Page 120 – Laser Dentistry Forum

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May 12, 2003 at 12:10 am in reply to: Fr Nd:YAG, LANAP shows New Attachment #5497

Anonymous
Spectator

Bob, Del, Ray and his group
Congratulations on publication! Also, thanks for sharing at the ALD meeting. The histology slide you showed many of us from this research was pretty impressive (especially to someone who used to think those were really ink blot tests in dental school). Amazing new attachment and bone. The same IADR link below has some info on Diode and Scaling /Root Planing that is also positive, but it contains nothing about reattachment/new bone.

I’d also suggest members take a look at some of the other studies to be presented at International Association for Dental Research. Interesting research on cariology,dental materials and links between perio and cardiac disease.

May 12, 2003 at 5:55 am in reply to: Fr Nd:YAG, LANAP shows New Attachment #5498

Glenn van As
Spectator

CLAP CLAP CLAP…..hope to one day to my own research into this in the office.

Great stuff Bob, you must be very very pleased. Kudos to all involved (Ray, BOb and Del)

cya

Glenn

May 12, 2003 at 9:12 pm in reply to: Radio #8594

2thlaser
Spectator

Pat,
Hope things are going well. I have done radio ads for the laser 2 times now, a trade, like you. I have had TREMENDOUS response from patients, although my “competition” doesn’t like them. If you would like, I have them in MP3 format, I can send you a couple of them if you have a high speed internet capability. Let me know.
Mark

May 12, 2003 at 11:06 pm in reply to: Trunk Fiber #9241

Patricio
Spectator

Hi Group,

My laser was fixed today. It now has an upgraded power pack. I am happy to report the rest of the machine was in great shape with the last service being in August of 2002. No handpiece or trunk damage. We were one of the first machines to have a new water system which keeps the water cleaner so the protons are provided in a more stable and non deminishing (power) environment. Makes for good cutting.

This is good news. I may ask Mark to compete for the longest use without a blown trunk. The last of the weak links it seems. I am at 11 months and counting.

Pat

May 12, 2003 at 11:19 pm in reply to: Radio #8599

Patricio
Spectator

Mark,
Thanks. I would like to have your ads. If I can figure out how to send you mine I will send it.

I would like to report on my first 6 weeks experience. The first month there were four calls. Three were shoppers and one signed up. In the last week we have had four more calls with two signing up. One looked in the phone book and picked us because she had heard me on the radio. It seems to be taking more time than the newspaper but maybe things are beginning. The station owner came in for a whitening and has auctioned off three whitenings. We were going to do one a month but he got a little ahead when people began to call in. We have completed one so far with a very positive response so this may result in a referral.

A little of this and a little of that seems to be the most successful marketing in our office. We are always doing something internal or external.

By the way Mark. The ladies thought they sent two sets of spoons but we only received one.

Pat

May 13, 2003 at 3:29 am in reply to: Radio #8593

whitertth
Spectator

radio response seems to depend on the market…the smaller the market the greater the response..the larger the market the weaker the response…….

May 13, 2003 at 5:42 am in reply to: BioLase Presentation #7094

BNelson
Spectator

Ron,
When I only had a Waterlase I thought it was the answer to all my problems and I used it, and still use it, for as many things as possible. And I love it. But when I saw what Bob’s and Del’s MVP-7 does, I realized that one laser doesn’t do everything as well as two lasers, especially if one is primarily dedicated to perio. Bob and Del really do have incredible research to back up their claims. I wish every manufacturer was as concerned with verifying claims as well as Millennium is. When you see the results of LPT done with the FR Nd:yag and compare it to the results of the ErCr there really is no comparison between the two. And the post ops on LPT really are amazing. I’m still new at it but to see people at one week post-op with vertually no inflamation or edema, often knive-edged papilla, and even in smokers, it blows my mind. It really is more exciting to me than just about anything else I have seen in dentistry, and this is my 25th year in the business.

May 13, 2003 at 9:12 pm in reply to: Radio #8595

2thlaser
Spectator

Hey Ron, Thanks for chiming in. One thing you guys don’t know about me, is that I have/had been in broadcasting for over 14 years. I have done talk radio, music of all kinds, etc…You are right, to an extent. You see, being creative is what it takes in larger markets such as yours, or in Chicago, where I am originally from. If you place very creative ads, you CAN get the attention of the type of clientele you desire to attract. Here, in Whitefish, I am lucky, because most people know of our laser, and they come anyway, so we just have some fun with our advertising dollars. We really don’t even need to advertise, we really do a infomercial type of educational ad. Just FYI. Thanks again for chiming in!
Mark

May 13, 2003 at 9:15 pm in reply to: Trunk Fiber #9212

2thlaser
Spectator

Good news Pat! We are over a year now without trunk fiber blowout! Since last Feb. So far so good. We will see I guess!
Mark

May 13, 2003 at 10:29 pm in reply to: Hard Tissue Procedures #3526

dkimmel
Spectator

Mark, Had a crown prep today that looked like your first one. Premolar with one cusp fractured off. Patient hated the sound of the drill soooooo fiqured I give it a try.

Did not have the time to take photos and truthfully I don’t think I wanted to post them if I did. Talk about ugly!
One thing I noticed is that the interproximals preped quickly coming from the occlusal. Trying to cut depth marks at the incisal was a lost caused. Seem to take forever . Coming from the facial was easier. I finally dragged out the highspeed to finish the prep off. Mainly for the margin placement and to get a second plane of reduction on the facial. My total time was the same as using just the highspeed.
Now I have questions.
Since poor reduction is a major problem in crown preps. How are you gauging your reduction? With conventional you just sink a depth cutting bur on the occlusal then the buccal in two planes and finally the lingual. Reduce the occlusal to your depth cuts then the facial, the lingual and finally the interproxmal .
How are you placing your margins? What are you doing to smooth them? Hand instruments?
Are you doing anything to protect the adjacent teeth in the interprox area?

This is pretty wild. My assistant still cannot believe it.

David

May 14, 2003 at 1:42 am in reply to: Trunk Fiber #9191

Anonymous
Spectator

QUOTE

Quote: from Ron Schalter DDS on 1:37 pm on May 1, 2003

The theory is that I got a batch of bad tips. Tech called to check on lot numbers – there have been some problems with tips. Evidently when I put the new tip in last Thursday I blew the fiber,tip and handpiece. When trying my backup handpiece with a new tip and the new fiber it all blew also. Biolase is sending me new tips and handpieces and they replaced the fiber.

I have conformation that the fiber blowout was the result of the tips I had just received. Evidently Biolase, in trying to keep up with demand, had been getting some tips from China as well as their usual source. The China tips have been found to run at 85% efficiency instead of 90%. Evidently the 85% tip causes heat to build up in the fiber and eventually blow.

Biolase, once more, has stepped in and is taking care of replacements for me.

May 14, 2003 at 2:06 am in reply to: Crown Prep #12144

2thlaser
Spectator

Cool David,
I will post some pictures tomorrow on my newest method for proceeding with these. Hard to describe in words, pictures seem to do better. I don’t/haven’t used anything but the laser to place margins. You need to use differing power, distance from target, water, and air to acheive the maximum result. Here is one I did just the other day, from the occlusal. #30.

If you angle the tip just right, you don’t get ANY collateral damage to adjacent tooth structure, and I have a picture in the others I will soon post to show this.

Great job, they can be ugly, but it really doesn’t matter does it? You crowning it anyway! I have many thoughts on that subject we can share at a later time.

Mark

May 14, 2003 at 4:55 am in reply to: Hard Tissue Procedures #3467

2thlaser
Spectator

Here is a set of pictures I did today, for one of my upcoming lectures on how to prep a class I very easily. This is the way I do it, and it really is fast for me.

Here is a sequence of photos the first one being a sectioned premolar.

Next, is the angulation of the Waterlase Tip with proper angulation to the enamel rods.

Followed by actual ablation, usually 2 swipes, slowly, mesial to distal and back to initially open up the prep.

Occlusal view of initial “cut”…

Next, change the tip angulation to the opposite side of central groove, keeping the proper angle to the enamel rods for maximum ablation….

Next photo, actual ablation…

Once this is completed, again 2-3 swipes SLOWLY from mesial to distal, you can now aim your laser tip to direct the energy at the central groove area, where the decay USUALLY is in small to medium preps and open it up the rest of the way…

I then go in with my small microspoons to finish decay removal…then go back with the laser to make sure (using very low settings) the smear layer is gone, and the tooth structure is completely ready for bonding with my restorative materials. As most who use lasers know, the laser really gives us an optimum bonding surface which is a real nice advantage to going back after using a spoon if I need it.

Here’s the prep from an occlusal perspective….

I sure hope this helps to speed up some learning curves. I have talked with Stu and others alot about this technique, and it really does work well to speed up the process on a class I. Sorry if this post was long, but it’s intention is to show, and help those who are having trouble with some of the easiest of things to do with a laser. It takes a bit of time to learn, but once you get it, you won’t believe how fast it is.

Thanks for letting me share!
Sincerely,
Mark

May 14, 2003 at 5:01 am in reply to: Spoons #9149

2thlaser
Spectator

Thanks everyone for your excellent feedback. I just want to formally announce that the new web page is up and running for those who would like to see, and or order the small instruments I use. It is at [url=”http://www.laserdentaltools.com.”%5Dwww.laserdentaltools.com.%5B/url%5D It is a secure site for you to order using your credit cards. Please feel free to contact me with any questions you might have, and again, thanks to all who have previously ordered, and supported our efforts to improve microdentistry!
Sincerely,
Mark

May 14, 2003 at 6:50 am in reply to: How to do a Class I, the easy way, I think! #11572

ASI
Spectator

Hi Mark,

Very nice illustrations of angulation of approach to enamel rods.

Andrew
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