One can do all the other things you do with endo files etc but it is nice to be able to drop files into the canals more easily. More tests need to be done and are being done. I think you use combinations of things ozone, PIPS, great files, hypochlorite etc to get best results. Why fight over which is best alone.
I am trying to decide on sealer. I love the feel of packing resilon/realseal, the history and antibacterial nature of Zoe/gp, the expansion of bioceramic, and the flowability of endorez. I haven’t decided which is best yet.PIPS teaches endorez right now(though there isn’t antimicrobial activity), I think because it flows so well so is good for minimal prepping. Endodontists use GP/ZOE the most.
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Ken siegel
Sent: Sunday, May 27, 2012 8:44 AM
To: mark@drmalterud.com; schminsk@bellsouth.net
Cc: acesthetics@googlegroups.com
Subject: Re: [ACEsthetics] Waveone system/PIPS
Mark
Great stuff. I've been using the laser with PIPS since the January course. It really is amazing.
Ken Siegel
-------- Original message --------
Subject: Re: [ACEsthetics] Waveone system/PIPS
From: Mark Malterud <mark@drmalterud.com>
To: "schminsk@bellsouth.net" <schminsk@bellsouth.net>
CC: Re: [ACEsthetics] Waveone system/PIPS
John and fellow ACEr's,
I have had the honor of sitting chair side assisting Mark Colonna (one of the developers of the PIPS techniques) on a RCT of a strapping ex marine police officer from Whitfish Montana who was brought to tears by a dying tooth. It was an after hours emergency and Mark and I were in his office doing some high speed photography of laser pulses through a lot of different mediums to see if we could capture images of the pattern of his PIPS tip. After Mark finally got his anesthesia to work on this extremely hot tooth he PIPS'ed the tooth he placed a #15 file into the 2 canal orifices and established apical patency and then he used his radial firing PIPS tip on his LightWalker Laser and in less than 15 minutes he was done. He was working under a scope so I got to see the effects of the PIPS tip on the large monitor and the schmutz just pumped out of the tooth, Once he had cleaned out the canal he took an Ultradent EndoVac tip and sucked out the excess fluids and then placed EndRez down the canals closed off with the Ultradent purple sealer and took a final picture. I had never seen anything like it. First of all when he was filling the buccal canal you could see EndoRez come up the canal he wasn't in. He never reentered that second canal with the EndoRez tip. When he took the final picture there was a puff out of each apex and some lateral canals and there was a whole series of lateral canals and inter canal anastamosis' that were filled also.
I was so impressed that I have been coveting a LightWalker Laser for a while and we are just doing a Technology upgrade and I bit the bullet and bought one. Mark Colonna is going to be training me in 2 weeks and the Laser will be delivered this week and set up. I am really excited about what it can do tO expand and increase the quality of my treatments of perio situations and Endo along with my Minimally Invasive Dental treatments.
I heard recently that Mark Colonna my be doing some educating for Ultradent on Endo and will incorporate the PIPS technology in the lecture.
Mark
Mark I Malterud DDS MAGD
770 Mount Curve Boulevard
St. Paul, MN. 55116
Office: 651-699-2822
Cell : 612-747-4853
email: mark@drmalterud.com
On May 27, 2012, at 6:57 AM, John Highsmith DDS wrote:
I've been happy with it so far, but I don't tackle very difficult cases. That's what specialists are for. If it can increase the efficiency and quality of routine endo, then I'm for it.
Also very seriously looking at the PIPS technique using the Lightwalker laser. This concept seems too good to be true! Any ACEers using it?
Here's a link to their site with clinical videos.
In a nutshell, the laser shoots a photoacouistic wave down the canal, so it cleans out all the canal contents including fins and lateral canals, without hogging out the canal the way we usually do to get enough bleach in it. Sounds like you can totally clean and disinfect the entire root canal system without severely weakening the tooth. Cool!
John Highsmith DDS
Clyde, NC
AACD Accredited Dentist
LVI Clinical Instructor
Diplomate, ICOI
Fellow, Misch Implant Institute
DrHighsmith.com
On May 27, 2012, at 7:42 AM, gary l henkel dds wrote:
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