Hi Dino………I will say this in reading the thread on DT. First off I have seen cases from Mike Swick with the 980 nm diode where bone did reappear on a severe periodontal problem.

Not in the amount or consistency that Bob ,Del, Chuck and Dawn show in their cases. I have also seen great results with the Periolase from Ron, Zendentist and others with consistent times.

In addition, with the Periolase its a one shot deal, with the diode its a come back 4 times and I will shorten the fiber each time by 1mm, get a long junctional epithelium and in addition get a decrease in inflammation as my primary results.

I think Bob and Dels secrets are two fold..

1. The right wavelength due to super high peak powers and due to the wavelength being absored better in pigmented bacteria.

2. The right protocol that Bob and Del have refined over the years to yield consistent results.

Thats the difference in my viewpoint and I know that Ron shares my viewpoint having seen disappointing results after 18 months (relapse) with the diode.

Hope that helps

Glenn

I am looking at IPS currently. Are you using them and are you happy with the service? Are you affiliated with them in any way? How does one contact you directly?
Thanks

Hello to all!
I am planning on treating a patient with biostim. today for lingual parasthesia that occurred last week following #32 removal. She has no tingling sensation at all. What are the recommended settings for the Periolase? Is it 20Hz for 100usec at 3.6W? I’ve read so many variations for amount of Joules, anywhere ftom 4000-10000? Any recommendations for these settings, and is there a difference for intra/extra oral for the settings? Any help is appreciated, I can’t wait to see if we get results!!

Mark,

Your recommendations were right on.  I saw little Mack, the 4 year old with the lingual tongue tie, and it worked better than expected.

I used my Erbium YSGG (classic) with your recommended Z-6 tip at 1.0 W with 20%water and 15% air.  The DRK liquid was applied with a cotton swab for 3 minutes on both sides of the frenum from the tongue to the attached gingiva.  On observation the attachment at the gingiva was at the mucogingival junction already so I did not ablate it, but the tongue had a tight frenum all the way to the tip with an obvious fibrous band at the crest of the frenum which blanched when stretched.

I clamped the frenum.  That was the first amazing thing.  No pain or reaction from Mack.  I just dissected the frenum from the underside of the tongue and around the hemostat avoiding the salivary gland duct. Man did it gape open when completed.  And suddenly it was done and without any, and I mean any, bleeding.   When we showed the Mom she was the happiest of all of us.  Almost to tears.

It took 10 minutes total.  Pre-op I tested his tongue reach and he could not touch my finger placed just under his vermillion border of his lower lip about at the gingival crest level.  Post op we have a reach to the mid chin button.

As recommended earlier in this post, I am relying on a motivated mother to keep him on task several times daily putting his tongue out to touch a finger placed at this spot.  I did not think that suturing would be possible given that we had tested his patience to this point.  I have had great sucess using a suture for maxillary fenectomies, but at least there is an alternative with the lower one.  New territory for me, so after 37 years of practice, I am still learning.

A very big THANK YOU to all who have given advice on this subject on this forum.  It is the only conduit for this information I have found.  Without it, the treatment and impact on the patient would have been very different.  

For that reason, we all share in the successful treatment.  :biggrin:

I wish I could convey the happiness of the mother in seeing that her son did not have to endure the recommended treatment of the Speach Pathologist and Oral Surgeon.  Truely miraculous in her eyes and grateful beyond words.

(Edited by Lee Allen at 1:30 am on April 1, 2006)

Hey Lee……AWESOME. Your ethusiasm and happiness probably match the moms. Your clinical descriptions are vivid and great. I dont do these without first anesthetizing so it was great to hear that you did…..

CLAP CLAP CLAP

Thanks for sharing and each and every day I thank Ron Schalter for this great site where learning on lasers is so wonderful.

Cya

Glenn