Implant uncovery with the Picasso diode laser
Fig.1: Picasso Lite+ Diode Laser (AMD LASERS).
Fig. 2: Comparison of the depth of affected cells with an electrosurgery unit and a diode laser.
Fig. 3: Tissue reaction upon contact with an initiated diode laser tip, demonstrating the effect as one moves away from the tip.
Fig. 4a: Implant to be uncovered presents with two options depending on width of attached gingiva available.
Fig. 4b: Wide band of attached gingiva will remain after removal of tissue over cover screw, and the diode is utilized in a spiral pattern starting at center until fully exposed.
Fig. 4c: With the narrow band of attached gingiva present, an elliptical cut is made with the diode and tissue is pushed buccally and lingually to preserve the attached gingiva.
Fig. 5: When minimal keratinized gingiva is present, the diode laser is utilized to make an incision distal-mesially, and the tissue is spread conserving all of the attached gingiva present.
Fig. 6: Buccal view of the anterior maxilla demonstrating preservation of the papilla due to the provisional bridge.
Fig. 7: Occlusal view of the anterior maxilla demonstrating preservation of the papilla due to the provisional bridge.
Fig. 8: Picasso Lite+ diode laser removing soft tissue to uncover the implants cover screws.
Fig. 9: Uncovery of the implants and healing screws exposed.
Fig. 10: Healing abutments placed into the implants.
Fig. 11: Removal of the healing abutments at two weeks post-uncovery demonstrates a lack of inflammation of the modified soft tissue.
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