Page 502 – Laser Dentistry Forum

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July 29, 2006 at 12:04 am in reply to: Parts Cost Guessing Game #9164

JanetCentury
Spectator

Marking this!

July 30, 2006 at 3:21 pm in reply to: Advanced LAser course #8471

2thlaser
Spectator

Hey guys, sorry. Been golfing in a tournament with my dad…busy! The class will be advanced hard tissue, with emphasis on evidence based protocols in endodontics for the general practitioner…with Dr. DiVito, and my self as instructors. I am lining up a few endo cases for all to do. I can handle 5 patients, and only 10 doctors in this class. I am also trying to arrange some patients for either me to demo or to have you guys work on for advanced hard tissue, veneers, crowns, hard class II’s etc…or whatever you guys tell me you want to learn. If Kimmel is coming, I want to discuss a few “other” neat things we can do with the laser and have his input in that.

That’s about it?! Should be a fun weekend with alot to learn…Yes, there will be some leture too, but if you just ask lisa@waterlasetraining.com to send you a course outline…and description…she will!

Thanks for the interest!

Hope to see some of you there. We are at 5 already registered and counting!

All the best,

Mark

August 5, 2006 at 11:59 am in reply to: Advanced LAser course #8470

dkimmel
Spectator

You bet Kimmel is going to be there.
Loking forward to it.

August 7, 2006 at 2:34 pm in reply to: Advanced LAser course #8472

2thlaser
Spectator

Cool, Can’t wait to see you David! Only 4 spots left and going for anyone else that might want to come to Whitefish in all its glory!

Mark

August 12, 2006 at 7:32 pm in reply to: WCLI Fellowship #8433

dkimmel
Spectator

Ok, manged to pass the fellow stuff and now off to the master..
Ron, Just redo your cover page and present the cases you already have..
The stress levels are much lower.
The written has some questions that need to be replaced. If you don’t think they are easy….

August 13, 2006 at 3:23 pm in reply to: General Nd:YAG Forum #2733

etienne
Spectator

Hi Guys
About a year ago this guy walked into my surgery complaining about pain/swelling associated with tooth #8.

The patient was adament about not wanting a bridge or partial. I hate promising them implants in this kind of case! I took the tooth out, used the Nd:YAG in the extraction socket to disinfect the area and then used the laser to create a clot.

No graft was done in this case. After healing I placed an implant and followed it up after a year.

As no flaps were raised during any of the procedures I don’t positively know whether the buccal bone has healed. At this point I don’t really care either. Everything seems stable at this point…
Any feedback?
Take care
Etienne

August 13, 2006 at 9:35 pm in reply to: ‘Nother parasthesia reversal case #5876

Robert Gregg DDS
Spectator

Etienne,

Ditto on that awesome by Ron. Ditto the kudos to Ron for the post.

However you deliver the total joules, it doesn’t matter all that much as long at the basic parameters are short pulse 20 hz, the power is relative to comfort and spot size over the area.

Great service!

Bob

August 13, 2006 at 9:36 pm in reply to: Interesting article #5816

Robert Gregg DDS
Spectator

Etienne,

Another awesome result with a FR pulsed Nd:YAG!

Well done!

Bob

August 13, 2006 at 9:39 pm in reply to: Implant case #5575

Robert Gregg DDS
Spectator

Etienne,

With you obvious skills, the Nd:YAG just makes you all that better.

From experience, I’m sure you have new buccal bone. We know from the perio literature and other evidence (Yukna et all) that Nd:YAG is indeed osteoproductive.

Can you feel any bone on the buccal plate?

Bob

August 14, 2006 at 5:20 am in reply to: ‘Nother parasthesia reversal case #5874

etienne
Spectator

Thanks Bob!
If the short pulse is that important, can it be done with a diode?
I know of people who have tried and failed with diodes. Do you know of successful cases?
Take care
Etienne

August 14, 2006 at 5:26 am in reply to: Implant case #5573

etienne
Spectator

Hi Bob
Thanks for the compliment!
It feels like the buccal bone is intact and it also looks like it judging by the gingiva.
Osteoproductive is a new term for me. Would that be the same as “osteoinductive”?

I would definitely not want to be without a FRP Nd:YAG!! After everything is said and done I think it is also the laser with the highest ROI (financially…as well as clinically)
Take care
Etienne

(Edited by etienne at 1:27 am on Aug. 14, 2006)

August 15, 2006 at 1:55 pm in reply to: ‘Nother parasthesia reversal case #5877

Robert Gregg DDS
Spectator

Hi Etienne,

Diodes are continuous wave, and have no ability to attain the peak powers that a FRP Nd:YAG can with the short pulse duration (intensity of beam). The best they can do is interrupted gated pulse with no true peak pulse power–just a garden hose effect of photons vs a crimped and released hose.

Therefore CW diodes are more like the long pulse durations and we know that mostly warms the tissues. Good for hemostasis when applied properly, just not so good for consistent results in biostim.

That and 20 hz seems to be extremely critical.

Good discussion!

Bob

August 15, 2006 at 1:58 pm in reply to: Implant case #5576

Robert Gregg DDS
Spectator

That great Etienne!

If it looks like bone, feels like bone and tissues behave ass if there is bone, it is my 16 years of experience that it’s BONE baby!!

Take care,

Bob

August 15, 2006 at 5:29 pm in reply to: Implant case #5574

etienne
Spectator

hehehe 😉 …My thoughts exactly!

So, is “osteoproductive” the same thing as “osteoinductive”?
Take care
Etienne

August 15, 2006 at 5:39 pm in reply to: ‘Nother parasthesia reversal case #5875

etienne
Spectator

Why can a diode not achieve the high peak energy that a FRP Nd:YAG can? Due to the way that the laser energy is actually created?

I recall that conventional laser is brought about by electron stimulation, emission and radiation (based on Einstein’s postulation) whereas diode laser light is brought about by electrical charging of a diode?

Somebody told me once that it would be possible to achieve the same energy levels with a diode but that the power supply would be the size of my operatory and such would not be economically viable.

Any thoughts?
Take care
Etienne
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