Page 132 – Laser Dentistry Forum

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May 29, 2003 at 4:48 am in reply to: Reliability Reports #9314

BNelson
Spectator

It all sounds reasonable to me. As voiced by others, it is always nice to have the info on an open forum. Whether or not the manufacturers will listen is something that won’t be known until it is tried- So go for it.

May 29, 2003 at 4:51 am in reply to: Laser Boot Kamp #8552

BNelson
Spectator

Del- You and Bob have all the information so well organized it that it is treat to attend your classes. I still haven’t made it through all three notebooks, yet! But at least they are there whenever I need the references.
Great job!

May 29, 2003 at 5:31 am in reply to: Reliability Reports #9303

dilbert
Spectator

Swpmn:

>>I do not understand the category:
>>Has or will laser payout Yes/No

I thought it was important to know whether the equipment will pay for itself despite the problems. A manufacturer may think that it is the principal criteria for customer satisfaction when in fact it may not be, so they need to be told that. Users or potential users will also need to know how the frequency of downtime impacts their profitability. Perhaps the wording needs more explanation and I need to ask for more details under the category?

May 29, 2003 at 5:46 am in reply to: Veneers and Lasers #6310

ASI
Spectator

Hey Glenn,

Another good case treated and posted.

Is a frenectomy almost necessary? Do you think it may tug on #11 and cause further apical pull on the gingiva?

Andrew

May 29, 2003 at 5:53 am in reply to: Apicoectomy #11592

kellyjblodgettdmd
Spectator

Thanks Al,

With regards to the flap, it took minor, light pressure elevation, but came up relatively easily.

With regards to air emphysema, I’m not terribly concerned although it is always a consideration. I have never used anything in the past except standard high-speed hand pieces for surgery. Now, I’m not doing LeFort II’s or anything, but I’ve done my fair share of sectioning teeth, 3rd molars, and alveoplasty with high-speeds in the past and haven’t had any issues.

The beauty of the Erbiums is that you can easily control the amount of water and air you feel comfortable using. I feel that as long as I have the tissue properly reflected, there is little risk. After seeing so many surgical slides at the World Clinical Laser Institute with Doctors using the Waterlase, I felt very comfortable using their suggested settings as a guide for my more “conservative” surgeries.

Just my two cents. Thanks for the reply.

Kelly

May 29, 2003 at 5:54 am in reply to: Veneers and Lasers #6307

mickey frankl
Spectator

Nice case

Please can you photogragh the scope and camera so we can see what you are using to get these amazing top quality photograghic results

Thanks

Mickey

May 29, 2003 at 5:57 am in reply to: Apicoectomy #11596

2thlaser
Spectator

Kelly,
Great case, and hopefully the result will be too. Thanks for sharing. Did you use a T tip? for the incision?
Mark

May 29, 2003 at 6:00 am in reply to: Veneers and Lasers #6309

2thlaser
Spectator

Again, nice case Glenn. I really think I ought to come up and show you how to prep these veneers with the laser, it’s so darn easy, and in my hands at least, fast. You could do the whole thing with the lasers you have. I really like the work. I will post a few more I have done after I get back from lecturing in Napa this week. Kudos!
Mark

May 29, 2003 at 6:07 am in reply to: Tx of soft tissue lesion #10451

kellyjblodgettdmd
Spectator

Thanks to Ron and Bob for the great input.

This lesion may have resolved so quickly since the patient had had it for almost a week as it was. Hard to say.

My thinking when treating this lesion was that, regardless of the etiology, I wanted to stimulate all the cells in the area to get into a “healing mode”. I know it sound kookie, but a lot of the research I have been doing with regards to biostimulation suggests just that.

I do agree that treating the surface with the Erbium would have helped with the immediate pain relief.

Whatever the case, the patient healed quickly and is one happy camper.

Thanks again for the great input.

Kelly

May 29, 2003 at 6:10 am in reply to: Apicoectomy #11593

kellyjblodgettdmd
Spectator

Thanks, Mark. I did use a T-tip for the incision. For the bone removal and root-tip sectioning, I used a G-6.
I must say, the incision was so easy to suture. I should have the post-op pictures in ~ 2 weeks.

May 29, 2003 at 6:15 am in reply to: 100 Users!! #8729

kellyjblodgettdmd
Spectator

Ron, my thanks, also. I can’t believe what a great wealth of information there is on this site. And the constructive comments are truly appreciated. I also appreciate that there seem to be no “egos”on board. What a treat! Keep up the great work.

Kelly

May 29, 2003 at 6:35 am in reply to: Apicoectomy #11597

ASI
Spectator

Hi Kelly,

Nice work. Great almost bloodless field to work in, isn’t it?

What kind of material did you use for the apical fill?

Andrew

May 29, 2003 at 2:15 pm in reply to: Apicoectomy #11594

kellyjblodgettdmd
Spectator

Thanks, Andrew. I packed some MTA into the apical prep. The specialized carriers made by Dentsply make it easy to carry.

Kelly

May 29, 2003 at 2:34 pm in reply to: Tx of soft tissue lesion #10460

Robert Gregg DDS
Spectator

Yes, I agree with you Kelly and what you did. I think you did a nice service for this patient.

I think biostimulation is a correct indication for what you did. Had you not, it may may persisted on for quite some time, as these lesions can do.

I know from many years of clinical experience and my own personal anecdotes using pulsed Nd:YAG for biostimulation and “biomodulation” that it is not at all kookie”, no way!

Biostimulation and biomodulation with near and mid-infrared (even far-infrared) lasers is a POWERFUL means of healing (the three “I’s”):

1. Anything Inflamed
2. Anything Infected
3. Anything In Pain

We may not completely understand the mechanisms, but it is not VooDoo!

Although 630nm (red) supposedly simulates the cells internal oxidation-reduction system by stimulating the “complimentary” colored green mitochandria to stimulate the production and release of cyclic ATP within the cell–leading to an increase of stimulatory “free-radicals” of oxygen. And near infrared (800 to 1500nm) stimulates the outer cell membranes to open up the wall to calcium transport (turning “on” the switches) and allowing the cell respiratory system to increase its function–from 20% to 60% in one in vitro study.

Who knows?

Bob

May 29, 2003 at 2:51 pm in reply to: Veneers and Lasers #6312

Robert Gregg DDS
Spectator

Glenn,

Never, ever tired of you or what you post! This forum thrives because of what you contribute.

Al, to answer your question:

1. CO2 would be awkward since it is a “free-beam” and harder to control around the CEJ. You’d need to use a metal instrument to shield the tooth from the beam. The clinical result would be similar to the erbium since they are both absorbed in collagen.

2. The diode would probably be hotter and cause some additional (1mm) recession.

3. The Fr Nd:YAG would look pretty much like what Glenn shows with the Argon (but Glenn is an expert with the Argon!)

The deal with the pulsed Nd:YAG is that it is much more “forgiving” to the operator than other lasers that are used in a “hot-glass” effect because the free-running pulses with high peak powers are then interrupted to tissue to allow some thermal relaxation, while subsequently delivering high peak powers (say 400 watts per pulse) on the next pulse delivery.

Bob

P.S. BEAUTIFUL dentistry Glenn.

(Edited by Robert Gregg DDS at 10:55 am on May 29, 2003)
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