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Glenn van AsSpectatorBob: I sent it to you by email……….
Glenn
2thlaserSpectatorGlenn,
This is the greatest set of photos for a scope I have seen yet. Global should hire you! Man, if this doesn’t make you want one! Great images, great photo’s, which makes for great dentistry, you are to be commended. Magnification is SO VERY IMPORTANT when using not only a laser, but everything we do as dentists, is truly micorsurgery. I have said for years, let a general surgeon use a drill, and let’s see how good he is. US with our skills as microsurgeons, really ought to rely on the equipment that will give us the best vision, to see those real small area’s we work in. Even at 4X, but 6X and up is so incredible.I have always had a facination with microscopes, from high school, to dental school. I can’t wait to have the one in the office. Soon I hope, as the $$ alows! Take care, great stuff!
Mark
wiemsSpectatorHey Bob,
What do you mean by “deep anatomy”?
wiemsSpectatorhey Bob!
I guess we’re talking on two threads now – imagine that!Anyway, I bought the 8 watt model, I purchased the CD-ROM based training program, which is basically a course in itself by George Burbach from U Cal (one of them). Mark Egan from Connecticut, the head of the Conn. state dental society and experienced “wet fingered” laser user will be coming to my office for a day to work with me and my staff. I guess I will be setting up patients for that day (not scheduled yet).
As long as I score a 70% or higher on two exams I take (a didactic portion and then a clinical simulation/hands-on portion), I receive a standard proficiency cert. This will get me an ALD standard proficiency cert when i join.The meeting is too soon, so most likely next year.
I look forward to any guidance you can give me!
Glenn van AsSpectatorThanks Mark: I had a dentist from Belgium in the office yesterday and it made me appreciate what I have. He practices in a group practice of two dentists in roughly 300 sq. ft in Brussels. 2 chairs total, 1 for each of them and they have a tiny waiting room and a tiny area for sterilization. They have 2 scopes though (Zeiss) and are cutting edge dentists.
I took the photos to show him the different mags.
Here is part 2 of the thread. After looking at old photos I noticed this tooth done 2+ years ago where there was a tiny shadow on the mesial pit of an upper molar. Easy to miss. I etched the rest of the tooth for Fissure sealant and prepped the small area with a 400 micron tip.
Filled that with flowable but going to start packing with hybrids with some modified tools I am going to make after attending a lecture yesterday.
The dentist was showing how tough it was to get bond into some of these micropreps we are doing with the scope and that you get bubbles……..
Interesting stuff, I am just so used to it that I forget sometimes.
Glenn
[img]https://www.laserdentistryforum.com/attachments/upload/Resize of Pg 1 layout of micro occlusa_p1.JPG[/img]
[img]https://www.laserdentistryforum.com/attachments/upload/Resize of Pg 1 layout of micro occlusa_p2.JPG[/img]
Nuno FerreiraSpectatorI Glenn,
I made surgical exodontics of third molar 4.8 and placed some rich plasma inside, the benefits are that the bone gain will be very high wich increase the distal bone 4.8. (something like periodontal regeneration)
if you need more information i can send to you.
Glenn van AsSpectatorHi Nuno……..that would be excellent if you could send me some information.
email is glennvanas@shaw.ca
COol stuff……….way to go.
Glenn
dkimmelSpectatorMark tried to e-mail you a couple of times and it appeares to have bounced.
Trying to fiqure days and stuff. Can you say anymore about what you do. Or just e-mail me with specifics.
David
dkimmelSpectatorPat do you think this can be done prior to removing the temp?
DAvid
SwpmnSpectatorCommon problem, and I agree with Dr. Schalter. Most likely the tip in the photo was cracked by “sparking” around metal containing restorations or bases/liners.
This tip is history unless you can figure out how to polish the tip. Use of this tip will result in damage to the laser mirror, trunk fiber and possibly internal laser components.
Including taxes and shipping, replacement of this tip will cost approximately 贄. In my practice, I find that the G6 tip is useful for a range of 36 to 60 procedures.
Al
SwpmnSpectatorMike:
You were right on when you said foregoing the maintenance contract after first year is a crapshoot. I guess you could buy a couple of trunk fibers and take a chance but lemme tell you, if something goes wrong with whats inside that white box its thousands and thousands and thousands to fix. You can pick up your laser one day, find it dead and then discover that the internal components need a major overhaul.
Presently, we just go ahead and get the service contract and the company responds quickly to our needs.
Al
P. S. Although I have personally installed two trunk fibers on my Erbium without incident, something became misaligned during my third fiber installment attempt and a technician was required. Without the service contract, it’s 辎 for the technician to walk through your door.
lagunabbSpectatorGlenn, thanks for emailing a cleaner copy of the article.
It is a nice state-of-the-art review although no new experimental data were shown. From the date of the article, it looks like Daniel Fried’s experimental observations were not yet available to Prof Hibst. I think the mechanistic study by Fried is more relevant in terms of the effect of water on ablation rate. Quoting Fried’ “The addition of water increased the rate of ablation and produced a more desirable surface morphology during enamel ablation with all the erbium systems.” Futhermore, Fried’s numerical measurements of the size of the conical craters with and without water showed that ablated volume with water is about 10X (I screwed up on the math here, the number is actually 135X assuming conical shapes for the craters and that volume is proportional to r**2*h, 3/14/03) that of that without water. Neither Fried nor Hibst offer any explanation of why that would be the case if the role of water is just cooling and cleaning.
I am optimistic that the ablation mechanism with water will be better understood in the near future as better 3D computational models of shock wave induced boundary layer separation become available. I just wish these experimental research folks will attack these measurements more directly. It is frustrating to see them try to solve for three unknowns (cooling, cleaning, ablation) with one equation.
(Edited by lagunabb at 7:47 am on Mar. 14, 2003)
(Edited by lagunabb at 9:09 am on Mar. 14, 2003)
BenchwmerSpectator
How do you polish your ERBIUM tips?
I ordered a Brassler polishing diamond wheel kit. Where do I go from there?
Thanks. Jeff
PatricioSpectatorDavid,
It seems to me Mark indicated at one point that he thought this was possible but he can comment on that point. In my case most of the temporaries I use are made from Access or Luxatemp and come off relatively easily. So I think I will pop them off and then go for the laser when needed. If you try numbing throught a temporary please post the result.
Pat
dkimmelSpectatorHave been reading Rossmann/Isreals article on Laser de-epithlializtion for enhanced guided tissue regenration. This seems real cool. They are talking about using a CO2 laser. So anyone doing this procedure? What are you using? Are you doing de-epithlialization prior to the flap as they sate or after the sx is closed?
I remember seeing a slide of this at the DT meeting in Vegas but most of that is a blurr now.
Thanks
DAvid -
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