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jetsfanSpectatorTo continue about National Laser Tech:
I had a real nice guy named Kevin in my office to do the “tune-up” on the laser. Kevin is a former Biolase employee, and my sense is that there are other like him at NLT.
He explained the process, why it needs to be done, and showed me everything. He spent 1.5-2 hours in the office. Filters were inspected & changed, fibers inspected and polished, mirrors inspected and polished, machine calibrated, and much more. The best was the fan noise reduction kit. All WL owners know how loud the machine is, in fact when it is turned off it is somewhat of a relief to the ears. NLT has this fan noise reduction kit for about 400 bucks that reduces noise by approx 80%. IF the noise bothers you , this would be worth the call.
They are also coming out with a software MD upgrade ,for approx 躔 , which will allow WL users to vary frequency and pulse duration.
I talked about replacement fibers. They sell refurbished fibers for ~躔. They claim there is no need to spend 񘕈 on a new fiber. Many fibers we get are already refurbished, they claim.Robert
dmd92eastSpectatorActually on a serious note. Look into cold laser therapy. Soliton Q1000 has some interesting stuff on alveolitis which is essentially what this is.
JanetCenturySpectatorDo they work with the DeLight as well?
Nicholas MeyerSpectatorEd,
You can contact Allen Sprinkle of Arlington, Texas. ( +1 (817) 461-9998). He treats cavitations, has a Periolase. His approach is different. The periolase itself is a big aid but not the total solution.Nick Meyer
brucesownSpectatorNick,
That’s one of the most intelligent things I’ve heard in a long time. Thanks.
cadavisSpectatorI have a 980nm diode (Sirolase) and a patient with a hemangioma on his lower lip. It is approx 1cm X 1.5cm in size. I have seen two discussions on the tx of these lesions. One was out of contact tx. The other was incise, drain, re-enter to destroy walls. I am thinking of going with the invasive option using 320um fiber, 3W, 10hz, large volume suction.
It is my understanding that you incise, allow to drain, then re-enter at same setting, and make full circle laterally to destroy inner walls of hemangioma area. Is this correct. Also, would 20 seconds be sufficient (or excessive?)Any input would be appreciated.
Chris Davis
BenchwmerSpectatorOn ALD (Academy Laser Dentistry) site DR. Hatcher-Rice shows this exact case with diode.
Check her parameters. 20 seconds sounds like too much laser with diode.
Jeff
cadavisSpectatorThanks Jeff,
I’ll check it out.Chris Davis
BenchwmerSpectatorI had a minute, Winter 2004 Wavelength Journal
Paraphrasing case:
she used 830nM Diode
600 micron fiber
Continuous wave, 1.0 Watt
She started 10mm away defocused, moved towards lesion, entered lesion, circular motion inside venous lake, then defocused for hemostatis. Total time 1 minute.
With your parameters and 320 fiber, less than 10 seconds within lesion.
Jeff
cadavisSpectatorgood info,
thanksChris Davis
Kenneth LukSpectatorbe ware of heat building up.
Chance of scare formation/loss of lip pigmentation with excessive power ?
You can always touch up if the area is not completely healed after a few months.
Ken(Edited by Kenneth Luk at 1:41 pm on Sep. 5, 2006)
Kenneth LukSpectatorGlenn,
Heard that Sony will introduce Hi def with HDD early next yr.
I’ve finalised on the operatory layout and work is underway. Will post you the photo when the job’s done.
Thank you all for sharing your advises and showing me your op set up.
Ken
cadavisSpectatorThanks Ken.
Good tip
HubertSpectatorHi Glenn,
wonderful case and documentation-as always. You seem to be the inspiring soul to the laser community- I too have employed your laser-assisted extraction procedure to the point where it is the standard now.
I’d like to discuss the diode part a bit further. Do you use 810 or 980nm? Could you clinically find a difference between both with 980 having a higher absorption in water in regards to coagulation and cutting efficiency?
Do you discern between starting off with a hot tip or a clean fiber?
Seems like insomnia is also common between laser people, no?
Take care
H.
HubertSpectatorGeorge Romanos from Frankfurt, now New York, has discribed a case of hemangioma removal with a diode laser under an ice-cube. The ice-cube is put on top of the lesion. It should be translucent for better transmission. Laser beam is aimed at lesion through the ice cube in non-contact to the tissue. Because of the cooling pain is seldom reported. The size of the hemagioma seems to shrink immediately, tissue turns greyish-white under tx.
The rationale to this tx is as follows: Shrinkage of tissue occurs through cooling which in return leads to higher concentration of -pigmented-red bloodcells which leads to higher absorption of laser energy.
I have not had the chance to do one myself but the rationale seems convincing and George R. is a very bright guy. Sorry, I have not found parameters used other than 8 Watts. The case is presented in his book “Atlas der chirurgischen Laserzahnheilkunde”, Urban and Fischer.Hope this helps
Best
H. -
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