Thanks Vince and Ron …….nice of you guys to compliment me. These cosmetic cases on demanding patients are tough, especially the temps for veneers…..sheesh.

Anyways Allen…….as for the probe, yes the first spot is 3mm and so to the bone was deeper but the pocket was 2-3 mm so I could take a mm or so but not much more. I like to leave 2 mm or so total.

I cant probe all the way to bone with these probes as they are a little soft for that (bend a little).

I will post the finals.

Hope they work out but again if there is inflammation ( we will just do closed flap erbium osseous reduction).

glenn

Hi folks: Part 2 took place today when I attempted to do a post and core on the first premolar on a tooth that my long depared associate had done the endo on previously.

I never looked too close at the tooth prior to removing the temp (decay under it) but there was a perforation……

Its viewable on the pics. I decided to use the diode at 1.0 watts continous wave to remove the tissue in the perf hole. I then placed a post and after curing it I placed some MTA in the hole and then after removing excess carefully at high mag, and blotting of the excess water with pellet , I decided to risk it and go ahead and cover it up. I have never had it not set up when using the laser to remove tissue, stop the bleeding and sterilize the area.

I placed flowable Dyract GI compomer overtop and cured. Re etched , bonded and buildup occurred.

Then used the diode at 1.5W 15 Hertz to try and trough and controlled the oozing.

The healing on the osseous was ok but not stellar but then again neither is her OH stellar.

I placed temps on both teeth and will insert the crowns in two weeks.

I thought it was cool to use the laser to remove the tissue in the perfed area…..something I havent seen even my good buddy…….the inimitable Bob Gregg do.

I hope he doesnt now tell me ………hey Glenn , I did that in 1993 ( I know he will)

Only once do I want to do something he hasnt done before.

I will post the final pics after I am done and I do apologize for the pics in the first part but this was all I could do to get something from the video (captured stills)

All the best…………

Glenn

PS , I know under ideal circumstances I should have let the MTA set for 24 hours with a moist cotton pellet so I will take the blame if it doesnt work.

cya

Glenn

Hi Guys……didnt look at the responses and when I did realized I hadnt answered some.

Teri: Welcome to the site, Teri is an excellent hygienist who knows a ton about Laser Assisted Perio treatment.
I dont know what Floss to advise them on, like you said, I just want them to floss but this looked like unwaxed. I like the Glide type of floss for tight contacts, as there is less chance of shreading. It doesnt work well on light contacts or open contacts though.

David: the scope bug has bitten, put it on your xmas wish list. With the laser it is a great addition , ask Mark , he has been looking also at them and he uses 6.0 loupes. You will NEVER regret it, knowing the way that you practice. Ask Bob Gregg, Andrew Shearon about them….they also use them.

Ian , thanks for the heads up on the HGM filters, I always wondered how we got two wavlengths out of one unit. I still like my Argon but for curing it will last forever , for bleaching, thats another story.

It is very hard to cut through the cores on these, it took me forever. In general I cut through porcelain with a diamond and metal with a fissure bur or Great White #2.
FOr the Procera crowns they need a diamond or two, coarse as you can get.

IF you ever do endo through the crown, expect it to break afterwards , mine always have.

Lee you may be right about the luting cement, and I am sure that this happens many times without magnification and the laser when tissue is still on the margins, and the dentist doesnt see it or know it.

THanks for the kind words and I too often have to cut the crown of bit by bit. I have tried sectioning but one piece always stays on. Finally, we have to remove circumferentially the last few pieces .

I agree one hundred percent with you that you dont want to redo these if possible they take forever to cut them off.

Glenn

Hi Ron……..you know what, this patient has had recent Chemo for cancer and I wonder about acid reflux.

He is a good guy so I dont want to punish him to much. He was thrilled in getting the work done without anesthetic and he said he felt zero.

He was so happy to not get stuck with another needle he told me.

I used GI compomer (Dyract Flow ) for the base and have considered the Fuji 9 and am gonna learn more here in Vancouver at the microdentistry convention with Graeme and Mark and Stew and the boys.

I polished with Enhance, the composite is a new one called Palfique from J Morita I am trying out for them which has a spherical partical size like Filtek I gather. It polishes up nicely but I do notice some tiny voids in it more commonly under the scope at higher mags.

PS Ron thanks for all your kind words and your hard work on this site. You are a real credit to the laser profession and I wanted to thank you in person hopefully at next years ALD session……which brings me to my next post.

Glenn