Forums › Erbium Lasers › General Erbium Discussion › Endo with the Erbium
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Janet CenturySpectatorHi All
Just wanted to see if anyone else has noticed this.
I’ve been using the Delight during endo. I don’t do the whole thing with it; I use NiTi’s, but at the end I use the laser to disinfect the canals (especially if the hypochlorite has been in less than 30 minutes).This is quite anecdotal, but my patients have had much less post op soreness (like none) since I’ve been doing this. Has anyone else noticed this or is this just my imagination or wishful thinking?
Regards,
Janet
AlbodmdSpectatorI’m looking to use my Delight as an adjunct to my endo procedures also. My rep sent me a copy of an article by Glenn Van As. Here’s some of the main points from the article. Glenn or anyone want to add somemore?
-Use low energy, 30hz, 60mj
-Don’t have NaOCL in the canals
-Instrument with files until you get a size #20 file at apex, and #30 size 2 mm from apex
-Use stopper on laser tip and set at 2mm short of working length
-Move tip continuously, starting 2 mm from apex
-Move coronally at a rate of 2mm per sec
-Move fiber circumferentially for 20-30 secs per canal
That’s a quick summary.
Regards,
Al B
Glenn van AsSpectatorMan oh man…….I do get around huh.
Wish I was in Tampa……not my article.
I got some really cool cases to post but wonder how much crap I am gonna take for them??
Albert……I stick by that pretty much.
Use below 2watts which is 30 Hz and 60 Mj (1.8 watts)
I fill the chamber with water (flush the bleach out).
I make sure the tip is at least 2 and better yet 3 mm away from the apex, otherwise you will widen your apex, ask me how I know ( blood suddenly in the canal).Fire the laser on the way out of the canal at a rate of 1-2mm per second til you get to the canal orifice. I now keep the water on but the water will often bounce of the stopper. Sometimes I will place a small black mark (jiffy marker ) on the side of the tip , or cut a sleeve from a bur and use that as a stopper which doesnt block the water.
NaOCL will break down the coating on the old tips……not sure about the newer ones.
Now Janet, I have also with the microscope noticed a difference in the canals in terms of tissue on the walls with less of it being visible after 20-30 secs with the laser. THat is an honest opinion. At high mag , it oftens looks like Glass and in my heart I think it could replace EDTA for opening the smear layer just before you obturate as well.
I use it just like Janet does if the bleach hasnt been in there long enough.
Dont know if I know it all, but guys like Mark are shaping with it………I dont know if I like that, I like NiTi better for that but thats because I want a taper for my warm vertical condensation.
Hope that helps……..
PS one thing I have done and you can try this , is that if your case is vital , and the bleach is bubbling alot……
Remove the bleach and use the laser for 30-45 secs in the canal (best if it is a one canal tooth) , then put the bleach back in and see how much bubbling is occurring……..
Not as much as before is the usual finding in my hands.
Cya
Glenn
AlbodmdSpectatorDid the endo using Glenn’s technique and it seemed to go really well. Thanks again Glenn, U Da Man! I used local to the RCT/C/Crn, but wonder how it would of went if I tried laser anesthesia. How has everyone’s experience been with using laser anesthesia for endo?
Regards,
Al B
drnewittSpectatorBringing the topic back to life.
Glen, next time you do an endo on an anterior could you do a before and after shot through your scope so we can see what changes occure after the laser treatment. I know that when I looked through your scope I could see the apex of the canal! so i am sure any changes in the canal could be picked up with your photographic finesse.thanks
marc andre gagnonSpectatorHi Janet,
I use profile gt technique with laser er:yag and biolitec 980 especially when I have to desinfect the canal and I have very good results since more than 2 years.I fill the chamber with water (flush the bleach out or peroxyde in some cases) and use the 980 fiber near the apex of the canal. Remove the bleach and use the laser for 30-45 secs in the canal.Use stopper on laser tip and set at 2mm short of working length
In most of the cases I prefer to use Dentosept P H2O2 1,41% for root canal treatment and have very good results. -
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