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dkimmelSpectatorAlright your safe this thread will not end with your post.
Inlaw remark? What inlaw remark?
David
SwpmnSpectator“2thlaser” howls at full moon
[img]https://www.laserdentistryforum.com/attachments/upload/williamsa081103-A.JPG[/img]“whitertth” crooning(big guy in goofy white t-shirt)
[img]https://www.laserdentistryforum.com/attachments/upload/williamsa081103-B.JPG[/img]“2thlaser”(unaware he is surrounded by blonde Opus infiltrators)
[img]https://www.laserdentistryforum.com/attachments/upload/williamsa081103-C.JPG[/img]“dkimmel” dancing with mysterious blonde
[img]https://www.laserdentistryforum.com/attachments/upload/williamsa081103-D.JPG[/img]“Swpmn” and “whitertth”(New York members please update your Profiles regarding Laser Company Affiliation)

“socalsam”(tan guy standing on a box next to me)
[img]https://www.laserdentistryforum.com/attachments/upload/williamsa081103-F.JPG[/img]Can anyone name this “phoney”

[img]https://www.laserdentistryforum.com/attachments/upload/williamsa081103-G.JPG[/img]Please help me to “unmask” your favorite LDF members. Extra credit given to those able to expose anonymous members!!!!!
Uncle Al
2thlaserSpectatorHey everyone, Just got home, and then tomorrow, off to Vancouver and the World Congress of Microdentistry Meeting. Very busy. Hope to meet Glenn in PERSON!!!!
Ron, meeting you, dinner, was absolutely fantastic. Thanks for coming to my advanced course. I hope I didn’t embarass you when I mentioned the web site. You are such a warm, kind, and soft spoken person, a real treat to be around. Yes, the rooms were VERY MUSTY. I woke up on Sat. morning to do the Presentation course, and couldn’t literally breathe for 2 solid hours. I thank God that Kim Kutsch was there to actually lecture! In addition, you have a mean lefty golf swing! Too bad you don’t play more often. Let’s have a meeting where we can all waterski…THAT would be a total blast!!
Al Williams…the second human to use the laser for a crown prep. I am sorry we didn’t get to spend much time together as I really wanted to get to know you as well. Next time, I promise. I overcommited at this meeting, as usual, and didn’t get the time to really meet you, as I would have liked. Rain check????Please?
David, See you at Stu’s!
For those interested, the WCLI Executive Board met, and we HAVE set the standards for certification, which will be awesome, just wait.
Ok, The Hydrokinetics…(Glenn, hydrokinetic energy DOES exist!)…we had so much fun at the Hard Rock. I hope everyone enjoyed the music. I think Al took a ton of pictures, maybe we can see some online.
The education was incredible…I always learn so much…and already applied it today in the office. Please, let’s all keep sharing and learning from eachother. Ron’s forum here is the BEST of the BEST of the BEST, as are the posters. Sorry for the long winded post, but it WAS fun, and this was a part of it, this board.
See those of you in Vancouver!
Sincerely,
Mark
whitertthSpectatorLets talk about learning…
Grahme, Grahme , Grahme set the standard for diagnosis and microdentistry. If u didnt get his diagnodent cd, get it it is absolutely incredible…
I felt the workshop on powepoint and speaking was great ….already suggested a full day session next time….Dr Berna from Italy does some amazing stuff with the laser…it was interesting to see him to do chin grafts, sinus lifts etc….I thought the LLLT has great promise and no too far away from being common practice..All is all …a great time….
jetsfanSpectatorSorry but no xrays or pics with this one.
Today I had a patient with scooped out #19 with decay on both roots. Roots were not separated yet. Thanks to the WCLI meeting I thought about using the laser for the ext. First I sectioned the tooth and tried to elevate individual roots. There was so much decay that the roots were disintegrating when the instrument touched them. I pulled out my new G9 tip and reoved some bone from around thr distal root. This enabled to get a purchase point on sound root and it elevated easily. The second root rolled into the empty space created by removing the distal root. It was a lot easier than flapping. Thanks WCLI.
Glenn van AsSpectatorYes Jetsfan it is very easy to use the laser for bone relief and it saves a ton of time compared to flapping and the bone with the bur is much thicker than the troughing with the laser which really obliterates it.
The sockets are much cleaner when the roots are removed after laser is used. See some of the cases I have posted.
Congrats.
Glenn
whitertthSpectator15 y/o girl post ortho ….4-6 mm pseudopockets on anteriors…EMLA topical for 6 minutes Waterlase .75 watts 15 air 8 water. preop and immediate post op No local needed, patient did not feel a thing…not too bad a result what do u guys think?


Glenn van AsSpectatorHi Ron: nicely done, I bet the patient was very happy.
It seems as OH was an issue due to the inflamed tissue on the maxillary anteriors and also the decalcification on the right lateral
I blew up your image and had a look at it and although it got pixelated, it seemed to suggest that there was some etching on the centrals near the gingivectomy. Particularly on the right central.
I always caution people that this can be caused even by .75W with erbium lasers if you angle the tip towards the tooth.
What positiion did you hold the tip and did you shave the tissue back or cut it of in one chunk. Shaving it back you might avoid etching the tooth. Cutting it in one chunk will necessitate that you position the tip towards the tooth and then will cut the tooth.
Dont get me wrong…….I think it is a wonderful result but in my mind for large gingivectomies the soft tissue lasers offer peace of mind with respect to non etching of tooth structure and with better control of hemostasis in these inflamed tissue cases like post ortho or gingival hyperplasia due to drugs.
THanks for posting a very nice result, and have a look at the full sized pictures of the gingival aspect of the centrals to see if there is etching of the surface……
THanks for sharing and its a great case.
Glenn
AlbodmdSpectatorNice case Ron, bet the patient was very happy. Did you use a soft tissue tip or the regular tip?
Glenn,
Do you do anything to the tooth if you inadvertently lase and etch it? Bonding agent or something?
Regards,
Al B
SwpmnSpectatorLooks real nice Ron.
How did you apply the EMLA? Just dry tissue then paint on and or did you do something like soak a cotton roll or gauze in EMLA and let it sit up there for 6 minutes?
Al
(Edited by Swpmn at 1:47 pm on Aug. 14, 2003)
whitertthSpectatorfirst sorry about the photos..mine r clear and when i reduced them thay got fuzzy …it has never happened before any suggestions….Glenn, to anser some questions…I angled the tip ( t4) to the tissue but i had to debulk it as well so then I angled in to the tooth…I may have etched it a bit as u say when i angled it towards the tooth…I dont think it will be a concern..
Application of emla was on a cotton swab dry tissue 5 m inutes…I will post 2 weeks post ops next week
Robert Gregg DDSSpectatorHey all,
Treated this patient of a GP dentist friend of mine here locally (went to high school together).
Patient originally had the following findings:
— 66 year old male
— non smoker
— good health
— retired blue collar
— not lots of $$Clinical
— Class III mobility
— Suppuration
— BOPMB = 13
CB = 3
DB = 13DP = 13
CP = 9
MP = 8Total of 59 mm of pocket/probe depths
[img]https://www.laserdentistryforum.com/attachments/upload/RobertpostPreOp.JPG[/img]
SwpmnSpectatorLearned:
About new Colonna bulk reduction tips for large preps
Concept of pk? settings and how they may affect patient sensitivity(I still don’t know what a “pk” is)
Treating caries comprehensively by Doug Young(Xylitol gum, baking soda)
Graeme Milicich – peripheral rim theory around tooth AND – when you get those erbium white spots on your cavosurface margin that tend to show through your composite, take a hand instrument and scrape them off til they dont show when water is applied and then they wont show in your composite
Dmitri Boutoussov:
2940 minus 2780 = 630(red) minus 470(blue)
2940 is absorbed by H20 300% > 2780(I knew it was greater but did not realize that much)Likes:
Meeting the LDF gang; meeting Bill Chen, Paul Bradley, John Karna(at one table); the Starbucks coffee in the gift shop; Young/Milicich and Kammer/Kaminer/Tracey lectures; hangin’ at the bar with with Dmitri Boutoussov, Dave and Susan Kimmels free transportation
Dislikes:
Overemphasis on hydrokinetic theory
Overemphasis on 2780
I sneezed during the History of Lasers lecture on
Holmium:YAG/Erbium:YAG(seemed like a strange grouping) and missed everything that was said the entire weekend regarding Er:YAG
Dave Kimmel’s Guided Tour Between the Airport and the Seaview
Mark Colonna blowing us off at the Friday lunch Rountable Discussion(yeah you’ll get a raincheck!)
Gerald Bittner’s stupid photo taken with MY camera(Ron Kaminer and I snickered, told him he should have used macro and quickly deleted that silly thing)
Al
kellyjblodgettdmdSpectatorGlenn – Great pics. I love your approach to #1 – leaving the marginal ridge intact. I’ve got to get a scope!
Just curious – were any diagnodent readings taken on the occlusal of #1? Those grooves look scary.
Keep up the great work. Every time I see one of your picture series with the scope, I know I need to head in that direction.
Thanks for the motivation.
Kelly
kellyjblodgettdmdSpectatorBob – thanks for the excellent information. Your thoroughness continually astounds me. Thank you so much for sharing. This definitely assists me in how I will choose to use my Nd:YAG and 810nm diode lasers in my office.
Thanks again – KellyAuthorPosts
