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Hi all,
Now that I don’t have to mess w/ taking photos of er,cr:YSGG all the time, I thought it was time to take photos of some ndYAG procedures.
Nothing earth shattering here, but I don’t think there is a slicker way to remove gutta percha prior to post placement or to use the canals to help retain a core. Really takes the worry out of the initial post preparation because you can see the direction of the canal.
FRVPND:YAG 150mj 20 hz 100usec
This was cool. I hope the photos download O.K.
Patient hadn’t been seen by me for over four years. He got the urge to return to us . Upon exam we noted a large draining fistula associated with #18. He had a failed endo in #18 and was sent for apico four years ago. Xray showed the apico with retrograde amalgam. When I told him of the fistula he said he new about it and he told the surgeon about it years ago. The surgeon said not to worry. That if it was draining he would have no pain. He was on antibiotics and it never cleared up.
I decided to try the YSGG laser with a Z2 tip at 1 W 11A 7W. After two visits the fistula was greatly reduced in size. The third visit I placed him on Augmentin and used laser again. When he returned for follow up fistula was gone.
Was it the Augmentin? I’m sure it helped, but he had been on antiobiotics before with no resolution. Most likely the combination of laser therapy with appropriate antibiotic was the answer. Of course I will have to follow to make sure it doesn’t recur . Post op xray will also be taken next time.
Robert.