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Medical Forum / General / Dentistry / October 2005Air Abrasion (Drill-less Dentistry), who uses it, pros, cons?
I am just asking. Is air abrasion just useful for those cavities that sit just in the enamel? Is air abrasion widely used? What do you(as a dentist) like or dislike about it? What do you (as a patient) like or dislike about it? Complications and drawbacks? Reasons for not using? I am reading web pages right now but would like info from people with hands on experience. http://my.webmd.com/content/article/66/79601.htm I am sure this is fairly candy coated. Thank you for your time, Thor Yup, yup and yup. Joel >I am just asking. Is air abrasion just useful for those cavities that sit just >in the enamel? [quoted text clipped - 17 lines] > >Thor > I am just asking. Is air abrasion just useful for those cavities that sit just > in the enamel? No: you can use it for when the patient starts to squint. You stop, explain that the sand is dusty, etc, and that it'll permit you to finish the prep without anesthesia. They will be able to rinse at the sink before leaving. > Is air abrasion widely used? I think it is personal preference. > What do you(as a dentist) like or dislike about it? I use the Danville Mark IIA microetcher (fully autoclavable). Note that this is a MICROETCHER, and so is not as precice as a real air abrasion system. I use it as described above, and to clean out cavities and etch dental materials before bonding them in. > What do you (as a patient) like or dislike about it? As a dentist, you can clean out decay and old non metal fillings and bases without too much trauma to the tooth. You can etch metals to increase adhesive bonding. > Complications and drawbacks? It's sand. > Reasons for not using? It's sand. > I am reading web pages right now but would like info from people with hands on > experience. > http://my.webmd.com/content/article/66/79601.htm > I am sure this is fairly candy coated. Web MD is candy coated, yes. > Thank you for your time, Personally, I don't use it that often, but it is there when I need it. I would not hesitate to replace my unit (about 400$ US or so) if it broke. But the thing is quite tough. > Thor HTH SP  SignatureTake out the TRASH to reply I use my machine almost every day. I could use it a lot more if preventive resin restorations were recognized for the benefit that really exists. Some pits and fissures get 'ignored' until it's 'drill&fill' time. Dartos > I use my machine almost every day. I could use it a lot more if > preventive resin restorations [quoted text clipped - 3 lines] > > Dartos This confuzzez me: If I were you, I'd be doing those with a quick trace around the fissure with a small bur and then zappin 'em with the WaterLase. But then, I've never had a _real_ air system in my hands, so I only have the MicroEtcher to go by. One way or the other, prevention is the best medicine. It is also a real pity, but the insurers here won't pay for them very often. This also confuzzez me. I would think it's in their interest. Cheers SP SignatureTake out the TRASH to reply It is rare that an insurance company insures the same patient for years and years. They have no interests in what will save money in the long run. It is all about what is the least expensive *NOW*. They are interested only the current contract. Limit liabilities and maximize premiums. Unfortunately, some dentists aren't much better. Maximize treatment today for the patient will be gone next year. D_S >>I use my machine almost every day. I could use it a lot more if >>preventive resin restorations >>were recognized for the benefit that really exists. > It is also a real pity, but the insurers here won't pay for them very > often. This also confuzzez me. I would think it's in their interest. > > Cheers > SP Dartos Yelled: Unfortunately, some dentists aren't much better. Maximize treatment today for the patient will be gone next year. .... And The Pipe went on to this totally irrelevant observation: .... Um.... Boiled water. for four: Place four cups of water plus 'one for the pot' in a medium sized brass kettle with inscriptions around it like: Hail to thee blithe spirit... and what not. Stoke a fire in the middle of your lawn. Place the kettle it its midst, and wait for the steam to rise from the kettle. This is bound to attract curious neighbors. Pour one cup each, and shoot the breeze with the neighbors while you enjoy your wood-heated, smoke flavored hot water, fresh from the kettle. Cheers SP >I use my machine almost every day. I could use it a lot more if >preventive resin restorations [quoted text clipped - 3 lines] > >Dartos YUP, we agree .... prevention is key. > I am just asking. Is air abrasion just useful for those cavities that sit just > in the enamel? You can open enamel and drill and combine it with air abrasion. > Is air abrasion widely used? 1-2% of dentists > What do you(as a dentist) like or dislike about it? Where it was untill now? > What do you (as a patient) like or dislike about it? Dust in the wind (Kansas ?) > Complications and drawbacks? > > Reasons for not using? It is hard to use it with minimum two reasons: Dont have it Dont "know how" > I am reading web pages right now but would like info from people with hands on > experience. [quoted text clipped - 4 lines] > > Thor |
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