Dr. Adelberg:
I see that you are a pediatric dentist. For the most part we treat elderly adults but do see a few kids. Therefore, my comments may have little value.
With the DELight erbium I personally have good “no anesthetic” success treating lesion Classes III, IV, V on adults and all deciduous tooth lesions using a setting of 10 Hz and 185-210mJoules. Some will argue that dropping the repitition rate to 10 Hz(as opposed to 20 or 30Hz) will have insignificant effects with regard to pain transmission. All I can say is that this setting has worked better for me than any type of “laser pre-analgesic/anesthetic” treatment.
Keep us informed on how the Versawave works out. My positive experience with a HOYA erbium has been that a failure in the delivery system only occurs in the laser tip. So you may blow a โ tip but don’t have to worry about blowing a several hundred to several thousand dollar trunk fiber.
Al
