Thanks Glenn for the explaination. Sounds like what Eric Bornstein was discussing at the MDT meeting.

Michael–There has been no “head-to-head” comparison of any diode or diode methodology to LANAP either in vivo or in vitro except for the AADR Harris and Loomer in vitro experiement showing FRP Nd:YAG had a 16 fold lethality over 810 nm diode w/o destruction of the surrounding tissue.

In fact, I’m not aware of any human histology regarding any diode or diode methodology of any kind. A few people have reported to me that HH is being pllanned or is underway, but that’s it so far.

And other then Larry Finkbiener’s Argon study, I have not seen any cummulative data looking at clinical indices of any diode, including PAD.

Now, Dr. Eric Bornstein has some very interesting stuff regarding dyes and diodes, but no comparative info other than his Dentistry Today article that he wrote comparing the light dosemitry of LANAP and the need to use about 3 times less “light dose” using a diode in the perio pocket.

Bob

David,

We discuss this in detail at Day 4 and Day 5………….;)

I actually look at the article as movement toward eventual acceptance of laser perio.

In 1992, Cobb published 2 articles that said Nd:YAG laser burn roots, inhibit fibroblasts migration and were generally dangerous. The AAP adopted a laser Position Paper that reflected his flawed study designs.

Around 2000, Dederich published a laser review in JADA that said laser perio was no better than S/RP.

Now Cobb is saying there is “minimal evidence” for lasers perio treatments.

In January, AAP President-Elect Preston Miller said that the new lasers (i.e. Periolase) for perio treatment are worthy of looking at. His partner is a Periolase owner.

The AAP and Cobb are preparing their members for a “soft-landing” when the results can no longer be ignored or denied.

The failure to cite the Yukna abstract was a big mistake. It once again hurts Cobb’s credibility. It was a big mistake to say that only peer reviewed papers would be included, then cite a Dentistry Today article, but not all that pertain to laser perio.

Those periodontists who rest to hard on this latest Cobb paper have sand for a foundation not bedrock. If the perio folks you are talking with share the same con clusion, ask them if they also share the direction that Cobb and the AAP are moving……

A perio friend of Cobb’s and lectuer at UMKC is a Periolase owner. Cobb has follwed his results for the past 18 months. This periodontist has been so successful in clinical results (getting what we claim) and ROI as well that he is attending Bootcamps to become a LANAP instructor.

So, I’m starting to feel a bit like the Indians at the Little Big Horn listening to Custer tell his troops, “We don’t need to wait for General Reno’s reinforcements, we have them right where we want them.”

Making critical conclusions while ignoring all all the available data can be dangerous. Relying on incomplete data and accepting that at face value is foolish for professional soldiers and periodontists alike.

Bob

I’ve completed the training on the Sirolaser and I have to say I”m impressed with it. It’s extremely easy to use. I did an extraction yesterday on an older patient that is on meds whiich make him a heavy bleeder. I didn’t take him off the meds this time. I used the diode to create hemostasis and it worked great. I also completed a labial frenectomy on a youg girl with a large diastema. The diode cut fast and smooth. Great result. I have a post op shot of it and will be taking one and two week followup shots which I’ll try to post later. I’m not sure how to transfer our Sony Digidoc shots out of her charting and into this forum though.

Chris Davis

Jeff,
Saw the first article in DT…nice. I know I read them!!

I will read the CE one soon…Always nice to see someone publish on lasers, period!

Mark