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dkimmelSpectatorMore playing. This time I did
1. 5.5W 90a/50w
2. 2.5W 65a/55w
3. 2.5W 65a/45w
4. 2.5W 65a/35w
5. 2.5W 65a/25w
6. 2.5W 65a /15W
7. 2.5W 65a/7w
8. 2.5W 65a/0w
I really have no way of measuring the differences in depths. Clinically it would make no difference except for the zero water setting. As I look at the photos there are slight differences in the cuts . They are all minor and may well be more due to how the tip was postioned then the water setting.
David



(Edited by dkimmel at 7:23 pm on Aug. 17, 2003)
marc andre gagnonSpectatorIn this case I think that Glenn is using a 810um diode with is a laser that work like a hot knife.In a case like that ,he only can work without water and with anesthesic.If you want to work without anesthesic you can use a 980um laser from biolitec.It’s the only wavelenght that stop bleading without contact.I can do a case like that with my 980um biolitec with water and no anesthesic.we do case like that with no anesthesic .We use topical anesthesic in some case when the patient doesn’t feel well with the dental clamps.
We can see in this case a beautifull work and terrific photos .
Thanks Glenn for subject.
2thlaserSpectatorGlenn,
It was really too bad we couldn’t connect, but family comes first! Happy Birthday to your wife! Hope the party was a smash.As far as the HK thing, I think that the proper “mixture” of water, air, and laser energy are the important factors in how the erbiums ablate. If one has too much water, it seems to overshadow what the laser engergy is intended to do. In addition, I also think that if we were able to make our machines cut at a higher wattage, maybe, just maybe our ablation would be greater with more water?? just thinking out loud. Hard to say if HK is real, BUT, without the water, no real “fine” cutting exists. Just “melting” of the targe tissue. Interesting though. Nice again David. David, I suggest you talk to Ioana, or Dimitri at Biolase, and email the pictures to them…they might be able to explain or help you a bit more. Again, just thinking out loud.
Mark
P.S. The World Congress of Microdentistry Meeting was the most incredible meeting I have attended yet this year, and as you all know I have been to quite a few. Holy mackerel, the things I saw, and learned are unbelieveable. Hope you all might consider attending next year in San Fransisco!
SwpmnSpectatorMarc:
One of Glenn’s photos is labeled “980nm diode” plus he uses the same 810nm DioDent I do and the tip in these photos sure doesn’t look like mine.
Thanks for the input on the Biolitec.
Al
vinceSpectatorHi Allen,
I use the 980, and it does coagulate optically, with lots of water, out of contact. No charring whatsover. The patients also appear very comfortable without LA for minor plasties, crown troughing….
Cheers, Vince
vinceSpectatorHOLY WATER BATMAN…
Any suggestions on how to handle efficiently the pooling of water that occurs in slot and tunnel preps which muffles the lasers ablation rate?
Merci.
Vince
SwpmnSpectatorThanks Vince!!!!
Al
Robert Gregg DDSSpectatorHey Guys,
Thanks for the feedback. I needed some thoughts on this one!
Ron–Giving it right back to me–very funny, and probably right. So you and Gleen agree–take a second shot at it.
I guess I shouldn’t assume there is a fracture there even though it looks probable, huh?
I like Pat’s idea of retreatment. Internally, there may be a better chance at an MTA repair too.
I thought about raising a flap and taking a peak with the microscope, but that doesn’t address Ron’s observation of the short fill, or Pat’s comment about microbes.
I think I’ll call my friend and suggest an RCT retreat, and repair of any fracture with MTA–along with a second treatment of the perio defect. He was agreeable to me flapping and peaking and repairing……
Thanks for the suggestions, I needed the different perspectives.
Muchas gracias,
Bob
PS Ron–I went to Destin and the Ocean Club and had tha surf n’ turf with fried florida lobster…….Yep, it was as good as you and I remembered!!!
AnonymousSpectatorQUOTEQuote: from Robert Gregg DDS on 2:41 pm on Aug. 19, 2003PS Ron–I went to Destin and the Ocean Club and had tha surf n’ turf with fried florida lobster…….Yep, it was as good as you and I remembered!!!
Good thing I don’t hang out w/ you and Ron K too often, I’d weigh 400 pounds!
dkimmelSpectatorBob, anyone around with a perioscope? Nicer then flapping!
David
SwpmnSpectatorVince:
On the DELight, I just turn the water down as low as possible to prevent pooling but high enough to irrigate the lesion. With the Waterlase, I use an 11% H20 setting.
Al
dilbertSpectatorThis thread is eerily quite. On a related note – does any DELight user have plain English translations for Error 24 and Error 98 that Glenn referred to when discussing the DELight?
ASISpectatorThanks, Kelly. It’s a wonderful system isn’t it?
I also use a HP 7550 Photosmart printer for hard copy print for album presentation.
Andrew
ASISpectatorHi Fellows,
That’s the beauty of this forum as new perspectives are gained upon sharing. Great work everyone!
Andrew
ASISpectatorThanks for sharing agian, Glenn. So good to see you back on the forum.
Nice case.
Andrew
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