Page 128 – Laser Dentistry Forum

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May 26, 2003 at 12:24 am in reply to: Trunk Fiber #9245

Patricio
Spectator

I came into the office Friday morning and heard a loud beep. I have heard it before with the first laser I received(this one is a replacement) so I went to the laser and checked it. It seemed OK but later we turned it on and it died. It has been about two weeks since it was last out of service and repaired. So we will miss another week of use by the time Kevin can get here to fix it.
Is anyone else having two many breakdowns?

Pat

May 26, 2003 at 12:39 am in reply to: Trunk Fiber #9238

Glenn van As
Spectator

Geez Patricio that is disappointing. Some seem to have it here and others dont. I hope it gets resolved, it must be very very frustrating to have this happen.

Good luck and hopefully it is the last time for a while.

Glenn

May 26, 2003 at 2:08 am in reply to: Hard Tissue Procedures #3504

jetsfan
Spectator

I found a new use for the laser today. I was faced with removing approx a 7mm length of cast gold post from the root of #11. Removing a cemented cast post is always a difficult task. I used the laser to carefully create a trough circumferentially around the post , proceding apically in the root. Eventually I was able to place an endo explorer between the post and internal aspect of root. This created enough space so that I could wiggle the post back and forth to completly break the seal. The post was then easily removed. I took photos but I am having trouble posting them.
Photos show the crown with part of the post in it, the root , with part of the post showing, the root after I troughed around post and finally the retrieved post segment. I will try to post photos later.

May 26, 2003 at 2:47 pm in reply to: Engineering and Maintenance #3208

Anonymous
Spectator

Hi All,

Recently I received an offer by a 3rd party to act as a go between between dentists who are having mechanical problems with their laser and the company that manufactured the laser.

I have received feedback from dentists that believe that they are heard by sales people and some execs, but they believe the info is not getting to the engineers and designers where the problems could be corrected, not simply replaced.

As I understand the offer, his/her function would be to compile data and present the facts to the manufacturer making sure they are getting a true feeling for what is really going on in the real world , regarding reliability.
He/she has the connections to get the info to the designers/engineers.

This would also allow the laser user to speak out in a way w/o fear of what an individual company’s reaction toward them might be.

I think this person has offered a great service, but I’d like a little feedback from all. Yes or no is fine and you can even give suggestions in your response on how best to accomplish this.

Thanks,

May 26, 2003 at 4:29 pm in reply to: Reliability Reports #9310

kellyjblodgettdmd
Spectator

I think this would potentially be beneficial. However, I would be concerned with what they would want from the laser user in return for this service. Or, would they simply make their money by charging the laser manufacturers for their information. Overall, I think such a company could add value to the communication between laser user and manufacturer.

Kelly

May 26, 2003 at 4:43 pm in reply to: Reliability Reports #9300

Anonymous
Spectator

Kelly,

This would be no charge to anyone.

The source is interested in dental lasers for a variety of reasons, but does not own any lasers. He/she knows more laser physics than most of the dentists using lasers do, so he/she will know when tall tales are being told. He/she is not an employee of any laser company.

What we are thinking about is the setting up of a private email where users could explain their difficulties or giving the person a private name/identitiy on the forum which could be private messaged.

Thanks for the feedback.

Any other suggestions appreciated,

May 26, 2003 at 6:37 pm in reply to: General Nd:YAG Forum #2746

Benchwmer
Spectator

50 year old female patient presents w/ no caries, no sensitivity, no perio, no restorations on anterior teeth.
2-3mm of clinical crowns #7,8 covered w/ gingiva.
Probe readings show Psuedo-pockets 3mm on facial #7,8.

Treatment: to remove excess gingival tissue and excise frenulum using PerioLase FR variable pulse width Nd:YAG laser using 320-micron contact fiber to address esthetic concerns.
With laser surgery, no scalpel, no sutures, little bleeding or post-op pain. Probing show the marginal and interdental gingiva can be excised without interfering w/ biologic width.
Laser excision 3.0W 50 Hz 150sec
Laser tissue ablation 3.0W 20 Hz 150 usec

Immediate post-op, no bleeding

One week

Three weeks, shows little inflamation and return of gingival contours, patient happy with cosmetic results

One year
I have complete case presentation notes, if any other questions. I do not take questions on biologic width.
Jeff

May 26, 2003 at 10:56 pm in reply to: post removal #11919

kellyjblodgettdmd
Spectator

Great service to your patient. Using a high-speed you certainly would have risked a root fracture due to the vibration. Nice work and thanks for the tip.

May 26, 2003 at 11:00 pm in reply to: Pulsed Nd:YAG for Multiple Hard tissue uses #11754

kellyjblodgettdmd
Spectator

Bob – Was the patient anesthetized for this?

May 26, 2003 at 11:10 pm in reply to: The new Waterlase DVD #11601

shdds
Spectator

I agree with Rod. Great DVD and very instructional. I bought a waterlase a month ago and the video a week ago and it sure helped.. along with you guys of course! Thanks everyone for sharing. This is a great forum. Stephen.

(Edited by shdds at 7:10 pm on May 26, 2003)

May 26, 2003 at 11:31 pm in reply to: 100 Users!! #8727

Anonymous
Spectator

Thought you might be interested in the website stats that show where users are from:

United States
United Kingdom
Canada
Non-Profit Organization
Hong Kong
Argentina
Portugal
Israel
New Zealand
Mexico
Australia
Spain
Norway
Tuvalu
US Government
Chile
Netherlands
Seychelles
US Educational
Austria
France
Japan
Sweden

Keep posting-you’re helping laser users all over the world!

May 26, 2003 at 11:33 pm in reply to: Reliability Reports #9315

Anonymous
Inactive

Ron,

I know that this would be a tremendous help to lasers in dentistry – if this person is for real and does not have some ulterior motive. years ago, we tried to tell the companies what we needed – we had no idea of the negative reaction we would get. Because the companies would not listen to us when we told them what we needed as clinicians is one of the reasons that we built our own laser. I really hope this works out!

May 27, 2003 at 12:02 am in reply to: Tx of soft tissue lesion #10456

Anonymous
Inactive

Kelly,

Thanks for the reference. This is good material. It helps us all understand how the lasers are doing what we are seeing happen clinically.

May 27, 2003 at 12:19 am in reply to: Cosmetic Gingival Recontouring #5681

Anonymous
Inactive

Jeff,

Great pictures and great case. It’s fun when you have the follow-up to show how stable it is over time. It is good that the patient is happy – they SHOULD be. You didn’t create any “black triangles” and the tissue has remained stable – no need to worry about biologic width.

May 27, 2003 at 12:40 am in reply to: Trunk Fiber #9228

Anonymous
Inactive

Ron shared with me some of the happenings with trunk fibers and tips over the weekend so I took the time to read all these posts today. I know how much I rely on my laser to do dentistry and I feel bad for you all. Not only is it frustrating but also it is very costly to be down when you rely on the laser for production. Hope you are able to get them repaired and working for you soon.

(Edited by Delwin at 12:41 pm on May 26, 2003)
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