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AnonymousSpectatorQUOTEQuote: from cadavis on 8:54 am on May 18, 2006
I’m not sure how to transfer our Sony Digidoc shots out of her charting and into this forum though.
Chris DavisChris, if your digidoc shots are on your computer you can use the following program –Screen Hunter to capture them. Look forward to seeing the pics.
Lee AllenSpectatorThe Waterlase has been a remarkably maintenance free instrument for its complexity but I cannot reinforce the need for routine maintenance more.
I have learned over the past 4 years, thru trial and error, that routine (annual at a minimum) checkups are good a way to prevent expensive repairs – like fiber replacement – and maintain the operating effeciency.
Case in point, twice I have been stopped from using the Waterlase with an error message and an annoying water leak. I learned how I should be doing some topping up of distilled water (internal closed system reservoir for cooling) and inspection with cleaning under magnification of the cable end. Both times the tech was able to tune up the performance of the Waterlase and catch something about to go. It feels about 40% more effecient now.
Even if the instrument has been without use, there are maintenance items to be peformed. I would imagine at the least there is internal cooling sytem water evaporation.
A tech annual visit is a must. The cost is a part of owning and operating the Waterla$e, like changing the oil in your car. The maintenace contract is a way to cut the cost down but primarily to decrease your $$ liability for the big repairs.
:biggrin::biggrin:
(Edited by Lee Allen at 3:33 am on May 19, 2006)
Lee AllenSpectatorWhat ever happened to this handpiece mirror repair solution?
I have a semi scorched one that I want repaired and the cost is 赓, but there is a do-it-yourself kit for 踰 that the tech is encouraging me to buy. Once the kit is in hand, will mirrors be hard to come by? :confused:
bobkoenitzerSpectatorRon, I just received my periolase and would like access to the Periolase users forum. Thank you.
Bob Koenitzer
jetsfanSpectatorIs everyone polishing their tips(laser tips that is)? How about chipped edges? With what are you polishing them, as I have some G4 and G6 tips that are chipped, that I would rather not discard?
Robert
cadavisSpectatorThanks Ron,
As soon as I get the followup shots, I’ll post them. I know this is old hat for most of you, but bear with me while I learn this stuff.
Robert Gregg DDSSpectatorYeah, it should work…….At least we know it does with a pulsed Nd:YAG.
Bob
Robert Gregg DDSSpectatorDitto what Mark said!
Bob
Robert Gregg DDSSpectatorHey Bob,
Call Cristalle at MDT. 562-860-2908.
Bob
slobob49SpectatorHello Robert,
My name is Bob Sloan and I am with a company named Precision Tips. My partner, Charles Buzzetti, has posted on this topic in the past. I would like to try to explain some of the issues regarding polishing of sapphire laser tips.
The sapphire used in the Waterlase tips is single crystal sapphire that is machined to specifications determined by the manufacturer, which allows maximum propagation of light energy through the tip. Single crystal sapphire is extremely hard, Mohs 9, (Diamond 10, Quartz 7) and also very brittle. Both of these properties create issues that must be addressed when polishing the end face. Single crystal sapphire is also self-cladding. This means that if light enters the tip within the angle of incidence, (the angle at which the maximum amount of light will enter and propagate down the light guide) the physical properties of the sapphire “hold” the light within the light guide. Light will not exit through the sides of the tip. This is where the angularity of the end face (especially the proximal end) becomes critical. If the angle of incidence is not maintained through mirror alignment or the angle of the end face, light will be reflected off of the end face, be emitted out the sides of the tip, or reflected back toward the mirror.
Polishing issues encountered include; difficulty in polishing hard material, fretting (chipping) of the end face edges, scratching of the outside surfaces of the light guide (this can destroy the self cladding properties) and maintaining end face flatness and angularity. Without the proper abrasives and tooling, polishing the Biolase tips to meet minimum specifications for angularity, flatness, and removal of defects is extremely difficult. I would be apprehensive about putting a very expensive piece of equipment in jeopardy by using a tip that may not meet the specifications needed for maximum light transmission. If you cannot verify that the physical specifications of the tip are being maintained, you cannot be sure that the tip will operate effectively. It took us a several months to develop the procedures required to produce a product that performs to at least the specifications required by the manufacturer. Also, our inspection equipment is designed to give us the means to observe all relevant characteristics that assures us that a tip meets the physical properties required for safe, effective operation. Because of our adherence to strict procedures, in the two years since we began doing this, we have not had any reported cases of a tip failure due to our work. To conclude, in my opinion, merely polishing a damaged tip would not be in your best interest.
My suggestion to you would be to send to us any damaged sapphire tips that you have. We will evaluate them to determine if they can be repaired. I would be very happy to refurbish a tip for you and return it to you at no charge, for your evaluation.
Even if you do not want to use our service, any sapphire tips that you have, that are refurbishable, have value. We will purchase them from you. Demand for refurbished tips is high and we have a hard time building an inventory. The great majority of dentists want their tips refurbished and returned to them.
I hope I have not been too long winded. Please feel free to contact me privately at bs@dentallasertips.com if you have questions that you would prefer to not ask publicly. We are quite willing to discuss what we do with anyone who has concerns or questions.
Bob Sloan
Precision Tips
jetsfanSpectatorI need a dentist in Melbourne for a patient moving to Australia for a year. Any names please.
SwpmnSpectatorChris,
Is the handpiece easy to use? How do you angle the fiber? How is the laser activated, is there a button on the handpiece or a foot pedal?
Thanks,
Al
cadavisSpectatorThe handpiece is pretty easy to use. I like the button on the handpiece, but there is a foot pedal also if you prefer that. I will probably use it now and then. The angles are not the type you can bend to suit, but I understand there are some on the market that can be used with this handpiece. I’ll try to find out where you get them. Overall I like it. Kind of expensive compared to the Zap laser though.
SwpmnSpectatorThanks for your reply Chris.
SwpmnSpectatorBump:
Have a friend who has experienced parasthesia of the inferior alveolar nerve post operatively of root canal therapy on a mandibular second molar. Patient reported a “shock” sensation to the lip during administration of anesthesia. More than one injection was required to obtain profound anesthesia. I do not have access to any radiographs or clinical details as the patient does not live in my area.
According to the patient, procedure was unremarkable and was completed in one visit. Next day, patient reported still having a “numb lip” but having severe pain with the second molar. Penicillin and Vicodin were given and in a few days the tooth became asymptomatic. The lip remained “numb” but the patient reports normal sensation in areas innervated by the lingual nerve.
After approximately ten days, the patient was administered some sort of oral steroid therapy with no improvement in the condition. The parasthesia is now at thirty days, with no burning, tingling or “hot spots”. Complete parasthesia from commissure to mandibular midline and one-half of mentalis area.
For those of you who have had success treating this condition, can you please write and offer suggestions? Even if I had a pulsed Nd:YAG, I could not treat the patient due to geographic distance.
Thanks for your help,
Al
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