Great question……….I am using a flowable ( a variety of them) in the base and then Tetric Ceram overtop.

I would like to start using more GI in the base to protect against recurrent decay.

Fuji is the one I hear people using.

Gotta fly of too work

Cya

Glenn

Nice stuff. Ok Glenn, now what did I do to deserve the name poster boy? Geeze! I am very sick today with the flu, had to cancel all my patients, man, terrible.

For you guys wondering about those “close calls” to the pulp, that is precisely why I use the spoon excavators as much as I do. I find I rarely ever expose due to caries removal, and I have wonderfu control of the situation when I am that deep. Glenn, how do you like using the instruments so far? I really am wondering how they feel in your hands.

I have a few cases to post, and am very sorry I haven’t been online as of late. I just got back from Europe last week, and am headed for London next Thursday. Finally, no more trips planned for at least 2 months after this next one. Keep up the great work everyone.

As for the direct pulp cap thing, we were taught that as well, CaOH, etc…now, I just lase it, and like everyone else, GI works great, and I am doing less endo. As for the undercut enamel Glenn, I find, especially after asking Stu, and Kim Kutsch about it, that with today’s materials, the strength is there to conserve tooth structure, and honestly, I haven’t seen any “cracked” or broken enamel, or cusps. That being said, let’s see how this all works out 10 years from now.

Hope everyone is doing better than I am!
Mark

Again, Glenn, nice service. This is a GREAT example of why a microscope is so essential when doing this type of case. I am not so sure that with 6x I could be so exacting with my laser. Clap, clap, clap as you would say to others. Thanks for teaching us as usual!
Mark

Hi David. You just need to place the “cap” ends on each end of the handpiece, and autoclave it. There is no worry about “suckback” because of the way the handpiece is manufactured. Just make sure you really have the handpiece dry, very dry, before you place it on the trunkfiber assembly, any moisture in there, and poof, there goes your mirror. I have 4 handpieces, so they are always ready and dry, while the latest one is in the autoclave. Remember though, I don’t use a drill that often, my laser IS my “drill”, so that is why I have a contingent of handpieces, just my need.
Mark

Ron,
Helping out in S.A. is unique and very special.  Many things to see and do as well.  Would love to see a group and could probably facilitate such if there was interest.  Installing a laser at a dental school and providing training for staff and students would be one goal.

Pat

Hi Pat,

I agree with Ron.

I did a little trip to Honduras in 1990. Wow! What uncontrolled bleeding during extractions.

In fact I said to myself I would not go back unless I had a laser that could control that sort of severe bleeding. Now I do, but it is State-of-the-Art, and not cheap to give away.

However, MDT has a few extra lasers not in use. Maybe there’s a way to get one all spiffed up and up to spec, and get one down south somewhere???

Just thinking out loud……

Bob

This is week #2 with the Waterlase and the Lasersmile. I have been ignoring the safteyglass issue with the Waterlase and just not using maginicfation with the Diode laser. Yesterday was a fairly full day with using both lasers. At the end of the day I had extreme eye fatique and a headache. My vision in my right eye was blurry. It was almost as if I had a sunburn. Sort of like when I am out on the water on a real sunny day and have forgotten my sunglasses.
Everything is clear this morning. Looks like I will need to decide quickly on what eyeprotection to use. I did find that the safetyglasses from Biolase will fit over the front of my DFV 2.5. I used this with no problems with the diode laser today. It may sound odd but I have to use my DFV 4.5 to even begin to see what I am doing with the Waterlase. The safetyglasses will not fit over the 4.5s but the DFV 4.5 will fit over the safteyglasses. So in the short term I have solved my problem. Not very fashionable but at least my sight is still clear .