Hemangioma - Laser Dentistry Forum

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April 14, 2004 at 5:25 am #2984 Reply

ASI
Spectator

Hi All,

Hemangioma treatment by 980nm diode laser @ 2W CW noncontact in a brushing motion with air coolant.

Preop

Preop with probe

EMLA applied

600u fibre tip noncontact @2W CW & air coolant

Immediate after

Day-1 postop

End of Part #1.

Andrew

April 14, 2004 at 5:52 am #7841 Reply

ASI
Spectator

Part #2.

Day-1 postop

Day-3 postop

Day-3 postop

Day-7 postop

Day-7 postop

Day-10 postop

Day-10 postop

Day-24 postop

Day-28 postop

Cheers.

Andrew

April 14, 2004 at 6:14 am #7837 Reply

drnewitt
Spectator

Nice Andrew

Looks pretty angry there on day 3 but huge jump on day 10! is it common for the changes seen between day – 1 and day-3 with the diode? How was it feeling for the patient on those days between 3-10?

Is that a playoff beard he has going on day 28?

April 14, 2004 at 7:04 pm #7842 Reply

ASI
Spectator

Thanks Paul.

The greatest challenge was to encourage patient not to lick area with his tongue nor touch it with finger. Two of the greatest tools of curiosity….

In terms of discomfort, it was not a concern. The sloughing was more of a bother to the patient as can be imagined.

Andrew

April 15, 2004 at 2:15 am #7846 Reply

Robert Gregg DDS
Spectator

Andrew–

Nice tissue control with the diode!

Excellent result!

Great pcitures and documantation too.

Bob

April 15, 2004 at 5:32 am #7845 Reply

Glenn van As
Spectator

Andrew……..great case. NEat stuff. I was surprised by the ulceration on day 3.

Did you expect that.

Are the pics through the scope……very sharp and ver clear.

Clap clap clap.

Great documentation and pictures.

Glenn

April 15, 2004 at 5:59 am #7843 Reply

ASI
Spectator

Thanks Bob & Glenn,

I didn’t really know what to expect but was somewhat alarmed as well (but of course reassured the patient that it was all a normal healing progression) by the appearance from Day 3 to Day 7. However, the localized nature of the slough indicated that it was well contained. It only made sense that if the stagnant pool of blood has absorbed the laser energy of the diode, it would lead to the sloughing process as seen.

The pics were done through the scope.

Regards,

Andrew

(Edited by ASI at 2:00 am on April 15, 2004)

April 16, 2004 at 5:07 am #7838 Reply

kellyjblodgettdmd
Spectator

Andrew – Great case. I can only imagine how appreciative this patient must be.

I’d like to ask, you said that you performed this in a defocused manner. As I look at the fiber tip on the third photo, it appears that the tip is initiated (dark). Was it, in fact, initiated or just my eyes playing tricks on me?

Beautiful case!

Kelly

April 16, 2004 at 9:20 pm #7844 Reply

ASI
Spectator

Hi Kelly,

Thanks.

The tip was indeed initiated. I had intended to do an in contact treatment as well as noncontact, as per Dr Janet Rice’s case in the recent Wavelengths journal. But then decided during treatment not to do so, as I wanted to see how it might turn out without inducing a bleeding point.

By the sound of things, a Periolase is on your horizon in the very near future. If so, congrats.

Regards,

Andrew

April 19, 2004 at 3:33 am #7839 Reply

kellyjblodgettdmd
Spectator

Thanks for the clarification, Andrew! Fantastic result.

As a matter of fact, I’ll be heading to LA in 3 weeks for training. You can imagine how excited I am!

Talk w/ you soon.

Kelly

May 25, 2004 at 4:22 pm #7840 Reply

mmaccaro
Spectator

Nice result, great service to the patient.
How many joules to achieve your result?
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