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  • #3509 Reply

    Anonymous
    Guest

    Patient presented with crown done 3 yrs ago by another local dentist. History of crown coming loose and being recemented. 6 months ago dentist placed a ‘few’ pins  and cemented with what looked like composite. Came loose again and patient superglued.

    [img]https://www.laserdentistryforum.com/attachments/upload/xray1.JPG[/img]

    Told pt I suspected either the post was loose again or fractured. Turns out the post was fractured. Told patient saving the tooth was probably hopeless but I’d like to try and remove the post .
    Set Waterlase at 2.25 30/30 6mm tip and proceeded to remove composite from around the post. Parelleled laser to post and moved in a circular motion. Got down to about 1 mm of post left in composite and still couldn’t budge the thing. Explained to pt that with the depth we were at we could continue but the root would be too weak to hold another post. Pt decided to ext and 3 unit bridge.

    [img]https://www.laserdentistryforum.com/attachments/upload/post1.JPG[/img]

    Long story short , I wasn’t successful but found it to be an interesting approach due to the lasers end cutting which I assumed should minimize the chance of lateral perforation.   AND… I didn’t fry the tip doing it smile.gif

    #11980 Reply

    2thlaser
    Spectator

    Good try Ron. Boy I had a tough one today too! did a laser root canal on a broken #7, came out great, but what a job to restore. Is there a way we can post our photos on this board also?
    Mark

    #11978 Reply

    Anonymous
    Guest
    QUOTE
    Quote: from 2thlaser on 5:38 pm on Nov. 13, 2002
    Is there a way we can post our photos on this board also?
    Mark

    Working on that. Downloaded a hack and thought I had it working . Note quite there yet. Hopefully soon.

    #11981 Reply

    Robert Gregg DDS
    Spectator

    Nice attempt Ron–

    Now,

    Believe it or not, we’ve been using pulsed Nd:YAGs with the tough quartz glass fiber-optic you all use with the diodes to remove cement around silver points and posts. The misnomer is that pulsed Nd:YAGs are soft tissue only. They were first developed for hard tissue.

    We really have several laser in one device–just can’t cut preps like Mark is doing.

    Just an FYI.

    Bob

    #11979 Reply

    gwmilicich
    Spectator

    Ron
    Out of interest, I had a similar case, and I know this is a laser forum, but I succeeded using a 0.0011″ AA tip. AA tends to selectively target the cement because the cement cuts easier than dentin.

    Conversely, I have found some cements do not cut at all well with the Waterlase. Probably because some of them have low water absorption for the frequency to work on. I have found GIC’s a general no go. They spark intensely (probably due to the aluminium or strontium content).

    I am finding I now bounce backwards and forwards between AA and the laser, depending on what I am trying to acheive. I have found the two modalities complimentary and in some areas they overlap, so in these situations I use the laser coz I am still a newbie with it and am having heaps of fun. (Plus the patients love the wow factor. Most of my regulars are always teasing me regarding what new toy I might have next year. None are toys, but I would hate to have to go back to my pre Hitech days.)

    Cheers

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