A laser is a high tech devise
that generates a tiny beam of very concentrated light. This beam of
light brings energy into your mouth through a tiny fiber, to help
remove areas of infection and remove gum disease around the teeth
with great precision and accuracy. The dental laser offers little
to no bleeding, swelling, infection or post-operative discomfort and
also eliminates the need for most sutures (stitches). We find the
dental laser to be very effective in increasing the quality of our
dental care. The gingival tissue in essence frames each individual
tooth, helping to enhance the tooth and adding to the over-all orchestration
of the smile.
Laser is a physical and mechanical way of destroying pathogenic or
disease causing organisms and proteins, these organisms have no way
of counteracting the effects of laser, as there can be no possible
immunity as with antibiotic treatment. Methods that implement local
or systemic antimicrobial drugs or solutions increase the likelihood
that bacteria will become immune.
Periodontal surgery is recommended in many cases where pocketing depths
have reached a level that makes maintenance or cleansing difficult
or impossible by the patient at home. It is often associated
with areas of bone loss and inflammation of the gum tissue around
the teeth.
Treatment of periodontal disease often starts with a series of thorough,
or "deep" cleanings. This phase of treatment removes
the bacterial deposits on and around the root surfaces along with
the toxins that they produce. Healing from this treatment varies greatly
from patient to patient, and can range from resolution of the problem,
thereby negating the need for surgery, to setting the stage for more
successful stage two therapies, or periodontal surgery.
Lasers can be very helpful in the initial therapy. Since the
action of the laser's energy works to vaporize bacteria and breakdown
the bacterial toxins, the pockets are effectively cleansed.
At the present time, lasers cannot remove the hard deposits ("tartar"
or "calculus"), but can be used at the same appointment
as the scaling to remove the bacterial remnants and inflamed tissue
that lines the inner surface of the pockets. Many cases respond
so well to this combination that further treatment was not necessary.
Lasers can also be useful in maintaining the periodontally impaired
patient. Through the regular use of laser energy at the continuing
care appointments every few months; many patients are able to remain
stable and healthy without surgery.
Dentists with experience in Periodontics who have had experience with
the newer dental lasers are the best source of information on an individual
basis. A thorough examination is a necessity before anyone could
suggest that lasers or any other non-surgical treatment could be offered
as an alternative to your specific problem, but recent advances in
laser treatment certainly do offer many people alternatives.
The diode laser is the best instrument to use when
the gum surgery is of cosmetic nature. This type of laser is
a solid-state diode laser that uses micron fiber that can be directed
toward soft tissue that enables to shape the gums to the proportions.
This type of treatment doesn't cause a lot of damage to the soft tissues
of the mouth and it also makes recovery easier and faster.
Lasers are often used to correct such anomaly as a "gummy" type of
smile. After making sure that the patient is relaxed - through
use of nitrous oxide, for example - the tissue can be sculpted by
using continuous laser stream. Once the tissue is removed from
the teeth, the doctor is able to sculpt it properly to create the
right proportions, height and width-wise.
In some cases the orthodontist will place incisal edges so that they
can follow the curvature of the lower lip. The laser allows
adjusting the gingival proportions of a patient's smile in order to
make sure it matches the upper lip. The actual amounts of tissue
can be removed in different amounts from one or the other side of
a patient's lip. A true professional will take pictures
to document the procedure in order to determine if the goal - such
as reducing the "gummy" smile - has been accomplished.
Lots of doctors prefer to use digital camera since digital imaging
during surgery provides the instant way to examine all the aesthetic
issues. Additionally, it gives the patient a chance to see and
approve the outcome of the laser surgery. If any
further procedures are required they can be completed during the same
appointment instead of having the patient wait till the next setting
is scheduled.
Properly preparing the patient for laser surgery is also important.
A doctor may place a mirror in the patient's hand and rub the
fiber on the gum with the laser is off, while the patients watch.
That way the patient know what they will feel as the tissue is removed.
The laser beam sterilizes the affected area and seals off blood vessels,
which minimizes the chance of infection or bleeding. Patients are
also much more comfortable during and after treatment with laser therapy.
The need for local anesthetic is reduced but it is usually used to
make sure that you feel absolutely nothing during the treatment. Some
patients elect surgery without sedation and the laser gum surgery
don't really require one.
Are Lasers Dangerous?
In the hands of a skilled specially trained periodontist, lasers are
very safe. In fact the primary safety factor used
during laser treatment is proper protective eyewear. Dental lasers
are very low powered, which is essential for treating the delicate
tissues of the mouth. In addition, the controlled heat and light of
the laser destroys many bacteria and viruses in the mouth and inside
periodontal pockets.
The laser is an effective tool for improving overall dental health
with less pain, less bleeding, less swelling, less tissue removal,
and less recovery time than traditional gum surgery or periodontal
treatment. You don't have to worry about bleeding, stitches or post-treatment
infection, because your gums haven't been cut. You will also enjoy
fewer follow-up visits and less time in the dentist chair.
The benefits of laser dentistry include:
Less bleeding.
Reduced risk of infection.
Decreased Sensitivity.
Less time in dental chair.
Less post-treatment discomfort.
Faster healing.
Is Laser Dental Periodontal Treatment For All?
After thorough examination, our panel dentist can determine if the
use of our laser is indicated for you. Apart from the fact that
laser treatment is very gentle and quiet and heals with very little
post-operative discomfort or bleeding, laser treatment may be very
beneficial for the following situations:
Blood Thinners: If you are on Coumadin or take aspirin every
day and your MD does not want you to stop them, then laser treatment
is beneficial because of the reduced chance of bleeding during
treatment.
If you have high blood pressure and the use of Epinephrine
is contraindicated, then laser treatment is for you.
If you are allergic or hypersensitive to Epinephrine, causing
rapid heartbeat whenever you get Novocain, then the use of laser
treatment is beneficial, since Epinephrine is not necessary to
be used.
Laser Pocket Treatment Procedure Chemical curettage is frequently done to de-epithelialize
the inner pocket wall. The laser is then used to remove all debris,
vaporize bacteria, and do any necessary gingivoplasty. Scaling and
root planing is done conventionally with curettes and ultrasonic.
There is minimal bleeding and the patient to cover any sore spots
uses Orabase. A few Motrin are all that is needed for discomfort.
Constructive and imaginative manipulation of the gum tissue can provide
the necessary illusion to create the perfect smile when the anatomical
aspects of the oral cavity and the face do not permit it. Laser is
used to intimately negotiate the curves and folds of the gingival
tissue without having to cut and suture them. The laser allows for
free flowing sculpting and description of soft tissue by using an
ergonomic pen-like laser handgrip.
Technique For: P ocket D e-epithelialization
and L aser treatment (PDL therapy )
A: Probe indicates pocket depth B: De-epithelialization of pocket wall chemically,
followed by Laser to vaporize bacteria, diseased tissue, & bacterial
toxins. Laser removes inner pocket wall (curettage). C: Ultrasonic scaler and hand instruments used
for scaling and root planing D: Laser used for bleeding control and any gingivoplasty.
A blood sequestering technique is now available to enhance the effects
of laser periodontal surgery. The thinking behind this methodology
is to use a component of the blood in an immune and regenerative capacity,
using platelet therapy increases the chance of bone and ligament regeneration
in the client.
A Perio probe indicates excessive pocket depth.
B Laser light removes bacteria and diseased
tissue. C Ultrasonic scaler and special hand instruments
are used to remove root surface tarter. D Laser finishes cleaning pocket and aids in sealing
the pocket closed so new germs cannot
enter. E Healing of gums to clean root surface
occurs F Bite trauma is adjusted. G Healing occurs.
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Statutory Warning: The information is intended
to help you better understand dental conditions and procedures and should
not be construed as specific medical advice or recommendation. The general
information provided here is not a substitute for a consultation with the
dentists. Only personal discussion of your individual needs with a professionally
qualified doctor / dentist will determine the best method of treatment suitable
for you.
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