Forums › Laser Treatment Tips and Techniques › Hard Tissue Procedures › Anterior
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2thlaserSpectatorNice Case David. The laser makes this much easier. Did I miss that you did or did NOT use anesthetic? Also, I have never had that problem with low water settings with my laser, which is good I guess. What tip did you use for recontouring? Also, why did you use 1.75W for tissue? Just wondering what your rationale is. I think the composite on #9 looks great, obviously #10 a tad light, but hey, what a great service in a transitional case. Clap clap as Bob and Glenn would say. You seem to be grasping laser use real well. Sure you want to visit Montana? 😉
Mark
Glenn van AsSpectatorDavid first off I think you did a wonderful job for the patient and you are to be congratulated for it. Really nice stuff. I have a litany of questions for you just because it is SO exciting to have others post pictures of such nice quality.
1. Anesthetic or not?
2. I typically use around 1-1.5w as I get more sensitivity higher than that but your result is nice.
3. What material did you use for the Class Vs they are very nice.
4. Did you probe before you started ( I get grilled all the time about biologic width)
5. What camera did you use to get the pics.
6. How long did this take.I think this is wondeful and the centrals are almost the same length now and the result is great.
I dont think there was much enamel left anymore if I look at the pics and suspect this is why it wasnt etched at all.
Great stuff David and welcome to the posting club…..
A standing CLAP CLAP CLAP………cool case.
Glenn
dkimmelSpectatorMark, I used a G4 tip. I did use anaesthetic as the patient was an extereme phobic but does not mind the WAND. Why the 1.75 W? Old habit from using the electro sx. Turn the power up til the tissue carves smoothly. At the lower setting it did not feel like I could control or thin the tissue. Since he was numb I just increased the Watts til the tissue did what I wanted. Still need to work on it though. Still looking forward to Montana ? You bet!!
Glenn
1. Yes anesthetic
2.Often wonder if my Watts and others are really the same form laser to laser!
3. Ultradent Vitlescence A5 with Transmist overlay for #9, #10 was A5 blend to A3.5 with 3M Filtek YT. That is what kiled me on # 10 the Yt was too thick . Just needs to be a very thin layer. Just started using these. Have gotten some nice results . Problem is the look good upside down and the oops!!
4. Probed I did. The guy is going for perio sx. I had 3mm on the facial and maybe took a 1mm.
Used the silk as my guide.
5.Nikon D-1
6.30 min
My hat is off to you guys that post cases with photos as it does take some time!
David
2thlaserSpectatorVery nice David. The reason I asked about the soft tissue wattage, is just that. If he’s numb, go for it, it IS faster. However, if not, 1.75 would be way too much. Again, you are learning fast, it’s cool to watch. Thanks for sharing with us, it’s great!
Mark
whitertthSpectatorGreat stuff David…..Keep posting
Glenn van AsSpectatorThanks David…….I thought the color profile looked familiar on the pics (I have a d1 as well)
By the way shooting for me is a breeze through the scope so it doesnt take me any longer to do the cases.
For Mark, you Rons, Bob it all takes time because you have to get the camera ready all the time.
Nice case and well done……thanks for the tips on materials.
Glenn
Robert Gregg DDSSpectatorDavid–
QUOTE2.Often wonder if my Watts and others are really the same form laser to laser!No. They are not the same. Power must be measured at the fiber tip. The console display is meaningless. AND you must know your device’s pulse duration.
Waterlase PD = 140 usec
Delight PD = 240 usecGet Jeff Manni’s book (see reference section) and a Molectron Power meter (molectron.com) to understand and to know, respectively what’s going on power wise.
Bob
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