Posts for tag: laser dentistry
While lasers still seem like science fiction, they’ve been used commercially (and medically) for decades. But there’s still room for growth in practical applications with this developing technology. One promising area is in the treatment of periodontal (gum) disease.
Gum disease is a bacterial infection triggered by plaque, a thin film of bacteria and food particles caused by inadequate oral hygiene. The disease is highly destructive and can eventually lead to both tooth and bone loss. Treatment procedures vary widely, but they all have the same goal: remove the offending plaque and calculus (tartar) from tooth and gum surfaces. Without plaque the infection subsides and the gums can heal.
For decades now, dentists have removed plaque and calculus manually with special hand instruments or ultrasonic equipment. If the disease has advanced below the gum line or formed deep voids filled with infection called periodontal pockets, the dentist may also employ surgical techniques to access the infected areas.
While all these techniques have a long track record for effectiveness, they can cause the inadvertent destruction of healthy tissue, as well as create discomfort for some patients afterward. This is where a new protocol called Laser Assisted New Attachment Procedure (LANAP®) may be able to make a difference in the future.
With the LANAP® protocol, surgeons direct a laser beam of light through a fiber optic the width of three human hairs onto diseased tissue. The particular color of light interacts with the tissue, which contains the darkly-pigmented bacteria causing the disease, and “vaporizes” it. The beam, however, passes harmlessly through lighter-pigmented healthy tissue; as a result diseased tissue is eradicated with little to no harm to adjacent healthy tissue.
With these capabilities, trained dentists using LANAP® for gum disease treatment might be able to achieve conventional results with less tissue removal and bleeding, less discomfort for patients, and less tissue shrinkage than traditional procedures — and without scalpels or sutures. And some post-surgical studies have indicated LANAP® might also encourage gum tissue regeneration in the months following.
LANAP®, however, is still developing and requires further research. Thus far, though, the results have been encouraging. As laser technology advances, it’s quite possible tomorrow’s patient may experience less discomfort and more effective healing with their gum disease treatment.
If you would like more information on gum disease treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Treating Gum Disease with Lasers.”
As in other parts of medicine, lasers are beginning to change the way we provide dental care. More and more dentists are using lasers to make earlier diagnoses of dental disease or provide surgical treatment. One area prime for change is the treatment of teeth with deep decay and in danger of being lost.
For decades now, the best way to save teeth in this condition is with root canal treatment. In this common procedure we access the pulp, remove the infected tissue with specialized hand instruments, and then fill and seal the pulp chamber and root canals with a special filling.
We can now potentially improve the efficiency and increase the success rate of this treatment with laser technology. With their focused light, lasers emit a concentrated burst of energy that's extremely precise. In many instances laser energy can remove the target diseased tissue without damaging nearby healthy tissue.
In this form of root canal treatment, we use lasers to remove tissue and organic debris within the pulp and then shape the root canal walls to better receive the filling. We can also utilize the heat from laser energy to soften and mold the filling, so that it better conforms within the walls of the root canals.
Using lasers in root canal treatments may require less local anesthesia than the traditional approach and also eliminates disturbing or discomforting sounds and vibrations. Dentists who've used the new technology also report less bleeding during the procedure and less pain and occurrences of infection afterwards.
But there are a couple of disadvantages for using lasers in root canal treatment. For one, light travels in a straight line — and many root canal networks are anything but straight. More complex root canal networks may still require the traditional approach. Laser energy could also increase the tooth's inner temperature, which could potentially damage tissues even on the tooth's outer surfaces.
Used in the right circumstances, though, lasers can be an effective means to treat diseased teeth. Â As laser technology continues to advance and becomes a mainstay in dental care, you may soon find it part of your next dental procedure.
Since their development in the laboratory over five decades ago, lasers have found increasing use in our everyday lives. In the field of medicine, it’s not uncommon to find lasers in the offices of dermatologists, ophthalmologists and surgeons, to name just a few. Now, some dentists are finding that lasers can offer an alternative means of treating gum disease — and one that may have advantages in certain situations.
You probably know that a laser produces a special kind of light — in fact, its name is an acronym for “Light Amplification by Stimulated Emission of Radiation.” Essentially, a medical laser uses electrical energy to produce an intense and narrow beam of concentrated light. This light can be directed to a particular area, often via a fiber-optic channel. The laser’s precision allows a doctor or technician to focus the light energy exactly where it’s needed — to remove diseased tissue, seal off blood vessels, and sterilize a wound, for example.
For several years, periodontists — dentists who specialize in treating diseases of the gums — have been researching the use of lasers for treating certain types of gum disease. In standard clinical practice, hand-held instruments and ultrasonic cleaning tools are used at regular time intervals (3 – 6 months) to remove the sticky bacterial biofilm, as well as calculus (tartar), that forms in between teeth and gums. If that still isn't effective, gum surgery may be required to access the affected area, remove diseased tissue, and reduce pocket depth (the space below the gum line that gets larger as bone loss occurs) to prevent reinfection.
Recently, however, several new procedures have been developed that use lasers to accomplish some or all of these goals. One type of therapy uses a special laser that emits pulses of light with a specific wavelength (color) of 1064 nanometers. This light passes through healthy cells like a sunbeam through a window — but when it encounters darkly-pigmented bacteria, it vaporizes them instantly!
One of the potential advantages of laser treatment is its precision: focused directly on the area where trouble occurs, it targets diseased tissue but leaves healthy tissue alone. Another is that laser treatment is less invasive: It requires less tissue removal, and may cause less discomfort and tissue shrinkage (gum recession) than conventional periodontal surgery. And because it produces small amounts of heat, it can seal blood vessels and help control bleeding.
While lasers have long shown promise for treating gum disease, until recently it wasn’t clear if they offered any advantages over traditional methods. Now, several studies have shown that certain laser treatments can be just as effective as traditional gum surgery in many cases — with the potential benefit of being less invasive. In the future, the use of lasers for periodontal procedures is likely to increase.
It’s important to remember that no single treatment — not even a laser — can “zap” gum disease in one fell swoop. Controlling periodontal disease requires effective at-home oral hygiene combined with regular professional care. If you have questions about periodontal disease, please call our office to schedule a consultation.