Forum Replies Created
-
AuthorPosts
-
Robert Gregg DDSSpectatorBruce,
You can use the DENTIN etch setting on the Periolase and get a very good bonding surface and clean of the enamel dust.
Bob
BenchwmerSpectatorBruce,
Try Danville Engineering to buy your abrasives.
I also use the AA for a diagnostic tool for occlusal caries/sealants. My assisitant told me working for me is like Thanksgiving Dinner everyday, you have to get out all the utensils, plates, pots etc. Whatever works.
Jeff
Robert Gregg DDSSpectatorJeff,
Why not used the FRP Nd:YAG to detect for caries when it won’t “prep” the tooth–only remove organic debris?
At 3.00 watts 10Hz 100usec it is very good at finding decay even through enamel.
Using AA it seems to me is similar to using erbium to “detect” decay…..
Bob
cadavisSpectatorI’m looking forward to Source 2006. I’ll be taking the standard proficiency course and would like to make sure it isn’t going to be superimposed on any of the other interesting seminars being given. I want to get as much as I can out of it.
Does anyone know if there are speakers that I will miss during the standard proficiency course??Chris Davis
doctorbruSpectatorBob,
You say the FRP:NdYag can be used to detect caries even through enamel . Please explain, what tissue or tooth interactions would I expect to see ?. I feel a need to get me some extracted teeth and start experimenting.Can you use the periolase to remove decay ? If so , please describe the technique and possible side effects- like over heating the pulp or incomplete caries removal.
Yes, I am pretty sure the periolase can remove organic debris. How much oraganic debris do I really want to remove ? What about using the 1064nm wavelength to sterilize the caries affected dentin ? What exactly is the “dentin etch” effect created by this laser and how will it effect SEBA’s ?
Sorry so many questions, maybe you could just point me in the right direction here. Where can i read about this stuff ?
Bruce
BenchwmerSpectatorBob,
I use AA as a quick technique to remove stain in grooves, old sealants and existing composite to detect caries.
Erbium would destroy and remove more tooth structure and take twenty times longer. I use the Nd:YAG routinely to remove deep dentinal caries, pulp capping, some root caries (AA creates bleeding, problems for bonding unless you shield the gingiva well)
Here is a 50 year old.
Non-smoker. I want to remove stains and sealant, to detect caries or clean the enamel to seal.
Once stain was removed, discovered #4 round bur size caries. This preparation was done with only AA 27micron Aluminum oxide. Erbium could then be used to remove remaining caries. I only use the Nd:YAG in cases with Local. I do this cases w/o LA.
The case was then restored with dentin bonding and composite.
I’ve done thousands of these restorations, one of the reasons I purchases an Erbium was to be able to finish caries removal w/o LA on these type of cases.
There are many different ways for diagnosis, I haven’t used an explorer as the definative test in years.
Case selection determines my treatment. I have alot of laser and non-laser choices.
Jeff
BenchwmerSpectatorChris,
The Standard profiency course has always been held the day before the Scientific Session begins. You wont have to miss anything you don’t want to.
Check the ALD site for the final schedule. It’s not up yet.
You’ll like the location. Take some time for hiking in the mountains just to the North.
From an EMail from ALD:
ALD CERTIFICATION 2006
March 15-16, 2006
The One-day Introductory Hands-On Course, Wednesday, March 15 provides a comprehensive overview of the clinical applications of lasers in contemporary dental practice. The Two-day Standard Proficiency Program, March 15-16, 2006 includes a lecture and hands-on course, written examination and clinical proficiency simulation examination. This level defines the standard of care for the dental professional according to the Curriculum Guidelines and Standards for Dental Laser Education
Speakers should be 17th and 18th.
Jeff(Edited by Benchwmer at 8:10 am on Dec. 5, 2005)
Robert Gregg DDSSpectatorThanks Jeff,
In those cases of deep decay, AA is faster.
I feel a need to get me some extracted teeth and start experimenting.
Bruce–We recommend that one of the first things you do is get some extracted teeth and see what interactions you can achieve………..
See settings above for decay removal.
Bob
JanetCenturySpectatorNice combination of techniques Jeff. This is one of the reasons I don’t charge extra for the use of the laser (like some do around here). I want to be able to pick up the instrument of MY choice for any given situation. High speed, low speed, aa, erbium, nd:yag – I like having them all available!
JanetCenturySpectatorJust had my first experiences with treating paresthesia. Both were post surgery lip paresthesias. Both about 4 years old. Definitely got some good changes on both. But I didn’t use as much energy as you have been using on this thread – I will bump it up for both 2nd visits. Both patients were amazed – frankly so was I.
** About to admit some guilt here – hope you don’t all think less of me**. I think the reason I that I didn’t use enough energy is that, well, frankly I get bored. Maybe I am the laziest SOB on the planet, or have some untreated ADD, but I have trouble sitting there and waving the wand. Um, so, can my staff do this once I’ve located the spots? Legally, morally, ethically? Anyone having them do this – my hygienists are using the laser during RC appts now and this seems less invasive.
Or am I just a lazy slug…….
Sigh.
Off to pay the bills….Janet
jetsfanSpectatorI’m sure many are doing this…. creating a laser bandage on the donor site of gingival graft procedures. I have been treating this essentially as an ulcer and applying ,25W 11% air 0 water. Have gotten very nice results except lately patients have been complaing that they get no relief. One patient left the office saying the palate felt better but the next day it felt as if it were burning. Anyone have any suggestions?
ThanksRobert
doctorbruSpectatorRon,
These are great results. Pleae tell me why you did the ablation phase in “Diode setting”.
Bruce
Robert Gregg DDSSpectatorJanet,
I understand. I get bored too.
To make it more interesting, CHARGE for your time….You can doooo it!!
You are the best suited since you understand anatomy the best and have the best training on the laser.
Bob
etienneSpectatorHi Robert
Interesting post..from your message I take it that you are using the Waterlase? Any other thoughts out there? Any other wavelengths for this application?
Thanks very much for posting!
Etienne
doctorbruSpectatorCool Ron,
Was the gutta percha heated in a defocused mode and then removed with another instrument ? Or was there direct contact with the gutta percha and the fiber ? Did the gutta percha stick to the fiber for easy removal ? I tried removing gutta percha as you showed and got alot of sparking and noise that got mine and the patients attention.
Bruce
-
AuthorPosts