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whitertthSpectatorI have seen alot of diodes with a white cover that extends from the handpiece and the tip exits from it. Anyone know where to get them.
Thanks,
Glenn van AsSpectatorHi Etienne…….here is a list. I will send some photos later this week…….to swamped right now. The list is off the top of my head.
1. Exposure of soft tissue and hard tissue impactions of teeth. I use both hard and soft tissue lasers ALOT for this.
2. Sulcular fibertomy after ortho.
3. Frenum removals to close diastemas both with and without brackets depending on the age of the patient
4. Gingivectomy for bracket placement on teeth and also when tissue is bunching up in places
5. Apthous ulcers or traumatic ulcers due to the bracketsThere is five off the top of my head not even spending alot of time contemplating it.
Hope that gets you started.
Glenn
Glenn van AsSpectatorTry Ultradent Ron…..they make some that people like.
What about the company that makes your lasers…..dont youhave the diode from Biolase. You dont like the tips?
Glenn
Glenn van AsSpectatorI discussed this with the ALD by email. IT is exactly as Allan mentioned.
The course must be provided by an accredited course provider.
The course must be recognized by the ALD.
I would be pissed off at Opus for this in my opinion because they are the ones leading you to believe that the course would be recognized by the ALD when they are not a recognized provider. If someone outside of the company provides the information then it will be recognized.
I hope that helps you, great stuff Allan and yes this is not good when companies mislead people on the ALD certification which is going to and is right now becoming alot harder to obtain.
Glenn
Robert Gregg DDSSpectatorGlenn,
I don’t think Opus is to blame. I’d check out the story a bit more.
I spoke with John Rice from Opus this weekend and ALD may have retroactively inactivating past participants’ course recognition.
This is the same as they have done in other matters like my Charter (Founding) Membership. Even though no one at ALD disputes that Del and I are founding members–recognized in the “Charter Membership” category (and the plaque that we both have)–they refused to recognize it on our Source Membership badges when we came back as members in 1997 since our membership was not continuous.
Bob
Glenn van AsSpectatorMy patient is coming in today with the tongue parasthesia and I was just wondering how to figure out the Joules setting to treat him with a DIODE.
I dont have the NdYAG and so after 3 months of healing on his own , I am going to go in there and treat the dorsum of the tongue and the lingual tissue to see if I can get some improvement in the area.
I wanted to know about treatment regimens for this. I plan to treat him 1 week apart for a total of 4 weeks. At the end of 4 weeks if no improvement then I will refer him to the OS or to a neurologist.
Thanks in advance.
Glenn
Robert Gregg DDSSpectatorHEy Glenn,
Keep it light at say 1 watt of less and lase the base of the tongue as well as he distal areas you have mapped as numb.
Try to find the “hot spots” anteriorly, and keep it in the “warm” at the base of the tongue….
10 to 15 minutes will get you a couple of thousand joules.
Anyone else, did I miss anything??
Bob
BNelsonSpectatorHello,
The orthodontists I know, and myself, often remove tissue between teeth that act as elastic bands to push teeth back appart after closing. This is most common with heavy frenum between front teeth. I used to do frenectomies with a scalpel and remove the tissue between the teeth as well. Now I use a laser and it is much less traumatic to the patient.Good luck!
etienneSpectatorHi Glenn
Which wavelength would be most useful for an orthodontist in your opinion? I am wondering whether the expense would be justified. I know that you feel the same way but am a little concerned about people having to “find” work to justify the cost.
Take care
Etienne
etienneSpectatorHi Bruce
I was wondering, from my discussion with this guy it sounds to me as the remodelling potential of adults is not the same as in kids, therefore the complication? If this is the case, could laser not be used to stimulate the tissue and hopefully obtain a “natural” closure of these spaces? I am just thinking out loud here…Am I completely on the wrong track?
Take care
Etienne
etienneSpectatorHi Bob
Do you have any info on augmenting extraction sites with PRP in conjunction with Nd:YAG laser treatment?
I saw some x-rays that were awesome..
Take care
Etienne
Robert Gregg DDSSpectatorExtraction sites, that is ridge preservation still rely on keeping the alveolar “lip” from resorbing. So PRP alone doesn’t make sense w/o a bone graft material like BioOss, Puros, Grafton, etc.
Bob
Glenn van AsSpectatorI think that Diodes are the most cost effective soft tissue laser for orthodontists to use.
NdYAG is better for perio I believe in my heart. But for cutting soft tissue , a diode laser is really best for the orthodontic community.
Hope that helps
Glenn
PS I have some photos to share one day when I get around to it.
Just so swamped these days.
Glenn van AsSpectatorBob…….1 watt seems like alot (not really LLLT then). Yesterday I used .2w very close to the dorsum of the tongue, side and and the lingual nerve injury site as well as the lingual tissue. 2 min per site. 8 min total.
YOu are suggesting 1 watt which obviously is defocussed or it will cut. It wouldnt hurt because patient has no sensation in those areas. Do you worry about thermal burning of the tissue which of course due to the parasthesia the patient cant tell when its hot.
I know and understand that NDYAG might be better for this case but I dont have that choice. Patient is looking for ANY improvement.
How do the Joules formula work………
is 1 watt =1000 J/min
Just wondering out loud what settings, how defocussed it should be and how to tell when enough is enough.
THanks for the advice, I have to phone the patient tomorrow….. I sense at .2w I may have been too low but I told him we may need to do it several times.
Thanks
Glenn
Robert Gregg DDSSpectatorAaaahhh Glenn,
You’re making me THINK! Don’t make me do the math.
Who do you think I am Eric Bornstein?!
OK, use .5 watt.
I suggested 1 Watt or less–and YES defocused–Waaay defocused.
You really need to use an explorer and map the area of numbess in percent or scale of 1 to 10 so that you can document progress as the reversal of tongue is often subjective.
Draw a picture of a tongue, draw a line down the middle, then an area on the lateral border, up to the anterior 1/3, then an area on the tip of the tongue.
Then probe those areas and ask for sensation feedback.
I can scan a patient chart tomorrow when I’m at the office again.
Bob
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