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Glenn van AsSpectatorGreat idea Mark…………I will send it to the continuum folk and see if they have someone who can contribute……
Glenn
Glenn van AsSpectatorYou know Mark……your professional nature in how you approach a discussion is self evident. You always state when something is opinion and when something is fact. You are always gracious in your praise of others and humble in your own abilities and yet you consistently throw out photos and cases that push the envelope and show a thinking that is out of the box.
I go on record as saying that crown preps were not possible as too rough a cut and you proved me wrong with photos and evidence to back up your statements and I was wrong, and admit it without one iota of regret.
You have acted in such a professional manner that I dont have one concern regarding your usage of the laser as you are showing cases that are marvelous and its you humility in posting them that adds so much to the equation.
THere are others on DT who throw out things that are ridiculous and speak volumes for their relationship with a laser company.
Bob always tells us his bias, you do, Ron does and you never question that other lasers may be as good as the one you have.
I dont believe hydrokinetics despite what Ray Tang has showed on DT, and I have had long discussions with many people over this in Continuum. Even if hydrokinetics is responsible for part of the laser mechanism of action (2 studies say it isnt) then I am very suspicious that there would be such a HUGE impact on one wavelength and not another that is so close to it.
None of the photos you have showed lend me to believe that there is much different between the lasers.
Its what system , price, company and delivery system you prefer.
If you read my recent posts they are very complimentary of Biolase in many many areas. I just dont want to see any more of this my laser is better than yours stuff, unless there is science to back it up instead of hearsay.
You back your statements up with proof………I have never seen some of the DT guys post one case at all.
I wont mention names but some say they dont know how to use a camera, others are big talkers but never show anything……….
As for the scope case that I showed, the air water % are tough to know.
I had the air on about half way but NO water at all.
I started in defocussed mode and you can see how it changed the color of the abscess from pink to white. My assistant and I were both astonished. I left it there in non contact for 30 secs and the tissue got white white white. I dont know if it is getting hot and bringing the infection closer to the surface or actually changing the tissue on the surface. It was pretty vascular before I used the laser on the tissue and it turned white and no Blood vessels.You know there are guys that I know who have the fuji s1 on their scope with a different attachment. This is not as easy to use as a point and shoot and the pics wont be much different because you only have the body not the lens on the scope. Its heavy too and that is harder to move the scope around. I can find out for you if you want what attachment adapter you need to attach the camera to the scope.
The scope pics that I have are actual pics out of the scope and NOT blown up or cropped. Thats the view I have when I look through the scope. It is easier to see on the maxilla than the mandible.
I would encouvage you to come next year to the Academy of Microscope Enhanced Dentistry in Scottsdale , Arizona in November (6-8) I think.
I can send you information on it but there will be some well known speakers and even a hands on course there.
Bob has a wealth of information and I have learned that he really feels the NdYag is better at perio than the diode and with his wealth of experience and his knowledge behind the science and the fact that he feels that a pulsed laser is better , I cant doubt him for his beliefs. He knows alot about the area.
I hope that Dana Point is fun and I am sure that the entertainment will be great and the lectures fun as well.
All the best and let me know when you want to come and visit……..Here are a couple of pics of one of our ops……..
Glenn[img]https://www.laserdentistryforum.com/attachments/upload/Resize of DSC_0004.JPG[/img]
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2thlaserSpectatorGlenn,
You talk about being professional, look in the mirror. Thanks for the nice compliments. The S-2 body is totally revamped and really light. They used a Nikon body on it. I need to be able to mount the camera, and get pics through the scope like you are, it’s the only way to accurately record what we do, and see at the same time. I will be at the scope conference, I will plan on it. I want to be a leader in this industry, as I know it will take time, study, and a contientous (sp) effort to get there. I yearn to learn, and also to teach. I think it’ll be cool that we use two different lasers, with very similar approaches. It’ll be a good comparison of the two lasers I hope. That being said, thanks for sharing as always, have a great holiday, as I leave tomorrow to visit family in Ohio. I will check in when I can.
Sincerely,
Mark
Glenn van AsSpectatorHere is the link to next years meeting………
http://www.lifetimedentistry.org/index.html
i know that David Clark the head of the AMED (or right now it is called the CMED) uses the S1 and the adapter will be the same and he gets good pics. Sometimes you might want to think about a lighter camera on the scope……..
There are alot of material from the endo people on cameras and here is another site to peruse to get some idea of what is available.
I have the D1 but the Nikon point and shoots are nice to leave on the scope and then you keep the Fuji s2 for other shots.
Just an idea but here is a link and also a pic or two of my setup.
This is globals alternative and Gary Carr has one that can be attached as well and I have included a pic of his system.
Glenn
Glenn
glenn[img]https://www.laserdentistryforum.com/attachments/upload/Resize of DSC_0018.JPG[/img]
Robert Gregg DDSSpectatorThanks Mark,
That forum for pulsed Nd:YAGs will be awfully quiet, cuz our lasers don’t have maintenance other than a high OH quartz fiber replacement every 6 months or so. :biggrin:
In our latest design, we have even solved the slight “thermal lensing” issue that caused pulsed neodymiums to shift out of alignment every 12 months or so. No more!
But I appreciate the thought!!
Seriously, it is a great idea to have engineers peak in and participate in the discussions.
Erbiums really are a lot more “fussy” than neodymiums. Nd:YAGs like to operate “hot” and that won’t mess up the optics or alignment like it will with erbiums. My best recollection is that erbiums require a “chiller”–a refrigerator–to keep the Er:YAG and Er:YSGG as cool as can be.
Merry Christmas to all you observers of the day!
Bob
(Edited by Robert Gregg DDS at 8:37 pm on Dec. 21, 2002)
Robert Gregg DDSSpectatorAwe Shucks you guys!–Mark, Glenn (you too Ron)–Quit it. I’m gettin’ all misty eyeed!
Glenn must be feeling better. He’s posting on Dental Town and seems to have his old piss and vinegar going again! Don’t get to worked up too soon, Glenn, we don’t want you to suffer a relapse!
You guys are tops in my book. Skill, talent, grace, professionalism, HUMILITY, a real gift for communicating your ideas and thoughts and techniques. Wonderful.
And you are all so nice to me as The Old Man!
Hey Mark, I really don’t think it matters whether HK is “real” or not, or the predominant effect, or not. At this forum, we can talk about clinical techniques and device parameters and I don’t see that HK matters that much in your discussions about procedures. Is that right?
I happen to know an optics engineer, who consults with us at Millennium, that has a lot of experience with Er:YAG and Er:YSGG. In fact he used to work for one of the erbium dental laser manufacturers designing……well, anyway. We can discuss his feelings on the matter if you all like sometime…….
Anyway, thanks Mark for being open minded and inviting more presentation of the pulsed Nd:YAG. Don’t get me wrong. I have an argon blue/green, and a diode, and a holmium (a lot like an erbium only a quartz high OH fiber like the diode) and I used an erbium for about a year in R&D back in 1996, both in the lab and in the mouth. We’re waiting for additional erbium technology to “arrive” before we bring them into the operatory for every day use. Besides, we spent the last 8 years focused on getting bone to regrow in all perio patients, in all pockets, at all times and conditions. So erbium-type hard tissue cutting has had to wait.
That is NOT to say that erbium’s are premature. I have seen some great improvements in the WaterLase, and Con-Bio has solved a lot of the issues I was concerned about. And the improvements keep on coming–as I fully expected.
My hat is off to all you guys Mark, Ron S, Glenn, Ron K., Alan, Pat for getting involved in free-running pulsed erbium technology CLAP, CLAP, CLAP
I have said for a long time that it’s 1990 all over again for laser dentistry as laser dentistry pertains to erbium lasers. The discovery of techniques and technology are rapid.
I guess what I am trying to say it that I was a “bleeding edge” laser dentist 12 years ago using a device and technology that was still developing in the FR Nd:YAG.
Now many here on Ron’s forum are doing the same pioneering work and “bleeding edge” presentations (to the profession at large–Mark & Glenn) with the erbium devices and procedures–and the technology and device improvements continue…..while we all argue (in good nature here) about 2.8 versus 2.9.
Anyway, I’ll make a plug for the PerioLase MVP-7 in that it represents the latest advancements and enhancements in what free-running pulsed Nd:YAG technology AND the clinical practice requirements demanded of it, as a result of 10 years of clinical use and refinements in available technology.
One day, we’ll see erbium’s have the benefit of the optimal clinical and technological enhancements as a result of real-world experiences that you all are blazing the trails for right now. You guys (erbium owners) deserve ALL the credit for that.
Hummmm. I wonder who will be manufacturing the erbium lasers like that of tomorrow……Glenn, Mark, Ron?
Also one day here I’d like to have a discussion about why free-running Temporal Emission Mode (TEM) is so important for laser tissue effects regardless of the wavelength either 2.9 or 2.9 erbiums or even 1.0 neodymiums. But I’ll let you think about the TEM as you see strange and wonderous effects in human tissues. I mean, can the pulsing itself have an effect separate from the wavelength?…..Just don’t forget to remind the old man to address the tease later on….
Merry Christmas to all observers and a Happy New Year!
Bob
PatricioSpectatorMark and Andy,
I will jump in here with a problem. Water dripping from the unit end of the fiber cable. We tried different handpieces and tips with no success. I replaced the cable and the problem stopped. I have it sitting here with a plan to send it back to Biolase. Is the problem something which can be fixed on site? Any suggestions?Pat
PatricioSpectatorMark and members,
Is there any information (or in your experience) to indicate that the numbing of a tooth is proportional to the watts applied and the time of application.If this is the case would it follow that a tooth which is a little sensitive to the laser in dentin can be made predicably less sensitive by an additional application of de focusing at higher watts and a longer time?
Repaired a second molar today primarily with the drill after “numbing it with the laser”. Kind of sweet I thought. He did not want to be anesthetized. Who need it anyway.
Pat
2thlaserSpectatorPat,
Just so everyone knows, Andy is in Florida on vacation this week with his family. BUT, normally, if you replaced the fiber, and this worked, then, send the other one back to Biolase, and they will send you a replacement. Especially if you paid for the one you used, they will replace it. They are great about it. Talk to Brandi, she is great, tell her that I told you to name drop my name! Have a great Christmas!
Mark
2thlaserSpectatorAgain Pat, you already have it figured out. Just defocus for a bit at the higher wattage, sometimes you have to watch the air/h2o ratio a bit, for 90 seconds again, then go at it again, usually this reanesthetizes the tooth you are working on. Hope this helps. This seems to work for most of the Waterlase users I have talked with.
Mark
RodSpectatorHi Pat,
Merry Christmas everybody!!
Since you want to target certain demographics (which is also my style), direct mail would be perfect for you. The great thing about direct mail is that you can design a direct mailer to appeal to specifically the demographic group you want to target, and THEN you can mail it to ONLY that group.
As Ron mentioned, you can get this kind of information from Howie’s books and my new book, but what would REALLY be great for you is if you’re gonna attend the DentalTown Meeting in Vegas in February. Howie and I are going to be speaking about EXACTLY the type of marketing you need to do to achieve what you’re looking for.
And we’ll not hold ANYTHING back. There will not be any of this ‘teasing’ stuff that many do. We won’t hold back so that you’ll sign up as a client with Howie, or buy books. This I can promise.
And in the mean time, if you can tell me a bit more, maybe I can get you started in the right direction even sooner.
Hey Janet — how’s it going with the book?
Rod
RodSpectatorHuh? 😉
Rod
Janet CenturySpectatorRod – doing great! Thanks again.
We are composing our first newspaper ads. We get to be in the monthly “health section”. The doctors who advertise in it get to take turns writing a “column” for the section. The sales rep was so excited about the laser (she cannot take local herself) that she is going to try to bump up my turn. Then I’ll be able to use the line “you may have seen Dr. Century’s article on lasers…..” in the direct mailings.
Do you have any recommendations on companies who do targeted mailing lists? Or do I need to find a local?
Merry Christmas!
Janet
AnonymousSpectatorQUOTEQuote: from Rod on 11:46 am on Dec. 24, 2002
you can get this kind of information from Howie’s books and my new book,
RodJust wondering when your (Rod) book will ship?-placed my order a couple weeks ago and am looking forward to reading it.
Glenn van AsSpectatorHey who let you in the front door Rod!
Grin
Merry Xmas and dont be a stranger here, since you and I are the only ones not attending the Dana point meeting.
Is there still hotel rooms available for the Cheerleading conference!!
All the best and a happy Xmas to you and your family.
Glenn
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