A 17-year-old patient, having just completed the lengthy process of orthodontic treatment, was looking forward to a perfect, healthy smile. However, a post braces examination revealed a serious issue: deep caries on the lower right last molar which decay was obscured by an overgrowth of thick gum tissue, making the essential restoration impossible without intervention.
The Challenge
The combination of recent metal brackets and existing swollen gum tissue had created a localized “food trap” at the back of the tooth, which, coupled with acknowledged poor home care habits, led directly to significant decay. Beyond the physical issue, the patient also suffered from considerable dental anxiety, a psychological barrier that needed to be addressed before any invasive procedure could begin. Successfully treating the decay required precision and a truly empathetic approach to ensure the patient’s comfort.
Treatment Overview
Dr. Pashmini approached this case with a focus on both development of a tailored treatment plan and patient well being. Recognizing the patient’s dental anxiety, the team first administered nitrous oxide to ensure the patient was completely comfortable and at ease. Once settled, the area was carefully anesthetized. The key to accessing the decay was the innovative use of LASER technology to precisely and painlessly remove the excess gum tissue (gingivectomy). The LASER provided a clean, controlled field of access. With the cavity fully exposed, Dr. Pashmini carefully removed all decayed material and used a high-quality composite filling to restore the tooth’s structure and function.
Results
The precision of the LASER allowed for complete and clear access to the carious lesion. Crucially, the technique resulted in virtually no bleeding, which is often a challenge when working near gum tissue. This environment ensured the final composite restoration could be placed successfully and securely, providing the patient with a durable, healthy outcome and a return to full confidence in their newly aligned smile.
Through advanced, anxiety conscious treatment, Dr. Pashmini transformed a complex dental issue into a successful restoration.
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