The laser made its first steps in the field of dentistry more than 20 years ago. Over time, techniques have evolved and have been perfected for use in dentistry and to become an essential use in our clinics today.
Using laser dentistry is not at the reach of everyone, and requires a keen knowledge in the field, as well as expertise.
The use of medical laser contributes to considerable progress in the field of dentistry. It is practiced in many procedures.
Each procedure requires the use of a given type of laser, respecting a protocol and a program of specific wavelength of the electromagnetic spectrum in order to achieve optimal results while working safely.
1-Restorative dentistry:
Using laser in restorative dentistry allows us to selectively remove dental caries and old composite fillings and requires minimal preparation. Waterlaser MD does not heat, does not create pressure and does not make the stressful noise we often have with the high speed dental drill. Also, anesthesia is not always required, which makes the session more comfortable for the patient. Compared to the classical drill, the laser does not create smear layer as it cuts, reducing the chance of a bacterial contamination and providing a better surface for bonding of the reparative preparation.
Kavo DiagnoCam:
In addition to that, our clinics are equipped with a breakthrough innovation that will improve dramatically the precision of our preparation. Kavo DiagnoCam is a video camera that captures the tooth structures, allowing us to detect accurately tooth caries that are not visible to the professional eye and to target directly the caries without removing unnecessary tooth structure. This method allows us to be more precise in our diagnosis and treatments, aims to be minimally invasive and avoids it to evolve towards a more severe state.
2-Gummy smile:
Treatment
of
gummy
smile
has
gone
from
the
use
of
a
conventional
technique
that
was
a
traumatic
experience
to
a
pleasant
treatment
much
more
comfortable
for
the
patient.
The
use
of
the
new
waterlase
technique
in
cosmetic
gum
surgery
minimizes
operative
time
and
post-operative
complications,
promotes
a
faster
healing
and
offers
an
immediate
result.
The
dentist
removes
the
excessive
gum
tissue
and
re-shapes
the
bone
in
order
to
conserve
the
biological
width
of
the
teeth.
Due
to
the
bactericidal
effect
and
the
haemostatic
action
of
the
laser,
gum
tissue
heals
within
a
few
days
without
requiring
any
sutures
and
drug
prescription.
3-Laser Pocket cleaning:
Deep
gingival
pocket
cleaning
is
a
very
painful
procedure
that
requires
local
anesthesia
and
can
cause
significant
gum
bleeding.
In
our
clinics,
deep
pocket
cleaning
is
done
by
combining
the
use
of
laser
diode
and
Emundo,
a
biocompatible
colorant.
Emundo
will
be
stimulated
through
the
diode
laser
irradiation
killing
effectively
all
the
germs
in
deep
pockets.
Compared
to
the
classical
treatment,
laser
deep
pocket
cleaning
is
painless
to
the
degree
of
not
requiring
local
anesthesia,
has
minimal
gum
bleeding,
less
operative
time,
and
has
faster
post
interventional
healing
time.
The
reduction
in
gum
bleeding
also
minimizes
bacterial
translocation
from
the
oral
cavity
to
the
blood
stream
reducing
transient
bacteremia
which
ultimately
decreases
cardiovascular
incidents.
4-Melanin Removal:
Dark
spots
and
gingival
hyper
pigmentation
can
be
treated
by
waterlase
radiation
in
a
defocused
mode
with
a
wavelength
of
2780
nm.
It’s
a
safe,
comfortable
and
effective
procedure
that
is
painless
for
the
patient
and
provides
an
excellent
aesthetic
result.
5- Gum Grafting:
When
a
tooth
root
surface
is
exposed,
a
gum
graft
is
needed
to
reduce
consequently
the
tooth
sensitivity.
Gum
grafting
can
be
a
very
simple
procedure
while
it
is
performed
with
the
waterlase
technology:
the
operative
time,
the
bleeding
and
the
post-operative
discomfort
are
all
reduced
making
this
procedure
more
acceptable
for
the
patient.
The
gum
will
heal
within
a
few
days.
6-Whitening:
The
laser
teeth
whitening
system
is
a
diode
laser
manufactured
by
biolase
technology.
It
works
on
a
specific
wavelength
of
810
nm
that
will
efficiently
photo-activate
the
whitener
applied
on
the
teeth.
The
specific
emission
of
the
light
at
a
certain
wavelength,
the
exposure
time,
and
the
choice
of
the
whitening
gel
impact
together
the
whitening
efficiency.
It
is
safe
and
reduces
the
duration
of
treatment.
It
also
avoids
to
heat
excessively
which
affects
the
sensitivity
and
it
will
ultimately
improve
patient
comfort
and
offer
a
great
visible
result.
7-Endo:
Endodontic
treatments
aim
to
completely
decontaminate
the
root
canal
system
before
adding
to
it
a
filling
material
which
is
called
gutta-percha.
Current
techniques
which
use
manual
instrumentation
or
rotary
technology
and
that
are
combined
with
the
use
of
antibacterial
irrigating
solutions,
although
traditionally
used,
offers
some
unpleasant
drawbacks.
In
fact,
they
do
reduce
significantly
the
bacterial
load
in
the
canal;
however,
they
leave
a
significant
amount
of
smear
layer
that
can
increase
the
risk
of
treatment
failures.
In
addition,
irrigating
solution
commonly
known
as
sodium
hypochlorite
and
chlorhexidine,
despite
their
significant
antimicrobial
actions
cannot,
by
themselves,
be
effective
on
all
infecting
microorganisms.
Waterlaser
and
diode
lasers
have
shown
great
results
in
root
canal
disinfection
and
smear
layer
removal.
Waterlase
is
used
in
a
photon-induced
photoacoustic
streaming
method
(PIPS).
Its
high
peak
power
and
its
use
of
water
induce
a
non-thermal
photoacoustic
wave
when
radial
emitting
laser
tips
and
irrigating
solutions
are
present
in
the
canal.
The
root
canal
system,
even
secondary
and
accessory
canals
are
completely
cleaned
and
dentinal
tubules
are
free
of
smear
layer.
Diode
laser
is
used
to
deeply
decontaminate
the
dentinal
walls
through
a
high
peak-pulse
power
that
will
kill
effectively
all
bacteria.
The
combined
use
of
waterlase
and
diode
laser
in
endodontic
treatments
optimize
the
decontamination
of
the
canals
before
filling,
which
will
guarantee
the
treatment
success,
and
decrease
the
risk
of
treatment
failure.
8-Pedo:
Laser
dentistry
can
also
be
found
within
the
pediatric
department.
It
changes
completely
the
general
frightening
perception
of
the
dentist
and
it
makes
the
dental
session
more
pleasant
for
the
child.
Using
waterlase
MD
for
cavity
preparation,
pulpotomy,
root
canal
treatment
or
frenectomy
is
less
traumatizing
and
painful
than
the
classical
drill
and
it
reduces
greatly
fear
and
anxiety
that
children
usually
experience
at
the
dentist’s.
9-Oral surgery:
Lasers have simplified and improved oral surgery procedures. Their great advantages rely on the precision of the incision of gum and bone in a less traumatic way than the conventional techniques. Also, their bactericidal and haemostatic actions improve the surgery quality and promote patient comfort as there will be less bleeding and pain in a shorter operative time. These techniques can be very interesting for patients under anticoagulant medications, as they don’t have to stop them to benefit from an oral surgery.
Waterlaser and diode laser promote a faster bone healing and improve osteogenesis due to their biostimulative properties. It can be very beneficial for extraction because it induces a better blood coagulation, as well as for: peri-implantitis treatments, for surgical incision and drainage due to dental infection, vestibuloplasty, frenectomies and many other oral surgeries.
10-Laser Biopsy:
Sometimes
a
lesion
can
be
found
on
the
lips,
the
tongue,
the
gum
or
the
jaw.
A
biopsy
must
be
performed
in
order
to
diagnose
the
presence
or
not
of
a
disease.
If
the
dentist
considers
that
the
abnormal
tissue
is
benign
such
as
an
aphthous
ulcers
or
a
mucocele
(if
the
swelling
is
not
persistent)
he
will
remove
the
entire
lesion
(excisional
biopsy).
On
the
other
hand,
if
the
lesion
seems
large
and
malignant
he
will
remove
a
sample
and
send
it
to
an
oral
pathologist
who
will
establish
a
diagnosis
(incisional
biopsy).
In
our
clinics,
these
procedures
are
performed
with
the
waterlaser
MD.
Laser
biopsies
are
more
precise
and
many
small
lesions
can
be
removed
through
a
topical
anesthetic.
They
lower
inflammatory
reactions,
as
the
bleeding
due
to
effective
hemostasis,
and
accelerate
the
healing
process,
with
less
postoperative
discomfort
and
the
need
of
sutures.