Gingivectomy and Maxillary Frenectomy performed by Joshua Weintraub, DDS Pre-op Pre-op

Case Summary: A 13-year-old female, who has been a patient This soft tissue of the practice since she was 2 years old, presented for her procedure was surgical appointment. The patient was unhappy with the completed anesthesia- appearance of her smile after the orthodontic treatment. The free with minimal oral evaluation revealed that she had a hypermobile lip and showed too much of her gingiva and maxillary frenum when she and fast smiled. The patient was diagnosed with gingival hyperplasia. healing. Her etiology is a combination of hormone induced and post orthodontic hypertrophic gingiva combined with a very thick biotype. The clinical objective was to remove the excessive gingiva to make her smile more esthetically pleasing. In addition, a maxillary frenectomy was indicated. Total treatment time from start to finish was 45 minutes.

LEARN MORE ABOUT SOLEA AT WWW.CONVERGENTDENTAL.COM Technique Used: Only topical anesthetic (TAC) and nitrous oxide were used for this , no Note tissue thickness injectable anesthetic was administered. The 1 mm spot size with 30-50% cutting speed and 20% mist were used to ablate and shape the gingiva to lengthen the display of the teeth. Then, without stopping Post-op pre-thinning Post-op pre-thinning or changing any parameters on Solea, the performed a frenectomy and a minor vestibuloplasty. He also had to thin the very thick gingival tissue to prevent it from growing back. The 1.25 mm spot size with 30-50% cutting speed and 20% mist was applied to externally remove layers of tissue until the desired thickness was achieved.

Post-op Post-op

LEARN MORE ABOUT SOLEA AT WWW.CONVERGENTDENTAL.COM Results: The remarkable precision of Solea resulted in a clinical outcome that would otherwise be incredibly difficult to achieve and may have been referred out. Without Solea, the dentist would have needed to administer several injections. He would have also found it very difficult to achieve such an outstanding clinical outcome due to excessive bleeding. As the patient was not numb, the smile could be 3 months follow up evaluated during and after the procedure accurately. The use of traditional instruments or other Solea Advantage: would have caused the patient • The whole operation was performed without an injectable significant post-operative and a longer recovery. With Solea, treatment aesthetic and virtually blood-free. was much faster than the hour and a • The dentist was able to achieve impressive clinical results by half necessary using other easily completing multiple steps of this treatment in a blood- instruments. The patient was very happy with the way her smile free field instead of having to control bleeding. appeared immediately after the • The healing was incredibly fast with minimal post-op surgery was completed. With any other discomfort. techniques, including utilizing other • The dentist delivered an impeccable patient experience lasers, the esthetics for the first several days would be quite including not administering anesthesia, a shorter appointment unattractive. She also reported no time, and increased patient comfort. post-operative pain and very fast • Without Solea, the dentist may have referred this procedure healing during her follow-up out. appointment.

LEARN MORE ABOUT SOLEA AT WWW.CONVERGENTDENTAL.COM