Lookin4t: welcome to the LDF site and its great to have your knowledge here on periodontal therapy. I know that Ron has been using the Periolase MVP-7 for his periodontal patients in an effort to decrease the pocket depths that are present.

I know that Andy and Danny have both spent some time discussing this on the forum and mentioning that they are quite excited as periodontists to see lasers and Bob Greggs protocol having a positive effect for the periodontal discipline.

There is now evidence from Ray Yukna’s study to support pocket reduction through the LPT protocol and the Periolase MVP -7 by bone regeneration instead of long junctional epithelium.

I myself do not have this laser or own any stock in the product but wonder as a periodontist (which I assume you are) if you have any opinions regarding what Bob and Del and the rest of the Periolase users are doing.

This goes against what the AAP is promoting in their stance against lasers.

I myself find it exciting to see the growing number of periodontists who are coming to this site or lectures involving lasers to see if there is the possibility that they may be of benefit in their practice.

What do you think?

Glenn

In regard to contrary to the preponderance of the evidence:

I would have to go back and read materials and methods on this study to see why. When I commented on the preponderance of the evidence, it referred to the fact that the majority of studies don’t reflect what this one does. Most of the time, it is a methods quirk. I know that the data on showing bone fill over time appears to be solid.

Regarding the AAP position…similar topic at DT. The AAP position paper is based on available evidence and to that extent, it is accurate from a clinical study point. There are flaws in the paper I believe you are referring to in regard to the physics of lasers. The people I run with in the AAP are not against lasers for vindictive reasons, they do push for an evidence base to what we do. I would do just about anything that helped my patients with good reason to do so. I think Bob Gregg may make a believer out of the AAP….because he is trying to provide the evidence.

I sincerely respect what Dr. Gregg is doing with his company and communicate with him on occasion. I don’t think diodes are the answer, or he would not have put his own money forward to make a free running pulsed laser for dental applications. In all honesty, it is the one laser I could see myself owning if the multi-center study verifies everything. I would like to know how it has worked in furcation defects as I haven’t seen him show any that regrew bone there.

I’m a periodontist…we’ve talked before, I sent you a PM-to Ron, and communicated with Glenn….we’ve “met” each other before.

I hope to be a good contributing member…and I hope to learn more about lasers. I have some additional responsibility recently placed on me that may require it in addition to my own personal interest. Besides, there have been few useful laser posts at DT in quite awhile.

I sure hope when you said furcation you were referring to teeth