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Viewing 15 posts - 6,916 through 6,930 (of 8,497 total)
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  • in reply to: Lares Research #8507

    cadavis
    Spectator

    First, allow me to appologize. To call the ALD “f***ed-up” was unprofessional. That came out of frustration. I’m sure the ALD is trying its best to come up with standardization for proficiency, and I think that is important. I doubt seriously that the Opus people purposely tried to decieve anyone concerning the ALD proficiency. The ALD seal of approval, that was left on their binders, was most likely an oversight.
    My main concern right now is my lack of training and preparation for using the laser. I’m very excited about it and look forward to becoming proficient, but I have the feeling there will be an extremely steep learning curve. The ALD has recently assisted me by locating a more experienced laser dentist who has volunteered to help me out. Opus on the other hand is out of the picture I guess. Haven’t heard from them in a while. I’m not so diluted that I don’t understand why, after all, the sale is complete. That’s life!!
    I’ve registered for the annual ALD symposium is March ’06, and will get my Standard Proficiency at that time (for real this time).
    I appreciate the help that all of the doctors on this website have provided and look forward to learning more from you.

    Thanks again.
    Chris Davis

    in reply to: General Nd:YAG Forum #2773

    czeqm8
    Spectator

    I will be prepping a bridge and want to create an ovate pontic site in the soft tissue. I use the periolase. I would like to create the tissue contour that I want with said instrument. Do you guys have a recommended setting that you would like to see used?
    Matt Brink

    (Edited by czeqm8 at 7:13 pm on Oct. 10, 2005)

    in reply to: ovate pontic site creation #5870

    Robert Gregg DDS
    Spectator

    Diode Setting

    100 usec, 100 Hz 40 mj/pulse

    Define the area–smaller than what you want as an end result by 10-15% to allow for lateral thermal injury and recovery. Make “dots” where you want your border.

    Next lift and separate the epithelium from the subjacent connective tissue.

    Last, burn down 2-3mm into the CT using the “hot glass” effect accross the outlined area. You can alos use the side of the hot fiber to drag accross the outlined area.

    Bob

    in reply to: ovate pontic site creation #5871

    czeqm8
    Spectator

    Thanks Bob.

    in reply to: Parathesia Reversal #5904

    Anonymous
    Inactive

    Glenn,

    Sorry, I’m a little late, but here are a couple of ideas that you might try on the next case or this one if you’re still working on it.

    Make sure that the cleave on your diode fiber is as perfect as you are able to get.  (NO CONDITIONING OF THE FIBER TIP).  You want as much forward penetration of the laser energy (that’s light for us newbies) out of the end of the fiber as possible.  

    Use your own hand (or other sensitive part of your own body) as a guide to determine dosage.  That is – treat yourself first.  (You may do this at home – it isn’t that dangerous).  By doing so you are able to get the speed you need to move across the tissue, the length of time you may comfortably treat the tissue and the distance you need to be away from the surface of the tissue.  All this to keep the tissue warm but not too hot.  Once you get the feel of it you will be less likely to cause problems or damage to the patient.  

    You may find that by backing up – away from the tissue – you may be able to increase the dose quite high and get done a lot quicker without any adverse side effect to the patient tissue.

    As always it is better to under-treat and retreat than over-treat and loose tissue.

    Yours in better lasing.

    Del

    (Edited by Delwin at 4:37 pm on Oct. 10, 2005)

    (Edited by Delwin at 4:39 pm on Oct. 10, 2005)

    in reply to: Lares Research #8475

    whitertth
    Spectator

    I read with great interest everyones posts and I feel I would like to chime in a few words, relevant or not.
    Having attended my first ALD meeting last year in New Orleans I need to relate my experience so when Dr Parker goes to the board, you can relate my feelings which I think are felt by many.
    I was asked  by a few people at the meeting, why this was my first ALD meeting, since I have been using Lasers back from 1989 while in Dental school.
    I feel my answer is important and critical to the perception felt by many about the ALD.
    My answer was I was always told it was a good ole boys club so I never went.  But in 2005 I said to myself why not go check it out, and see what happens.  I was honored to be selected to present my clinical case of treating Pemphigoid with the YSGG wavelength, and a few days in New Orleans would be fun.
    I will say that from the start Estrella was very accomodating, and welcoming in everything that I needed. I  took the standard proficiency as well and will relate my experience about that in a second.
    I presented my work and my feeling was that it was well received.  Don,( Stu Coleton), Arun, and one or two others, acknoledged my work to me personally, something even for me who has been around for a while, someone who lectures all over the place, felt “Good”.  After this point it was all downhill for the me and the ALD.  Obviously attendees have friends from past meeting but if you were a newer memeber or attendee you never really felt at home, this being a place where the ALD fails tremendously, and a place where this group has excelled.  
    Many of us, here have become good friends from learning, bantering, exchanging from each other, regardless of wavelegnth, company affiliation etc….We have realized this  is a forum for learning and friendships have spouted from it.  The ALD needs to do that in my opinion to succeed and survive.
    As far as the Standard proficiency course I must say it was a BIG WASTE OF TIME….Questions predominantly based on CO and argon wavelengths, with little to no questions on newer technology such as erbium yag, YSGG and diodes( not so new in my opinion).  The exam and course should be based on those as well the ND yag with liitle to  nothing on the other wavelengths as they are only relevant to us in a minor capacity in dentistry.    I can only asume that the other wavelengths were not taught much because the instructors have little to no clue what is relevant today in dentistry.  Dr Rashkoff( I know i am not spelling it right) bascially told me himself he hasnt used the YSGG much yet he is teaching a standard proficiency course…Come on…that is ridiculous…THE  SP COURSE NEEDS TO CHANGE OTHERWISE IT IS A WASTE OF TIME AND AN EMBARRASSMENT TO CLINICAL LASER DENTISTRY.
    Finaly, In my opinion, the meeting itself will not ever be well attended without more reference to clinical dentistry both in presentations and abstracts.  Most of us practice while fewer of us are in a  university setting.  I for one will not attend any more ALD meeting because  it has no relevance to me unless things change.
    I am sorry for the ramble and I hope this makes a difference since all of us here  are passionate and believe in clinical laser dentistry.
    Respectfully,
    Ron

    (Edited by whitertth at 10:44 am on Oct. 11, 2005)

    (Edited by whitertth at 10:49 am on Oct. 11, 2005)

    (Edited by whitertth at 10:52 am on Oct. 11, 2005)

    in reply to: Lares Research #8482

    Dr S Parker
    Spectator

    Dear Dr Kaminer,
    I am grateful for this frank exchange of views, which is refreshing to hear, but sad to witness.
    I betray no confidence by expressing my agreement with you over the course content of the Standard course. The specifics of your comments could be addressed by the progress made in the Recognised Course Provider requirements that were finalised in New Orleans and, as such overlap your experience of the lecture content.
    I believe that the possible majority of powerpoint slides in circulation at many venues differ little from those that you may have seen in New Orleans. It is the responsibility of those who enjoy the privilege of presenting these courses, that they should be up to date and familiar with all aspects of laser use in dentistry. It is of little consequence, or consolation, that Academy-recognised courses are essentially non-device specific, in that they should cover all laser wavelengths; with this in mind, it makes your experience all the more laughable. I shall take a keen interest in ensuring some improvements for the future, to address the faults that you itemise.
    By way of soliciting your interest, the next two issues of the Academy journal contain a deal of clinical work, using both Er:YAG and YSGG. I do hope that you will allow yourself to enjoy the read!
    Please be assured that the Academy is undergoing a radical shift in polarity during this and subsequent years. Firstly, there is a desire to greatly enhance the certification protocols at both Standard and Advanced level and, secondly, there is a profound wish to remove the shackles of the “old boy” epithet.
    I am sorry and frustrated by your experience in New Orleans – interestingly, neither the conference nor the venue are open to reinactment at this time!
    With your consent, I shall report my experience at this forum during the past week to the ALD Board. It has certainly been illuminating for me to field the understandable concerns and frustrations that I have encountered. I hope that you might continue your support of the Academy and witness our attempts to improve the service delivered to each member. Kind regards, Steven

    in reply to: Lares Research #8476

    whitertth
    Spectator

    Dear Steven,
    Thank you for understanding of the ALD newbie’s plight…I was excited to come to that meeting but left somewhat dissapointed…I am not dropping my support of the academy as I belive in laser educatiion and hope to see the changes the academy needs to progress in the field of laser dentistry. Please share my comments and thought and if anyone would like to contact me personally I would be happy to speak to them…Again thank you for listening.
    Warmest regards,
    Ron

    in reply to: General Nd:YAG Forum #2766

    dkimmel
    Spectator

    So what do you think? LANAP stand a chance on this one?
    [img]https://www.laserdentistryforum.com/attachments/upload/implantlanap1.JPG[/img]

    in reply to: Implant #5829

    doctorbru
    Spectator

    David,
    I have only done a few LANAPs so far since my september bootcamp.When we were at bootcamp and tough questions like this came up we heard ” These are the kind of questions for Day 4 and Day 5″. Since you have already completed those, Bob and Del may have to have a Day 6.

    I would love to here from someone( like Bob) who has used the LANAP to successfully resurrect dead implants. For that matter I would love to hear from anyone in this forum (too quiet in here- it’s spookey). With the right patient I could see myself attempting to save these implants. I would expect some sparks to fly close to that titanium..oughta be quite a show.

    Bruce

    in reply to: Lares Research #8504

    Swpmn
    Spectator

    Thank you very much Drs. Coluzzi and Parker for providing feedback regarding our concerns.

    Allen

    in reply to: Lares Research #8492

    Glenn van As
    Spectator

    Hi folks……..as a member of the ALD and also as a member of the LDF here I see the value in both. The ALD does serve to provide a basic level of education and safety regardless of brand of laser to the new user. It acts as a “watch dog” for all of laser dentistry.

    With that in mind there has been an eruption of new wavelengths and newer products over the last 10 years and still some of the “good ol boys” still own NdYAG and CO2 and they are the ones running the ship.

    The popularity of the WCLI for Biolase users is that it is primarily a forum for clinical cases with little emphasis on science, education, SAFETY, and other issues that are so prevalent at the ALD.

    I for one think that there is a happy medium where science, education and laser physics can be intermixed with clinical cases.

    I have mentioned in the past to some at the ALD (of which I have attended the last 5 I think) that I felt more input from clinicians was needed.

    It may be time to have two tracks at future meetings. One that emphasizes research, laser physics, and laser science with safety, and one that emphasizes clinical cases . I know some that are Er,Cr:YSGG would maybe be interested in some of the science specific to that wavelength, or clinical cases specific to that wavelength.

    In addition breakout sessions sponsored by the companies in the afternoon would allow users of that wavelength to concentrate at least 2/3 to 3/4 of their time on that wavelength and encourage speakers for the companies to come to the meeting and learn a bit about other wavelengths that are out there.

    This gets rid of the my laser is better than yours phenomena that was so predominant especially in the erbium family just a few shorts years ago.

    In closing, I want to compliment Steven Parker as president for coming online to take the time to address issues that members of the LDF have posted regarding the standard proficiency. It shows a caring attitude to trying to alleviate concerns over the direction that the ALD is heading and also shows how 1000 members + here on the board can influence, and educate the laser world to what is happening out there.

    Steven , I encourage you to look at the past posts on LDF here to see what a great group of clinicians that there is here. So much information has passed on here since I joined over 3 years ago. I have learned so much from so many here and gained alot of friendships. This board has had very few negative battles unlike some other forums on the web dealing with lasers. There is an honest to goodness desire from the MANY committed clinicians here at LDF to learn as much about lasers as possible and I think that many here are leaders in their chosen wavelengths in the field.

    It is wonderful that you have come here to help attenuate concerns and to listen. It speaks volumes about you as a president and the direction the ALD is going.

    I for one will be in Tucson this year and encourage others to make a difference to what the ALD becomes. Its easy to criticize from the box seats, but harder to be part of the game………

    Steven has come to play, now I hope others show similar intent and will show there.

    Heck even if its to sample another Restaraunt that Ron Kaminer can pick out.

    That was one of the highlights for me!!

    All the best and thanks again to everyone for caring enough to post on this topic. In the end all the passionate clinicians here win!!

    Cya

    Glenn

    in reply to: Implant #5836

    Glenn van As
    Spectator

    The crowns were never seated properly on the implants in my opinion (see the gap on the radiographs).

    At least that is my opinion……now it could be the impression abutments werent seated or the final abutments not seated. There will be tissue in there now.

    What kind of implants are these (corevent is my guess) and do they have an HA coating.

    An erbium laser will absorb the HA and leave you with a titanium surface . It will also sterilize the area.

    I have one case going on right now like this……waiting to see how it heals.

    In my case the implant turns but the basket must have some bone in it as it wont pull up out of the way. I put the healing cap in and closed flapped it.

    I will open flap it if it still turns in 3 – 4 months.

    Its all experimental but in my case its on my mom who has the failing implant and I think she wont sue me!!

    cya

    Glenn

    in reply to: Lares Research #8477

    whitertth
    Spectator

    OK OK Glen, here is the deal, if they include some clinical tracks…I will come to Tuscon, and pick out a restaurant and will invite Dr. Parker to join us. Dr. Parker my reputation precedes me and I make a real good reservation..
    All the best..

    in reply to: Implant #5833

    whitertth
    Spectator

    Glenn,
    I totally agree, abutments are definitely not seated and nothing will work if this isnt taken care of first….implants must be seated..

Viewing 15 posts - 6,916 through 6,930 (of 8,497 total)