Forums › Nd:YAG lasers › General Nd:YAG Forum › cavitations
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efritzSpectatorHad a patient in earlier this week who has been reading about cavitational lesions on the internet. In spite of what anyone may think of these, has anyone tried laser therapy on these suspected lesions? She knows I have the laser and we discussed possibly using the laser in a defocused mode in the sites where the 3rd molars were. Any suggestions as to settings, time of application to each site, etc? She’s not crazy about the idea of cavitational surgery that was recommended by several on the sites she explored – and neither am I. Opinions?
dmd92eastSpectatorWhat the heck are cavitations and cavitational surgery? Am I missing something?
dmd92eastSpectatorOK now I know. http://www.drshankland.com/osteocavitation_lesions.html
Wow what will they come up with next. I know a lot of people with empty spaces in there head. Now I can call them cavity heads. Just think of the blond jokes now….
czeqm8SpectatorTHis is the best part from Dr. Shankland’s website. It is under his biography section.
Dr. Shankland, using a palm strike, explodes through 6″ of cement bricks as he visualizes managed care!
http://www.drshankland.com/Images/DrShankland.jpg
<a href="http://www.drshankland.com/about_dr.html
(Edited” target=”_blank”>http://www.drshankland.com/about_dr.html
(Edited by czeqm8 at 11:32 pm on Aug. 25, 2006)
efritzSpectatorThanks for the laughs – especially the remark about “holes in their head.”
All this aside, if there are such necrotic lesions, would using the laser defocused in a biostimulation mode offer any help for healing? What settings and for how long would anyone suggest using the laser?
Thanks
dmd92eastSpectatorThis laser is good but it ain’t no miracle worker. I would think you would have to enuculate the lesion to bleeding bone and maybe graft it? I can’t see how laser light would correct it.
BenchwmerSpectatorAt the initial Millennium Users meeting 3 years ago we had a speaker from New York City, Martha Cortes. Spoke on Nd:YAG for laser assisted treatment of Osteomyolitis and Osteonecrosis and Root canals with pathology and adjunct therapy. Therapies biostimulation, lymph therapy and basic detox programs.
Jeff
dmd92eastSpectatorActually on a serious note. Look into cold laser therapy. Soliton Q1000 has some interesting stuff on alveolitis which is essentially what this is.
Nicholas MeyerSpectatorEd,
You can contact Allen Sprinkle of Arlington, Texas. ( +1 (817) 461-9998). He treats cavitations, has a Periolase. His approach is different. The periolase itself is a big aid but not the total solution.Nick Meyer
Robert Gregg DDSSpectatorI’ve treated some cavitations, I guess, that bubbled up through the gum tissue from the area of a previous 3rd molar alveolus, with the rootbone form intact, but a mess inside. I cleaned it out with curets, Periodex and lased it…. but not before I biopsied it and sent the garbage in the persistent socket to the lab.
It was comprised of osteogenic, hemopoetic cells and amorphous cellular structures. The microbiology came back with some gram negative criters if I remember right.
I’d have to pull her chart to see exactly.
The thing was, that lower left area where #17 once was, was pulled due to an infection, and the patient reports it never felt right. RCTs on 18 and 19 later did not resolve her “nagging” pain that sometimes would keep her up at night.
Once i cleaned up the area as described, she has had complete relief now for several years.
Cavitation? I don’t know what that means….I have a Hx of an infected extraction site that was not curetted (or lased) at the time of extraction, which likely trapped bacteria in the site and there was an attempt by the body to heal. The wound site closed over but the infection was walled off, not resolved.
Bob
sgoelSpectatorIs this typically a third molar only type of complication?
Suresh
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