Thanks Danny and Bob: The key is vision, Bob and Danny you both know that and I am sure that your son knows that too Danny. Where is he going to school, and what is he planning on doing afterwards?

I really like endo because of the scope……I hated it before to be honest. To many failures that werent through lack of effort. I know it was through lack of vision.

The scope does complicate matters because you do find WAY more 4th canals. If I dont find one in a molar of any kind, I get very nervous. Its weird. I had one the other day with three distal canals……..

Its alot of the stuff I learnt from my time on ROOTS forum and also TDO chat (a software program for endo) where some of the gurus really helped me see that I was pitiful at endo compared to what they were capable of .

I told myself I wanted to improve almost 7 years ago when I saw Cliff Ruddle and Steve Buchanan in Seattle together at their last joint lecture……

I think I am getting better but some days and cases are easier than others.

PS look for an apicoectomy with some new instruments from Spartan Obtura that is coming up for me soon. Kinda excited about this one……..

Gonna use lasers, scopes, new surgical instruments, tiny sutures for two lower incisors…….Yippee.

Sometime in the next two weeks but I probably will video tape it and see if I can take some pics during the whole process if I can but they will be images captured onthe DV camera.

Take care and thanks Danny to you and Bob for your kind remarks.

Glenn

Thanks Mark: You know what the laser doesnt spark at all………

The water is on and we use either a 300 micron or 200 micron tip at 30 Hz and 50-60 mj.

You have to keep below 2 watts with the laser endo tips. Maybe lower for the 200 micron tip.

I put water in the canals and in the orifice and water on the unit. Of course we dont have the control over the water flow that Waterlase users do but I am not sure that in this case it really matters.

The small condensor is ok but have a look at the new microsurgical instruments from Spartan Obtura that are intended for apicoectomies. The shapes and sizes are specific.

You can find their home page here:

http://www.obtura.com/

and the PDF file for the new instruments here:

http://www.obtura.com/KiS_BROCHURE_SML.PDF

I dont need to disclose anything because I dont get anything at all from these. I have ordered a bunch for laser apicos and will show you the case when I do it. I have 2-3 lined up.

I think I will use MTA if I cant coagulate it, and if I can then sometimes it is better to use bonding agent.

I probably will use MTA though, and maybe the white stuff as it is a lower incisor.

I will come and visit you one of these days and maybe do some fly fishing. When I come down that way you can show me how.

Now of course I would have to move those Waterlasers out to move the scopes into the office !!!!

Grin

Take care.

Oh ya Mark , one other thing, with the DeLight I sometimes fail to notice the sparking because it doesnt set of any fear for me but I understand you want to avoid it if possible with the Biolase.

For that reason I dont think there is sparking with water in the canals but will look more closely next time.

Glenn

Oh one more thing. The skeptics will say is the laser doing anything. Well I wondered that too and when I put the laser tip a mm from the floor of the pulp chamber I get little dots on the dentin.

Here is one such spot I when I tried to see if the laser was doing anything at all to cut on the floor.

Glenn

By the way ( the 2nd image is a crop from the first).

Hey thanks my good friend……..

Phew starting to get gun shy again……..

I use Ultradent CaOh ……..Ultracal I think it is …….it is placed in the canal with the green Navi tips (carefully) as it can be pushed out the canals and can cause problems with nerves and pain.

The Killer Carr Tip is from eie2.com

Its Gary Carrs tip………works well as do some of the Spartan US tips (Buc Tips) .

I like Gary Carr;s tip for troughing. IT works great when looking for MB2 canals

Hope that helps and thanks

Glenn