My First Laser Filling! - Laser Dentistry Forum

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July 28, 2003 at 1:27 pm #2858 Reply

Albodmd
Spectator

Just received my Delight Er:YAG laser last week. Today I did an amalgam removal on the DL of #6 and placed a composite without any local. Used the preset enamel settings and bathed the tooth for 90 secs from about 10 mm away. Removed amalgam with highspeed and placed composite. Quick and easy. Pt. felt one little twinge once, but other than that. . .nothing. This is too cool. When are they going to come out with laser composite finishing tips? 😉
Regards,
Al B

(Edited by Albodmd at 10:21 am on July 28, 2003)

July 28, 2003 at 2:13 pm #6594 Reply

Glenn van As
Spectator

Congrats Albert: I think that alot of the information you have gleaned from the site here will help you in your work. There will be cases that work and some that dont but overall the laser is a great tool and a wonderful marketing device.

Glenn

July 28, 2003 at 2:25 pm #6592 Reply

Albodmd
Spectator

Thanks Glenn, this site has been invaluable to me. I’ve learned so much here. Much thanks to Ron for starting it and everyone who’s contributed.
Glenn, which tips do you use the most? Right now I’m using the 80 degree tip mostly. How do you use the endo tips? Looking forward to learning a lot more.
Regards,
Al B

July 28, 2003 at 4:56 pm #6595 Reply

Swpmn
Spectator

That’s great Albert. Enjoy your laser!!! Looking forward to visiting with you in Vegas.

Al

July 29, 2003 at 1:36 am #6593 Reply

Albodmd
Spectator

Hey Allen,
Can’t wait for Vegas either, hoping to learn a bunch. My first real day with the laser was great. I did a couple of amalgam removals with high speed after obtaining laser anesthesia and a couple more composites on virgin teeth. The occlusals seemed to take forever even though I tried doing them as has been talked about here, perpendicular to enamel rods. Slowly making my way round the learning curve.
Regards,
Al B

July 30, 2003 at 2:06 am #6596 Reply

Swpmn
Spectator

Albert:

Occlusal surfaces of molars can be quite a challenge, and you’ll find that some teeth seem “harder” than others(heredity?,fluoride?). For me these are also the hardest to prepare without pharmaceutical anesthesia, and usually on the molars I’m going to use some sort of “caine”. If the patient is anesthetized, you can crank the setting with the DELight and go through enamel very quickly.

For example, today on a 13 yo male I prepared tooth number 18 Occlusal at 355mJoules and 25 Hz with the 80degree tip and yes the patient was anesthetized. I then prepared number 4 Occlusal and number 31 Buccal Pit at 160-240mJ but ONLY 10 Hz(without any pharmaceutical or “laser” anesthesia).

My overall NPA(no pharmaceutical anesthesia :biggrin: ) rate today using both erbiums was 66.7% and that made for a very typical and happy day for me!

Al

(Edited by Swpmn at 10:12 pm on July 29, 2003)
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