Forums › Laser Treatment Tips and Techniques › Hard Tissue Procedures › Prevention
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Robert Gregg DDSSpectatorHi Ron,
I’ve been trying to make the time to say something really smart and informative to your post here, but you pretty much cited everything.
Great post. Nice references.
I have been doing laser irradiation of fluoride with pulsed Nd:YAGs for 12 years or so. It has been long been a part of my “laser power bleaching” after I finish chairside to stablize the bleach and reduce any sensitivity. SHHHHUUUSHHH. Don’t tell anyone, it’s been a bleaching secret of mine all this time.
Not sure what you mean about lasing the Fuji Triage. Heck, I’m not sure what Fuji Triage IS!
Is it a glass ionomer? Are you thinking of lasing the flowable material beforelight curing, then polymerizing the Fugi?
The answer to your question is that I doubt many have thought of doing that. I haven’t. My partner Del probably has (but he’s the Ultimate Playmeister). I’ll ask him tomorrow…..
Would it work and provide a better fluoride uptake at the margin. Sounds good. Should work. Can’t seemto hurt. Sounds like an excellent research project
Bob
AnonymousGuestBob,
Actually, I was curious to see if the laser would cure the Fuji Triage http://www.gcamerica.com/gctriage.html(don’t have any in the office yet), If I could paint the triage in the grooves, paint on topical Fl2 and then lase it could be a quick really effective means of protecting teeth. And if the laser increased the ion exchange with the glass ionomer that would be an added bonus.
gwmilicichSpectatorRon
Triage has a very high F level (6 times that of Fuji 9)
Personally, I can’t see there being any benefit in hitting it with the laser. The reaction you are looking for is related to polyacrylic acid etching the enamel and creating a hybrid zone on teh surface incorporating teh Ca and Phosphates from both the tooth and the GIC, plus incorporating the F from the GIC.The colour is pink so when you hit it with a blue light, it absorbs the photonic energy , warms up and speeds up the chemical reaction that is occuring.
The laser would only be hitting 600micron spots rather than the whole restoration. By the time you ocvered it all, it would be set all on its own. Plus the Waterlase gets its knickers in a twist on GIC’s Too much metal content I think.
Other laser applications using F have not had the complexity of what is already happening when you put GIC onto the tooth and act as an adjunct to F uptake. I doubt this would be the case with GIC’s
Just my thoughts anyway, but I could be wrong.
Cheers
AnonymousGuestThanks Graeme,
That makes alot of sense. -
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