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dmd92eastSpectatorI was talking more about component life (you now like TV tubes etc.). I know the erbium wavelength will be around for a while but I was curious if after my lease is up I need to get a new one???
Nick LuizziSpectatorIt’s similar to the warranty on a car. It favors the manufacterer in the early part of the ownership curve. As you go farther out in time, about when the warranty expires, mechanical things start to breakdown and the extended warranty can be very helpful.
In my experience with the erbrium by Hoya, I just had to have a new bench placed in the laser. That is the heart of the unit where the beam is generated. Cost is about 񙮌. Hoya came out to my office to repair it. Tech went through the entire unit and checked all the stuff that they service and said that if I contiunued to shut down that the bench would need to be replaced. It did continue to shut down, Hoya replaced the bench and went through the laser a second time. Totally tuning me up. All this was covered under the warranty at 5 years out. If I just put the cost of the warranty in an account I would have come out ahead when I needed to pay up. But human nature being what it is, I didn’t. The lesson is that it can be very costly if you don’t have coverage. But if you can affort to take the hit, the warranty programs for these lasers can be costly.
Also, as the analogy of the car goes. They say stuff like, this Benz will go 200 K miles. Maybe the motor will, but the AC doesn’t, or the window motors don’t go that long without repair. That’s my story and I’m sticking to it. Nick
kapaluaSpectatorBeautiful job on that precise clean cut. I assume this could also be done with an Odyssey 810 nm laser? What is the best topical to use and where can I obtain it?
Tom
asnodgrassSpectatorWe have a periolase and my hygeniests are wanting more education on laser based perio treatment.Anyone hear of courses available? -we are in Washington State
joegarciaarSpectatorNick:
You are right!dmd92east:
Service in your region (very, very very important), cost and durability of tips and fiber, it marks well-known.
I have a Fotona (Er), and Waterlase MD, are diferents. Each one has its advantages and cons.
Good Luck!
Nick LuizziSpectatorJose:
Welcome on board. It is awesome to think we extend all the way to B.A. Argentina. Nick
joegarciaarSpectatorThanks Nick.
Where are the border of the knowledge?
BenchwmerSpectatorDon’t try this with a Diode without local anesthetic.
Jeff
Nick LuizziSpectatorJose:
Profound statement. I guess the only limitations that exist are the ones we impose on ourselves. Lasers in Dentistry has a bright and boarderless future. Nick
Glenn van AsSpectatorYou can do this Jeff but you need to use low settings with a very strong topical like
EMLA, DRK liquid, TAC 20 etc.
I use 0.5 -0.6 w CW with this but leave the topical on for a while and use high mag because the tissue will not cut quickly. I have done these with the diode but its not as fast but it is safer to not cut the tooth.Cya
Glenn
Glenn van AsSpectatorGreat posts Nick and Jose……..this is really an international world wide time we live in. Fascinating really to imagine what we can do with respect to communication.
I think that it would be great Jose if you could tell us the top 3 advantages and cons for each laser you use.
ie fiber delivery, power , etc.
I know I could use the information. I have seen the Fotona in Australia, it was a big big unit. Cut fast but not as accurately as the fiber erbiums (Fotona is not fiber – either hollow wave guide or articulated arm I believe) and the unit had an open window which made it non contact, great for the anterior, not so easy for the posterior.
Short pulse duration for the unit was nice for the erbium as it was fast (LOUD TOO).
Cya
Glenn
kapaluaSpectatorThanks Glenn, Where can I obtain those topical anesthetics?
Tom
BenchwmerSpectatorGlen,
I would use a pulsed, Nd:YAG for such a case.
I like being able to fire at the tissue w/o fear of damage to the tooth.
I’ve used Dr K liquid, now I have my local phamacist make me the potion all kinds of flavors, but for me it never is a replacement for LA during a NdYAG gingival surgery procedure. Works for some small Erbium procedures.
Glad it works so well for you.
Jeff
Glenn van AsSpectatorHi there Jeff and gang.
EMLA is not available over the counter in the USA as it is in Canada.
I use Topical TAC 20 which is Lido 20%, Tetracaine 4% and Phenlyephrine 2%.I get this from Professional Arts Pharmacy in Lafayette , LA.
Ph. 888 237 4737I know Ron Kaminer has a DRK liquid that he helped make because he is fearful of sloughing and sytemic effects due to the lidocaine (hasnt happened to me) and he gets the liquid from
Whites compounding pharmacy 318 631 2005
I have cases I have done with the diode and it can be done, and I can post them but it takes longer and is more sensitive than the erbium. The erbium risks cutting the tooth. The NdYAG I dont have but it is a pulsed laser like the erbium and therefore can be less sensitive and because it is a soft tissue laser wont effect the enamel.
Hope that helps
Glenn
Glenn van AsSpectatorJanet Press is teaching at LVI on hygiene with Diode lasers when I got to LVI in November, I will ask her if she does other courses outside of the LVI ones.
I know that Chris Owens runs some courses as well for Biolase on diodes for hygiene.
Again I will leave it to others to talk about courses that might exist that you could take. Some who have used Diode and NdYag for hygiene say that the diode is a temporary reducer of pockets (Long Junctional Epithelial healing ) whereas the NDYAG gives Cemental Mediated Attachment (bone fill) with much greater certainty than what happens with the diode.
I havent done either so cant comment on that.
Glenn
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