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Robert Gregg DDSSpectatorStart with 2.0 watts, 100usec, 20 Hz and at several inches distance to establish comfort. Then 200 to 400 joules per tooth.
To etch dentin, and occlude tublues, use the Dentin Etch setting.
Bob
AnonymousInactivemkatz,
I’m wondering if you warmed the area sufficiently. The results you describe seem to be similar to LLLTherapy which occasionally produces unpredictable outcomes. Moving too fast over the area can put energy in but may not be as effective or predictable as a smooth slower movement. Try it on your hand and make sure that the motion you are using produces a pleasant warm feeling like a nice hot shower that you are able to stay in and not burn yourself. It has also been my experience that pausing every couple of K Joules and assessing the therapy effectiveness allows the area to relax and/or cool.
whitertthSpectatorProfessor Moritz, president of ESOLA, gave a mind opening presentation on Bond strengths with regard to one step bonding agents. Bottom line is that if the laser was used prior to application of one step agents, bond strengths were reasonable because the laser removed the smear layer and opened the tubules. Otherwise bond strengths were extremely poor…These were verified by some of the best sems I have ever seen….So Bonders beware..
He also showed some unbelieevable sems with regard to bleaching material and damage to the enamel…Bottom line there is that many products including whitestrips damage enamel and what has been shown with a new bleaching agent not on the market yet is that rapid laser light application ( Diode, or ND yag) in conjuction with the gel produced good results with little to no enamel surface alteration……So stay tuned cause bleaching the way we know it is going to change.(Edited by whitertth at 2:58 pm on Mar. 6, 2006)
Robert Gregg DDSSpectatorThanks Ron,
Interesting stuff. Please keep us posted.
Thanks,
Bob
Lee AllenSpectatorI thought that I would revisit this topic since I am planning a lingual frenectomy on a 4 year old. Mom is concerned about the speech development and had an evaluation to confirm her fears.
Now to the task: Do you think that topical (DRK Liquid) is adequate for this alone, but if injecting what is the site, objective anesthesia zone, and just a drop or a portion of carpule?
My plan is to use topical since the degree of tie is much less than pictured so far. Cooperation will fly out the window if he is hurt however.
Using the Waterlase (classic) at .5 W (20Hz / 25mJ for the YAG users) and 15% Water and Air.
I anticipate little bleeding, and no pain since this is less energy than prior reported useages here and for thin tissue it is effective. The tip I like to use is a tapered tip that is 400 microns diameter at the working end. That may mean with a chisel tip the power densities may be the same. Hummmm.
The advice I am looking for is:
1. is this a good plan with regard to anesthesia2. would you place a suture in a 4 year old? Or, how effective is the tongue pointing exercise?
Thanks for your assistance.
2thlaserSpectatorLee,
Good to hear from you. First, I would avoid a tapered sapphire tip. Too much energy. I really think also that DRK liquid would work great. I would recommend 1-1.5W using a Z-6 6 or 9mm tip, defocussed, and if you really wanted to use a sapphire, the C-3 chisel is the only other choice. You really won’t get much if any bleeding if you use the Z-6 defocussed. Energy level will depend on how fast you want it to go in YOUR hands. All of us are a bit different. If you need any more advice, PLEASE call me anytime. I miss hearing from you…Lori says hello!All my best,
Mark
HubertSpectatorRon,
very interesting stuff. Will you be at the ALD-meeting in Tucson? I will be there and hope to meet some of you forum guys. You may remember, Ron, that last year in N.Orleans I was too busy preparing my Standard proficiency as to join you.
Are there any plans like meeting for a beer?
Hope to see many of you in TucsonHubert
HubertSpectatorGlenn,
wonderful case and documentation, thanks for sharing!
Two Q’s:
What Er/Yag tip diameter did you use?
What is high mag in your case? Reason I ask is I have a Global G6 scope here to test-drive and I am trying to find my way around.Will you attend the Int. Relations Committee meeting in Tucson? if so, we will meet each other there. Looking forward to see you.
Hubert
N8RVSpectatorYou know, Wes, I was following most of your math logic (which should really scare me), but hit a wall with the Pi thing … and the fluency.
So, taking a cue from you, I opened a Corona and mulled it over. About three Coronas later, I suddenly found that it all made sense — I became fluent in several languages and I ate the pie.
You are indeed brilliant!
whitertthSpectatorUnfortuantley I cannopt be there…but of course I remember you scurrying around preparing….Have fun at the ALD and have a drink for me…..
HubertSpectatorRon,
okay, I will. See you next time then I hope.
H.
JanetCenturySpectatorThank you all for the 10 Hz advice. Been doing much better on the posterior teeth. Also helps that I have been insisting on setting them up in the room with the microscope. I find I can better anticipate when they will start to feel it and turn the power down ahead of time.
Thanks again!
dlawlerSpectatorMy son was in town 2 weeks ago for a visit. He was complaining of pain in his knee. He had surgery around 15 years ago from blowing out his knee playing basketball. Interestingly, his chief complaint when I questioned him more about it was the numbness that has persisted. To him, was like touching dead tissue. I biostimulated with my new Periolase. The pain went away and the numbness went from a 9 out of 10 to “about a 7”. We spoke by phone a week later and the numbness is almost completely gone! I was so excited by that news that I forgot to ask about the pain.
AnonymousSpectatorHi Guys, I’ll add my case here.
Pt referred to endodontist who said probable vertical fracture. Rec. Ext.
[img]https://www.laserdentistryforum.com/attachments/upload/bepretx.JPG[/img]Xray w/ GP in place.
Gave pt. option to try ndyag.
20hz. 160mj 150 us 142 J
Fiber taken to approximately 4 mm of apex and laser fired while withdrawing fiber.20Hz. 180mj 550us 50J
for clot.Post op
[img]https://www.laserdentistryforum.com/attachments/upload/beposttx.JPG[/img]6 months
[img]https://www.laserdentistryforum.com/attachments/upload/be6mthpostop.JPG[/img]Xray to follow at next recall.
Very Grateful patient and grateful dentist.
Thanks for posting these cases and giving me the opportunity to offer an alternative to ext.
AnonymousSpectatorSorry for the cross post w/ DT but its my day to vent!
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