Forums Erbium Lasers General Erbium Discussion help with laser info

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  • #6617 Reply

    Swpmn
    Spectator

    Hoya DELight vs. Biolase waterlase

    Hoya seems to have much better visibility
     The DELight delivery system provides unparalled visibility which is essential for erbium laser treatment.   Have done two in vitro(lab) test drives with the Waterlase MD. The delivery system of the DELight still provides better visibility.

    Hoya seems to cut faster (able to increase the frequency?)
     No, ignore claims that one laser cuts faster than the other.  Waterlase MD goes up to 8.0 Watts and at that level may be possible that it cuts faster.

    Hoya seems to have a much better cable
      Unquestionable.  Have never heard of a DELight user blowing a trunk fiber.

    Hoya claims it is more stable as far as mobility from room to room or office to office.
      Not sure about mobility but I have personally experienced:
        Waterlase
           Four blown trunk fibers,  defective pumping chamber, blown flashlamp and burnt out handpiece mirrors.  Spent a bunch of money on repairs.
        DELight
           Minor electrical problem.  No additional money spent on repairs.

    Hoya will let you test drive in your office.
       Yes.

    Biolase will not let you try out the unit in your office.
       Don’t know.

    Biolase seems to have many more users in Long Island.
       No comment.

    Biolase will allow for easier water control.
       No.  DELight air/water is easily adjusted just like your high speed handpiece.  I set mine one time to allow proper clearance of cut tooth products, irrigation to prevent charring and to give me the best visibility.  Has never been changed.

    Biolase claims to have much better support.
      For what?  In my opinion this is a big NO.

    Biolase has a lot of courses in other doctors’ offices while Hoya will send you to laser academies.
      I’ve personally paid to have training by all three of the major erbium laser dental manufacturers in the U.S. dental market.  Rating based on presentation of scientific facts:
      1) HOYA
      2) Lumenis/OpusDent
      3) Biolase

    Biolase claims that they own the patent on Hoya’s laser and knows when each one is sold.
       Don’t know.

    Biolase has many more tips for its laser.
       Don’t know.  I’m pleased with the variety of tip selection available with my DELight.

    Hoya is about &#367000 less expensive.
      Probably true when comparing the original Waterlase to the DELight.

    They both will pay the doctor for in office demos.
      No comment and don’t care.

    Biolase is very aggressive when it comes to sales.
      No doubt about that but we also have to look at ethic….. OK I’ll stop.

    Biolase claims that it’s laser can numb a tooth but Hoya can not.
      It’s doubtful that either of these erbium lasers can “numb” a tooth.  Most likely, the supposed analgesic effects reported by erbium laser users can be explained by the fact that these pulsed lasers are only “ON” for microfractions of a second so that there is minimal heat buildup in the target tissue.

    Hoya claims that they have much better hemostasis on soft tissue procedures.
      Really?  That’s usually a Biolase claim related to the 2780nm wavelength which is an insignificantly less 160nm than the water-specific 2940nm DELight.  Erbiums will cut oral tissues well but they don’t do so hot for sealing off capillaries since the wavelength is poorly absorbed by pigmented tissues.  Even if you have an adjustable longer pulse duration erbium like the WaterlaseMD I’d be willing to bet it won’t work as well as a laser in the 800-1064nm range.  There also may be issues with the tips getting messed up – when you work with soft tissue you need to have tips/fibers that can be cleaved like with diodes and Nd:YAGs.

    Hoya is much quieter than the waterlase.
      The DELight cooling fan is much quieter than the original Waterlase.  However, I have heard that the fan on the Waterlase can be upgraded to a level of pleasance.  Fan noise from the new WaterlaseMD is neglible.

    #6606 Reply

    whitertth
    Spectator

    Ok gang..u know i got to chime in here….first of alll call me I am on Long Island and u will probably train in my office if u get a Waterlase….516 239 6204 I can answer any of your questions….That being said Both lasers are great products….Biolase laser have a much higher presence on Long Island as u said….but both are great products…I will say the MD is pretty awesome..as I have used it more and more and it continues to impress every day…( i didnt love it at first)…Today we did a frenectomy with the MD in the S mode at 50 hz, and not a drop of blood even down to the periosteum…way too cool and I have done hundreds of these with my waterlase…I too would have said maybe not worth the difference in cost, but today really swayed me…..the soft tissue mode is aweome hands down….Pedo teeth will be a breeze with either …..
    Topicals….Bruce, u need to try my topical DRK LIQUID…I do not make a dime on this but this is hands down the best topical out there…ask anyone on this board using it..It is a liquid, quickly absorbed, and lasts 30-40 minutes…u can get it from Doug at Whites Pharmacy 318 631 2005…It blows away emla…..
    Good luck with your laser purchase Marc…any questions just call….

    #6598 Reply

    dkimmel
    Spectator

    Ron, The more you use the MD the more you will like it. Having the soft tissue mode is like having a second laser. I would be hard pressed to come up with a reason why someone would want to buy a Er laser and a diode. The MD is the answer.

    #6608 Reply

    2thlaser
    Spectator

    Ditto David…..

    #6605 Reply

    sultan of smiles
    Spectator

    Has anyone tried Tricaine Blue?

    It is awsome! Painless injections 99% of the time.
    I bet it would be great for Lasers.

    #6620 Reply

    adeldds
    Spectator

    Once again thank you to everybody who  has answered my original post.
    I did buy and receive Jeffery Manni’s book.  It is very informative (I feel like I’m back in Dental School, (btw – I am a Buffalo grad)
    I am still on the fence about which laser.  It seems that Biloase (waterlase) may be better for my pedo office only because it is better with soft tissue.  However, I am concerned that many people complain about it breaking down.  I never see any posts about Hoya having any tech problems.
    I am very intrigued by the MD.  I think it might be a great benefit to use the soft tissue mode.  I think case exceptance within my pediatric practice would be outstanding if there was really no blood when doing soft tissue procedures.
    It seems as if the MD fixed many of the problems that would have made Hoya the laser of choice.  Is it safe to assume that most people would buy the MD if it was in the same price range as the Hoya or original waterlase?
    I am looking forward to using the “Dark Liquid” for topical.
    Question – I understand how the isolite would eliminate the need for topical for a rubber dam clamp, however, what about for matrix bands and wedges?
    What type of loops are you guys using?  Do you feel it is necessary in pedo to use more than 2.5x?  Remember that sometimes I am working on a moving target so my field may move.
    Last but not least – when is the next laser meeting that will get me certified?  I would really like to be well trained before using it in my office.
    Thanks again – Marc

    #6607 Reply

    2thlaser
    Spectator

    Marc,
    Let me just say I performed a pulpotomy on a child today, no anesthetic, Waterlase MD…the soft tissue settings are excellent. Sorry you went to Buffalo, (Just kidding)…anyhow, as far as magnification, I use Designs for Vision 6.0x, most laser users are using 4.5x-6.0x and /0r a operating microscope. I hope to have my scope later this month. I see no reason, pedo or not, (Glenn, chime in please) to use higher magnification. It is ESSENTIAL for efficient laser useage. Understand another thing about the MD…it’s new, and yes, there are always “things” about new products, that being said, Biolase DOES STAND behind their product. I do get paid honorariums from them, so I disclose that, BUT it IS an excellent product, and David Kimmel, who is on this board, has both, you might want to ask his opinion as well…he is as honest as they come.

    IF you get the MD, we have our training courses often, just email lisa@waterlasetraining.com for the schedule. IF you get the Hoya, DON’T BE TRAINED BY ANYONE OTHER THAN GLENN! Period! He is truly the best in our field with the Hoya laser.

    I have trained many a pedodontist, and we cover extensively how to use the Waterlase and Waterlase MD on both hard and soft tissues….You can, again, email lisa for that information if you need to…Good luck!

    Mark

    #6612 Reply

    Glenn van As
    Spectator

    Hi Marc: First off a very good friend of mine is Larry Kotlow who is a pediatric dentist using the Hoya Con Bio DeLight for a LONG time in Albany New York so look him up if you can. He also uses a scope and he told me he didnt think he would be able to use the scope with kids but was shocked at how still the kids hold with the scope. I have alot of pedo in my practice and the kids are wonderful with the scope and DeLight laser.

    As for the bleeding……..let me show you a case I did yesterday removing a soft tissue frenectomy that was snipped on this adult when he was but a wee lad!!

    It was still sitting in the diastema and was creating some problems……..note no bleeding and I post this because so many are talking about how one laser does so much more soft tissue without bleeding than another.

    Just food for thought.

    Glenn

    JP frenectomy edited pg 1_resize.jpg

    JP frenectomy edited pg 2_resize.jpg

    JP frenectomy edited pg 3_resize.jpg

    JP frenectomy edited pg 4_resize.jpg

    #6613 Reply

    Glenn van As
    Spectator

    PS Mark…..thanks alot for all your kind words but to be honest I am seeing alot of very good laser dentistry being done by dentists with both lasers. I know guys like Albert, Allen Williams, Andrew, Don McNamara, Jay Nelson, Don Wilson , Norman, and heck even Kimmel (just kidding) are doing stuff that I havent even thought of. Its kind of neat to see the progress from the early days when lasers were laughed at.

    Hey speaking of that I have some long term follow ups on some of my most criticized cases…….will try to bump them up to show the healing…….they look good.

    THanks again Mark……..really kind words and I do appreciate them.

    SHow me some more of your cool crown prep cases!!

    Glenn

    #6604 Reply

    sultan of smiles
    Spectator

    Marc, when are you getting certified?

    You don’t want to try the tricaine Blue? Ibet it is better than dark liquid.

    Glenn, what laser was that with? settings? time of treatment? and fee?

    (Edited by sultan of smiles at 5:34 am on Feb. 4, 2005)

    #6611 Reply

    Glenn van As
    Spectator

    Hi SOS…..

    It was the DeLight laser by Hoya Con Bio……similar to Biolase in what it can do, slightly different wavelength in that it is an Er:YAG.

    Settings were 30 Hz and 60 mj (1.8watts) without water with soft tissue tip (200 microns at end) and time was a couple of minutes I guess.

    I have no idea of fee but I thought they charged for destruction of scar tissue which was either 250 or 400 depending on the size of it (over 1 cm) and thats Canadian.

    Glenn

    #6621 Reply

    adeldds
    Spectator

    Just wanted to let you guys know that DRK Liquid is the same as TAC gel.  Just two different forms of the same ingredients.

    I just ordered chocolate and cherry.
    Any tips with applications other than getting the gingiva very dry?
    Marc

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