First, I just returneed from periolase training. I feel like a 16 year-old-kid behind the wheel of a Lamborghini.
Anyway, a patient presents s/p car accident with #7 fractured to the cervix. #8 with an oblique class 2 fracture (no noerve). The kid is in a coma for 6 months and as a result, the tissue has completely overgrown 7. So, with my Lamborghini, I mean Periolase, I would like to: remove the XS tissue and uncover #7, do the root canal and use the laser to rmake post space. So how much energy is too much. My mind recalls the magic 300J but I used 350J on the diode setting removing tissue (Admittedy, I have no idea how to make tissue removal expedient. It seems that I place the fiber tip and wait and move and wait and move and wait…) Then I pumped 370J more into the tooth to remove GP. Well…as you might imagine, I didn’t sleep very well, wondering if everything had sloughed off the facial of #7. Had him back 24h later and all looked great. But the quetion begs: quantifying energy…how much is too much? Does the rate of delivery of said energy make the difference?

Tom