Endo - Laser Dentistry Forum

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April 4, 2005 at 2:36 pm #11134 Reply

Lee Allen
Spectator

Glenn the Road Warrior,

Enjoy the always-great ALD conference.

I, too, enjoyed this discussion.
Now it is time to get busy and try this out and do my first laser endo.

Now to just find the stairway in this Ivory Tower.

May 25, 2005 at 2:13 pm #11135 Reply

PBoger
Spectator

So, what’d you find out?
I’m watching with interest, as it has seemed to me that I’ve been getting too much apical bleeding when I took a final trip to the apex with .50w as I was taught.
Regards,
Paul

May 25, 2005 at 2:17 pm #11130 Reply

Glenn van As
Spectator

Paul, at present with endo and the erbium there is no safe wattage to go to the apex with , all will cause the PDL to bleed in my experience.

I stay at present 2-3 mm away and accept that the apex may not be sterile. ANother way is to use a diode in there for the final 2mm.

Hope that helps…..rushing off to work

Glenn

May 25, 2005 at 2:25 pm #11126 Reply

2thlaser
Spectator

Paul,

The change in protocol from what you were taught is now 1.5W, 34/24 air/water Z-2 fiber, 4mm from apex, with at least 7 passes UP the canal to have complete sterilization. We have found that the energy levels of the 200um tip pass about 3-4mm beyond the tip, so no longer is it neccessary to go to the apex the final pass at .50W .

Email me if you have any more questions….we will be augmenting the procedures as we see more research come in I am sure, but this is the latest model that shows complete sterilization (98.6%) in the canals, and NOT going to the apex, as the apex is affected by the energy used at 1.5W.

Mark

May 25, 2005 at 7:06 pm #11131 Reply

Glenn van As
Spectator

Cool Mark, did you do the research, could you share it with me at glennvanas@shaw.ca

Glenn
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