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  • #3164 Reply

    drnewitt
    Spectator

    I had the opportunity this week to attend a lecture on laser dentistry, sponsored by Biolase. While the speaker provided some excellent laser educational material and conveyed the positive aspects of lasers in a very professional manner there were some points that surprised me. I would like to hear from others on the boards about some of these facts that were presented to the audience. (I did not challenge the speaker on these items at the time as I did not want to disrupt the lecture.)

    Here are ten of the facts presented: ( Your comments would be appreciated. I wrote these down exactly as they were stated by the speaker.)

    1. Biolase is the ONLY profitable laser company in the market.

    2. Unlike any of the other companies selling lasers, you will never hear Biolase making negative comments about other lasers.

    3. You can perform many more procedures with a Er:YSGG laser than an Er:YAG laser which is why 80% of erbium sales are Er:YSGG

    4. Every erbium laser company in the market has to pay Biolase for patents Biolase has established.

    5. Biolase chose the specific wavelength of 2780 because it cuts better than any other erbium laser. It cuts 1/3 faster than all other erbium lasers due to it’s ability to “turbo charge” water molecules. (Based on Biolase studies)

    6. The Waterlase is less sensitive than other erbium lasers as it is colder cutting.

    7. After soft tissue surgeries such as fibroma removals the waterlase can be used for cauterization.

    8. No other laser provides better results for gingivectomies than Waterlase.

    9. The fastest cutting soft tissues lasers are the CO2 followed by the Er:YSGG

    10. The Waterlase can be used for calculus removal and pocket reduction by removing the epithelial layer in the pockets.

    #9027 Reply

    Benchwmer
    Spectator

    This forum is very BioLase friendly.
    Quiet this week because of the Academy of Laser Dentistry meeting in Palm Springs.
    I have been a pulsed Nd:YAG (PerioLase)user for going on 5 years, and an Erb:YAG (Opus DuoErb) user for a year. You can reference my cases on this board.
    I have always had problems w/ BioLase claims and salesmen. These are my own answers. The heavy hitters will be back on board over the next couple of days. They will give more eloquent responses.
    1. No
    2. During Sales pitches BioLase always takes on all the best qualities of all soft tissue lasers and Nd:YAGs and other lasers always take on the qualities of electrosurges.
    3. No
    4. Never heard that one.
    5. No
    6. Lasers are hot. I thought it was “parathesia”
    7. Erbiums cause tissue bleeding. Soft tissue lasers don’t.
    8.Erb can’t contact tooth or root during GVs w/o removing hard tissue, bleeding occurs.
    9.Is faster better?
    10. No. What tooth/root structure would you remove along w/ the calculus.
    You made great observations. As always buyer beware.
    There is no Swiss Army Knife of dental lasers yet.
    I spend every working day moving patients or lasers so my patients get my best treatment with the correct laser wavelength. Laser physics dictate laser/tissue interactions, not laser companies.
    I’ll post a case comparing Nd:YAG vs. Erbium on 2 frenectomies next week on the Erbium soft tissue section.
    Jeff

    #9026 Reply

    whitertth
    Spectator

    ok my turn,,,
    I believe Biolase may be the only profitable dental laser company on the Market( I wouldnt swear but I believe)

    #9025 Reply

    whitertth
    Spectator

    ok my turn,,,
    I believe Biolase may be the only profitable dental laser company on the Market( I wouldnt swear but I believe)
    2) Biolase typically dosent make negative comments about other companies( I know when I do speak for them I never would)
    3)Not sure if thats true
    4)I am quite sure that is true
    5)According to Biolase that may be true
    6)dont think that is true
    7)not a great coagullator so i would say not true
    8) U can do them without local but that is a bold statement
    9)Might be true
    10)it can be but not one of its strengths

    #9023 Reply

    jetsfan
    Spectator

    I am a waterlase and lasersmile user. Here is my take on
    the 10 items mentioned.

    1.The only profitable publicly traded dental laser company. Hoya, not publicly traded, Lumenis losing money,Kavo, not yet FDA approved, Biolase profitable for two years.

    2.I never heard any public derisions of other lasers.

    3.Perhaps what is meant is that there are many more procedures that are FDA approved .

    4.I believe that the ER/YAGS pay Biolase a fee, since Biolase bought ADT and its patents.

    5.I believe the lasers are technique sensitive. Each operator proceeds at his own pace, depending on skill, and patient. Why they chose this wavelength, I suppose only the grand mufties at Biolase know.

    6.see 5.

    7. After fibromas( I have done maybe 10) bleeding has never been a problem. If bleeding was a problem, I would probably turn on the diode, if the waterlase didn’t do the job. So far that issue hasn’t come up.

    8.diodes and ND/YAGS are probably better for soft tissue than YSGG.

    9. see 8.

    10. I would not attempt to remove calculus on root surface in a pocket with YSGG for fear of damaging cementum. Piezoscaler, cavitron or currette still instrument of choice.

    I agree with Jeff. No one laser can do it all. It is easy to get trapped in the, “my laser is better than your laser ” feud…don’t! They all work with proper training. Most of us using a laser, regardless of the manufacturer, loves it.

    Robert

    #9021 Reply

    drnewitt
    Spectator

    Hi Guys

    Thanks very much for your replies. I had posted this on dental town also and it was pointed out to me that I may be being a little critical of a sales lecture and because I am a delight owner might be opening old wounds.

    In fact I was not trying to be critical or stir things up. This was not a sales meeting but a lecture presented at the Pacific Dental Conference under the title of Lasin’ is Amazing: How Lasers are Finally Transforming Dentistry.

    I sincerely wanted to hear some of the replies as were posted above so to be better educated when members of our study club, or others interested in lasers, bring up questions about such statements. Some of the statements went against what I have learnt from these forums and other laser users and others I simply had not heard before.

    #9029 Reply

    Glenn van As
    Spectator

    Hi guys: sitting in my hotel getting ready to go to the airport at Palm Springs after a fun but tiring ALD meeting.

    I encourage all of you not there this year to block of April first week next year for New Orleans and the 13th annual meeting.

    Paul, I cannot speak for Stewart and I know he is a staunch advocate for Biolase and wears his colors on his sleeve. I can say though that in all of the State meetings or the ADA meeting (this meeting in Vancouver was the Canadian Dental Association annual meeting and the British Columbia provincial meeting all in one this year) that the organizations frown upon promotion of a single product. It is assumed that you will mention one time the product that you use but that additional promotional material in the lecture of a product is to be avoided. I know that at the ADA this is something that has been explicitly mentioned and I am quite sure that the contract would be very similar for the Canadian Dental Association.

    Last year I lectured at the BC dental meeting and I know that it was again mentioned in that contract that it was to be as brand non specific as possible.

    I think that in any sales meeting that is held by a particular company that you of course will receive a slant towards that particular company and you know that going into the lecture, it is totally understandable. The lectures held at large conferences of which I do attend and speak at quite a few, are in my experience not a venue for repeated sales pitch.

    I dont think this issue is restricted to one company or product but something that everyone must remember when they are out on the road speaking at different venues.

    In closing, I just spent three days lecturing and attending meetings here in Palm Springs and in both our hands on workshop where Biolase kindly contributed a laser for our attendees and during the lecture itself where I mentioned my use of the DeLight once initially and showed the machine, I mentioned that the clinical tips I was offering where transferrable to all machines that were in the Erbium family.

    I think that this forum thrives because of the variety of users on it and that much is to be learned from Biolase, Opus , and Delight users who post here and offer the clinical insights.

    From personal experience I have seen that you are providing a study club that is also attended by many different brand users and the flavour that brings to each meeting is exciting and educational.

    I hope that my insights into what is expected of the speaker to provide an unbiased viewpoint when they do lecture at most of these state meetings is taken for what it is.

    Finally, it may be that Biolase specifically sponsored Stewarts event and paid both his travel expenses and honorarium and that none of the costs was defrayed by either the CDA or the BC dental surgeons. If this is the case then that disclosure should have been made extensively clear prior to the lecture so all that were in attendance would be aware of the speakers inherent bias.

    Its no shame to have a bias , but disclosure of affiliations to companies should be made inherently clear prior to and sometime during the lecture in my opinion.

    I have been accused of being ” on the payroll” of one laser and scope company. I have tried to become as balanced and unbiased as possible, respecting the uniqueness of all particular brands within the marketplace. I have found it to be alot less controversial and alot more professional.

    Take my 02 cents for what it is worth.

    All the best and off to the airport.

    Glenn

    #9024 Reply

    I think that Jeff’s reply at the end is the most appropriate. None of the laser companies can change the laws of physics. It’s all about specific wavelengths of light and absorption. So who cares what sales people are telling you! You are a doctor and have (or should have) a thorough understanding of physics and physiology. Again, I will say that, although I happen to use a YSGG laser, an Er:YAG is just as useable. Do any of us, from a practicality standpoint, see any differences in the cases presented by Er:YAG users relative to the YSGG users? They all look great! Biolase is going to say what they feel is appropriate to sell lasers. ConBio, Opus, Kavo (when it gets here), DEKA all do the same.

    I think the way to go about laser dentistry is this: spend at least one year reading as much information, research and texts as possible and then go use every laser you can get your hands on before buying. Any laser worth buying will be backed up by plenty of valid research. Granted, it may not be 30 year-old research, but research all the same.

    Millenium Dental definitely has the right approach: You learn the science first, then you get your laser. Kudos to Bob and Del.

    Just my two cents.

    Kelly

    #9020 Reply

    Anonymous
    Guest

    Paul, where ever you go these days to learn about lasers there seems to be four things you can count on-

    1. Hostility- witnessed this at least twice at ALD and it seems to stem from the fact that anytime someone offers an opinion that something about a particular laser could be better, the manufacturer response is hostilitity instead of using a valuble opportunity to show why they believe their product is better. The other source of hostility comes from those not willing to make an investment in lasers and are threatened by them.

    2.Opinions offered as fact- many times , because a user
    has a protocol that works well for them, they present that protocol or results as a fact.

    3. Lots of outright mis-information- this week alone I saw math miscalculations, statements that one wavelength could accomplish everything another could, companies admitting that  they purposely stay away from presenting science because the majority of their users don’t care how the laser works.

    4. some great, honest, and helpful laser dentists that will go the extra mile to help you learn and avoid the mistakes they made.

    My advice is to gear your study club to the #4’s of this world , ignore the 1’s and 3’s, and don’t be afraid to respectfully question the number 2’s  

    #9022 Reply

    drnewitt
    Spectator

    I agree Ron. I believe strongly that those who are leading the laser field should put away sales tactic lectures and contribute to the advancement of education in the science and clinical use of lasers.

    I am a new comer to laser dentistry and I have missed a lot of the political issues that have gone on between the companies previously. Maybe I am naïve but I would like to believe that we as professionals can work together no matter what brand of laser we have.

    I must admit though, I do find it discouraging when I hear things such as people being discouraged by manufacturers from joining groups like our study club because of the types of lasers we own. Two dentists have now told me that they have been WARNED about joining our study club as our mentor owns a particular type of laser.

    The companies selling these lasers should have ZERO influence on input on the development of a local study clubs and I find it offensive that they feel they can manipulate dentists this way. This manipulation needs to be stopped and I think it starts at the lecture level.

    It appears the only thing that is going to make the companies happy is if we end up with study clubs, academy’s and educational centres that are brand specific. It seems your forum and our study club are two of the few places all of us our welcome. I hope we can grow these sanctuaries.

    #9028 Reply

    Glenn van As
    Spectator

    Paul: that is discouraging news indeed to hear that people will not join because the local rep here for Biolase feels that the information provided is not applicable to all laser users.

    In fact we have one dentist who owns the Biolase laser and he is an excellent clinician, excited to be using his laser, and has contributed alot to our first couple of meetings.

    I have learned in past of my mistakes, and corrected them……….

    This particular rep is still choosing to act immature and has no idea of what material I present.

    Perhaps one of these days we should invite her to a meeting so she can see first hand what an unbiased lecture (and study group) looks like.

    ah enough already………

    I have vented , and feel better already!!

    Grin

    glenn

    #9030 Reply

    Robert Gregg DDS
    Spectator

    Hi Paul,

    Sorry to hear about your troubles. Take heart. It will get better.

    I had a little talk with Ron S. about the olden days at this past ALD, so he is to be forgiven if he excuses himself from my reminiscings and ramblings.

    In 1990, American Dental Laser was the BIG DOG on the laser dentistry block. HGM, the maker of the surgical argon (and former employer of Jeff Jones, CEO of Biolase, Keith Bateman and Bill Brown), and Luxar, the maker of a CO2 were the ones fighting uphill for market share (and attention) against the marketing machine of ADL.

    ADL made it clear–though no one I knew was ever threatened (including me)–that working with other companies (lecturing) and using their lasers when one was a “Clinical Laser Instructor” (CLI) for ADL was frowned upon.

    Back then, if you were a CLI and you were including the Argon and CO2 in your lectures, you were ultimately “blackballed” by the company. That is, you were not invited to give anymore lectures or presentations for the company and were not invited to company events, though we were never told NOT to show up. But when we did–oooohh BOY!

    At the ALD this past weekend, after I got one rep unitentionally upset, I later told him that I was, “an equal opportunity offender”. That over the years, by stating my opinions, doing what was of interest to me as a clinician with an interest in ALL lasers, I have managed to upset just about every company at one time or another. Most understand I meant no harm–NOW!–just expressing my personal perspectives and trying to be inclusive would really get most companies upset.

    Well, that doesn’t go over well–even today. In fact, the people who seem most intolerant today are the ones who were complaining about ADL’s heavy handedness and dominant marketing presence back………well……..in the olden days.

    “Tell the truth, keep your personal and professional integrity, stay inclusive, be generous, invite all clinicians, offer apologies when offense in taken, back down from no one who tries to challenge the above.”

    That’s how I have tried to conduct myself over the years. Sometimes it isn’t pretty–as some can attest who saw me at ALD with one company rep. But we made apologies to each other w/in 24 hours and all is well. He’s my new best friend.:biggrin: But I won’t ever be lecturing for that company either…………

    Bob

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