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  • February 21, 2005 at 1:38 am in reply to: max labial frenectomy #10481

    Glenn van As
    Spectator

    Hi Marc…..congrats on this procedure, settings you used without anesthetic are good. I like to use 30Hz for soft tissue as the cut is faster and smoother and you may get less bleeding than 10 Hz. To do work without anesthetic in non contact you need to use 30Hz and 30mj.

    In addition I am now using mainly the chisel tip in non contact, it works great for ablating the tissue without bleeding and I can use slightly higher settings for the bigger footprint of this tip.

    Post op instructions…..

    1. Advil p.r.n. as needed, most patients dont need much.
    2. Dont worry about the white scab that forms as this is predictable healing as the lesion fills in by secondary intention, it will disappear in 6-10 days.
    3. No spicy foods for the first 2-3 days as this will hurt the area.
    4. Chlorhexidine on a cotton swab 2x per day is ok in our office to prevent any risk of 2ndary infection.
    5. Sometimes patients feel some pain on day three as many of the nerve fibers are regenerating at that point and most of the patients havent felt much til then.
    6. For the kids the best part is lots of cold foods and drinks on day 1 to keep the swelling down, ice cream , slurpies and freezies!!!!

    Hope that helps. Let me know if you want more photos but here is one case.

    Glenn

    Frenectomy collage_resize.jpg

    February 21, 2005 at 2:07 am in reply to: February 18 & 19, 2005 Las Vegas #8244

    Glenn van As
    Spectator

    What a great meeting Bob, Del, Janna and the rest of the Millenium crew put on (like Krystal etc)…..

    It was great education wise to hear Ron Schalter on websites and the internet and computers. His lecture was polished and really was well done.

    It was also great hearing Ray Yukna talk about the research on the topic and finally it was great seeing some others like Hack2 who was there and introduced himself and we shared a laugh or two and a drink or two and finally Andy, Mossman, kelly Blodgett, Del, Bob, Ron Schalter and others ( I may have forgotten some so I apologize in my sleep deprived state) and lectures by Lloyd Tilt and Leigh Colby were great and were entertaining and informative on the Periolases capability to help with perio.

    Moderators and Emcees Dawn Bloore (not hard on the eyes) and Dr. Long did a great job.

    I had fun and thanks for inviting me to speak , its always an honour.

    Glenn

    February 21, 2005 at 2:40 am in reply to: max labial frenectomy #10484

    adeldds
    Spectator

    great pics Glenn. I can’t wait for Charlotte in March!!!

    February 21, 2005 at 4:00 am in reply to: max labial frenectomy #10482

    Glenn van As
    Spectator

    Yes Marc….it is filling up fast so if people are interested make sure you get involved now to avoid not being registered.

    Should be fun and thanks for the kind words

    glenn

    February 21, 2005 at 5:07 pm in reply to: February 18 & 19, 2005 Las Vegas #8246

    Robert Gregg DDS
    Spectator

    Thanks Glenn,

    It was a honor to have you present, and as usual, it was a great presentation.

    Sam, It was great to see you and your family.  I hope you got a chance to chat with Ray Yukna.

    Ron, you were excellent.  More please?

    Here’s my summary:

    The MDT Clinicians’ meeting was, I thought and from the feedback I received, a big success in creating value for the attendees.  108 or so registrants.

    The topics ranged from the research with Dr. Yukna, to the clinical extenstion of other lasers and applications with Glenn van As, to the basic science and laser physics with David Harris ( a nice review and different perspective), and the excitement and enthusiasm for LANAP by Dawn Bloore.  Leigh Colby challenged the group by trying bone grafting techniques on teeth before giving deep vertical defects a chance 1st with LANAP.:confused: :confused:  THAT generated a lot of discussion…….

    Lloyd Tilt gave a personal and heartfelt presentation on the personal, spiritual, professional and return rewards of LANAP and community assistance.  Ron Schalter hit a home run discussing the internet, website, and laser forum postings (very nice job Ron), Paxton Quigley (MDT PR person) and Suzan Fiskin’s (professional speaker coach) pre-meeting workshop were surprise additions to the weekend as we had some ideas we wanted to try and see if there was interest for expanded program additions next year–YES was the answer.

    Looks like next year will be expanded to 3 days and have afternoons off for family and other activities.  Las Vegas seems to be a preferred venue.  Any other ideas are welcome…..

    Thanks to all who participated and attended, and all the work that the guys and gals at MDT who put it on–especially Chrystalle.

    Thanks to our sponsors, especially Eric Compton of Comprehensive Dental Services (CDS) and Florida Probe, Wyatt Wilson of Acteon/Satelec, and Aaron Faber of USBancorp capital equipment funding.

    We will keep trying to keep the presentation topics fresh yet germaine to lasers, LANAP and clinical and practical success in our private pratices.  “Seminar King”  Bruce Baird has already agreed to present at next year’s meeting.

    Hope to see more of you all next year.

    Bob

    (Edited by Robert Gregg DDS at 12:13 pm on Feb. 21, 2005)

    February 21, 2005 at 10:39 pm in reply to: Microscope tips. #5200

    dkimmel
    Spectator

    Stefan, Thanks for the offer. I am putting everything on hold until after the April. There is just not enough of me to go around.

    February 21, 2005 at 11:22 pm in reply to: Tx of Herpetic Lesion #10783

    Vince C Fava
    Spectator

    Congrats and welcome to the laser fraternity. Good question. I have only a handful of pts that make it in at the prodromal stage, most don’t until some vesicles have erupted. In my experience, with high mags (scope) there seems to be a slight difference in surface texture. But the patient needs to guide me a little (ie symptoms subsiding…).
    Good luck.

    February 21, 2005 at 11:37 pm in reply to: General Erbium Discussion #2817

    N8RV
    Spectator

    This is probably old hat to some of you old salts, but I just had my first entire day without administering any local anesthetic (except for those lean days in the beginning, twentyplus years ago).

    I saw 12 patients for restorative procedures today (plus a few consults and hygiene) by 5:00 and did something like twenty restorations with the Er:YAG laser and nobody needed anesthetic. I didn’t have any old amalgams to remove or really DEEP decay (but a few were deeper than I was expecting).

    Unfortunately, my day doesn’t really end until 8:00, and I just had to stick a patient for several restorations that will be near the pulps.

    Anyway, just thought I’d share that. It’s pretty cool, considering that not too long ago I thought this was mostly bogus …

    Granted, some of these could’ve been done with no anesthetic using AA or fissurotomy burs, but that’s not the point. I hate sticking people with needles as much as they hate being stuck with them! A whole day without scaring or hurting people … who’da thunk?

    — Don

    February 21, 2005 at 11:39 pm in reply to: February 18 & 19, 2005 Las Vegas #8241

    Anonymous
    Spectator

    Bob/Del, Thanks for putting on such a great meeting. Lots of info and a great resort. The food was unbelievable.

    I think I’m only 99+ lectures behind Glenn, 1000+ behind you, so if you make me step out of my comfort zone again, I can at least not fall too much further behind (not that I’d ever catch up in presentation skills- you guys are awesome) .

    February 22, 2005 at 1:16 am in reply to: Wow … today was a first … #6335

    ASI
    Spectator

    Hi Don & To other newcomers to laser dentistry,

    That is a great feeling, isn’t it?

    Now, you’ve got another tool to look after your patients that you didn’t have before. Not just any tool, but a very versatile piece of technological advancement that allows you to provide a different level of care.

    Congrats! Keep up your enthusiam.

    Andrew

    February 22, 2005 at 1:26 am in reply to: Microscope tips. #5226

    ASI
    Spectator

    Hi Dave,

    I feel for you. Beyond doing work scopeless on your patients, I hope you won’t have trouble looking after yourself in the washroom. I quite enjoyed your photo a while ago.

    Regards,

    Andrew

    February 22, 2005 at 2:56 am in reply to: Wow … today was a first … #6334

    dkimmel
    Spectator

    Pretty cool isn’t it?

    February 22, 2005 at 3:00 am in reply to: Continuing Education #3067

    dkimmel
    Spectator

    If your going to the ALD in New Orleans– I hope you already have a place to stay. The town is filling up fast. I don’t know what else is going on that weekend but the hotels are filling up. The hotel for the meeting is full. There are still rooms near by but don’t wait too much longer.

    February 22, 2005 at 4:47 am in reply to: ALD #8511

    drnewitt
    Spectator

    According to our hotel there is some Jazz festival going on.

    February 22, 2005 at 5:02 am in reply to: Misc. Laser Forum #2688

    lookin4t
    Spectator

    I’m looking for any evidence that anyone has had any remotely successful treatment for dysesthesia with LLLT.

    I know Ron has a case with the Periolase using like 20HZ at 150 until they got to 5000 at each visit for a few weeks that helped with paresthesia…..but this is a different animal.

    Anyone?

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