Is there much of a difference in the healing time when the external incision is used to drain the abscess rather than drilling into the tooth to drain the abscess?
Technology is wonderful isn't it? We should be grateful there are doctors like you who are capable of using this tech, and willing to show us the way in which these procedures are properly done!
@shadowsofDarkness100 The actual treatment, no - the patient was under anesthesia but actually felt relief when the pus began to drain. These abscesses cause tremendous tissue damage, and no matter what the treatment, it usually requires 2 weeks of antibiotics and care before the traces of the abscess are gone. BTW, these can be life threatening if not treated early and properly. I guarantee he had more "OW" before his appointment than when he left.
@kjgmommy Where is your dental degree from? I'm constantly amazed at the ability of some persons to make grave pronunciations on the condition of a patient they have never seen and have no information on their history. I would recommend you reconsider your opinion.
@DrHaddix Don't have one and don't need one. I think it's pretty obvious that this person has too much root exposed. i didn't say anything negative or that they were neglectful of their dental needs. Just pointing out that it doesn't look like a healthy mouth to me.
@kjgmommy "Don't have one (dental degree) and don't need one." Hang in there, KG, because there's a reasonable likelihood your mouth could look like this as you get older. I'm assuming you're young now because you obviously know everything. Good luck, remember to floss!
@hamadasalah70 In this case, only local anesthetic was used. The injection site for the anesthesia for this area is anatomically distant from the area of infection; no general anesthetic was needed, and the patient was quite comfortable.
@Rae015473 A high volume evacuation unit should be placed as close as possible to the surgery site and slightly above it to capture the entire plume. this not only makes for a more pleasant experience, but a safer one as well.
@Rae015473 Yes, lasers are extremely cool. With regards to the smell: the vaporized tissues are contained in what is known as a 'plume'; this plume is considered a potential source of infection by CDC. The rule is, if you can smell the plume, it is not being adequately evacuated by your high volume suction unit.
The speed and precision with which the laser cuts is really astonishing; like something out of science fiction, the flesh simply parts underneath it. I wonder if it's difficult to avoid accidentally scorching the bone too deeply.
@collabi : while care has to be taken not to damage the bone, it is not difficult to avoid such damage. There is plenty of fluid in the surgical site to act as a heat sink, and at the 5W continuous output shown, it would take a concerted effort to cause irreversible damage.
I think I have this right now, I have let it go to where it's a huge bump/mass below my right lower molars way down below. It doesn't actually hurt real bad but when I touch it or press on it it does, there is alot of pressure. My dentist is going to do a root canal but didn't say what they are going to do about the mass. Will it go away on its own with antibiotics or should I ask about this procedure?
I have had two abscess teeth before and the pain is the worst pain I have ever experienced and nothing helps it. It got to the point I did not care, I wanted the tooth out, but I was able to have the tooth saved with a root canal.
That's a very typical experience; the pain is caused by the pressure of the infection. When drained, the pain is usually immediately relieved. I'm glad to hear you were able to keep your teeth. Thanks for your comment.
Trust me, this patient was already in pain. A lot of it. Even with local anesthesia, they were still hurting; that's the nature of these infections. The instant the infection drained, the patient felt relief. They never feel the actual treatment. I wish I had a video of using a scalpel to perform this procedure for comparison...
Improperly used, yes, this laser can effect irreversible damage not only to bone, but the soft tissues as well. Training and experience with the laser, as well as with any other procedure, are key to minimizing unwanted effects on non-target tissues.
Thank you for you kind words. The comparison I would draw is that this method is more precise controllable that the popular traditional approach using a scalpel and a blind incision down to bone. The laser procedure certainly bleeds a lot less.
Yes. Diode lasers in this power range cut primarily though the heat generated when the laser energy is absorbed by dark material and tissue debris at the end of the laser fiber. The heat cauterizes the vessels. The challenge is to control the laser in such a way to create the incision and cauterize the blood vessels without causing unnecessary collateral tissue damage, known as a wide zone of coagulation.
Still relatively new. Although these types of lasers are becoming more common in dental offices, uses such as these require that the dentist be trained in the procedure. Only 3 to 5% of dentists own some type of laser.
This particular laser does not spray irrigant; I am keeping the field wet using saturated gauze to moisten the area after each pass. It is a balance to keep enough moisture on the tissue to remove heat without quenching the laser tip. Irrigated fields require laser outputs in the 10 to 12 watt range to overcome quenching; this laser's maximum output is 5 watts, hence the controlled moisture application from the gauze.
Your compassion for the patient pictured is underwhelming. Yes, they did fine, now that you ask. You would do well to realize that while poor oral hygiene makes a condition such as this more likely to occur, it definitely can happen to someone who does brush and floss well.
Down to the bone, actually; if you look carefully you can see the whiteness of the bone shining at the bottom of the incision, which is interesting because when this procedure is performed in traditional fashion with a scalpel, there's so much blood you can't see without suction. Much nicer this way.
The technicial diagnosis is suppurative abscess of the space of the body of the mandible; basically it's a collection of pus due to an abscessed tooth. The procedure, called incision and drainainge, immediately relieves pressure, swelling, and pain, and allows more efficient action by antibiotics. The patient actually felt physical relief even though they were very, very numb. Root canal therapy was used to treat the abscessed tooth, and he is very comfortable today.
i fucking want that laser o-o
SophiaSauras 2 months ago
that was sooo fuckin metal
brnsktingdieskting18 5 months ago
smokers mouth!
tucon100 9 months ago
Is there much of a difference in the healing time when the external incision is used to drain the abscess rather than drilling into the tooth to drain the abscess?
SpaceNinja093 9 months ago
Technology is wonderful isn't it? We should be grateful there are doctors like you who are capable of using this tech, and willing to show us the way in which these procedures are properly done!
NotVerySophisticated 10 months ago
wow did you notice the explosion at 0:18 ?? a pressure like that would cause a great pain!! ... rushing to brush my teeth!
edukee 10 months ago
OW MUCH?!?!
shadowsofDarkness100 11 months ago
@shadowsofDarkness100 The actual treatment, no - the patient was under anesthesia but actually felt relief when the pus began to drain. These abscesses cause tremendous tissue damage, and no matter what the treatment, it usually requires 2 weeks of antibiotics and care before the traces of the abscess are gone. BTW, these can be life threatening if not treated early and properly. I guarantee he had more "OW" before his appointment than when he left.
DrHaddix 11 months ago 4
@DrHaddix oh.. okay thanks for the info :P
shadowsofDarkness100 11 months ago
Abscess may be the least of his/her problems. There is a ton of root showing and that will only lead to a lot more problems.
kjgmommy 11 months ago
@kjgmommy Where is your dental degree from? I'm constantly amazed at the ability of some persons to make grave pronunciations on the condition of a patient they have never seen and have no information on their history. I would recommend you reconsider your opinion.
DrHaddix 11 months ago
@DrHaddix Don't have one and don't need one. I think it's pretty obvious that this person has too much root exposed. i didn't say anything negative or that they were neglectful of their dental needs. Just pointing out that it doesn't look like a healthy mouth to me.
kjgmommy 11 months ago
@kjgmommy "Don't have one (dental degree) and don't need one." Hang in there, KG, because there's a reasonable likelihood your mouth could look like this as you get older. I'm assuming you're young now because you obviously know everything. Good luck, remember to floss!
DrHaddix 11 months ago 3
Also, if you don't want comments please set your account so you can't get comments. Or stop posting on Youtube.
kjgmommy 11 months ago
it took only 10 days to heal without stitch .....
laser is magic .. but about anathesea it was general right ?
hamadasalah70 1 year ago
@hamadasalah70 In this case, only local anesthetic was used. The injection site for the anesthesia for this area is anatomically distant from the area of infection; no general anesthetic was needed, and the patient was quite comfortable.
DrHaddix 1 year ago
heat lasers, this is the future
TheHood121 1 year ago
God that looks like one satisfying-ass job!
SirSexyAlot 1 year ago
@Rae015473 A high volume evacuation unit should be placed as close as possible to the surgery site and slightly above it to capture the entire plume. this not only makes for a more pleasant experience, but a safer one as well.
DrHaddix 1 year ago
@Rae015473 Yes, lasers are extremely cool. With regards to the smell: the vaporized tissues are contained in what is known as a 'plume'; this plume is considered a potential source of infection by CDC. The rule is, if you can smell the plume, it is not being adequately evacuated by your high volume suction unit.
DrHaddix 1 year ago
The speed and precision with which the laser cuts is really astonishing; like something out of science fiction, the flesh simply parts underneath it. I wonder if it's difficult to avoid accidentally scorching the bone too deeply.
collabi 1 year ago
@collabi : while care has to be taken not to damage the bone, it is not difficult to avoid such damage. There is plenty of fluid in the surgical site to act as a heat sink, and at the 5W continuous output shown, it would take a concerted effort to cause irreversible damage.
DrHaddix 1 year ago
I think I have this right now, I have let it go to where it's a huge bump/mass below my right lower molars way down below. It doesn't actually hurt real bad but when I touch it or press on it it does, there is alot of pressure. My dentist is going to do a root canal but didn't say what they are going to do about the mass. Will it go away on its own with antibiotics or should I ask about this procedure?
Alliem71 1 year ago
Amazing video. I presume you stitch the wound up...
sidefall 2 years ago
@sidefall No, the incision is left open to allow further drainage; when the infection is cleared, they heal without consequence.
DrHaddix 1 year ago
I have had two abscess teeth before and the pain is the worst pain I have ever experienced and nothing helps it. It got to the point I did not care, I wanted the tooth out, but I was able to have the tooth saved with a root canal.
auburnfan2323 2 years ago
That's a very typical experience; the pain is caused by the pressure of the infection. When drained, the pain is usually immediately relieved. I'm glad to hear you were able to keep your teeth. Thanks for your comment.
DrHaddix 2 years ago
@DrHaddix Is the reason you used a laser and not a knife because heat kills bacteria and decreases risk of infection?
warpedcomedy 2 years ago
his teeth are so decayed
walkertexasranger33 2 years ago
wow that would look painful
puterwiz02 2 years ago
Trust me, this patient was already in pain. A lot of it. Even with local anesthesia, they were still hurting; that's the nature of these infections. The instant the infection drained, the patient felt relief. They never feel the actual treatment. I wish I had a video of using a scalpel to perform this procedure for comparison...
DrHaddix 2 years ago
I just love when the stuff starts comming out and the vacum just sucks it up my mom had a root canal and it was full of puss it was cool!!!
wubafet 2 years ago
ahhhhh nice!
ALECKScamp 2 years ago
Improperly used, yes, this laser can effect irreversible damage not only to bone, but the soft tissues as well. Training and experience with the laser, as well as with any other procedure, are key to minimizing unwanted effects on non-target tissues.
DrHaddix 2 years ago
Can the laser incision do permanent damage to bone?
Frostgun 2 years ago 4
I bet that smelled absolutley foul.
royal24 2 years ago
Actually, this type of infection has a rather 'tangy' odor, but yes, it's not going to make anyone's favorite list.
DrHaddix 2 years ago
Fascinating. Well done. I imagine with other more traditional methods it would have taken longer and hurt more.
g0twav 2 years ago
Thank you for you kind words. The comparison I would draw is that this method is more precise controllable that the popular traditional approach using a scalpel and a blind incision down to bone. The laser procedure certainly bleeds a lot less.
DrHaddix 2 years ago
Cauterizes the vessels I imagine?
g0twav 2 years ago
Yes. Diode lasers in this power range cut primarily though the heat generated when the laser energy is absorbed by dark material and tissue debris at the end of the laser fiber. The heat cauterizes the vessels. The challenge is to control the laser in such a way to create the incision and cauterize the blood vessels without causing unnecessary collateral tissue damage, known as a wide zone of coagulation.
DrHaddix 2 years ago
Thanks for the information, it's really fascinating to see medicine advance.
g0twav 2 years ago
Impressive
l3d3nn3 2 years ago
wow... made of win!
velcroboy60000 2 years ago
Still relatively new. Although these types of lasers are becoming more common in dental offices, uses such as these require that the dentist be trained in the procedure. Only 3 to 5% of dentists own some type of laser.
DrHaddix 2 years ago
that laser technique is pretty damn sweet! Is that used commonly now or is it still relatively new?
Ca2roline 2 years ago
That was really professional doctor
indianarmy1994 2 years ago
does this laser spray irrigant on the field or is your assistaint doing so with a syringe?
looks very impressive, the patient was persumably anesthetised?
bigtig1234567 2 years ago
This particular laser does not spray irrigant; I am keeping the field wet using saturated gauze to moisten the area after each pass. It is a balance to keep enough moisture on the tissue to remove heat without quenching the laser tip. Irrigated fields require laser outputs in the 10 to 12 watt range to overcome quenching; this laser's maximum output is 5 watts, hence the controlled moisture application from the gauze.
DrHaddix 2 years ago
ooo. But why is it formed in the first place?
eggyolk5 2 years ago
This abcess is the result of an infected tooth adjacent to the area the incision is being made.
DrHaddix 2 years ago
probaly because they werent taken care of there teeth
katiesorrow 2 years ago
what is the white stuff made of. Kindda cool and disgusting at the same time
eggyolk5 2 years ago
The thick white liquid is purulent exudate, more commonly known as "pus", and is made up of white blood cells, bacteria, and tissue debris.
DrHaddix 2 years ago
Dude his teeths are looking horrable.
Coloscopy79 2 years ago
This is awesome and disgusting at the same time. And did anyone notice the stuff went directly into the poor guy's MOUTH??!!!
warpedcomedy 2 years ago 4
; )
The "stuff" (blood and pus) was collected by the white suction tube seen behind the incision. Sort of like a medical vacuum cleaner on steroids.
But, yeah, it is awesome, isn't it?
DrHaddix 2 years ago
I see that tube now. By the way, I thought that was stuff from a cyst. Pus is usually yellow.
warpedcomedy 2 years ago
i wouldn't think you'd get to the mandible through there...weird.
blahblahblahEMILY 3 years ago
the dirty mess should at least brush them nasty teeth once a day, thats dissgusting
Zeebo1uk 3 years ago
Your compassion for the patient pictured is underwhelming. Yes, they did fine, now that you ask. You would do well to realize that while poor oral hygiene makes a condition such as this more likely to occur, it definitely can happen to someone who does brush and floss well.
Careful stepping down off that soapbox.
DrHaddix 3 years ago
now i'm really scared to go to the dentist tomorrow :(
Borgy7 3 years ago
Wow that's so deep.
EllysaE 3 years ago
Down to the bone, actually; if you look carefully you can see the whiteness of the bone shining at the bottom of the incision, which is interesting because when this procedure is performed in traditional fashion with a scalpel, there's so much blood you can't see without suction. Much nicer this way.
DrHaddix 3 years ago
Wow that is amazing!
sfsoundhound 3 years ago
that mustve left an amazing canker sore
cookie0991 3 years ago
how cool is that lazer.
baltymora2 3 years ago
awesome
yoyyo2000 3 years ago
i think that's a disease of the mouth called periodontitis. or something like that.
lunarconvict4 3 years ago 2
The technicial diagnosis is suppurative abscess of the space of the body of the mandible; basically it's a collection of pus due to an abscessed tooth. The procedure, called incision and drainainge, immediately relieves pressure, swelling, and pain, and allows more efficient action by antibiotics. The patient actually felt physical relief even though they were very, very numb. Root canal therapy was used to treat the abscessed tooth, and he is very comfortable today.
DrHaddix 3 years ago
omgosh! What is wrong with his teeth? yuk
valleyjulie 3 years ago
GUms pulling away from the teeth. Happens with smokers alor.
TriaMaxwell 3 years ago