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Here’s another I did today. Tooth #27, carious exposure on the mesial (preop xray at ins. co.)
Here is the preop Photo:
Here the access was made using a G-6 tip at 4.0W 80%air and 50% water, I made access through incisal so as not to proceed through the decay into the pulp as you will see in the xray shortly. Once I am near the exposure of the pulp, I reduce the power to 1.25W 34%air and 24%water:
Here, the #15 K file in place, it’s about 1mm short. The measurement was 25mm, the actual working length was 26mm:
Here is the working xray:
Next, place a Z-2 tip into the handpiece, and stay 3mm from the working length, settings are 1.25W 34%air 24%water, activating laser only on OUTSTROKE, circumfrentially about 8 times for 6 seconds each outstroke:
Then change to Z-3 tip and do the same…then I place a #35 file to working length, to make sure of my apical stop, and then dry the canals, and fill with Endo Rez, and a GP custom point. Here is the EndoRez placement:
And the final radiograph:
This all took me about 35 min. start to finish (without taking the time to photograph, Glenn has it easy!!)
I didn’t use any anesthetic, and as you see, the pulp was vital. Neat case, and loads of fun. The patient reported no discomfort, and was really pleased that he wasn’t numbed! He said on a scale of 1-10, it was about a 2-3 at most. Gotta love lasers!Comments, critiques?
Thanks for letting me share here!
MarkHi Fellow Forum Folks,
The first case is an aphthous ulcer about 4 to 5 days old at the lower labial frenum area. It was treated by the DELight laser 600u 80 degree tip dry at about 10mm away at 10Hz 35mj for about 30 seconds until a dessicated whitish surface appearance was evident. Before and immediate photos. Patient able to put tongue on it right away without any discomfort. A week later, it was completely healed with no complications. Sorry, no post-op photo.
Andrew
The second aphthous ulcer case is just short of a week old and treated by the Biolitec 980nm diode laser 600u fibre at 1W CW 10mm away for about 60 seconds until patient felt enough heat and didn’t want to have more for any longer. Pre-op as shown. Again, patient able to touch with tongue right away with no discomfort. No real significant change in appearance evident immediate post-op, hence no photo taken. 10 day post-op photo shows complete healing. Patient still felt some discomfort after lasing for the next few days. Likely could have had lasing a bit longer, I think.
Similar outcome by two different wavelengths. Nothing earth shattering. Just my attempt for a first clinical post.
