Forums › Erbium Lasers › General Erbium Discussion › Laser Analgesia
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ELLIOT ROGOFFSpectatorGLENN, I LOVE YOUR PHOTOGRAPHY. I KNOW YOU DO ALOT WITH THE MICROSCOPE BUT CAN YOU TELL ME HOW YOU ARE ABLE TO GET THE IMAGES TO BE POSTED. I MUST NOT HAVE THE RIGHT SET-UP BECAUSE EACH TIME I TRY TO USE THE “PAPER CLIP” THE IMAGES DO NOT SHOW. THE ONLY WAY I CAN SHOW THEM IS TO E-MAIL THEM TO DAVE KIMMEL WHO IS KIND ENOUGH TO POST THEM FOR ME. ANY SUGGESTIONS.
Glenn van AsSpectatorElliot, its late now. Tomorrow I will post a pictorial image (collage ) of what I do to do this.
Its not that tough once you know what you need to do. I use ACDSee 7.0 (brand new version now!!) and its really good for editing and adding text. Its quicker now so its saving me time in the editing part.
Let me see if tomorrow I have time to show you what I do.
Gotta sleep now.
Glenn
AnonymousGuestQUOTEQuote: from ELLIOT ROGOFF on 9:53 pm on Sep. 25, 2004
GLENN, I LOVE YOUR PHOTOGRAPHY. I KNOW YOU DO ALOT WITH THE MICROSCOPE BUT CAN YOU TELL ME HOW YOU ARE ABLE TO GET THE IMAGES TO BE POSTED. I MUST NOT HAVE THE RIGHT SET-UP BECAUSE EACH TIME I TRY TO USE THE “PAPER CLIP” THE IMAGES DO NOT SHOW. THE ONLY WAY I CAN SHOW THEM IS TO E-MAIL THEM TO DAVE KIMMEL WHO IS KIND ENOUGH TO POST THEM FOR ME. ANY SUGGESTIONS.Elliott your pictures must be jpegs and under 300kb. If you keep a jpeg under 500 pixels wide you’ll be ok size wise.
dkimmelSpectatorGlenn is that an Isolite I see??
Nice case! I have yet to remove an old alloy that did not have caries! I figure it has to be from those little microfactures we get from using the drill.
I have found this technique to be pretty predictable. As you know I run the laser at the same time as the drill. You might try having the assisant hold the laser while you control it with the foot switch. I usually have to do this with max 2nd molars.
Pretty wild morning here. We are not getting wind gust to 50MPH. Looks like the eye will be coming through here later today and should get some heavy rain and wind.. Fl can be such fun this time of year!!
DAvid
Glenn van AsSpectatorDavid , keep down ok, I dont want you wandering around aimlessly today, looking for a tree to sit in to make you LDF posts or wandering around in that white getup you used the other day for the papilloma removal!!
I find it hard to control both the laser and handpiece together. My staff say I cant chew gum and walk at the same time. I find it unfair when I am looking through the scope at 10X power and my assistant is not (even if she is looking at the monitor), she doesnt have the ability to hold the laser at the optimum position, and will either move too far away or too close and start cutting. ITs because she hasnt developed the necessary fine motor skills that are necessary to work at 10X power. I mean that in all seriousness. Its too tough to do this even from looking at a monitor to hold it properly because you dont get the depth perception in 2d that you get from looking through the scope which is 3d.
Hope that helps, I would have to lower the mag to 2.5X to work and I would then more likely hit dentin with the bur more often because I couldnt see the transition with the water and debris.
Just my thoughts but I have always said you were more capable than me!!…….You may be ambidextrous………
I am gonna leave this thread alone now, I just dont want to go any further!!
Stay low my friend.
Glenn
Glenn van AsSpectatorPS Yes David it was an Isolite as this patient has ALOT of TMJ pain and the isolite allows them to bite into something to prevent jaw fatique as well as being an awesome piece of armamentarium for keeping the tooth dry.
I had a case this week where a young girl prevented me from using it ( pulled it out). God I was mad as she was one of those unruly teenagers with decay on an upper first molar (DL groove). I almost told her ok, now we have to do it with anesthetic and the rubber dam, but instead decide to do 6 handed dentistry to keep the tooth dry.
What a pain in the rear to put it mildly. I could have done the restorations with far less stress by myself with the isolite. Instead without it or the dam I need not one but two dental assistants.
If you own a laser but dont own an Isolite, run – dont walk- out there and get one.
I again dont get any kickbacks for this.
Glenn
drjinglesSpectatorHey….where did I come from..
I got lost off the forum…and way out of the loop
but I’m back….
that is if you guys’ll still have me…Glenn can you get the Isolite in Canada now?
I havn’t been able to find a distributor…
the other tool I really really really want is
an introflow….(cyberjet) ….
to do intra osseous….without having to
find the hole anymore…anyways..
are you using the light from the isolite?
or your scope…
I know both can light things up like
a roman candle in there…nice job on the amalgam removal laser anesthesia thing.
I have been doing that with mostly great success
ever since I heard Dr. Colanna talk about it..what a difference it makes….in my life..
thanks Mark..I havn’t found it totally foolproof…yet..
but I’d have to say….it performs unbelievable
miracles about 90% of the time..and if the sensitivity starts coming back..
i just defocus and drench the tooth again
for another 90 seconds or so…sometimes it depends how hot the tooth was in the
first place…ie…how much inflamation..but I have done much much much bigger gigantic
and symptomatic hot teeth with Mark’s method..so I will vouch for it..
here is what I have found that may be
counter intuitive though..the more rotten and more decayed..
the less sensitive teeth are ….
a lot of the time..the most sensitive area seems to be
right at the DEJ for most people..
below it…above it…not so bad…btw…this holds true for lasers, drills
spoons, air abrasion …whatever..sometimes the ones that are the most sensitive
or the most resistant …
are the smallest teeniest amalgams..seems odd…
but sort of makes sense when you think about it.
btw…my first guinea pig for this
was my wife…
she had a blow out…
(ya …I know its grounds for divorce
but Its a long story….)in any case….she was sensitive
to the water and air as we started..
I told her to trust me…
and lo and behold….
the sensitivity disipated fast…
and the next thing I knew..
I moved in on the tooth with the
the handpiece and just started ablating
away enamel …to expose the decay..
then the decay…..we are still married..
Ohoh..
that reminds me..
I told her I was on my way home for dinner..Yikes
I’m outa here…catch yall later.
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