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PatricioSpectatorTwice recently I have had tissue above the cervical margin after banding and wedge when the tooth was a little concave in the middle of the box. I found that rather than deband etc. I could aim the laser along the matrix and at the tissue and back the tissue off enough to carry the composite to the margin. There really was no flash back from the metal. Maybe someone has a trick for wedging this type of area? The above process required removal of the composite flash at the center of the restoration following debanding.
Pat
AnonymousSpectatorGlad you’re still posting here ,Glenn , we’ve all benefitted by your posts.
I’ve done the same thing only w/ waterlase and diode combo. The last couple times though, I’ve defocused the waterlase , stopped as much oozing as it would and then used Ultradents Astringident with a small brush tip in the sulcus and gotten good results-guess I just didn’t want to get up , setup and reposition the diode (being a little lazy I guess). Hopefully, when my office remodeling is done next week, it won’t be as big a deal.
gwmilicichSpectatorQUOTEQuote: from 2thlaser on 3:09 pm on Nov. 21, 2002
Now, if the Waterlase is cutting with hydrokinetics, it goes without saying that the more water, the more ablation, the less water the less ablation,
MarkMark
As an observation, a given water/air setting that initally cuts well (for arguments sake 70%A 60%W) when intially entering a cavity, then it eventually stalls out when the cavity gets narrow and deep. It appears to me that if the air isn’t bumped up, water begins to pool in the cavity and “chokes” the laser, with the pooled water absorbing the laser energy before it can get near the tooth surface.In these cases, I leave the water setting alone and bump up the air to about 90-95%. Voila, instant cutting.
On smooth surfaces, it behaves differently because the is no water pooling occuring.
Great fun
Cheers
gwmilicichSpectatorQUOTEQuote: from Glenn van As on 3:53 am on Nov. 22, 2002
Hi folks………due to alot of reasons , not the least of which is burnout, I am posting less these days. Â Especially on dental town.Hey Glen
I kept wondering where the heck you found all the time to do the posts you were doing.To put useful stuff on, takes a lot of time. You could always resort to the one liners that fill up half of DT 🙂
Cheers
gwmilicichSpectatorAnyone having their Waterlase kcick onto standby while working in the 1W to 0.75W range. I know it will do this if you double tap the pedal, but it is happeningwhile the unit is running continuously. The problem is intermittent.
No error messages appear.
Anyone got any thoughts?
Cheers
Glenn van AsSpectatorHow can it be that water pooling is causing the Waterlase to stall.
I thought the water was accelerated , could it be that the laser energy doesnt travel well through the pooled water and that is why it stops cutting.
(PS my tongue is firmly entrenched in my cheek……and by the way the newest biolase adds for bone and endo dont mention hydrokinetics……..are the rambles of an insane man making a difference?)
I dont have the Biolase but there is a fine line between to much water……..pooling , and too little which leads to charring.
Many times in narrow preps you will find under the scope that there is charring and stalling, the water actually doesnt get down beside the tooth to cool and rehydrate it.
I think your post is an excellent one Graeme and the water/air combo is something that is very important in working without anesthetic. To little cause pain , to much slows it down ( the water).
Great stuff guys………..
Glenn
Glenn van AsSpectatorBest course I took in high school was typing, took 2 years and was the only guy in the class, and learned keyboards and typing that still allows me to type at a rapid rate, maybe 30+ words a minute.
Thats how I get so long winded too!
Graeme, its great to have you onboard here.
I need to send in an abstract for the WCM which is here in Vancouver, what do you think is something that I could bring to the organization……….
(here is my post to Annette)
Glenn
Hi Annette…….please find enclosed my C.V.
In order to provide an abstract that will be considered seriously by your esteemed group, I would prefer to know what topic would be of interest to the group.
I have lectured in the past on the following topics……….
1. The Dental Operating Microscope in General Practice.
2. Digital Documentation and the operating microscope.
3. Lasers and the D.O.M. in general practice.
4. New Patient examinations and the D.O.M.
5. Prosthodontics and the D.O.M.
6. Microdentistry and the role of the D.O.M. in diagnosis and treatment.I just would like to present a topic that the committee finds interesting and which would further enhance the group itself.
Thanks Graeme for your input and perhaps others on this board will if they are involved in the WCM would like.
Glenn
gwmilicichSpectatorQUOTEQuote: from Glenn van As on 11:12 am on Nov. 23, 2002
How can it be that water pooling is causing the Waterlase to stall.I thought the water was accelerated , could it be that the laser energy doesnt travel well through the pooled water and that is why it stops cutting.
Glenn
Yep
My observation is that once the air flow stops moving the water (deep narrow cavity) the pooled water absorbs the energy of the pulse and nothing happens on the tooth. Increasing the air flow rate clears the water and allows a mist to enter the cavity rather than a puddle of water. The surface needs to be wet, not drowned and buried.I am sure the same happens with your laser too:-)))
Cheers
SwpmnSpectatorGraeme:
Have not experienced this problem while the Waterlase is continuously running.
Personally I wish the “double tap” problem could be eliminated as I find it frustrating and a waste of time and motion.
Al
SwpmnSpectatorNice case Glenn and thanks for continuing to post here. I’m tired of Dental Town also and prefer to come here to learn from other dental professionals that are convinced of the benefits of dental laser usage.
The one thing I can say about Schalter’s forum is that so far we have no personal attacks. Dentists come here to learn, present new uses for lasers and also present clinical failures when they occur.
Here, if you have a negative comment because you had a bad day with the laser, someone chimes in and suggests a way to alleviate the problem. This is done in a professional manner.
Personally, I’m weary of the endless fighting, arguing and personal attacks on Dental Town.
Al
AnonymousSpectatorGraeme,
Haven’t had that happen with the Waterlase but it did happen with my AA unit. It was a problem 1st time with the foot pedal connection and the second time with a short in the foot pedal wire.
2thlaserSpectatorGraeme,
Sometimes, the software needs to be recalibrated. You might call the service tech. I have not had that happen to me, but, if the unit gets out of calibration, sometimes this is the way it reacts. Mine, skipped pulses for awhile, had it recalibrated, and it works great. Hope this helps!
Mark
SwpmnSpectatorPat:
Sounds good but why not just do a little laser gingivectomy prior to banding if the interproximal margin is sub-g? That’s what I do and you don’t run the risk of damaging an expensive sapphire tip.
I don’t like to use my best tips around metal because I’ve find if it does spark you ruin the tip. I save my old tips, e.g. to remove tissue around implants. However, Glenn says you can polish old chipped tips and make ’em good as new.
Al
SwpmnSpectatorJanet:
Wow, that’s a new one on me!
Although I don’t use nitrous, this is important info. Please keep us posted if you get a definitive answer.
Al
2thlaserSpectatorJust FYI. I have used nitrous with my laser many times, no problem. Still breathing and heart beating!! No explosions!
Mark -
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