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Lasers in Our Dental Office

DIAGNOdent Cavity Detection Aid

While 80% of tooth decay lesions occurs on the occlusal surface of the tooth, a considerable percentage of these lesions go undetected using conventional procedures and instruments. Conventional methods of diagnosing dental decay, such as use of the dental explorer or bite-wing radiographs, are often ineffective in detecting enamel defects, as they may be too small or inaccessible to the diagnostic tool.(1)

Observations show sensitivity and specificity values of 62 and 84 percent with the explorer and visual examination, respectively, indicating that clinicians were more likely to fail to treat carious fissures than to restore sound fissures.(1) A number of diagnostic decisions to place occlusal restorations are based on the inappropriate use of the dental explorer to determine the softness or tackiness of the fissure or the amount of resistance to the removal of the explorer from the fissure.(2)

The conclusion of one study, and corroborating evidence by other studies, state that there is strong evidence to support the elimination of the use of the dental explorer as the primary diagnostic tool in diagnosing dental decay. However, the explorer can still be a valuable tool in removing debris, feeling the margins of existing restorations, and other tactile tasks.

We now know that the caries process is a continuum and if detected before cavitation is noted, the process may be able to be reversed or arrested with a number of products and treatments. If our goal is prevention, the nature of the clinical examination for dental decay has changed from the detection of advanced tooth decay requiring restoration, to the identification of lesions or demineralized areas at the precavitation stage that may be reversed or arrested if the thin surface layer covering the demineralized area remains intact.(3) Thus, the use of the dental explorer in the traditional manner must be avoided, because it will fracture the surface layer and eliminate the possibility of reversing the caries process.(3)

With the introduction of new detection devices, such as the DIAGNOdent, along with the use of traditional instruments and treatments, clinicians can more effectively identify the presence of occlusal decay and properly treat the tooth structure, possible in a non-invasive manner. The technology of the DIAGNOdent, a 655 nm diode laser, allows for detection of noncavitated, occlusal pit-and-fissure tooth decay, in addition to smooth surface caries at an earlier stage than visual inspection.(4) The DIAGNOdent measures laser fluorescence within the mineral structure of the tooth. As the incident laser light is disseminated into the site, two-way handpiece optics allows the unit to simultaneously quantify the reflected laser light energy.(5)

At the specific wavelength that the DIAGNOdent laser operates, healthy tooth structure exhibits little or no fluorescence, resulting in very low scale readings on the display. However, decayed tooth structure will exhibit fluorescence, proportionate to the degree of lost tooth structure, resulting in elevated scale readings on the display of the DIAGNOdent. An audio signal allows the operator to hear changes in the scale values, enabling focus on the patient and not solely on the device.(5) This is beneficial not only for detection of decay, but also for patient acceptance of treatment plans.

Recommendations for treatment are: Values between 10–15 require no active care or treatment; Values between 15–30 require preventative or operative care, depending on the patient’s caries risk; Values of 30+ require operative and preventative care.(5)

One study compared the accuracy and repeatability of three diagnostic systems (DIAGNOdent, visual and radiographic) for occlusal caries diagnosis in primary molars.(6) The DIAGNOdent was the most accurate system in the study for the detection of occlusal dentinal decay in primary molars. The performance of the DIAGNOdent systems was not statistically significantly better than that achieved using visual examination for non-cavitated teeth. The conclusion was that the DIAGNOdent may prove useful as a predictive clinical tool. The authors also noted that, with appropriate training, visual examination may offer similar results without the need for additional equipment.(6)

Analysis of available data in 2004 suggested that DIAGNOdent is a reproducible method for caries detection, with good sensitivity and specificity.(7) It is most suitable at the advanced stages of D2 and D3 levels, and is most appropriate for tooth decay detection on occlusal and accessible smooth surfaces. Distinct fluorescence of the tooth decay in more advanced stages, D2, D3, leads to the assumption that, besides light scattering, bacteria or their metabolites could contribute to the fluorescence of these lesions. This hypothesis was tested and validated.(8) A follow-up study results also suggested that DIAGNOdent is useful in monitoring occlusal caries in both permanent and primary molars.(9)

In conclusion, the DIAGNOdent is a valuable adjunct to clinical examination.

Laser Gum Treatment

What is laser gum treatment?

Our Laser gum treatment procedure is a standard gum treatment designed to treat periodontitis. If you have gum disease, and would like to reverse it, LASER GUM TREATMENT may be the right procedure for you!

First, local anesthesia is administered. Second, a short-duration laser pulse is used on the pockets around the patient’s afflicted teeth, which are probed down, about a quarter of an inch. This destroys bacteria and pathologic proteins near the root. Third, connective tissue is preserved, while infected tissue is destroyed.

Typically, two or three passes with the laser clear the infected pocket. With LASER GUM TREATMENT, no surgical glue, bone graft material, stitches, collagen plugs or sutures are needed.

What is Laser Periodontal Treatment?

Laser Periodontal Treatment or Laser Gum Therapy treats periodontal diseases using a new laser technique. A diode Laser used with this laser gum treatment. We do not use scalpels and there are no sutures used with laser gum treatment, so the fear of treatment of gum disease simply vanishes. Laser Periodontal Treatment is the latest in the treatment of gum disease. The new Laser Periodontal Treatment laser gum treatment is relatively pain free, and highly effective.

How Does Laser Periodontal Treatment Work?

Bacteria that are responsible for gum disease live inside your tissues the laser selectively targets the main bacteria responsible for Periodontits. Tartar is linked to inflamed gums that often bleed. In the treatment of gum disease tartar would be removed from the tooth’s root surface using a small ultrasonic scaler. The laser gum treatment is much gentler than traditional scalpel and suture Flap and bone recountouring procedure, because the treatment utilizes the laser of the Biolase to destroy and disinfect the tissue and the root surface. The light energy targets the tooth and gum and eliminates the infection. Using the laser gum treatment, the laser light’s energy deals with the bacteria of gum disease by gently removing small amounts of diseased gum tissue, and reducing bacteria. Once cleaned, your gums start to naturally heal. see several before and after Laser Gum Treatment.

Is Laser Gum Treatment Painful?

While the Laser Periodontal Treatment and the actual laser gum treatment are painless, we still anesthetize to provide the most comfort during your treatment of gum disease. Post procedure discomfort lasts only a short period of time. Ask about our Laser Gum Treatment and find out about the periodontal disease treatment cost.

How Much Time Does the Laser Gum Treatment Take?

The length of your laser gum treatment will depend on how severe your periodontal disease is and the degree of treatment of gum disease you need. It can take one or more visits to the office for treatment and this is reflected in your periodontal disease treatment cost. Your dentist will discuss with you your treatment of gum disease, individual laser gum treatment plan and Laser Periodontal Treatment, along with periodontal disease treatment cost.

Compared to Traditional Gum Treatment is Laser Periodontal Treatment More Costly?

Periodontal disease treatment costs for LASER GUM TREATMENT as generally similar to traditional types of gum treatment. Laser gum treatment treatments for the treatment of gum disease are considered a normal periodontal disease treatment cost. However, there are factors in the treatment of gum disease, which can affect the cost of laser gum treatment.

A number of insurance plans have periodontal disease treatment cost coverage so they will pay a portion of your laser gum treatment costs. We recommend discussing your payments with our dental office during your initial consultation, because we do provide periodontal disease treatment cost financing options for laser gum treatment and the latest laser gum treatment. We want our patients to be able to enjoy the comfort of the new laser treatment of gum disease.