Page 493 – Laser Dentistry Forum

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April 27, 2006 at 11:37 pm in reply to: AAP #9665

arrowsmith
Spectator

I’ve been speaking with a few periodontists in my area about lasers in dentistry and they pretty much all share the opinion/conclusion of the article. Some meet the whole idea with more resistance than others. I am puzzled as to why the Yukna study was not mentioned either . . . or LANAP.
Bob, help us out . . . . how can we discuss this issue with periodontists so that they will listen?

aaroN

April 28, 2006 at 7:28 pm in reply to: Surgical2 #5519

mkatz
Spectator

ThromboSeel – I’d love to get additional information… price, source, research data comparing its efficacy with fresh prepared PRP… any advice?

April 28, 2006 at 8:08 pm in reply to: Surgical2 #5515

etienne
Spectator

Hi Aaron
I’ll check the exact dates from extraction till implant for you on Tuesday. I didn’t reflect a flap, used a one stage procedure with a 5mm X 13mm Co-Axis implant from southern Implants. Ideally I would have waited a bit longer but was afraid of bone loss.

Bob knows more about this than I do but with initiating blood clotting with the Nd:YAG in the socket you get a beter scaffold for bone regeneration and thus maintenance of the alveolus. Long term, the bone will still recede of course, but this should give you time to get the implant in.

The idea with the PRP as well as the laser is to try to go one step further, especially in large defects. For smallish defects the laser alone should be sufficient.

Take care
Etienne

April 28, 2006 at 8:14 pm in reply to: Surgical2 #5512

etienne
Spectator

Hi MKatz
Thromboseel is produced by the South Africa blood transfusion service form a select group of donors that are tested every 6 weeks. The product is only released after the donor has tested negative at a subsequent screening 6 weeks later.

I’ll try to get some details for you regarding your questions.
Take care
Etienne

April 30, 2006 at 3:36 pm in reply to: Surgical2 #5522

Robert Gregg DDS
Spectator

Thromboseel is produced by the South Africa blood transfusion service form a select group of donors that are tested every 6 weeks. The product is only released after the donor has tested negative at a subsequent screening 6 weeks later.

If I’m not mistaken, the blood products are derived from the recently discoverd Malaria-free Jalalalabee people from the African Interior selected for their blood’s thixotrophic properties that resist blood parasites such as mosquitoes and dropsie. The region is accessible only by foot which makes sampling and testing inconvenient and lengthy for results (6 weeks) to get back.

Etienne, we are jealous of your access to such rare and wonderous raw materials!

Bob

😉 😉 😉

April 30, 2006 at 4:51 pm in reply to: Surgical2 #5508

etienne
Spectator

Hi Bob
!!ROTFLMAO!! you are a funny guy )

I ran out of PRP yesterday and did a case where I grafted the site with the demineralized freeze dried bone again. I would very much like to integrate BMP into the PRP at time of grafting. I am still looking for the correct product though.

Have you heard of PRF (platelet rich fibrin)? I saw an article on it that seemed very promising…

Take care
Etienne

May 2, 2006 at 2:06 pm in reply to: Off Topic #3179

whitertth
Spectator

Anyone else having trouble loggin on? It isnt recognizing my password but tells me my email is in the sysytem and I cant log on…Is it just me?
Thanks,

May 2, 2006 at 2:36 pm in reply to: SIROLaser #8130

cadavis
Spectator

I’ve recieved the Sirolaser and will be getting the in-office training this Thursday. If anyone else has used this laser and can give me some tips on what they’ve been able to do with it, I’d be glad to hear it.

Chris Davis

May 2, 2006 at 2:47 pm in reply to: diode laser glasses #7928

cadavis
Spectator

I tried a set of 980nm inserts for my Oroscoptic TTL loupes. They are basically just a regular insert that is mounted in reverse. Not exactly user friendly.

Has anyone else found anything that works?

Chris Davis

May 3, 2006 at 11:55 am in reply to: Dental Town #9105

dkimmel
Spectator

I have had no problem logging on. I think they have banned a few of the trouble makers and won’t let them on the new forum…

May 4, 2006 at 12:56 am in reply to: General Erbium Discussion #2783

dkimmel
Spectator

[img]https://www.laserdentistryforum.com/attachments/upload/105k.JPG[/img]
Your looking at 2.5 years post open a closed CL. This is a photo prior to perio probing.
[img]https://www.laserdentistryforum.com/attachments/upload/1io1k.JPG[/img]
[img]https://www.laserdentistryforum.com/attachments/upload/1099k.JPG[/img]
The above two images are after perio probing . Depths are 323 on both the lingual and buccal. No bleeding on probine noted.

2.5 year postop X-ray.

May 4, 2006 at 1:01 am in reply to: Post- op CL #5996

dkimmel
Spectator

I thought I had posted this case when I first did it. However I could not locate it. So, I’ll post the preops.
This was a medically compromised patient. Today I would not have used the cord as seen and would hope my tissue management is better today. However the patient had no post op discomfort.

[img]https://www.laserdentistryforum.com/attachments/upload/2lk.JPG[/img]
[img]https://www.laserdentistryforum.com/attachments/upload/6lk.JPG[/img]
[img]https://www.laserdentistryforum.com/attachments/upload/7kl.JPG[/img]
[img]https://www.laserdentistryforum.com/attachments/upload/8lk.JPG[/img]
[img]https://www.laserdentistryforum.com/attachments/upload/9kl.JPG[/img]

May 4, 2006 at 5:21 pm in reply to: Post- op CL #6002

Swpmn
Spectator

Hmmmmm. Looks like that worked pretty good. Being a CFCL naysayer, I may have to eat some leather from one of your old boat shoes. Bring one to the next meeting and we’ll get some photos. Man you do nice looking crowns!

How about going back and telling us exactly what you did, settings, etc.???

Al

“Shoe Leather, it’s What’s for Dinner”

May 4, 2006 at 8:08 pm in reply to: Surgical2 #5516

etienne
Spectator

Hi Aaron
I checked the dates for the first case.

Extraction and grafting was on 10th February. The implant was placed on 24th March. The temporary crown was placed on 30th March.

I did not raise a flap during implant placement as I did not want to disturb the labial tissue.

Here is a picture of the temporary crown in place.

Take care
Etienne

May 5, 2006 at 12:22 am in reply to: Surgical2 #5526

arrowsmith
Spectator

etienne,

That’s pretty amazing! Nice restorations on the adjacent teeth BTW. I don’t know how many courses I’ve heard people talk about waiting a minimum of 4 months for healing with a graft, cortical or cancellous, mineralized or demineralized. Your results are impressive so far. Now, do I dare say that the use of the Nd:YAG helped the stability of the graft? Every periodontist I can think of would say no way.
Now, I am curious as to whether or not you could have just placed the implant, graft, PRP, and used the Nd:YAG all at the same time, and still expect the same results.
How do you think this will look in 5 years? Does your implant have a collar, or is it treated all the way to the platform? My guess is that with a treated implant all the way up (like Astra, Groovies, etc,) and a platform switching abutment with mesial and distal slight concavities, it will look fantastic . . . . for longer than 5 years.

Bob, we’ve talked in the past about not using grafts with LANAP because the graft just gets in the way of healing. But, away from teeth/roots/PDL, do you expect healing to be enhanced in immediately placed implants, or socket grafts when the Periolase is used to stablize the clot? I may not be understanding the entire picture yet . . . . any information is always cherished from you!!

Great case etienne . . . . show us more!!

aaroN
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