There are a couple of things with the scaling procedure that are different with the protocol from Mellinium than what is mentioned here. I will let Bob chime in if he chooses. I am not able to teach the LANAP protocol. It is a patented procedure. The way I understand it, if I tell you they will hunt me down and …… Just kidding. I just don’t think that I can do a good job with the instruction, and I am sure Bob will see this soon.

Matt

Hey Allen,

We taught Lares everything they know about laser perio–but not everything we know.:cool:    

Yet, we continue to learn about laser perio as we still practice what we innovated–and patented.

Laser SoftCare is a poor substitute/knock-off for LANAP.   (Now you all know a key reason we patented the procedure!)

Laser SoftCare has no scientific or clinical data or studies to support their methodology in the same manner in which Millennium has for LANAP.  Everything they reference is other people’s stuff and old methodologies repackaged as SoftCare.

I’m sure any pending or near-future 510(k) application for Laser ANAP would have nothing to reference other than the PerioLase MVP-7 as a “predicate” device.

Even if some company could get FDA clearance for Laser ANAP, and could successfully avoid patent/copyright litigation from Millennium Dental–it isn’t just knowing the parameters and the steps within the steps of the LANAP protocol, but knowing when to use what and how.  That’s all part of training of the sort you cannot get on some CD-ROM for ALD recognized Standard Proficiency and some pig jaw and black ink on paper exercises.

So like Ron stated, sometimes 150 is a more appropriate hemostasis setting under certain circumstances.  

The various circumstances are not likely to be known by a manufacturer w/o clinical expertise–or their incompletely trained substitute clinicians who may have slept through Bootcamp and/or not completed Day 4.

Maybe later I’ll tell you what I REALLY think @&^%&#36

Bob

Ron:

Thank you for the fax.

For more info you may download their brochure here!

Bob:

Actually, this does confuse and I’m disappointed we don’t have a standardized method of measuring Pulse Duration in order to make objective comparisons across different manufacturers.

Tell me about it. At least you now know that you have to ask what convention is being used…….Remember that this discussion and awareness is largey new to most with lasers. But now that several manufacturers have seen the value in this “marketing gimick”, more doctors will become aware of this next layer of the laser onion.

Is there a simple method to convert and standardize FWFM vs. FWHM PD numbers?

No, not really because the numbers depend on whether the pulse is Bell shaped or square shaped. Square shaped will give you similar numbers at the middle of the oscilloscope and at the top of the square-shaped waveform on the scope–in theory at least.

Whereas a Bell shaped pulse will have a rise time and a peak that varies. So the analog pulse is fatter in the middle (FWHM) and narrow at the top (FWFM).

To add to the confusion, on one of the pages I’ve downloaded from Lares, there is an asterisk(*) next to mention of the 120usec PD. The footnote states: Full width half maximum. This is in reference to the Lares PowerLase ST6 Nd:YAG.

I know. That has been a typo in their literature since October 1999. It should be FWFM.

No need for me to advise them, was there? I mean, their CD-ROM is a complete Standard Proficiency with certification and blessings from the ALD, so everyone associated with that information should know what they are talking about. Doesn’t it make you wonder what else is not accurate in their literature and CD-ROM?

Bob

Sorry, I must have converted the % into metric for our non US visitors. 😉

Actually, I think its called 1 week vacation and the 30% is what I forget about laser studies!

Just keep it up until she is no longer numb. Tongues are harder to treat, but do respond in my experience.

Don’t forget to lase the area of the nerve location that was likely injusred and therefore inflamed.

Best of success.

Bob