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DinoDMDSpectatorWhat are you talking about Zen? I can be picked up and carried around very easily.
Just ask Cletus!
zendentistSpectatorThat was what I meant, Diode…er, Dino ; )
Glenn van AsSpectatorHI guys…….first post on the new forum. I cant believe that a diode will work in non contact unless you bump up the power and dont initiate the tip.
I use non contact for things like apthous ulcers, clotting after extractions and for dark hemangiomas on lips.
As for actually cutting tissue, how does that work?
PS you gotta have good vision (read magnification) to do this as these fibers are close to the resolution of the human eye (200 microns is the resolution, most fibers are clear and 300 microns) and that wont make it easy to keep it non contact.
Just my thoughts on this…..
Glenn
zendentistSpectator(Glenn van As @ Sep. 13 2007,12:48)QUOTEHI guys…….first post on the new forum. I cant believe that a diode will work in non contact unless you bump up the power and dont initiate the tip.I use non contact for things like apthous ulcers, clotting after extractions and for dark hemangiomas on lips.
As for actually cutting tissue, how does that work?
PS you gotta have good vision (read magnification) to do this as these fibers are close to the resolution of the human eye (200 microns is the resolution, most fibers are clear and 300 microns) and that wont make it easy to keep it non contact.
Just my thoughts on this…..
Glenn
But, Glenn, all the new 940 and 980 nm manufacturers claim that their improved absorption allows non-contact cutting. So it has to be true, right?
Kenneth LukSpectatorYes, I've cut tissue in non contact mode with 400um fiber with my 30W diode. Did a congnenital epulis ( 5mm x 12mm ) on upper right c and d ridge on a 19 day old baby girl. Cut on the specimen looked as raw as a scapel cut. I'm trying to get a histological view on the excision site. you can hardly see the wound on 2 days post-op Will keep you posted.
Ken
cletustheslackjawddsSpectatorWe ordered a couple from National Laser. They worked great and were less than Biolase.
AnonymousSpectator(Kenneth Luk @ Sep. 20 2007,12:36)QUOTEYes, I've cut tissue in non contact mode with 400um fiber with my 30W diode. Did a congnenital epulis ( 5mm x 12mm ) on upper right c and d ridge on a 19 day old baby girl. Cut on the specimen looked as raw as a scapel cut. I'm trying to get a histological view on the excision site. you can hardly see the wound on 2 days post-op Will keep you posted.
KenKen, you know we want to see some video on this.
Kenneth LukSpectatorHi Ron,
The ones I’ve done well are always not recorded! Here’are the photos anyway .Ken
Kenneth LukSpectatorLaser treatment time:34secs
No post-op analgesics required
Baby response was uneventful.
Will take 7 days post-op next wk.
Ken
fmn1116Spectator(cletustheslackjawdds @ Sep. 11 2007,1:21)QUOTEFrank,The post right above Dr. Gregg's is from a distributor of the Fotona in the UK.
Why would they say they can do it when they represent the manufacturer and then deny it was ever done? I have heard Lares tout it's laser has the ability to do LANAP in “wispered” tones at trade shows. I don't think that they say this any longer out of suit fears.
To answer your other question, you probably could do LANAP with the Fotona unit if you are licensed to do it (though you would risk some failures and some patient danger during the procedure due to the limited number of pulse widths), but you have to be licensed to do the procedure.
To answer it in another way, I have had cementum mediated attachment with a diode, but it was inconsistant and rare (even within the same patients mouth!). You might be able to get cementum mediated attachment with the erbium wavelength on the Powerlase. Dr. Gregg says that you could probably get CMA with a hot paperclip if you did it perfectly.
So, until you get a LANAP license and know how to do it, try not.
Well, then I'll edit my comments to say that I have never been told by Brian, my rep that the Lares can do LANAP. He told me of their technique of perio therapy mentioned on their web sight.
I am puzzled by the threat? As a practicing dentist I am not aware of any possible way I can be limited from trying any technique of care for a patient based on any “licensing”.
At the risk of being attacked as everyone on DT was when they mentioned it, an “essential equivalent” 501 application with the FDA with the LANAP listed as the use is a whole lot different than a dental procedure requiring a license. Please give me the legal equivalent for anything we do in dentistry that is equivalent to this?
I am not at all against periolase, as I have mentioned, my quest is to understand what is the science behind all of this so that our patients will benefit and have yet to get even a remotely satisfactory answer how we can, among ourselves, justify any sense of propriety to a technique of care.
please help me understand.
fmn
Glenn van AsSpectatorHey Ken……..great photos. Really neat. I think its cool that you can do this. I dont think that other diodes have the short gated pulse or the high power that you are using. I am also not sure that its for the inexperienced (not you because you know a ton) to use those high wattages .
Cool case. Post some more on here……I am intrigued.
Glenn
Kenneth LukSpectatorHi Glenn,
Thanks for the compliment. In fact, there’s a setting named Epulis on the touch screen.
Here’s a 1 wk post-op. Biopsy confirmed as congenital epulis.
Ken
RS4 MolarSpectatorGeez, nice work Glenn! Thanks for the links for the frenectomies, right to go. I'll post to show, probably on docere.
Cheers
whitertthSpectatornice case…whos plastic tip do u use on the diode?
Thanks
Ron
AnonymousSpectatorThe PowerLase ST6 is not manufactured by Fotona. It is manufactured by Lares in the state of California. The laser in question was the ST6 and is only sold by Lares
Dick Linde, Lares Research
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