Dental
electrosurgery is a surgical procedure for the removal of periodontal or soft
tissue. You may be more familiar with the scalpel and suture surgical
procedure. Electrosurgery accomplishes the same thing, but in a different
fashion. The choice is determined by your particular conditions and needs.
Electrosurgery
is most often used to remove or recontour small amounts of gingival (gum)
tissue, stop minor soft tissue bleeding (prior to impressions for crowns or
placement of restorations), and/or expose sound tooth structure when:
·
Insufficient clinical tooth structure remains to allow the proper retention of
a crown.
·
The sound tooth structure is beneath the gingival tissue.
·
The gingival tissue is in poor position or contour.
Conventional
surgery is needed when more extensive tissue removal, repositioning, or
modification is required.
Electrosurgery
is used in dentistry on a regular basis. A local anesthetic is given before the
procedure is begun. A calibrated electric current is delivered to the site by a
special handpiece and a selection of differently shaped tips. The different
shapes are used to accomplish different things. The tip of the electrosurgery
handpiece “draws” a line on the soft tissue and the soft tissue “falls off.”
There is usually very little postoperative bleeding associated with
electrosurgical procedures.
There
is generally very little postoperative pain associated with the electrosurgical
procedure. Most patients say it feels
like a mild burn from eating hot food.
Any nonprescription pain reliever is usually adequate for pain relief.
Postoperative discomfort from conventional surgical crown lengthening is also
usually minimal and the healing time is fast.
As
with all soft tissue alterations in crown and bridge procedures, there may be
an unavoidable delay before the final impression can be made. This is
especially true when the crowns being prepared are easily visible when you
speak or smile. While the soft tissue looks as if it is healed in a week or so,
the tissue will continue to slowly change position and heal more fully for up
to 8 weeks. At that time, the tooth may need to be slightly reshaped to
compensate for the change before the impression is made. This is especially
critical for upper front teeth. Obviously, the more tissue that is removed, the
longer the healing time will be and the more likely final impression procedures
will need to be postponed. If the procedure is done in a not critically
cosmetic area, the impression will usually be made on the same day.
Sometimes
the periodontal soft tissue changes that are needed are so extensive that they
cannot be adequately accomplished by electrosurgery or a small conventional
surgical procedure. If this is the case for you, you will be referred to a periodontist
for the procedure. There will be an unavoidable delay in the final restoration
while the tissue heals and matures. A wait of 4 to 12 weeks or longer is not
unusual.
If you have any questions about electrosurgery, please feel free to ask
us at (512)250-5012.
-Omni Dental Group.
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