Page 37 – Laser Dentistry Forum

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December 29, 2002 at 9:04 pm in reply to: Class V operative #11960

Anonymous
Spectator

Glenn, I moved the images . If you upload 1 picture and then hit your space bar and then upload the next picture they will fall in line 1 below the next.

Is the blanching just from the cord or initial softtissue tx with the laser?

December 29, 2002 at 9:10 pm in reply to: Hard Tissue Procedures #3466

Glenn van As
Spectator

Hi folks: When I first got the laser I only used it on hard tissue.

One day a friend of mine Don Coluzzi told me that I should try it out without anesthetic to cut soft tissue.

Thats all he really said.

Well, I knew I had a soft tissue tip (first pic the left hand side tip) which looked like a sharp point.

Soft tissue tip was supposed to be used on soft tissue, well that was my first mistake and I notched the cementum because I used the wrong tip and in addition I also didnt use caution with the angulation , being perpendicular to the Class V instead of parallel to the tooth.

I notched the cementum (as you can see) and learned to use a regular tip , parallel to the tooth like in the case I just showed you.

I also started putting cord in the pocket to prevent iatrogenic errors.

THe healing was fine but I learned from my mistakes.

There are one week and 6 month healing photos at the end.

The key photo is the 4th one showing the magnified view and you can see how I etched the cementum by mistake with pitting in several areas.

Glenn

December 29, 2002 at 9:12 pm in reply to: Class V operative #11967

Glenn van As
Spectator

Ron very perceptive……..it is just from the cord. The scope allows you to very gently place the silk cord in with a probe without anesthetic and you get some blanching.

No laser treatment , gosh you are perceptive.

Thanks for helping me out.

Your brilliant.

Glenn

December 29, 2002 at 9:24 pm in reply to: Class V with erros #11554

Anonymous
Spectator

Gret pictures Glenn,
I’ve placed EMLA in situations like this, used the erbium to incise tissue but not completely. I then use a scaler to separate the final bit of tissue attachment. Sometimes get bleeding but will then take the erbium and paint the surface to stipple and coagulate.

Both cases look like you got a nice result, did the restoration finish on the notched cementum?

December 29, 2002 at 11:51 pm in reply to: Class V with erros #11556

whitertth
Spectator

Glenn, Great stuff…. This forum has become a wonderful center of learning.

December 29, 2002 at 11:58 pm in reply to: Class V operative #11961

whitertth
Spectator

Glenn…great case… i am still using hurriseal before my bonding agent…I find it really works to eliminate sensitivity….Do u use any wetting agents prior to bonding?

December 30, 2002 at 2:43 am in reply to: Class V operative #11968

Glenn van As
Spectator

Hi Ron……..no I dont use any wetting agents , I was going to ask you on the value of hurricane to the bonding process.

I do notice less of my Class Vs coming out since using the laser. The enamel etch and the opening of tubules I think makes for a better bond.

No research , just an opinion.

I also find less Class 4s falling out with the laser.

Glenn

December 30, 2002 at 2:58 am in reply to: Class V operative #11964

wkarhan
Spectator

I know this is a laser forum but I was impressed by the intraoral photos. Which microscope did you use to take the photos?

December 30, 2002 at 9:30 am in reply to: Class V operative #11969

Glenn van As
Spectator

Hi Wade……its the Global microscope.

Here are a couple of pics of me using it and one of some etching prior to a Class IV going in.

Glenn

[img]https://www.laserdentistryforum.com/attachments/upload/Xmount.JPG[/img]

[img]https://www.laserdentistryforum.com/attachments/upload/Class 4.JPG[/img]

December 30, 2002 at 2:24 pm in reply to: Class V operative #11962

whitertth
Spectator

I seem to get no sensitivity since using hurriseal…so i have become a junkie of the stuff…it so cheap as well…. so i etch, hurriseal, lightly dry off, bonding agent and then bond….Happy New Year

December 30, 2002 at 8:19 pm in reply to: Class V operative #11963

whitertth
Spectator

some more fun stuff..Class V , no anaesthesia, removed some tissue as well..and restored with cosmedents Renamel flowable Note the white laser bandaid done at the end to help healing and provide some hemostasis…Hope u like….

December 31, 2002 at 1:02 am in reply to: Engineering and Maintenance #3199

Anonymous
Spectator

Today while prepping w/ the Waterlase I finished #3 and went to prep #5 and all of a sudden no ‘popcorn sound’. Changed handpieces and tips, same thing. Fortunately, when we ordered a new fiber for the diode last week we were accidently sent a trunk fiber for the Waterlase. Changed the trunk fiber and we were back in business.

I was just wondering what the life expectency of the trunk fibers are and if there was anything I could be doing to prevent this?

Thanks

December 31, 2002 at 1:24 am in reply to: Class V operative #11972

Patricio
Spectator

Glenn,
At 3.5 mag and .75 – 1.5 W I have not noticed the ditching of the cementum do you feel this effect is the rule and if so does it appear to be left exposed or covered by the restoration in the typical case?

The scope picture was fun for me to see. If my hair color was a little closer to yours I would find a way to include it in my practice. I will give it some it thought they probably sell to white haired guys too.

On the beginners end I completed most of an inlay prep with the laser today after numbing the tooth with the laser and removing the resident amalgam with the electic HP.

I had a belglass crown debond at the tooth inteface so I used the laser at 1.5w to reprepare(roughen) the tooth surface, clean and sterilize, then etch, and recemented the crown. No local needed.

Preped an MO on #17 and could not get adaquate numbing at 5.5w for 60 plus seconds so used the ligaject on the mesial interproximal(small amount of local to assist) and in 30 seconds I was in business. The tissues was numb from the laser and the patient felt nothing. As I get better at assessing the possible, the patients body language, time available etc. I see my bag of tricks expanding. Great fun.

Pat

December 31, 2002 at 2:15 am in reply to: Photography #8851

Swpmn
Spectator

[img]https://www.laserdentistryforum.com/attachments/upload/williamsa07.JPG[/img][img]https://www.laserdentistryforum.com/attachments/upload/williamsa08.JPG[/img]

Ron:

I use a “point and shoot” Coolpix 880 from Nikon. The camera will fit into the palm of your hand and into your pants pocket. My photos are shot without a special macro lens, with no lens adapter and with no ringlight.

The photos are acceptable for documentation, provide great prints and presentation to patients and colleagues. I use a thirty dollar program called Ulead to edit my photos.

My suggestion would be to not buy a “kit” from the dental photography companies. You can look in the back of any photography magazine and order direct any camera, macro lens or ringlight at greatly reduced fees. Retractors and mirrors can be ordered at low prices. Do not buy a “kit” and pay a bunch of money for the dental photography company image management software.

Al

December 31, 2002 at 2:16 am in reply to: Trunk Fiber #9230

Glenn van As
Spectator

Interesting problem………I havent had anything go wrong with my fiber in 3 years.

Fibers are tough to make well and I will be interested to see what others experiences are.

Glenn
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