Forums Erbium Lasers General Erbium Discussion mixing apples and oranges

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  • #2879 Reply

    cerecdoc
    Spectator

    I’ve been here only two days, and have had a waterlase three weeks. I am very confused by what seems to be a mixing of erbium yag lasers with waterlase info. The two wavelengths and their hertz are not the same! There should be some significant differences in their performance. Or at least the settings used to get the same clean results.

    What I was seeking was a forum on the waterlase, separated from forums on other, but perhaps close wavelengths. So I could perhaps participate in both, but could be assured I was not getting advice from someone with a completely different kind of machine from the one I have.

    Is what I have seen these two times I have visited here a mixing of the two “camps”? Or am I just that much of a novice?

    #6769 Reply

    Patricio
    Spectator

    Cerecdoc,

    The concepts and opportunities presented on this board are invaluable.  Beyond that you make your own cup of tea at the chair.  It is very clear who is using what in most cases.  What are the questions you bring?  What will move you forward with your machine?  What  experiences are you having?  How are you marketing your new service?  The regular posters on this site are committed to laser dentistry and willing to share their experience. They have helped me a great deal.  Please join us with your thoughts.

    Pat

    #6770 Reply

    Robert Gregg
    Participant

    Welcome to the club, Cerecdoc–

    We’re ALL novices here…….I just started using lasers 12 years ago, so I’m not that much ahead of you……so we’re all learning together. Tongue firmly planted in cheek.;)

    There are NO dumb questions here, and NO discrimination based on wavelengths or devices.  Just opportunities to learn–thanks to Ron.

    If I may be so bold as to suggest a manner and method of referring to our laser of topic and discussion?  Any objections?

    Too bad, here I go:

    It is most accurate and descriptive to speak about our lasing MEDIUM, and power parameters, than it is to speak of the brand names of the devices we use.  I’m not against marketing–knock yourselves out.  But when speaking about erbiums or neodymiums or diodes, why not speak to the medium, wavelength and emission mode?

    For example:

    Waterlase

    Medium: Er, CR:YSGG or Erbium, Chromium : Yttrium, Scandium, Gallium, Garnet.

    Wavelength:  2790 nanometers or 2.8 microns for short

    Emission mode: Free-running “FR” pulsed (10 to the minus 6 seconds) pulse duration = 125 microseconds

    So we might refer to that as a FR pulsed ER: YSGG (2.8) with a 125 usec used at 6.0 W 20 hz and compare it to an FR Er:YAG (2.9) at 250 usec using 6.0 watts and 20–which is the Continuum DELight.

    It’s not that you need a separate forum for your BRAND.  It’s that we ALL need to understand the power parameters that our devices have so we can communicate and compare our results with other who may not use our exact parameters, but can adjust the discussion to their device based on sound principles of laser physics.

    So let’s see.  In the example above, and using the the same settings, the Er:YSGG (125 usec) would have a peak power of 2400 Watts per pulse versus 1200 Watts per pulse at the EXACT same setting for the Er:YAG (250 usec).  But the longer “burn” and “forward penetration” time of the 250 usec device (2 fold), needs to be taken into consideration.  

    Heck, I don’t know……just my humble opinion.

    Bob

    (Edited by Robert Gregg at 9:45 pm on Dec. 13, 2002)

    #6766 Reply

    Anonymous
    Guest

    Larry,
    Welcome to the forum.
    The  erbium lasers whether er:Yag or Er,Cr:YSGG are very close in their wavelengths and have similar absorption (See DentalApplications of Advanced Lasers-Manni). The effects will be similar but not identical, just as all ErCr:YSGG lasers are not identical. I believe that’s why Bob and others recommend testing the output of your machine. So one Waterlase users settings may be different from yours.

    Why do you believe there should be significant differences?

    I think the other thing you will find is that you cannot just cookbook this stuff (which is what I thought when I started this forum). Bill Chen does amalgam removal totally different than the way Mark, Pat and I are doing them.You can use others methods to try and adapt to you and your machine, but research or question why they do what they do. I believe most of the posts are good starting points – Use them and see how you might adapt them or make them better. One of the things Bob Gregg has taught me (besides sharing alot of experience and insight) is that I need good reasons for doing what I do with the laser and the science to back it up.

    As far as having a Waterlase forum, there won’t be one here,sorry. – Biolase can do that if they want and I’m sure they can afford it! My intent was to have the forum advance all laser dentistry, not just one companie’s product.

    So lets hear what you’re doing well with the laser and where you’re having trouble.

    I don’t believe you’ll find a better group of lasers users who are willing to share (of course I’m biased and have witnessed first hand how much I and others have moved ahead in laser knowledge and ability thanks to these guys).

    #6768 Reply

    Glenn van As
    Spectator

    HI there Larry and welcome to our forum .

    I cant thank Ron enough for putting this up. I have posted alot of stuff about the Continuum laser but believe me the similarities to the Waterlase are more than the differences.

    THere is so much information here from trendsetting procedures (crown preps, laser desensitization protocol ) from Mark Colonna, to the science and laser physics that are so important for understanding how lasers work that Bob Gregg provides.

    I have witnessed in at least three frequent users on here a massive increase in knowledge.

    Ron started this forum barely knowing the difference between his diode and his erbium, but he took a standard proficiency program with Bob Barr, he posted intelligent questions and listened to the experts like Bob Gregg and Rons knowledge about lasers has been astronomical in its increase.

    In Alan I saw a skeptic get so excited because people here helped him to use his laser and learn how to use it effectively when he came here I saw a very confused and skeptical user. Recently he posted crown preps which show his mastery of the laser.

    There are so many others who lurk and post here, Pat Kelly with his insightful remarks adn alot of others who escape me now but listen , question, read old posts.

    Look at the pics I have posted and ask not what settings but how was this possible, what is the science behind it and soon you will realize that the settings are somewhat arbitrary and basically there are low settings for things like apthous ulcers, soft tissue removal around Class V with out anesthetic.
    Medium power settings for things like frenectomies, dentin and caries removal without anesthetic, biopsies, tissue removal with anesthetic and
    High power settings for enamel removal, crown preps, preps with anesthetic etc……….

    Keep an open mind , look and listen and you too will become very quickly a laser guru as the guys here are second to none and the best part is ……..

    NO ONE CARES WHAT LASER YOU USE!!

    Glenn

    #6767 Reply

    Glenn van As
    Spectator

    Oh by the way the third guy who has learned a ton here from all the gurus……….

    was…………….ME!

    Cya

    Glenn

    #6771 Reply

    cerecdoc
    Spectator

    There’s no doubt in my mind that this is ground zero for learning about lasers.

    And I will be more than happy to ask dumb questions.

    I will be on this form every night, as I have been on dental town every night since I discovered it four months ago.

    Thanks for all the thoughtful replies.

    Larry Fincher

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