Forums › Laser Treatment Tips and Techniques › Hard Tissue Procedures › Prep Design
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PatricioSpectatorAs I am getting used to beginning with 4 or 6 watts I am realizing how quickly a prep can be completed such as a class II. I am wondering what prep design is recommended for the proximal area. I began with more of a vetical tube but soon realized the actual decay va
ries in position and was ending with angles and slants and under cuts when the decay was finally removed. I can see that at 6 watts it is easy to prep the occlusal aspect of the box wider for vision and ease of decay removal but then we are getting back toward the G.V. Black sized preps. What say you?Mark, where are those new spoon excavators when we need them? I tried to put my regular one in a prep today but it was much to large. I also removed some tissue today at .75w with no water. It was slower but I can see I ended with less bleeding and was better able to use .25w to frost the tissue.
Pat
2thlaserSpectatorPat,
Funny you should ask! I actually met with the guys today at Amercian Eagle to finish designs, and I used a few new ones today, I loved em! I hope that before Dana Point, I can have some for everyone to see/try.
In class II’s I try hard to tunnel prep when I can, or then use Stu Rosenberg’s suggestion and slot prep. I try to keep the marginal ridge intact as much as possible, from either side of it. The smaller spoons work well in that area too. I am really trying hard to develop a no rotary use on any tooth in my practice, and the spoons help alot in that regard. Although I had a HUGE one this afternoon on #15, it echoed when we talked! and I had to use a round bur on a slow speed it was so undermined. I know we will never get rid of handpieces, at least in our lifetimes, but I try to take every advantage of the laser I can.
On the tissue side, did you get much charring using .75 with no water or air?
Thanks Pat.
Mark
PatricioSpectatorMark,
I did not get any charring at .75w. It was just slow going but clearly less tissue damage and bleeding when I was done. OK I will continue with the conservative preps but will want some of those spoons ASAP.
I see in the paper last night that our biathletes are traveling to Montana to workout in the snow before heading to Europe. Must make for a long winter. Our ski resort is open but only a trace of snow on the ground in town.
Pat
2thlaserSpectatorPat,
Where are they going? We have World Class skiing right here in Whitefish. No snow in the lower valley yet, but the mountains are getting their fair share. Good for the skiiers, and hunters this time of year. Still warm though, should be in the 50’s today, gosh, could take the day off and play a round of golf! Is this November??
Keep up the great work and posts, the excavators will be here soon!
Mark
gwmilicichSpectatorI am going to try and cover some applications of the Laser in Microdentistry at Dana Point. Things like slot preps, tunnel preps, where AA works in conjunction with the Laser plus some booby traps when applying AA type Microdentistry concepts to the Laser
Cheers
2thlaserSpectatorGraeme,
I can’t wait! Should be great learning!
Thanks,
Mark -
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