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Clinical Case Presentation:
The Application of the Waterlase Laser in Apicoectomy
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Note: Some of the clinical photographs and steps shown on this web page may or may not be cleared by the United States Food and Drug Administration. Unless cleared by the FDA, BIOLASE does not specifically endorse a procedure or protocol.


The Waterlase® YSGG was the first dental laser cleared by the FDA for Apicoectomy.

Dr. David Browdy graduated with a B.A. in history from the University of Pennsylvania in 1970. A graduate of Tufts School of Dental Medicine in 1974, Dr. Browdy completed his postgraduate Endodontics training in 1976 from New York University. He has been in solo private practice limited to Endodontics in Lynbrook, New York since 1977. Through continuing education, teaching, and participating as a member of the American Dental Association, the American Association of Endodontists, The New Jersey-New York Endodontic Association, and the Academy of Laser Dentistry, Dr. Browdy academically and clinically employs the latest cutting edge techniques in the specialty of endodontics.



A patient presented with a symptomatic tooth that had been previously treated endodontically. An apicoectomy was indicated, but she was on Coumadin® and a vasoconstrictor could not be used. Dr. Browdy needed a method to minimize any discomfort for the patient.


The Waterlase YSGG was used for the incision, osteotomy and root resection. The left vertical incision was completed with a scalpel to compare it with the Waterlase incisions (horizontal, and right-vertical). The bleeding on the laser wounds was minimal, and the Waterlase was even used to constrict the flow of blood from the scalpel wound.

Fig. 1. Pre-op view. Fig. 1. A mucogingival flap with two releasing incisions, one completed with the scalpel (left), and the remainder completed with the Waterlase.
 
Fig 2. The Waterlase is also cleared for cutting osseous tissue quickly and with minimal trauma. Above, the Waterlase is used for Osteotomy to create access to the diseased root tip.
 
Fig 3. The Waterlase is also cleared for cutting, contouring, or resecting the root, as pictured.
 
Fig 4. One week post-op. Healing occurred at a faster-than-normal rate.


Dear Dr. Browdy:

Having had conventional root canal experiences several times, this last experience with the laser was more postive than I ever imagined. I had absolutely no pain during the procedure, and the aching and hurting I thought would come afterwards -- it never came! I was delighted to be part of the cutting edge in endodontics.”

Sincerely,
K. Roswell
New York, New York


To learn more about these types of innovative applications made possible by the Waterlase, be sure to sign up for a World Clinical Laser Institute symposium, or contact BIOLASE directly at 888-424-6527, or online by clicking here.

Some of the clinical images, claims, descriptions, and steps listed here represent the judgment and decisions made by the clinician(s) who conducted this procedure. BIOLASE, its employees, and the U.S. Food and Drug Administration do not necessarily endorse or support any procedural claims listed hereon. Also, some of the components, steps, or items used to perform the procedure may be the intellectual property of the clincian(s) Actual results in a clinical setting may vary. If you have any questions, lease contact BIOLASE for more information.

 

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