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Treatment of scar resulting from a baseball injury (new EX735Ag Modific Slider)

Fred Hart DMD | 24.03.2012

Patient details

Gender/age: Male 8 yr old Presented condition, complaints: Patients mother presented with concerns of scarring resulting from a baseball injury which occurred on. The injury was debrided and sutured by a plastic surgeon in the Emergency Room. The wound was sutured in 2 layers, the internal layer resorbable and outer was later removed by the surgeon.

Past medical history (if available): Unremarkable, No medical conditions, No medications and no known drug allergies.

Treatment.

Note all treatment for the first 8 sessions was done with the EX735Ag Modific instrument.

#1 9/10

Time of action during session: 18:04
Action modes used: Cs A1

Areas treated: 6 points on the face (scar area included in Right infraorbital point). Q laser mode 1 applied to scar area for 3 1/2 minutes. Patients mother advised to massage scar with vit E and alternate with vit A&D daily.

Change of the patients condition during and after session: Initial presentation of scar very hard, non-movable also redness present. No change after treatment observed.

#2 9/12

Time of action during session: 20:39
Action modes used: Cs A1
Areas treated: 6 points of face. Q laser mode 5 applied to scar area for 3 1/2 minutes
Change of the patients condition during and after session: No changes observed.

#3 9/13

Time of action during session: 18:36
Action modes used: A A1
Areas treated: 6 points of face. Q laser mode 1 applied to scar for 3 1/2 minutes.
Change of the patients condition during and after session: No changes in hardness, but scar becoming more red.

#4 9/14

Time of action during session: 15:44
Action modes used: A A1
Areas treated: 6 points of face. Q laser mode 5 applied to scar area for 3 1/2 minutes
Change of the patients condition during and after session: No change in hardness, however it seems to start breaking up in a very minor way, redness increasing.

#5 9/19

Time of action during session: 18:23
Action modes used: A A1
Areas treated: 6 points of face. Q laser 808 probe used over scar area.
Change of the patients condition during and after session: No change in hardness, good blood supply redness stabilized.

#6 9/20

Time of action during session: 16:31
Action modes used: A A1
Areas treated: 6 points of face. Q laser mode 1 applied to scar area for 3 1/2 minutes.
Change of the patients condition during and after session: Perhaps some mild softening in scar beginning, mild decrease in redness.

#7 9/26

Time of action during session: 15:48
Action modes used: A A1
Areas treated: 6 points of face. Q laser mode 1 applied to scar area for 3 1/2 minutes
Change of the patients condition during and after session: Scar breaking up a bit and slightly less redness.

#8 10/3

Time of action during session: 18:29
Action modes used: A A1
Areas treated: 6 points of face. Q laser mode 1 applied to scar area for 3 1/2 minutes.
Change of the patients condition during and after session: Scar continues to break up and softening to some degree a little pink showing through.

Treatment Note all treatment after the first 8 sessions was done with the EX735Ag Modific Slider instrument.

#9 10/10

Time of action during session: 49:44
Action modes used: Slider 5 Energy Minimum
Areas treated: 6 points of face.
Change of the patients condition during and after session: No major changes from last session.

Comments on device: Treatment time takes longer with the slider version than with the modific. 2 points did not reach full dose after 10 minutes.

#10 10/24

Time of action during session: 52:31
Action modes used: Slider 5 Energy Minimum
Areas treated: 6 points of face

Change of the patients condition during and after session: scar getting softer, more pink coming through in areas that are breaking up.

Comments on device: Device did not dose on Right supraorbital point after 10 minutes.

#11 11/02

Time of action during session: 39:38
Action modes used: COSMODIC and Slider 5 Energy Minimum
Areas treated: 6 points of face

Change of the patients condition during and after session: skin getting softer, only one hard knot from the suturing remains hard.

Comments on device: I initially placed the device in Cosmodic mode and the patient asked me if I had gone back to the original device (Modific) then changed the setting to slider 5.

#12 11/14

Time of action during session: 45:23
Action modes used: Slider 5
Areas treated: 6 points of face.

Change of the patients condition during and after session: Marked improvement in softness and color, softer tissue and color becoming less red and starting to blend in with the surrounding skin.

Comments on device: Treatment time seems to be longer, some areas will simply not dose after 10 minutes but body changes occur faster.

Total number of sessions: 12 so far, we are not yet done with treatment.

Comments: When using the Slider instrument, healing seems to take place at a very fast rate. It is difficult to tell if it is the Slider action alone or the cumulative healing occurring from the previous sessions.

Total time of treatment (days, weeks): Not completed yet

Comments on the new device working: The patient can definitely tell the difference between the Modific and Slider instruments

Submitted by Fred Hart DMD, Nov 2011