Carious Lesions - Laser Dentistry Forum

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November 26, 2003 at 7:50 am #3464 Reply

ASI
Spectator

Hi Fellow Forum Folks,

I have started to take photos through my scope just recently and find that to be a very convenient fashion to document treatment progress. Is there an echo in here, Glenn? Yes, the dental spirit of Glenn van As is dancing throughout the forum.

Anyhow, here is a simple case of 2 lower molars #31 and #32 that I treated today using a combination technique as Glenn had called it HOP for Hybrid Operative Procedure. Basically meaning whatever works as there is no prize being a purist to just one technique.

I used high speed along with the erbium laser and Mark’s microdentistry spoons under local of course.

Cheers to all. Happy Thanksgiving.

Andrew

November 26, 2003 at 3:07 pm #11548 Reply

Glenn van As
Spectator

Wow do those lesions ever get big fast huh.

Neat case Andrew, and I too might have been tempted to give anesthetic for those.

Marks spoons are cool and the laser to disinfect is really helpful for reducing the sensitivity afterwards.

I nicknamed the HOP or Hybrid Operative Procedure because I do hop from handpiece to laser to handpiece and back to laser at times.

Mark , I know doesnt like to use the handpiece if at all possible but I find for me at times if the decay really goes lateral like in your case it is very tough to do with the laser by itself. It is also tough to remove all the decay sometimes in nooks or crannies with the laser.

So……..

THe HOP technique will go something like this…

Laser to start to open up grooves and confirm that decay spreads laterally at DEJ using Mark Colonnas technique for opening up grooves.

Highspeed small round or fissuretomy to widen up the enamel and access the decay.

Laser to remove more decay.

Small spoon or slowspeed round bur for removal of all decay confirmation at High mag.

Laser to remove smear layer

Etch , bond and restorations or co-cure with Fuji 9 and then restoration.

Hope that helps……..neat case.

Glenn

November 27, 2003 at 1:00 am #11549 Reply

Stewart Rosenberg
Spectator

I couldn’t agree more withyou guys. i have long been advocating that if all you have is a hammer, everything looks like a nail. I will often use laser, air abrasion, spoon and high or low speed on the same lesion. We have to do what’s best for the situation and the more toys we have the better treatment we are capable of.

Stu
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