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Concepts in Using the Er,Cr:YSGG Laser in Perio
By Dr. Bradley Dean 

Download this comprehensive, peer-reviewed article that discusses laser-assisted perio using the Er,Cr:YSGG laser.

Other Key Articles

Procurement of autogenous bone…using the ErCr:YSGG laser: a preliminary report
By Dr. Cameron Lee
International Journal of Oral-Maxillofacial Surgery and Implants 

Treatment of the contaminated implant surface using the Er,Cr:YSGG laser
By Dr. Robert Miller
Implant Dentistry.

Morphological changes of bone irradiated by Er,Cr:YSGG laser
By Dr. X. Wang, et al.
Journal of Clinical Lasers in Medicine and Surgery

Effects of  Er,Cr:YSGG laser irradiation on canine mandibular bone.
By Dr. Y. Kimura, et al.
Journal of Periodontology

Healing processes in the jaws of rabbits treated with the Er,Cr:YSGG laser
By X. Wang, et al.
Lasers in Medical Science

Torus removal with an Er,Cr:YSGG laser
By Dr. Arthur Scott
General Dentistry

Bactericidal effect of different laser systems in the deep layers of dentin.
By Dr. Ulrich Schoop, et al.
Lasers in Surgery and Medicine

Last updated October 11, 2005

Spotlight Perio Procedure:
De-Epithelialization
The ablative properties of the Er,Cr:YSGG laser allow the operator to remove layers of soft tissue rather than penetrating deep into the tissue.  This allows for the selective removal of epithelium as it relates to “guided tissue regeneration.”  Dr. Bradley Dean is the first periodontist to have an extensive discussion of this technique with the Er,Cr:YSGG laser published.  Below is a sampling from his lengthier discourse on the use of the Er,Cr:YSGG laser in laser-assisted perio.

Figure 1.  Site-specific periodontal disease.

 

Figure 2. Scale and plane the root surfaces using traditional  instrumentation.

 

Figure 3.  In addition to traditional SRP, the Waterlase can be use for “laser-assisted” scaling, to flush out pathological tissues and remove debris from the pocket.

Figure 4. A thoroughly cleaned and debrided root surfaces is ready for tissue re-attachment.

 

Figure 5. Use the Er,Cr:YSGG laser to atraumatically de-epithelialize several layers of gingival tissue inside the diseased pocket. This helps to “guide” tissue to ensure regrowth in the proper ratios.

 

Figure 6. This de-epithelialization continues to the external surfaces of the gingiva.

 

 

Figure 7. Post-treatment, the tissue has re-attached and the pocket has returned to normal, healthy depths.

 

 

Note: BIOLASE wishes to thank Patient Care Suite, Markham, Ontario, for the illustrations on this page. Patient Care Suite may be reached at 800-263-5892.

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