Broken Tooth - Laser Dentistry Forum

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January 16, 2005 at 5:28 pm #2897 Reply

Benchwmer
Spectator

Ten year old male presented w/ fractured #8. Tooth is vital.

Before

Treatment consisted of minimal tooth preparation (beveling of cavo-surface margins) using OpusDuo Erbium 350mJ 12 Hz
Air abrasion to prepared tooth margins and to clean internal surfaces of broken tooth fragment, 60 psi
Acid etch tooth and broken fragment
Bond w/ 3M Single bond, Filtek Flow Composite, position broken frament, light cure
Finish and polish.

Immediately after treatment

No LA used.
Tooth fragment was out over three days before bonding. Will have improved esthetic appearance after tooth rehydrates.
Total treatment time under 30 minutes.

January 17, 2005 at 2:59 am #6951 Reply

Glenn on the road
Spectator

Really neat stuff Jeff……..Nice photos too.

Thanks for posting.

Glenn

January 17, 2005 at 3:31 am #6945 Reply

dkimmel
Spectator

Jeff nice case. 12HZ is that in contact?

January 18, 2005 at 12:38 am #6947 Reply

Benchwmer
Spectator

Used a 800 micron conical saphire contact tip for prep.
Jeff

January 18, 2005 at 1:07 am #6944 Reply

Anonymous
Guest

Just think how much easier it would have been if treated w/ a Waterlase!

Sorry Jeff, couldn’t resist

April 21, 2005 at 3:18 pm #6948 Reply

Benchwmer
Spectator

Post-op photo at 4 months.
Tooth still vital.

Jeff

(Edited by Benchwmer at 11:39 am on April 21, 2005)

May 12, 2005 at 3:18 pm #6946 Reply

kellyjblodgettdmd
Spectator

Now that’s the proof, Jeff. Love seeing some good post-op pics. Thanks!

Kelly

May 14, 2005 at 12:05 am #6952 Reply

Lee Allen
Spectator

Jeff,

Nice results for the 10yr old. Have you had an opportunity to treat an incomplete Ellis Class 2 or 3 fracture?

I have a new patient with an angular incomplete fracture in nearly the same place, cold sensitive, and not to pressure. What do you think of treating the fracture with an Erbium (low settings) and using a bonding agent with or without an enamel shade composite? I was hoping that the laser would affect the bacterial and protein comtamination of the fracture site and flow a low viscosity self-etching bisGMA to seal it. May be difficult to get the laser energy to affect the fracture surface without troughing, and questionable how far the bonding agent will penetrate.

Just thinking out loud.

What is your thinking and experience on this idea?

May 14, 2005 at 2:13 pm #6949 Reply

Benchwmer
Spectator

Lee,
I still use Air Abrasion with the Erbium for such anterior bonding. Removes white residue after Erbium.
To decontaminate, defocused pulsed Erbium, prepare tooth w/ AA. In this case I used a contact tip to bevel remaining enamel.
I still use etch on Enamel on anterior teeth.
I am using 3M Adper Bond for posterior restoratoins (CL I, II, V, VI) and pits and fissures, scrub into enamel for 15 seconds, thin w/ air, light cure 10 seconds (if pit and fissure don’t light cure until after flowable) apply flowable composite, then if needed layer w/ hybrid composites. I think the Adper Bond bonding agent is tinted and affects color on anteriors, so I still use clear Single Bond.
Studies show Adper Bond same strength of bond with or w/o etch to enamel.
The Erbium won’t craze like a bur.
Some of my ideas.
GL
Jeff

December 14, 2005 at 11:51 pm #6950 Reply

Benchwmer
Spectator

Still vital and looking good going on 1 year

Jeff
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