Dr.

Fuad Al-Abbadi
Medics Index Member

The reported applications of laser in a variety of dental procedures are growing and
have prompted a great deal of interest.
History of laser began with the name of Albert Einstein, who in 1917 was the first to
describe the physical principles of the stimulated emission of radiation

What does the acronym LASER stand for ?

 L = Light
 A = Amplification
 S = Stimulated
 E = Emission
 R = Radiation

Popular Wavelengths:

 Co2(Carbon Dioxide)
 Nd:YAG(Neodymium:Yttrium-Aluminum-Garnet)
 Argon
 Diode(Gallium-Arsenide)
 Er:YAG(Erbium…..)
 Ho:YAG(Holmium….)
 Er,Cr:YSGG(Erbium,Chromium:Yttrium-Selenium-Galllium-Garnet

Lasers Modes
 Free-running pulsed mode
 Continuous mode
 Gated continuous mode
  No mode is better than another!
 Choose the mode that is best for the particular type of procedure

CO2 (Carbon Dioxide)

 10,600 nm wavelength
 Gas Laser
 Continuous mode , gated
 Non-contact use
 Used for soft tissue procedures only

Nd:YAG
 1064 nm wavelength
 Sold state laser
 Free running pulsed
 Contact/non-contact
 Soft tissue procedures

Diode
 904 nm wavelength
 Pulsed/continuous modes
 Soft tissue precedures only
 Biostimulation

Er:YAG
 2940 nm wavelength
 Solid state laser
 Pulsed
 Contact/non-contact
 Soft tissue and hard tissue procedures

Delivering Laser Energy to the Tissue

Laser energy is conducted through:
 - Quartz (glass) fibers
- Hollow wave guides
- Articulated arms

Laser in Dentistry
 Allows for minimally invasive dentistry
 Less healthy tissue has to be removed
 Less bleeding, less swelling, less discomfort for the patient
 Allows for anesthetic-free dentistry in many cases

Be Safe . . . !!
Lasers can cause:
- Retinal burns
- Corneal burns
- Night vision degradation
- Thermal Skin burns

Before Using Laser .....

 Place safety glasses on the clinician and the patient
 Ensure the laser is properly prepared and in ready mode
 Have proper training on the laser
 Make sure there is high-volume evacuation
 Have laser safety sign posted

Lasers and Cutting Teeth

 Lasers with affinity for water and hydroxyapatite are effective for ablating enamel
 Can remove healthy or diseased enamel and dentin without anesthetic in most
cases

Lasers and Cutting Teeth

 Removes smear layer
 Sterilizes the prepared site
 Increases bond strength for composite
 Etching of the prepared surfaces
A- Soft Tissues Surgeries:

 Frenectomy
 Soft tissue lesions; ie ,fibromas, vascular lesions, Epulis, papillomas
 Biopsies
 Aphtus ulcers
 Gingival surgery

B- Hard Tissue Surgeries:

 Osteotomy
 Tooth sectioning
 Periapical surgery
 Osseous regulation

Lasers and Bone

 Gentle than bone saws or high speed drills
 Less postoperative pain
 Less necrosis of surrounding tissue
 Minimal trauma due to heat transfer
 NO trauma to periosteum when removing bone for grafting

Lasers and Endo

 Can disinfect the canal
 More precise conservative endo treatment
 Reduced postoperative pain
 Minimizes trauma to enamel when accessing pulp chamber
 Reduced need for antibiotics post-op
 Leaves dentinal tubules open

Lasers and Perio

Minimally invasive approach to perio:
- Lasers non-surgical management and treatment of periodontal pockets
- De-epitheliazing new attachments
- Laser therapeutics to control pathogens

Bleaching

Dr. Fuad Al-Abbadi

Medics Index Member

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