Hi folks: I cant claim fame to this alone, as I think that I saw Mark Colonna do a video of this when I was at the ADA but it got me to thinking what if I could use the laser to extract a primary tooth without anesthetic and today I did it.

I am pretty proud of the pics on a 6 year old squeamish but kind little girl. I dedicate this to Ron as he and I talked for the first time by phone today at length about lots of things including scopes and I told him how proud I was that he had made this site what it is and also how far he has come in his knowledge of lasers…….

ANyways, no needles , ONLY TOPICAL for this. It had a big long root and was not mobile at all , but the pictures tell the whole story.

The tooth was coming in palatal to the primary tooth and with the recession that was present it got me to thinking that I bet the tooth is long still and that the maxillary central missed the palatal………

WOuldnt it be cool to extract with only topical.

First applied one touch topical by Hagar, you could use TAC or EMLA. Then used a spray by Xylonor (Sp) and finally ultracare by ultradent which comes in a syringe with a green canula that you can extrude the topical in the crevice.

I then tried to laser anesthetize with high energy and water settings at 140 mj and 30 Hz (4.2 watts) for the full 120 secs.

Next off I had the 400 micron tip in the socket working at first 30 Hz and 50 mj……to sore
then 30 Hz and 30 mj …….to sore.
finally 20Hz and 30 mj……fine.

Worked for a couple of mins (2 probably) and got it loose so it was wiggling and then used a gauze to rotate.

Could you have used anesthetic……..sure and you would have been faster.

If this little girl was your daughter and you had the choice, would you try to do this without anesthetic…….

Anyways something not presented in photos I dont think and just another thing you can try with the laser.

No tears at all for the little girl and a happy happy mom.

Glenn