Dental Feature: Laser Crown Lengthening

 

Breed: Belgian Malinois

Condition:
Complicated Fracture of the
Left Maxillary Canine




The patient's left maxillary canine was fractured with pulp exposure (a complicated crown fracture). But dental radiographs revealed that the root was still intact and savable.

Treatment:

The pulp chamber was first cleaned and then filled with gutta percha. Standard root therapy was performed.

During pulp removal

Preparing for bonding

X-ray after root canal

Next, the crown lengthening procedure was performed. A diode laser was used to do a laser gingivectomy and expose more of the tooth's surface. A pin was placed in the pulp chamber and core build-up material was used to build up the crown.

Laser crown lengthening

After crown prep

Diode lasers operate at about 810 nanometers. This is a safe level for working around hard tissue such as the alveolar bone and the periodontal ligaments in the oral cavity.

Two weeks after crown cementation

The patient recovered extremely well from the surgery and, five years later, is still doing great.

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