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Glenn van AsSpectatorBeautiful case……I dont use EMLA but you are getting my interest tweaked.
Now having said that I would like to know if you checked to see if Blanching occurred on the palatal when you pulled the lip (did the fibers run through) and most likely they did.
If so , I would cut a wedge or slot on the palatal to release the fibers attachment there…. Otherwise they still migh cause a problem.
Beautiful case……..HEY ANDREW……can us crazy canucks get EMLA.
glenn
AnonymousSpectatorGlenn,
Actually you canucks are the guys who can get EMLA. You can’t get it in the states anymore, rumor has it that the company didn’t want to put child proof caps on it, like the FDA wanted so they can’t sell in US.
We just tried ordering some thru canadadrug.com- doc can’t write script for himself (already tried that)-canadadrug won’t fill it. We just sent one off today, written for my assisitant. Will let all know if they fill it.
whitertthSpectatorI have a pharmacist that compunds it for me in Alabama. His name was given to me by another dentist…The pharmacy is called Golden Springs Pharmacy in Anniston Alabama…He even adds a mint flavor so it is somewhat palatable… U can get the number from 411….call him and u wil have it in 2 days….
ASISpectatorHi Glenn & the rest of the gang,
I picked up some EMLA from the pharmacy at a grocery a couple months ago. No prescription needed.
Andrew
whitertthSpectatorits great to live in canada.. Emla no script…codeine no script…heroin no script…….
ASISpectatorHi Bob,
Very interesting process.
How does patient flosses without disturbing the fibrin clot?
Andrew
ASISpectatorHi Ron,
Nice handling of the case.
It seems the opaque hypoplasia layer is not very deep. Is that the case?
If it was deeper, will you chase it down to get to normal enamel or into dentin before etching? If not, will the bond strength be adequate?
Andrew
ASISpectatorThanks, Ken.
What bleaching product do you use? Is it the Biolitec one?
Do you know if there many other dentists using laser dentistry in HK? Any Laser Dental Society or Organization in your area?
Andrew
whitertthSpectatorIt wasn that deep here…With a girl her age i wouldnt risk chasing it very deep….I would chase for a bit and then if it got very deep I would bond and hope that between a laser etch and an acid etch my bond strength would be adequate…..
Robert Gregg DDSSpectatorHi Andrew,
Great question!
No flossing until the fibrin dissolves on its own. So he’s OK to go and floss the upper right now. I showed him a couple of floss tricks, and gave him a Monojet syringe to flush out those cratered interproximal areas.
I do not want–or even need–him to floss in the area of the fibrin barrier. There’s nothing to floss out. The broccoli bud isn’t doing anything. So no flossing and no brushing either until I say it’s OK. Rinsing only, and we might coronal polish his teeth when he comes in for his post op.
No repeat laser treatments ahead for him unless an area gets red and re-infected. Otherwise, PM visits only.
Repeat manuiplation of any tissue, will more likely establish a chronic inflammatory response that is very difficult to resolve.
Be vigorous, treat it once, keep it clean, let it heal, don’t pick at it and distrupt the healing by repeated probings. No probings for 6-9 months. Sit back and watch the bone fill in……
Bob
Glenn van AsSpectatorTough to get interproximal though!!
Glenn
ASISpectatorHi Bob,
WOW! No flossing and even brushing. What a marketing concept!
This should be highlighted and promoted over the regenerative benefits of your Periolase.
For anyone who is desiring a flossing sabbatical, the Periolase will not only deliver but promise to maintain or even ennhance the preexisting bone level.
For a price, you too can take a flossing vacation.
How’s that for a true testament of the Nd:YAG?
The humor is meant to express my amazement of the healing power of LANAP with your Periolase as you might have noticed.
Andrew
Kenneth LukSpectatorHi Andrew,
I use the Biolitec whitening kit.
I’ve also tried using the 980 on 35% h2o2 of Opalescence .
Will send you photos later.
There is only me using Biolitec. One using Opus diode and only a few on Lasersmile.
Still trying to get some regular get together with other laser dentists.
There’s no org. for laser dentistry in HK. In fact, I think I’m the only ALD current member.
Do you know many 980 users in US?
I’ve only got the 980 in Jan this year. I’m using the 980 all the time on crown troughing , endos, and perios daily. Great machine.
What’re your experiences with the 980?
Robert GreggParticipantYes Andrew, That’s right!
Step right over here……don’t be shy…….come see the latest and the greatest…….Snake Oil! Cures everything–even your wife’s cooking…….:cheesy:
OK, ……A B&F sabbatical only for 2-3 weeks, THEN they are back on the brushing and flossing……..and Dental Dynamite if we need to get any build-up off. Just NOT below the gums.
Actually, we find patients don’t like not being able to B&F. So, it is an inducement to return for their post-ops when they know they are going to a “professional polish” when they come in for their healing assessment.
(It’s all part of The Program)
Bob
Robert GreggParticipantHi Glenn,
“Tough to get interproximal though!! “
Weeeeeell,
Not really……. GRIN
With our patented TrueFlex handpiece with bendable canula to >90 degrees and the ability to extend various sized fibers to reach into hard to get places, we can easily reach those interproximal areas.
Here you go:
[img]https://www.laserdentistryforum.com/attachments/upload/Trueflexhandpiece2.JPG[/img]
Comes with the PerioLase Periodontal Package, as well as the correct fibers to accept that sort of bend curvature without breaking or burning the patient with a heated-up metal canula.
It’s the attention we have to the “little” things that make all the difference in the clinical details, clinical applicability….and the clinical outcomes.
Bob
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