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Robert Gregg DDSSpectatorEtienne,
I think you’d best adjust the bite and composite splint. Look at the mid-root defect. That’s from trauma…..
Bob
czeqm8SpectatorI’m in. Who will I see?
etienneSpectatorThanks Bob! I was wondering whether somebody would pick it up 😉
Do you think bone regeneration is evident or is this a case of seeing what I want to see?
Take care
Etienne
Robert Gregg DDSSpectatorProbably too early to see bone at 6 days, but if you splint it, the bone will come.
czeqm8SpectatorIsn’t anyone going to go to the meeting? You guys just want to suprise me?
Matt Brink
Robert Gregg DDSSpectatorHey Matt,
There’s a bunch showing up. About 150 attendees, 110 dentists. Not all play here on LDF.
See you soon!
Bob
etienneSpectatorHi Bob
I guess what it boils down to is the question whether there is an advantage in using laser for endo. I am fairly sure that getting bone regeneration with conventional endo in this case would have been possible. Does the laser make it more predictable? Does it happen quicker? I know what my purely anecdotal, biased feelings are. Prove one way or the other would be nice. If there is no difference, it is just an expensive gimmick…What are your feelings about this?
Take care
Etienne
AlbodmdSpectatorJeff,
Just wondering how you fit everything in your ops? Do you have oversized ops? I see you have an erbium, nd:yag, and AA. I just have an erbium and a periolase and it’s a pain moving everything around. Any tips on having an efficient op with all the equipment?
AL B
Robert Gregg DDSSpectatorWell Etienne,
I think that is a good question.
Sure, bone will fill in these defects cuz we create a “closed system” when we do a decent RCT. Antibiotics and anti-inflamatories tip the healing in favor of complete resolution.
Will it be more predictable? Perhaps, since we get a measure of disinfection where pathogens may have penetrated into deeper tublues and accesory canals beyond our NaOCL alone.
Will it be faster? Again, the evidence suggests it might. There is evidence that all laser wavelengths, from visible red to far infra-red have anabolic effects in injured/diseased tissue.
I tend to reserve it for acute, septic, draining lesions for an added measure of decontamination. If the canal PEO is large enough, I will even run the fiber out the apex and into the peri-apical lesion, and lase for about 15 seconds.
Bob
AlbodmdSpectatorDavid,
That old link doesn’t seem to be working. Do you have a new link for it? Is it on your website? Would love to see it.
Al B
etienneSpectatorHi Bob
My thoughts are that the dentinal tubuli are approx 2um in diameter. Research has suggested that a half hour soak with warm NaOCL will sterilize up to 100um into the tubulis but that bacteria can penetrate up to 1000um into the tubulis. Because laser (FRP Nd:YAG) can decontaminate up to 1300um by penetrating through the tissue (not reliant on penetrating into the tubuli) in about 15 seconds it sure makes sense to me. The other benefit is of course the biostimulation in the periapical lesion which facalitates healing.
Am I on the right track here?
Any other thoughts?
Take care
Etienne
Robert Gregg DDSSpectatorHi Bob
My thoughts are that the dentinal tubuli are approx 2um in diameter. Research has suggested that a half hour soak with warm NaOCL will sterilize up to 100um into the tubulis but that bacteria can penetrate up to 1000um into the tubulis.
1000 microns = 1mm
So 100 microns (or the diameter of a human hair) isn’t very deep to clean with a 30 minute soak in NaOCL, I don’t think…..
Because laser (FRP Nd:YAG) can decontaminate up to 1300um by penetrating through the tissue (not reliant on penetrating into the tubuli) in about 15 seconds it sure makes sense to me.
Harris has shown 2mm or 2000 microns depth of kill into root dentin, and I forget the exposure time or light dose. Â But it might be on his website:
http://www.biomedicalconsultants.com/projectandpublications.html
The other benefit is of course the biostimulation in the periapical lesion which facalitates healing.
Am I on the right track here?
I think so….Our references are similar.
Any other thoughts?
Not right now.
You too,
Bob
Take care
Etienne
BenchwmerSpectatorAl,
I moved last year. New design gave me a little more room. Placed the AA inside rear cabinets. I have 2 PerioLases and an Opus Duo. Try to schedule patient when need Erbium in correct room or will move patient instead of moving Erbium. Since October have had two Duos (Had one from company for my demos/lectures). They took it back Tuesday, was nice having both type of lasers in each of my operatories. I place the Erbiums behind the NdYAGs, find the PerioLase easier to move. The PerioLase is always in position to use, roll away when need the Erbium, then pull the Erbium into position. My operatories seem to keep getting smaller.
Jeff
JanetCenturySpectatorI’ll be there!
Glenn van AsSpectatorI will be there late on Wednesday night….looking forward to seeing alot of friends from DT, and LDF.
Make sure you arent too hung over for Saturday am as I am first up…….yummy pigjaw surgery under the scope……..
Closed flap then open flap!!
Glenn
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