Forums Laser Treatment Tips and Techniques Soft Tissue Procedures Erbium Laser to reflect tissue

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  • #3379 Reply

    Glenn van As
    Spectator

    HI folks: We had a cancellation today and my great dental assistant asked me to take out her lower right third molar (around 4:30 pm tonight) and so I decided to try it without anesthetic and told her to hold on tight.

    Look at the result………what do you think?

    Glenn

    Extraction of 3rd molar.jpg

    #10683 Reply

    Glenn van As
    Spectator

    Ok Ok I will come clean……….

    I put anesthetic in for her but loved that flat wedge shaped tip for removing the distal operculum and allowing me to lift the soft tissue impacted tooth.

    No bleeding……….cool I thought.

    3.6 watts (30 Hz and 120 mj) and it was fast. Once I reflected the distal I was able to eleveate the tooth out quickly (made me look good to the nice staff that I have) and look at the decay at the end on the occlusal .

    It was 5 mm deep at one point and 62 on the diagnodent scale.

    Hope you liked it.

    Glenn

    #10681 Reply

    Anonymous
    Guest

    I like it much better now that admitted that you used anesthetic.   I was starting to get really worried about your assistant.:shocked:
    Nice case ,Glenn

    #10684 Reply

    Glenn van As
    Spectator

    Hi Ron……..while we are on the topic of microdentistry.

    Here is an occlusal that I did with a bur (Premier is asking me to do some stuff for them) and I used a 1/4 round bur for this (diamond coated) and look at the decalcification around the fissure sealant. Once I got the sealant up the decay was into dentin. I could have used the laser but this patient is very very nervous about the laser and pain, so I used the traditional means.

    Hope you like it, and its just intended to make you ask the question………..DO SEALANTS SEAL ?

    Resize of Layout for microdental bur prepedited.jpg

    Glenn

    #10682 Reply

    whitertth
    Spectator

    great stuff glenn!!!! I love your posts.

    #10685 Reply

    Glenn van As
    Spectator

    Aw shucks Ron ….thanks.

    ROn, as an aside , I enjoy putting the pics together and with the scope it is so easy to take the pics while I am working not like for the rest of you , who must remain diligent and constantly stop to take the pics.

    Today is a day for now laser posts and so I thought I would leave you a few just to show the power of the scope.

    I want to tell you Ron that putting these cases together in the beginning was tough. I took alot of criticism but it made me a better dentist, photographer and lecturer and I really have fun putting the pics out and really it doesnt take me more than 15 mins per case or so.

    I hope that more newbies will post cases , ask questions and provide stuff as I know that many are doing some really fun and unique stuff out there.

    This forum is a small but very friendly group, intent on learning and acting in a professional and personable manner and I think that is awesome.

    Hope you like this one………it was a vertically fractured tooth and I got it out piece by piece…….but look how the scope allowed me not only to visualize the fragment but in addition to trough with a very tiny diamond bur around the root, allowing me to remove the root tip without even flapping the case. I think that is awesome and hopefully with time more people will realize the power of extreme magnification for cases like this.

    Glenn

    Resize of Extraction of Root pt one.jpg

    Resize of Extraction of Root pt two.jpg

    #10689 Reply

    Robert Gregg DDS
    Spectator

    GREAT stuff Glenn,

    Ralph Klink from Global came by yesterday to hook up my Olympus 3040 to the x-mount, only to have the camera freeze……it’s been acting up lately, and it looks like it finally died.

    Training today, so next week I’m getting a Nikon 4500.  Sound OK Glenn?

    Then I ought to begin photos and posting (after I get some MAJOR advice from Glenn!!!)

    Bob

    PS:  I love the ear ring posts in your assistant’s ear!;)

    Oh yeah, I saw Kara last night at a Collagenix lecture on Periostat.  VERY interesting stuff that it turns out low dose doxycycline does for acne, diabetes, heart disease, smokers, cancer……..pay attention to what they are doing, big stuff ahead in this arena of chemical modifyers of inflammation!

    After last night, I’m calling Periostat Vitamin P!!!

    Bob

    (Edited by Robert Gregg DDS at 9:52 am on Feb. 7, 2003)

    #10686 Reply

    Glenn van As
    Spectator

    Thanks Bob…….the Nikon 4500 should be good. Let me get a hold of Eric Herbranson who made the Xmount and ask him which camera he would suggest right now.

    I know he was doing some work with the Canon G3 and it has a GREAT remote that can be very useful for high mags.

    I like the swivel design of the 4500 and I also like the 5000 except you have to digitally zoom the photos.

    There is the web site for ALOT of the information at <a href="http://www.xmount.com

    As” target=”_blank”>http://www.xmount.com

    As for Kara , tell her I said hi and I miss her. Tell her to send me some information and I will try to contact her next time I am in her area.

    Glenn

    #10690 Reply

    Robert Gregg DDS
    Spectator

    OK cool, thanks Glenn!

    I told her “hi” for you…..Told her about your lecture cruise (right after getting over “double pneumonia”!  She laughed hard and said, “that’s Glenn!”.

    Bob

    (Edited by Robert Gregg DDS at 11:03 am on Feb. 8, 2003)

    #10687 Reply

    Glenn van As
    Spectator

    Hey Bob: I talked to Eric and he said the Nikon 4500 is probably the best camera at present for the scope Xmount.

    Glenn

    #10688 Reply

    Robert Gregg DDS
    Spectator

    Thanks Glenn, it’s a consensus opinion then!

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