Forums › Erbium Lasers › General Erbium Discussion › Osseous Recontouring
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Glenn van AsSpectatorHi folks………due to alot of reasons , not the least of which is burnout, I am posting less these days. Especially on dental town.
The comraderie here and the interest in learning makes me want to continue posting the odd case here and there.
This was a crown prep I did yesterday I think.
The margin was really deep ( it was tough even with the scope to see what was tooth and what was resin) and once I got it on tooth I thought…….yikes not much biological width.
I stopped the oozing with the Argon (green laser) first so I could see what I was doing and then I removed soft tissue and hard tissue in the interproximal area between the molars.
I think next time I will try to reflect a small flap ala Rodger Kurthy but I need to get some smaller blades and microelevators first …….( I am working on that).
It will be neat to try with the scope.
Anyways I used the erbium and ablated the interproximal bone and tissue and then coagulated it with the argon laser and some hemodent and took my impressions today.
I will follow the case for you. in addition, the radiographs of before treatment started and just before today are included. i will include radiographs of it and photographs of it when we insert the crown.
Hope it makes sense, no time for editing them.
Cya
Glenn
Here is the link
http://www.sendpix.com/albums/021121/2347410000027a332b7f0848f60a4a/
AnonymousGuestGlad you’re still posting here ,Glenn , we’ve all benefitted by your posts.
I’ve done the same thing only w/ waterlase and diode combo. The last couple times though, I’ve defocused the waterlase , stopped as much oozing as it would and then used Ultradents Astringident with a small brush tip in the sulcus and gotten good results-guess I just didn’t want to get up , setup and reposition the diode (being a little lazy I guess). Hopefully, when my office remodeling is done next week, it won’t be as big a deal.
gwmilicichSpectatorQUOTEQuote: from Glenn van As on 3:53 am on Nov. 22, 2002
Hi folks………due to alot of reasons , not the least of which is burnout, I am posting less these days. Especially on dental town.Hey Glen
I kept wondering where the heck you found all the time to do the posts you were doing.To put useful stuff on, takes a lot of time. You could always resort to the one liners that fill up half of DT 🙂
Cheers
Glenn van AsSpectatorBest course I took in high school was typing, took 2 years and was the only guy in the class, and learned keyboards and typing that still allows me to type at a rapid rate, maybe 30+ words a minute.
Thats how I get so long winded too!
Graeme, its great to have you onboard here.
I need to send in an abstract for the WCM which is here in Vancouver, what do you think is something that I could bring to the organization……….
(here is my post to Annette)
Glenn
Hi Annette…….please find enclosed my C.V.
In order to provide an abstract that will be considered seriously by your esteemed group, I would prefer to know what topic would be of interest to the group.
I have lectured in the past on the following topics……….
1. The Dental Operating Microscope in General Practice.
2. Digital Documentation and the operating microscope.
3. Lasers and the D.O.M. in general practice.
4. New Patient examinations and the D.O.M.
5. Prosthodontics and the D.O.M.
6. Microdentistry and the role of the D.O.M. in diagnosis and treatment.I just would like to present a topic that the committee finds interesting and which would further enhance the group itself.
Thanks Graeme for your input and perhaps others on this board will if they are involved in the WCM would like.
Glenn
SwpmnSpectatorNice case Glenn and thanks for continuing to post here. I’m tired of Dental Town also and prefer to come here to learn from other dental professionals that are convinced of the benefits of dental laser usage.
The one thing I can say about Schalter’s forum is that so far we have no personal attacks. Dentists come here to learn, present new uses for lasers and also present clinical failures when they occur.
Here, if you have a negative comment because you had a bad day with the laser, someone chimes in and suggests a way to alleviate the problem. This is done in a professional manner.
Personally, I’m weary of the endless fighting, arguing and personal attacks on Dental Town.
Al
Glenn van AsSpectatorHi Al: I couldnt agree with you more, the fact that healthy skepticism is good, but venomous posts which you would never say to a person if you were standing talking to him, but you are so glad to do if you have the computer sitting in front of you have no place in civil discussions.
I am under the weather today and the Nyquil is taking effect………gotta go and thanks for your support. It means alot.
Glenn
RodSpectatorHi Guys,
This bone removal stuff with the laser is really fun, isn’t it?
Actually, the ‘papilla flap’ thing that Glenn was mentioning is something I’ve only done once. I did it that way simply after the fact. The crown had already been placed. Foolishly, I thought I’d be able to get away without crown lengthening on this particular case. Wrong.
So I had no choice but to reflect the facial papilla. And it worked great. Had the patient back for post-op on Thursday, and she’s doing very well.
Normally when I do the interproximal crown lengthening, I do no reflection of tissue. And the cool thing is that even though visualization is not the greatest, since the tip is end cutting, if you simply angle the tip appropriately, and run the SIDE of the tip along the side of the root (of both the tooth being prepped and the adjacent tooth), you can pretty much do a great job even with some of the limitations of visualization.
And as I’ve said before, the incredible thing is the rapid reformation of that interproximal papilla — incredible.
Ron — like you, I don’t bother trying to coagulate with the laser. I use CutTrol in the Ultradent Infusor syringe, and the bleeding is stopped in two seconds. Very simple. I personally agree with Gordon Christensen, and like the CutTrol MUCH better than the similar Ultradent products.
Rod
Robert Gregg DDSSpectatorGood to see you Glenn. Watch that burn-out. Take care.
Ron, is the etch survery device specific? Erbium versus Nd:YAG for instance?
Great forum for users. Nice job keeping it fresh Ron.
Bob
AnonymousGuestQUOTEQuote: from Robert Gregg DDS on 5:48 pm on Nov. 24, 2002
Good to see you Glenn. Watch that burn-out. Take care.Ron, is the etch survery device specific? Erbium versus Nd:YAG for instance?
Great forum for users. Nice job keeping it fresh Ron.
Bob
Thanks Bob, but its the guys who participate that keep it fresh.
I think you just gave me an idea for my next poll! -
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