Forums Erbium Lasers General Erbium Discussion A multitude of technology

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  • #6402 Reply

    ASI
    Spectator

    Hi Glenn,

    Very nice documentation. Indeed an illustration of a plethora of high tech applications that not only create a successful outcome, but provide an enjoyable treatment experience for both the patient and the clinician.
    The WOW factor must be in the exponential for all involved.

    Andrew

    #6407 Reply

    Glenn van As
    Spectator

    Hey Andrew………great seeing you yesterday.

    I will post another interesting case in a minute, but once you get the laser and the scope you just keep pushing the envelope to see where it will end.

    I pushed one too far recently and had some poor healing under a pontic on a bridge we tried to do immediately.

    Dealing with that headache these days but all in all it is a fun time in the office.

    ALl the best and give me a call when you get the stuff and I will try to come by and spend a couple of hours with you.

    Glenn

    #6403 Reply

    ASI
    Spectator

    Thanks, Glenn.
    I think I speak for all when I express my gratitude for all you share.
    I really like the way in which you display your photos. The organized and sequential fashion is so pretty and captivating to look at that I find myself revisitng them over and over again.
    Like the line in Bugs Life: I can’t help it! It’s so pretty to look at!
    Like Mike Swick said a couple days ago: You da man!

    Andrew

    #6408 Reply

    Glenn van As
    Spectator

    Hi Andrew: I will say this that when I started using the scope 5+ years ago I was astonished at what I could see and I started trying to take photos (35mm). Man was it hard. I was so thrilled when some of the digital cameras could be mounted to the scope…..it was revolutionary for me.

    To be able to photograph what I saw through the scope was unbelievable. Over the years I have read quite a bit on digital photography and learned some more from masters like Gary Carr, Eric Herbranson and some who dont use a scope. The amazing thing about the scope is how easy it is to take the photos and to document procedures……

    ACDSee 5.0 is a pretty good archiving program and the ability to make collages from the photos is pretty easy in there so thats how it all came about.

    Who knows……maybe one day I will make a book out of them all but that remains to be seen.

    I gotta get a DVD burner soon and back up all the images I have on a hard drive or a DVD or two.

    Take care and thanks for making my day……

    Glenn

    #6415 Reply

    Robert Gregg
    Participant

    CLAP CLAP CLAP

    Here Here!!

    I concur.

    Woo Whoo!

    I EXPECT a book one day from you Glenn. Heck, It oughta be on DVD.

    Andrew, I forgot how handsome and distinguished you are!! Dang that’s a great picture of you and your next-door neighbors!

    Bob

    #6409 Reply

    Glenn van As
    Spectator

    Bob I tried to edit the laker girls tshirts to say LASER…..but I got too tired to do it………

    Maybe I still will and get a laugh out of it……..

    Great pic andrew……..god that suit attracts them doesnt it!!

    Grin

    Cya

    Glenn

    #6404 Reply

    ASI
    Spectator

    Hi Bob,

    Anyone would look half decent when accompanied with such eye candy support. You know how it is when an ordinary picture looks better in an attractive frame? Good thing those LA Lasers(Lakers) gals had me to bring out the beauty in them.

    Seriously, you are too kind in your praise. But certainly not so in your praise for Glenn though. Mind you, you are not too shabby yourself. You are just a walking encyclopedia of laser physics and clinical application.

    Best regards,

    Andrew

    #6410 Reply

    Glenn van As
    Spectator

    Hi folks: Here is the finish of the case. Please look back at what we accomplished as the photos are at the top of this page.

    THese are Empress crowns, custom shaded at the lab, and they were cemented in with Glass Ionomer.

    Patient and I were very happy and I think the final result is pretty nice.

    The frenectomy healed great and the contouring allowed for the gingival height of contour to be the same throughout the maxillary anterior.

    One thing when you have a laser is you really start focussing on the height of contour in these cosmetic cases , especially those with a high smile line……….

    I am going to actually post some post op photos when he comes back to show you how the tissue heals after I get my average fitting temps off. Hard to get a smile when they are so numb.

    Hope you like it……….

    Thanks

    Glenn

    Resize of Crown insertion Derek Delong pg 1.jpg

    Resize of Crown insertion Derek Delong pg 2.jpg

    Resize of Crown insertion Derek Delong pg 3.jpg

    #6417 Reply

    Andrew Satlin
    Spectator

    Hi Glenn,
    Very nice case. Great tissue healing at two weeks!
    Forgive me but I am still a rookie. Erbium recontouring– is that a gingivectomy for esthetics? Then why the troughing? Is that also done with the erbium?
    Andy

    #6406 Reply

    Glenn van As
    Spectator

    Hi Andy: I used the erbium to recontour the tissue so the heights of contour (the gingival heights) would be similar.

    The troughing is done to back the tissue from the margins for impressions to get a sharp margin.

    All the best…..

    Glenn

    #6411 Reply

    Glenn van As
    Spectator

    I have taken some grief from some on Dental Town over the final results so I thought I would show you some postop pics of the case……..

    These are 8 month post op and some preops.

    Glenn

    Slide1edited.jpg

    Slide2edited.jpg

    #6416 Reply

    Robert Gregg DDS
    Spectator

    Glenn–

    You got GRIEF on Dental Town???:confused:

    Since when?

    Beautiful result, and nice validation of the need for the frenum release…….

    Bob

    #6401 Reply

    2thlaser
    Spectator

    Good Grief, what grief? Great stuff Glenn, what a beautiful result, and the patient I am sure is very pleased!

    Mark

    #6414 Reply

    Kenneth Luk
    Spectator

    Hi Glenn,
    Excellent papilla re-growth between central incisors( 2 wks post-op to 8 mths post-op )
    Ken

    #6412 Reply

    Glenn van As
    Spectator

    Yes folks I did get some grief over the color of the porcelain, the fact the laterals were done with a gingivectomy, the immediate post op pics didnt do justice to the case.

    I was pleased with the result but some others werent as pleased. Lucky the patient was.

    Thanks for the kind words Mark, kenneth and Rob

    Cya

    Glenn

    PS its nice now because I am starting to see some of the long term follow ups to some of the stuff I have done 2-3 years ago.

    Most of it looks pretty good, some is average but thats how we learn huh.

    Cya

    Glenn

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