Bob,

Sad to see and predictable given what’s happened over the last 2 years. Can tech support and service be obtained for ADT equipment when they finally go under?

Lumenis finally found a new CEO (with no med tech experience) and only time will tell if they can clean the house of existing upper management and recover credibility. The stock rebounded a bit however I have my doubts that they can reverse the downward inertia in sufficient time.

Oh Allen you always ask the greatest questions.

I will be brief………I am starting a DVD production tomorrow and need to go read my manual for my new digital video camera that we are going to hook up to the scope.

1. This root was a bugger to get out. I broke it off one more time before I got it all out. IT was tough to get a bur down all that way. I like the small diamonds for troughing (needle nose sort of) around the roots but in this case it took a while to get it but I could see it the whole way down.

2. Yes I am viewing the treatment the whole time through the scope. The illumination and magnification are important for visibility . Remember flaps are for access and visibility and most of the time if I can get at the roots , I dont need to raise a flap . Like in this case.
I also find that the video output from the scope allows me to have the opportunity for my assistant to suction EXACTLY where I need it. She can see from the monitor positioned for her where to be an where to not be.

She is an awesome assistant and is really a big help in tough ones like this where she is suctioning out of my way and right where the bleeding is. She gets a good idea of where to go from the macro view (she looks at the operating field ) and then fine tunes it by going to the micro view on the monitor.

She never stands for suctioning and I never have to grab the suction……..she is that good.

As for the provisional ……thanks. I use Luxatemp I think (sheesh I should know) but used a template made from the original teeth in a suck down shell. Placed gelfoam in the socket and then added composite to create an ovate pontic site.

Its one of those ones in a gun……..Luxatemp I think and then once adjusted we sandblast and place optiguard or a varnish overtop and cure it.

THat one actually wasnt one of my best.

Thanks Allen………you always make me want to post again.

Glenn

Hi Andrew………no offence taken.

good point about the implant…hadnt really thought about it to tell you the truth.

The crown came off on the molar a while back and the margin was on amalgam my associate mentioned to me.

I knew that I had to replace that crown as well as extracting the premolar.

An implant was a definite alternative and one that I should have thought more about. I dont know if this patient would have taken the chance as he is very conservative in his approach only going for dental plan coverage.

I will next time take your input and see if the patient wants implants, but I was kinda thrown off because I didnt originally see the gentleman but my associate did and scheduled him for crown lengthening.

You know what I got another crown lengthening diagnosed today with a fracture premolar…….there are alot of them if you go looking for them and dont ignore them………..amazing and easy to do with the laser.

Thanks Andrew…….I am not to big to recieve constructive criticism for the cases I post……..both you and Allen did that and I will be better prepared in the future…….

Thanks alot for the input.

Glenn