Hi Vince: I wrote an article in Dental Products review on using the erbium for it. Gord and Chris should have endo tips. If you want it I will dig it out and send it to you.

Here is a link on this web site.

http://www.rwebstudio.com/cgi-bin/ikonboard/topic.cgi?forum=25&topic=70

Glenn

Hey folks,
I haven’t posted a case in a bit, sitting here on a lazy Sunday for once…here is a case I submitted on DT about a month or so ago. No preop, BUT it was a vital tooth, on it’s way out which I did the endo with the Waterlase on.
My settings were Z-2, Z-3 tips, 34%air, 24% water 1.25W for those who like setting numbers.

I anesthetized with the normal 5.5W 80%air, 50% water for 90 sec. Opened up tooth with a G-6 tip til I got near the pulp, and then lowered my settings to 1.5W, keeping the air/water the same til I exposed the chamber. Using a small spoon, I removed the roof of the pulp chamber, then changed to the Z tips to begin to remove the chamber tissue. Once that was completed, I placed a #20 standard size K file in the canals to obtain radiographic length. Then using the Z-2 tip with the aforementioned settings, I go to about 2.5mm shy of the radiographic apex and “cleanse and shape” using the Z tips. I go back with a #25 file to make sure I still have a great apical stop, then obturate with GP, and now I am using endorez and GP with very nice results.
Sorry no preop xray (I am at home), but here is the Initial apical file:

Next is the X-ray with files in place:

Then the Waterlase with a Z-2 tip in place, 3 mm from working length:

Final fill radiograph:

Pt. really felt very little, mostly upon gaining access, just a twinge or two, but really slick to do endo with the laser. No post op discomfort as well. Really cool.
Questions, comments, and criticisms welcome…teach me!
Sincerely,
Mark

Hi Mark,

Very conservative crown down technique indeed. It is great that you can be so noninvasive in your filing and shaping. Very nice result and impressive handling of the case.

Thanks for sharing on a lazy Sunday afternoon.

Andrew

Hi Glenn,

The WOW factor is just so unreal with the scope. I continue to be in awe of the details that the scope provides. To share the progress and the process of the treatment with the patient and staff through the scope is just an amazing adventure. It just makes dentistry so much more fun to do.

Thanks again.

Andrew

Hey Glenn,

Doing it and showing like you have done here are two different things. Anything I might have done doesn’t mean much until someone actually shows (shares) it being done……Excellent presentation!

I like how your tissue looks with this diode better than the argon. What do you think?

Bob