Jerry,

Thanks for your comments.  In the earlier days I was trying to find a way to cut down on the water spray in the front of the mouth and reduce the more pronounced pulsing of the laser at 4-6watts for the patients benefit and mine so I began to use 1.5w at the preset.  I belive it is 11% Air and 7% water.  I find I can treat well over 90% of all anterior teeth and most bicuspids at this setting.  I use 30 to 45 seconds depending upon the patient I am working on and in some cases I go to 60 t0 75 seconds when I know they are squirrely.  I generally aim primarily at the cervical but cover the entire facial and in the case of the bicuspid I work either facial or lingual and occlusal.  I also enter the work site at 1.5 just long enough to assure myself all is well and to get an idea of what setting I want to use to prep the tooth.   I probable proceed a little slower than others at the beginning so as to deepen the anesthesia before i go to the deepest area of the cavity.  If I get some sensitivity I immediately go to a small round to decondition the patient and continue to remove the deep decay.  This usually works fine and then it is back to the laser again working my way to the more sensitive area at a pace which seem to be within the patients tolerance.

Some patients tell me they feel something cold and some have said a little tingling but all agree this is the better way.  I would say it is better to get them numb the first time once they feel more than they want it is more difficult to over come this with more numbing.
Hope this helps to explain my approach.
Pat

HI the Sameer , great to see you posting here again.

Yes I could have done that , veneers but the breakdown on the incisal was such that I feared making a prep design that didnt overlap the lingual. The contacts on the lingual were around 1/2 to 2/3 down the palatal surface and I was worried about the contact being right on his biting surface.

Looking back veneers were an option and I just decided in this instance to go with full coverage due to his bite.

You have a good point though. Thanks

Glenn