The Waterlase YSGG is one of the most versatile instruments a dentist can own. Dr. Jack Rosenberg and his
colleague Dr. Steven Spitz, who have been using the Waterlase for only a matter of months , have already
recognized some of the fantastic utility of the Waterlase YSGG.
Inspired by the work of several other Waterlase dentists, the two set out to design a system wherein they could
scultp the soft tissue, create the pilot hole, and place the implant in
a single visit.
Their patent-pending system is featured in the Clinical Innovations case below.
Dr. Jack Rosenberg maintains a busy private practice in Massachusetts. He is also an
instructor at Tufts University School of Dentistry. He has lectured to members of the
World Clinical Laser Institute at their annual symposium, as well as numerous regional
courses and symposiums.
Dr. Steven Spitz founded Smileboston, a comprehensive dental clinic serving the needs of
New England. Dr. Spitz is an instructor at Harvard University’s School of Dental Medicine,
and has lectured around the country on implant dentistry, general dentistry, and lasers.
Implants are a proven, effective method for replacing missing teeth, but patients often hesitate to undergo the
procedure, which traditionally calls for traumatic flap surgery, and considerable post-operative discomfort and
healing time for the patient.
Because of the Waterlase’s unique ability to perform multiple procedures across a wide range of clinical
applications, Dr. Rosenberg and Dr. Spitz recognized they could utilize the Waterlase’s versatility to their
advantage. They then designed a system to place implants using a patent-pending surgical template which
allowed them to take full advantage of the Waterlase’s benefits: eliminate flap surgery, sutures, bleeding, cut
bone with minimal trauma as compared to traditional instruments, and remove most, if not all of the usual
Fig. 1. Pre-op view. Tooth #31 was missing and the treatment plan
called for an implant to restore the tooth.
Fig 2. The edentalous site is visible in the panoramic x-ray, as shown.
Fig 3. Dr. Rosenberg and Dr. Spitz’ patent-pending surgical guide in
place. The YSGG laser handpiece is then placed on the guide and
assists in guiding the clinician as he/she creates the pilot hole for the
Fig 4. The Waterlase’s handpiece, which resembles a conventional
high-speed handpiece in order to simplify the learning curve, can
resect, contour, or shave osseous tissue. In the image above, the
Waterlase is creating the pilot hole using the patent-pending surgical
Fig. 5. The patent-pending implant guide, an external view.
Fig. 6. The implant guide, as seen in a digital radiograph.
Fig. 7. Placing the implant using the patent-pending guide.
Fig. 8. The implant is placed, as shown in this digital radiograph.
Fig. 9. Immediately post-op, the healing cap is in place and ready for
the final restoration. This entire procedure was completed in one 40-
Fig. 10. Four days post-op. The implant is still adhering to the
osseous tissue, and the tissue appears healthy and vital.