Forums › Nd:YAG lasers › General Nd:YAG Forum › Caries reduction in caries prone patients?
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Dennis W ClarkSpectatorI prescribe chlorhexidine for my perio patients and my caries patients. I believe with LPT, the pathologic bacteria are greatly reduced. How about LPT for patients with uncontrolable caries, even in a clean mouth?
(Edited by Dennis W Clark at 2:40 pm on June 12, 2003)
Robert GreggParticipantHi Dennis,
You mean for the reduction of caries causing bacteria in the sulcus?
I need to give that some thought………
Bob
Dennis W ClarkSpectatorIn the sulcus and around the teeth. Pt’s who have root caries surely would benefit from sulcular sterilzation?
Robert GreggParticipantOk, sure…..You can even put fluoride around the teeth and lase around it. Some early studies showed that helped the teeth take-up more fluoride as well. If you aim towards the tooth a little, you can even kill some bugs on and in the dentin.
Bob
Glenn van AsSpectatorTough to get interproximal though!!
Glenn
Robert GreggParticipantHi Glenn,
“Tough to get interproximal though!! “
Weeeeeell,
Not really……. GRIN
With our patented TrueFlex handpiece with bendable canula to >90 degrees and the ability to extend various sized fibers to reach into hard to get places, we can easily reach those interproximal areas.
Here you go:
[img]https://www.laserdentistryforum.com/attachments/upload/Trueflexhandpiece2.JPG[/img]
Comes with the PerioLase Periodontal Package, as well as the correct fibers to accept that sort of bend curvature without breaking or burning the patient with a heated-up metal canula.
It’s the attention we have to the “little” things that make all the difference in the clinical details, clinical applicability….and the clinical outcomes.
Bob
ASISpectatorBob,
You and Del have thought of just about everything with the PerioLase.
The more I follow your PerioLase, the more I learn and continue to be impressed.
Andrew
Glenn van AsSpectatorYes Bob there are alot of impressive things about the Periolase……..keep on posting , I learn with each of them.
Glenn
PS cya Monday night for a few laughs and a good time in Anaheim.
Looking forward to it.
Glenn
AnonymousInactiveOne additional consideration on using the Nd:YAG for this procedure is the penetration ability of the 1064 nm wavelength into the dentin to destroy the bacteria without destroying the dentin. This is because of the selectability of absorption in different substraights for this wavelength.
Robert Gregg DDSSpectatorAndrew,
Thanks for the kind words.
We have had enough time over the past 12 years to run in to just about ever challenge a clinician can face with these devices and the peripherals.
Typically, manufacturers make the “box”, and pay no attention to the delivery system or other details. Well, clinicans all know that if we can’t apply the effects of our neat technology to the hard-to-get places in the mouth WHAT GOOD IS IT?! Manufacturers have pretty much felt their job was over once the “hard” stuff of building the laser was completed.
At MDT (because we’re clinicians) we say, “OK! That’s a nice start”. “Now what do we do about handpieces, delivery systems, fiber diameters (energy densities), fiber quality, training, clinical applications, proper parameters, value to the clinician, results for patients……” In reality, we build a laser AFTER we have asked & answered these questions to our satisfaction first.
We got together with Glenn Monday, for drinks and laughs. Had a great time. He plied me with alcohol! Forced me to order more beer. I brought along a few generations of Trueflex handpieces for Glenn to inspect and see how they have evolved over the years. I came up light in my count when I got back:confused: I’m sure I must have put it in another coat pocket?!
The next day I woke up and I had this urge to iron my wife’s cloths and make her breakfast…….and drive to Santa Barbara……(Glenn will explain next week, as I’m sure I’ll be hearing about it for a while…..)
Thanks again Andrew!
Bob
ASISpectatorHi Bob & Glenn,
Sounds like great fun you guys are having!
I eagerly await the story about your urge, Bob. Sounds intriquing!
I hope all your Trueflex handpieces are accounted for by now.
Andrew
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