Pretty exciting stuff. Do you think we can see any results with different wavelengths?

DAvid

Ron,

I’ve been out of action on all the forums for quite a while. Sorry Very busy with stuff, SLC, BootCamp, Day 4 and Day 5 in the last two weeks, and my rare travels to lecture in Vancouver, which was a blast to be with Glenn. I developed a brand new presentation on the history of lasers in perio.

Anyway, great, GREAT stuff! Fantastic service to your patient!

Yes, the peak emmission (on a bell graph) of the human body’s IR range of wavelengths in 1064nm. That is the wavelength the IR camera companies use in their night vison cameras (along with some others). One of our patients who works in that technology shared that with us a few years ago. When we tried to independently confirm that, we got some odd looks and the silent treatment. Not the least was a cryptic question, “why do you need to know this?”

First, I congratulate you for trying to implement this for your patients.

Second, thanks for posting your Joules per treatment.

Third, you are brilliant to apply the energy to the “hot spots” on the chin! That is a perfect deduction. I would not, and have not ever done that. Del says he has, but he never tells me anything! Grin;-)

Fourth, you are correct to allow some time for the effects to take place–one or two weeks.

A couple sugggestions:

1. From some experience and now reports from many like yourself, you can use more Joules per treatment–10,000 J which take about 25 minutes. Split the areas up as you did. The healing is in direct relation to the total energy delivered or fluence.

2. If you bump up the average power (AP), you can back away and cover more surface area. In the mouth near the surgery and extraction site, your setting sounds right.

3. Also remember to irradiate under and behind the angle of the jaw (externally). More AP is usually beneficial more efficient.

Thanks for sharing this case on the two forums

Best,

Bob

With respect to the effect of laser energy application on paresthesias, Do you (anyone reading this) have any experience/information about non:”dental” use? I have a physician friend who has suffered a radial nerve injury during the course of a bypass-graft procedure, presumably as a result of prolonged tissue compression occuring during anesthesia.

Bob – how succinct  :biggrin:

(You know I’m dying to hear more)

Kelly

Bob- – you’re terrible!

MY turn to chime in.
I am treating a 20+ yr old female who developed a parasthesia to lingual nerve on her right side following 3rd molar extraction 2 years ago.
She has no sensation on the dorsum, lateral or ventral surface of tongue. Additionally she says that her lingual gingiva is without feeling.
Using a sharp explorer I determined she was in fact unable to feel pain.
I explained to her what some here have been doing and
told her that I might be able to help her. She of course was willing to try anything.
Using the Lasersmile handpiece, set at 10 W I administered LLLT for 2 min on the dorsum, 2 on lateral surface and 2 on the lingual gingiva. I had patient return 2 days later. She said she definitely started to feel a sensation on the lingual gingiva. I repeated the process and again 2 days later.
She returned today and I repeated process again then I checked all affected areas with a sharp explorer. On all previous numb areas she was able to feel the pin(not the pressure but the sharp pricking). Needless to say she is very happy. I will continue one more visit this week then skip a week and reevaluate.
Any suggestions?

Robert