Open Flap for Perio Pathology

Waterlase laser dentistry and its application in performing an open flap procedure for perio pathology. We guide you through the step-by-step process, highlighting the benefits of Waterlase technology in enhancing the surgical experience and patient outcomes.

1. Outlining the Incision:

To begin, slowly outline the incision site using the Waterlase laser tip. This precise outlining ensures accurate incision placement and promotes optimal healing.

2. Removing Outer Epithelium:

Next, remove the outer epithelial layer from the outlined area, extending at least 5mm beyond the intended incision line. Waterlase's gentle yet effective tissue ablation capabilities help create a clean surgical field.

3. Incising and Releasing the Flap:

With the incision site prepared, gradually incise along the previously outlined path, carefully working down to the underlying bone. To release the flap, gently sweep the laser tip along the bone surface. Waterlase's versatility allows for precise tissue manipulation and minimizes trauma to surrounding structures.

4. Smear Layer Removal and Granulation Tissue Reduction:

One of the advantages of using Waterlase is its ability to simultaneously remove the smear layer, a thin layer of debris covering the root surface while reducing granulation tissue. This thorough cleaning prepares the root surface for optimal fibroblast attachment during the healing process.

5. Osseous Tissue Removal and Architectural Smoothing:

To address any osseous tissue irregularities, move the Waterlase tip along the bone crest, gradually removing excess tissue. By employing slow, lateral movements, the laser helps smooth the bone architecture, creating a more favorable environment for tissue regeneration.

6. Flap Repositioning and Suturing:

Once the necessary surgical corrections have been made, carefully reposition the flap to its original position. Ensure proper alignment and tension before suturing. Waterlase's precise tissue ablation promotes minimal tissue trauma, facilitating easier flap repositioning.

7. Compression and Postoperative Care:

After suturing, compress the surgical site gently using gauze to control bleeding and aid in clot formation. Provide appropriate postoperative care instructions to the patient, emphasizing the importance of oral hygiene and regular follow-up visits.