I have used a HOYA ConBio DELight erbium and HOYA DioDent diode for three years and have been extremely pleased with HOYA products and service. My first dental laser was a Biolase Waterlase and I was not pleased with machine reliability or service from the company.

A properly used diode laser is an affordable, EXCELLENT tool for crown and bridge impressions. Mine does not collect dust as I use it every day. In my opinion, a diode laser(800nm range) provides no benefit in the treatment of periodontitis(STM).

Best wishes with your decision,

Al

Hi Guys,

I was curious. Does the diode mode on the periolase really work as well as the diode lasers?

If so, which laser would you recommend for soft tissue “cutting” ? Not for treating perio disease but for soft tissue crown lenghtening etc.?

Andy

Hi Andy: If you are going to use a diode, and I use mine every day then I would suggest either Hoya Con Bios Diodent 2, Ivoclars Odyssey 2.4 or even the inexpensive Zap lasers.

I know of at least 2 companies that are working on new diode products and probably they will be looking at releases at around Greater New York or Chicago Midwinter.

I am not at privvy to discuss what the companies are or what they are planning on doing but the emphasis is not on the wavelengths now but on size , portability and there are some pretty cool things coming down the pipeline.

You heard it hear first.

Glenn

I’ve treated some cavitations, I guess, that bubbled up through the gum tissue from the area of a previous 3rd molar alveolus, with the rootbone form intact, but a mess inside. I cleaned it out with curets, Periodex and lased it…. but not before I biopsied it and sent the garbage in the persistent socket to the lab.

It was comprised of osteogenic, hemopoetic cells and amorphous cellular structures. The microbiology came back with some gram negative criters if I remember right.

I’d have to pull her chart to see exactly.

The thing was, that lower left area where #17 once was, was pulled due to an infection, and the patient reports it never felt right. RCTs on 18 and 19 later did not resolve her “nagging” pain that sometimes would keep her up at night.

Once i cleaned up the area as described, she has had complete relief now for several years.

Cavitation? I don’t know what that means….I have a Hx of an infected extraction site that was not curetted (or lased) at the time of extraction, which likely trapped bacteria in the site and there was an attempt by the body to heal. The wound site closed over but the infection was walled off, not resolved.

Bob

Wow Glenn,

Somehow I missed this case. Great job. Interesting how the slight mesial inclination of certain teeth can make these cases challenging.

I have started incorporating some more root reshaping on cases like this–thanks to Danny. Have you tried it yet?

I love the way you ramped the osseous from the furcation without opening it up. Thats textbook. You know what else works well, is if you “flute” the buccal and lingual interproximal areas. Like the old denture wax ups? That little bit of osteoplasty helps the interprox tissue tuck in really nicely.

Anyway, these cases are probably old news to you by now!

Really nice work as always!

Andy

Glenn,

Lower 2nd molar areas can be intimidating. Unfortunately they often require considerable osseous recontouring on people with thick biotype. They are also very challenging on uncooperative patients becasue of the obvious access problem and the strength of the tongue.

You really should pursue the root reshaping treatment (with all that free time on your hands!). Because of your restorative experience I bet you would find it easier than I did. Tissue ends up healing fast and really nicely!! Less ostectomy required also. The fancy periosteal sutures and the CT grafts that Danny does in conjuction with crown length is a separate issue.

You are too hard on yourself. Your surgery looks great!

Keep in touch

Andy

Good for you Chris……couple of things.

1. You got them on the right day. Make sure that you are treating these as early as possible. Ideally in the vesicular stage. Once they start to heal, using the laser will delay healing (you actually burn the healing tissue!).
2. Dont overdo the time on them. If you do too much then you will cook the tissue as well and it hurts.
3. Dont initiate the tip. You want the energy to transfer into the area and not be blocked by the initiated tip.
4. Look for desication of the area and it drying up. The diode penetrates deeper than say an erbium so you have to be careful to not go to close and too deep.
5. You can use the high volume for the plume and to cool tissue. Sometimes air or a short burst from the 3 way syringe can cool the tissue if the patient is sensitive to the diode.

These are a few things that I have learned over the years and I tell you that it is amazing to see how often the lesions donot reappear in the same areas again.!!

Cya and neat stuff.

Glenn