Forums Nd:YAG lasers General Nd:YAG Forum Multiple laser procedures…too much energy?

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  • #2754 Reply

    shrub
    Spectator

    First, I just returneed from periolase training. I feel like a 16 year-old-kid behind the wheel of a Lamborghini.
    Anyway, a patient presents s/p car accident with #7 fractured to the cervix. #8 with an oblique class 2 fracture (no noerve). The kid is in a coma for 6 months and as a result, the tissue has completely overgrown 7. So, with my Lamborghini, I mean Periolase, I would like to: remove the XS tissue and uncover #7, do the root canal and use the laser to rmake post space. So how much energy is too much. My mind recalls the magic 300J but I used 350J on the diode setting removing tissue (Admittedy, I have no idea how to make tissue removal expedient. It seems that I place the fiber tip and wait and move and wait and move and wait…) Then I pumped 370J more into the tooth to remove GP. Well…as you might imagine, I didn’t sleep very well, wondering if everything had sloughed off the facial of #7. Had him back 24h later and all looked great. But the quetion begs: quantifying energy…how much is too much? Does the rate of delivery of said energy make the difference?

    Tom

    #5735 Reply

    Robert Gregg DDS
    Spectator

    Hi Tom,

    Sounds like you did just fine. 350Joules is very good for the situation you desrcibed.

    Rate of delivery indeed influences the prevention of injury.

    Bob

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