Laser Assisted Crown Prep - Laser Dentistry Forum

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November 26, 2003 at 8:26 am #3452 Reply

ASI
Spectator

Hi Fellow Forum Folks,

Here is a case of a crown on tooth #3 that I did on Monday. After the use of high speed, the erbium laser was used to clean the cavity floor and the 980nm diode laser at 1W CW noncontact was used to treat a carious pulp exposure. Patient was advised of possible endo as needed.

Andrew

November 26, 2003 at 2:05 pm #11431 Reply

Anonymous
Guest

Nice job, Andrew.
It amazes me when I see the beautiful work you guys do under a scope. It’s even harder to believe that other forums are debating whether you need magnification or not. Instead of the old ‘you don’t know what you don’t know’ it should be ‘you can’t see what you can’t see’!

November 26, 2003 at 3:11 pm #11436 Reply

Glenn van As
Spectator

Ron : You are correct in that you dont know what you dont know……

You cant treat what you cant see

You cant see what you cant see……..

IT goes on and on and in all honesty lasers need magnification PERIOD.

Its tough to see those small tips and fibers without and with smaller fibers you can be gentler in your treatment.

In closing, I have found that some people are VERY fearful of change and hold onto certain opinions when others go out and show that these opinions are not current…….

The mind is like a parachute , it only functions when its open.

Glenn

November 26, 2003 at 3:11 pm #11434 Reply

Glenn van As
Spectator

PS Andrew……I forgot to mention……..nice case and cool idea about the pulp cap, some work , some dont but its worth a try right.

Glenn

November 27, 2003 at 12:56 am #11437 Reply

Stewart Rosenberg
Spectator

Very nice case Andrew.

Regarding the pulp capc: we have been doing laser pulp caps for 15 years with very high success rate. thanks to the work of Richard Hansen over the last 6-8 years we have modified our restorative protocol some and i will share it with the group for those who have not attended my course.

After stopping the bleeding with the laser or by chemical means we mix a paste made up of 500mg cpsule of tetracycline, 500 mg capsule of Flagyl and mix the powder into a paste by combining it with opthalmic eyedrops from Schein containg deximethedrone, neosporin and polymixin. Place the paste over the exposure, allow to dry and top it with Fuji IX, fujibond, flowable composite and then microhybrid composite ( Co-Cure technique ) . I’ve done over 100 of these with only one failure so far and Richard has done hundreds of them

Stu

November 27, 2003 at 4:27 am #11435 Reply

Glenn van As
Spectator

Cool idea about the antibiotics , and I will have to try that, neat stuff and thanks Stu.

Glenn

November 27, 2003 at 6:23 am #11433 Reply

ASI
Spectator

Hi Ron, Glenn, & Stu,

Thanks for the kind remarks.

Stu, interesting concotion for the pulp cap. Do you need to mix it up fresh for each batch or can you store it in an air tight container?

Andrew

November 27, 2003 at 6:52 am #11432 Reply

jetsfan
Spectator

Stu,
When you say allow the antibiotic paste to dry, do you mean that it actually sets hard or does it stiffen up. How long does it take to dry?
Robert

November 27, 2003 at 3:03 pm #11438 Reply

Stewart Rosenberg
Spectator

I put some of the flagyl powder in a little vial and did the same with the tetracycline so I have it ready and then i just scoop out a littlew of each and mix it with the eyedrops.

You just need a thin layer of the paste. It hardens pretty firm in a few minutes but frankly I don’t wait. I just put the Fuji IX over ot as soon as I can get it mixed.

Stu
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