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Robert GreggParticipantHey Mark,
If we can ever get you to quit messin’ around in “the Valley” and down to Cerritos, I have some stuff to share with you…….
your old friend,
Bob
Robert GreggParticipantHi Andy,
By “deep anatomy” I mean that I don’t want any secondary or tertiary occlusal anatomy that makes them look pretty, but are going to become interferences sooner or later.
Kind of hard to describe in words, but I want the incline planes to be concave versus convex to better accept the opposing tooth’s working cusp.
I want my contacts in real tooth structure if at all possible, or in the proper cusp tip position, and little in the central fossa on seating.
Bob
Robert GreggParticipantYeah,
I once used my pulsed Nd:YAG together with oil of cloves dripped onto the pulp tissues to slowly remove the vital pulp on a patient who was “allergic” to local anesthetic.
It worked. Once I had the pulp removed, I was able to file and fill–and it was an upper 2nd molar too.
Bob
Robert GreggParticipantGlenn,
Nice job!
You even covered yourself from criticism from the periodontists by showing that you “sounded the bone” and established your safe removal of soft tissue while preserving the biologic width.
Par excellance!!
Bob
ASISpectatorHi Glenn & Ron,
Thanks for your input. I will add that to my continued, or should I say continuum, quest on hard tissue laser.
Regards,
Andrew
jetsfanSpectatorwhat do you think of placing topical anesthetic on pulp chamber and then using laser at low settings?
Jetsfan
Glenn van AsSpectatorBob you are too kind. I have seen enough cases doing this to know what to show for those who might care to criticize. You know what I noticed. THose that are the most vocal critics rarely if ever post any pics themselves.
I have learned that from other forums. In fact many will find minor things about a case and I think that is fine because that is how I learn how to improve my cases and lord knows we all can improve.
To be honest, I was pretty happy with how this worked out and he came in the other day and the temps looked far better than his old teeth.
He was happy as well with the smile……….
here it is on day one.
Glenn
[img]https://www.laserdentistryforum.com/attachments/upload/Resize of DSC_0003.JPG[/img]
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Glenn van AsSpectatorAndrew: I have a bias. Ron handles his bias with professionalism and honesty. He has an integrity not found often and I admire him for how much he has learned. He knows that I have many times congratulated him for his persistent pursuit of knowledge and science. He is to be congratulated not only for the development of this fine web site but for his insistence at learning how to use his lasers to the best of his ability.
I will say that both the Continuum and Biolase are fine products and Jeff Cranska knows the Opusdent and can chip in on that one.
Again as you know I am always available if you should want to find out more about the Continuum. If you want to find out more about the Biolase , spend half a day with Randy Narayan.
Glenn
drpippinSpectatorJeff,
I looked at the Opus Duo at the ALD last week, and was quite impressed. Do you still like yours? How well is the hollow wave guide delivery working for you? I’m also considering the Continuum. Their rep says that Lumenis is in trouble. Any truth to that? Thanks.
BenchwmerSpectatorASI,
I’ve been a soft tissue Nd:YAG user going on 4 years, I purchased an OpusDuo Erbium at the ADA meeting in New Orleans.
The unit has touchscreen computer controls, a swivel handpiece w/ saphire tips (1000 down to 200 microns) and a foot control that allows you to cut down power without resetting the screen.
I’m still learning uses for the Erbium, I’ve only had it for a month. But no problems with operations or controls.
The handpiece and variable foot control sold me on this brand new machine.
I trained with one of classmates from 20+years ago, he had the older Opus Erbium (He use to be a Continuum user, but switched). He’s jealous of my new machine.
He presented a case at the ALD meeting last week in Florida.
Opus is another player in the hard tissue laser market.
Jeff
BenchwmerSpectatorBill,
No problems so far w/ the OpusDuo.
The hollow wave guide is the truest delivery system for this pulse width.
One of my classmates. Advanced Profiency and Educator sttus with ALD (Mitch Lomke, he presented Thursday), was a Continium user and switced to the older Opus machine w/o the bells and whistles, his recommendation and the touch screen and foot control sold me.
Opus is the dental wing of Lumenis, a 迀 million a year worldwide Medical laser company. I asked my rep and he said they are making a commitment to the dental market. See their websites Lumenis and OpusDent.
I’m happy so far. Do your research.
Let me know if I can be of any further help.
Jeff
lagunabbSpectatorHi all,
Just reviewed some results from an university industrial affliates program, this time from simulations. Simulations (boundary shock layer model) suggest that the volume ablated (dry ablation of semiconductor material) is proportional to the number of pulses with the radiation flux below the plasma formation threshold which seems consistent with theory. This result is as expected, I think.
Now the question is why Fried et al’s results (“Mechanism of Water Augmentation” Lasers in Surgery and Medicine v31, 2002) show that ablated volume for the water film case is 135X that of the dry case, both after 5 pulses and same fluence. I would have expected based on theory and simulations that the wet ablation case would result only in 5X the volume ablated assuming that the water’s role is maintain a clean and unheated surface for the next 4 pulses. The measurements by Fried were done at 20-30 J/cm2 which is supposedly just below the plasma formation threshold.
AnonymousSpectatorRay,
Any chance of seeing the whole paper? I think that for most of us who don’t subscribe, all we can get is an abstract.
lagunabbSpectatorRon,
Sending you pdf pages of the paper now. Let me know if they don’t make it. Best.
Rick Williams DDSSpectator[img]https://www.laserdentistryforum.com/attachments/upload/AcuteGingivoStomatitis2.JPG[/img]
[img]https://www.laserdentistryforum.com/attachments/upload/AcuteGingivoStomatitis3.JPG[/img]
Hi Bob, Janet, Glen, Ron, Allen, et all;
I was reading the posts & herpetic lesions caught my eye. For a long time I’ve been using free running Nd:YAG for pain management. Bob is “right on” in his assesment of LLLT vs. HLLT – they both work non-contact, HLLT much quicker. [Get him to tell you the whole story on his tendon surgery – amazing.]
The idea is to get the energy (whatever wavelength) into the lesions. It sounds like we use virtually the same tech. Patients don’t care how it works, just that the pain relief is immediate and profound. I guess I feel the same way. An Md referred this patient, said it was Acute gingivostomatitis. One tx. non-contact Nd:YAG with immediate pain relief & 2nd slide 1 week later. I’m getting the same results with HSV & ZVZ lesions as well.
The only thing I can report about accelerated healing is that, whether it’s prodromal or a mature vessicular lesion, it’s my experience they usually dry up in about a week. But what’s clinically significant to the patient is the pain relief. I’ve got more before-after slides I’d be happy to share if your interested.
Let me know if the pictures came through? I’ll put my mugshot on future posts soon as I figure it out…
Rick
p.s. (?) how come we get only 300kb max.? -
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