown September 2021 - 33
Dentaltown September 2021 - Message Board: Endodontic Healing
Dentaltown September 2021 - 35
Dentaltown September 2021 - 36
Dentaltown September 2021 - 37
Dentaltown September 2021 - Industry Insights: Ivoclar Vivadent
Dentaltown September 2021 - 39
Dentaltown September 2021 - Office Visit: Dr. Grant Olson
Dentaltown September 2021 - 41
Dentaltown September 2021 - 42
Dentaltown September 2021 - 43
Dentaltown September 2021 - 44
Dentaltown September 2021 - 45
Dentaltown September 2021 - 46
Dentaltown September 2021 - 47
Dentaltown September 2021 - 48
Dentaltown September 2021 - 49
Dentaltown September 2021 - 50
Dentaltown September 2021 - 51
Dentaltown September 2021 - 52
Dentaltown September 2021 - 53
Dentaltown September 2021 - Dueling Lasers by Dr. Samuel B. Low
Dentaltown September 2021 - 55
Dentaltown September 2021 - 56
Dentaltown September 2021 - 57
Dentaltown September 2021 - 58
Dentaltown September 2021 - 59
Dentaltown September 2021 - Rolling Back 'The Cloud' by Andrew Malcolmson
Dentaltown September 2021 - 61
Dentaltown September 2021 - 62
Dentaltown September 2021 - 63
Dentaltown September 2021 - 64
Dentaltown September 2021 - Ad Index
Dentaltown September 2021 - Keep Your Story Straight by Paul Edwards
Dentaltown September 2021 - 67
Dentaltown September 2021 - 68
Dentaltown September 2021 - 69
Dentaltown September 2021 - 70
Dentaltown September 2021 - 71
Dentaltown September 2021 - Play Your Cards Right by Dr. Jason Annan
Dentaltown September 2021 - 73
Dentaltown September 2021 - 74
Dentaltown September 2021 - 75
Dentaltown September 2021 - Staffing Up by Jay Geier
Dentaltown September 2021 - 77
Dentaltown September 2021 - 78
Dentaltown September 2021 - 79
Dentaltown September 2021 - Dentally Incorrect
Dentaltown September 2021 - Cover3
Dentaltown September 2021 - Cover4
Dentaltown September 2021 - SI_1
Dentaltown September 2021 - SI_2
Dentaltown September 2021 - Elite_Book
Dentaltown September 2021 - IAOS_Book
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
https://www.nxtbook.com/farran/dentaltown/2020July
https://www.nxtbook.com/farran/dentaltown/2020June
https://www.nxtbook.com/farran/dentaltown/2020May
https://www.nxtbook.com/farran/dentaltown/2020April
https://www.nxtbook.com/farran/dentaltown/2020March
https://www.nxtbook.com/farran/dentaltown/2020February
https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
https://www.nxtbook.com/farran/dentaltown/2019July
https://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
https://www.nxtbook.com/farran/dentaltown/2019June
https://www.nxtbook.com/farran/dentaltown/2019May
https://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
https://www.nxtbook.com/farran/dentaltown/2019April
https://www.nxtbook.com/farran/dentaltown/2019March
https://www.nxtbook.com/farran/dentaltown/2019February
https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
https://www.nxtbook.com/farran/dentaltownuk/2018May
https://www.nxtbook.com/farran/dentaltown/2018May
https://www.nxtbook.com/farran/dentaltownuk/2018April
https://www.nxtbook.com/farran/dentaltown/2018April
https://www.nxtbook.com/farran/dentaltown/2018March
https://www.nxtbook.com/farran/dentaltownuk/2018March
https://www.nxtbook.com/farran/dentaltown/2018February
https://www.nxtbook.com/farran/dentaltownuk/2018February
https://www.nxtbook.com/farran/dentaltown/2018January
https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
https://www.nxtbook.com/farran/dentaltown/2017July
https://www.nxtbook.com/farran/dentaltownuk/2017July
https://www.nxtbook.com/farran/dentaltown/2017June
https://www.nxtbook.com/farran/dentaltownuk/2017may
https://www.nxtbook.com/farran/dentaltown/2017May
https://www.nxtbook.com/farran/dentaltownuk/2017April
https://www.nxtbook.com/farran/dentaltown/2017April
https://www.nxtbook.com/farran/dentaltown/2017March
https://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
https://www.nxtbook.com/farran/dentaltown/February2017
https://www.nxtbook.com/farran/dentaltown/2017January
https://www.nxtbook.com/farran/dentaltown/2016December
https://www.nxtbook.com/farran/dentaltown/2016November
https://www.nxtbook.com/farran/dentaltown/2016October
https://www.nxtbook.com/farran/dentaltown/2016nge
https://www.nxtbook.com/farran/dentaltown/2016september
https://www.nxtbook.com/farran/dentaltown/2016august
https://www.nxtbook.com/farran/dentaltown/2016july
https://www.nxtbook.com/farran/dentaltown/2016june
https://www.nxtbook.com/farran/dentaltown/2016may
https://www.nxtbook.com/farran/dentaltown/2016april
https://www.nxtbook.com/farran/dentaltown/2016march
https://www.nxtbook.com/farran/dentaltown/2016february
https://www.nxtbook.com/farran/dentaltown/2016january
https://www.nxtbook.com/farran/dentaltown/2015december
https://www.nxtbook.com/farran/dentaltown/2015november
https://www.nxtbook.com/farran/dentaltown/2015october
https://www.nxtbook.com/farran/dentaltown/2015nge
https://www.nxtbook.com/farran/dentaltown/2015september
https://www.nxtbook.com/farran/dentaltown/2015august
https://www.nxtbook.com/farran/dentaltown/2015july
https://www.nxtbook.com/farran/dentaltown/2015june
https://www.nxtbook.com/farran/dentaltown/2015may
https://www.nxtbook.com/farran/dentaltown/2015april
https://www.nxtbook.com/farran/dentaltown/2015march
https://www.nxtbook.com/farran/dentaltown/2015february
https://www.nxtbook.com/farran/dentaltown/2015january
https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
https://www.nxtbook.com/farran/dentaltown/2014october
https://www.nxtbook.com/farran/dentaltown/2014newgrad
https://www.nxtbook.com/farran/dentaltown/2014september
https://www.nxtbook.com/farran/dentaltown/2014august
https://www.nxtbook.com/farran/dentaltown/2014july
https://www.nxtbook.com/farran/dentaltown/2014june
https://www.nxtbook.com/farran/dentaltown/2014may
https://www.nxtbook.com/farran/dentaltown/2014april
https://www.nxtbook.com/farran/dentaltown/2014march
https://www.nxtbook.com/farran/dentaltown/2014february
https://www.nxtbook.com/farran/dentaltown/2014january
https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
https://www.nxtbook.com/farran/dentaltown/2013october
https://www.nxtbook.com/farran/dentaltown/2013newgrad
https://www.nxtbook.com/farran/dentaltown/2013september
https://www.nxtbook.com/farran/dentaltown/2013august
https://www.nxtbook.com/farran/dentaltown/2013july
https://www.nxtbook.com/farran/dentaltown/2013june
https://www.nxtbook.com/farran/dentaltown/2013may
https://www.nxtbook.com/farran/dentaltown/2013april
https://www.nxtbook.com/farran/dentaltown/2013march
https://www.nxtbook.com/farran/dentaltown/2013february
https://www.nxtbook.com/farran/dentaltown/2013january
https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
https://www.nxtbookmedia.com