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Dental Lasers

VIEWS: 106 PAGES: 12

									elexxion AG
Schützenstraße 84
                                        Dental Lasers
                                        Made in Germany
78315 Radolfzell

                         M740 03/2011
Phone +49 7732 82299-0

                                         Why more dentists are buying state-of-the-art dental laser units
                                         Laser and dentistry: Things you should know
                                         Diode lasers: More indications and better results
                                         Dr. Darius Moghtader: Painkillers or soft laser?
                                         Dr. Georg Bach: Cavity preparation only with the Er:YAG
                                                                             Just between us
     Table of contents
                                                                             Dental professionals – as many examples have shown – are among the most
     Just between us                                                     3
                                                                             innovative people in our society. It therefore comes as a surprise that laser therapy
     Why more dentists are buying                                            is fighting an uphill struggle to become established.
     state-of-the-art dental laser units                                 4
                                                                             We all know that laser technology has long since been triumphant in other
     Laser and dentistry: Things you should know                        6
                                                                             areas of medicine – including ophthalmology, dermatology and urology.
                                                                             And how about us dentists?
     Diode lasers: More indications and better results                  8

     Painkillers or soft laser?                                         10   I honestly believe that many clear-thinking colleagues may have had rather
                                                                             good reasons for postponing any investment in laser technology. Perhaps the
     Er:YAG lasers – not restricted to specialists                      12   time had not come, and the technology had not been ready. But all this has now
                                                                             changed – and quite fundamentally so.
     No two ways about it: Cavity preparation only with the Er:YAG      14

                                                                             In my own practice I have been using laser technology for many years – with great
     Every dental office is different.
     Go for the best diode laser!                                       16   success. I use both diode lasers for soft-tissue indications and other laser devices
                                                                             for the treatment of hard tissues. My work is supported by extensive clinical studies
     Er:YAG or the Er:YAG/diode combination?                                 and the experiences of many colleagues reporting on their treatment successes.
     Plan the future of your office                                     18   And when I ask my patients, I can be sure that my decision in favor of the laser, made
                                                                             a few years ago, was the right one.
     OdoBleach® and elexxion diode lasers:
     Laser bleaching becomes laser power bleaching                      20
                                                                             Dental lasers are no longer an issue for experts only. Modern dental lasers should
     Laser expert in a single day? Dental Academy “on the road”         21   be part of every dental office.

     Reprocessing and sterilization:                                         Dr. Ralf Borchers, M.Sc.
     elexxion laser tools in tune with infection control requirements   22   Bünde

     Part of one package:
     Quality, ergonomics, equipment and service                         23

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                                                                                                                                                                                 Patients love it
     Why more dentists are buying                                                                                                                                                Almost all of your patients will have

     state-of-the-art dental laser units                                                                                                                                         heard about the use of medical laser de-
                                                                                                                                                                                 vices. Laser eye surgery is an accepted
                                                                                                                                                                                 standard today, and many patients
                                                                                                                                                                                 know that urologists use holmium
          1. Technical considerations                2. Dental considerations                3. Office marketing consideration        4. Business considerations
                                                                                                                                                                                 lasers to relieve symptoms of enlarged
                                                                                                                                                                                 prostate and to remove bladder stones.
          With its clinically proven dental lasers   Whether in endodontics, periodontics,   Used properly, professional dental       elexxion dental lasers quickly pay for
          “made in Germany”, elexxion has            implant dentistry, or oral surgery –    lasers enhance the image of every        themselves in in two ways.                 Laser treatment is therefore popular
                                                                                                                                                                                 with patients and perceived positively.
          created a new class of highly devel-       elexxion diode lasers are the prime     dental office or clinic.
                                                                                                                                                                                 Practically every dental team with a den-
          oped and technologically mature            choice in adding new, up-to-date,                                                Amortization via efficiency: Dental
                                                                                                                                                                                 tal laser of its own has learned that pa-
          diode and Er: YAG lasers for profes-       highly effective treatment methods      This makes dental lasers by elexxion     lasers by elexxion can significantly im-   tients view laser treatment with great
          sional use in dentistry.                   to the dental office. elexxion diode    an outstanding marketing tool. Word      prove the efficiency of many treatment     interest and an open mind.
                                                     lasers offer more than 25 additional    gets around quickly among patients       approaches and optimize therapeutic
                                                                                                                                                                                 The necessary preliminary patient con-
          Dental lasers by elexxion excel in         soft-laser indications to extend the    when a dentist and his team have         processes, while at the same time min-     sultation will not usually take more than
          safety, ease of handling, ergonomics,      range of treatments offered by the      opted to pursue innovative and trend-    imizing the need for antibiotics.          one or two minutes of your time; pa-
          and high technical quality.                dental office.                          setting treatment methods. Many                                                     tients quickly realize the benefits of
                                                                                             dental offices employing dental lasers   Amortization via billable services:        laser treatment in terms of speed and
          At the same time, elexxion offers op-      elexxion’s tried and tested Er:YAG      by elexxion have attracted numerous      Adding to the range of therapies pro-      better treatment outcomes and are
                                                                                                                                                                                 happy to accept the cost.
          timized dental lasers for for every        lasers facilitate simple, effective     new patients simply by word of           vided, such as laser power bleaching,
          dental office or clinic and every type     and painless treatment of dental hard   mouth.                                   generates significant additional in-
          of therapy.                                tissue.                                                                          come.

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     Laser and dentistry: Things you should know
        Yes, it is a fact: apart from haemostasis,   Hard lasers                                elexxion diode lasers work with a         fore tend to perceive little pain or no   Er: YAG laser, used mainly for oph-
        there is nothing a laser device can do       “Hard laser” is a collective term for      wavelength of 810 nm – ideal for dental   pain at all. Er:YAG lasers not only       thalmological applications such as
        that a good dentist cannot achieve by        all types of lasers that act directly on   applications.                             create an excellent bonding surfaces      iris perforation in glaucomas. In laser
        conventional therapy. But with the           the tissue, either by direct coupling                                                for adhesive restorations, but they are   dentistry, this type of laser is pre-
        appropriate laser, the treatment of          or by absorption. We differentiate         Er:YAG lasers                             increasingly used to significantly im-    dominantly employed in endodontics
        many patients will be faster, simpler        between hard lasers that act on soft       The Er:YAG dental laser is a type of      prove clinical parameters in peri-        because of its deep penetration
        and more effective – an important            tissue and hard lasers that act on         laser now generally used for hard tis-    odontics.                                 depth.
        factor in times of increased competi-        hard tissue.                               sue. They are solid-state lasers, where
        tion and cost pressure.                                                                 the active medium is an erbium-           elexxion Er: YAG lasers use the es-       CO2 lasers
                                                     Diode laser                                doped yttrium-aluminum garnet             tablished wavelength of 2,940 nm;         CO2 lasers (gas lasers) use a wave-
        Selecting the right high-quality dental      Diode lasers are lasers for use in soft    crystal. An Er:YAG-Laser produces con-    they are among today’s most power-        length of 10,600 nm and absorb
        laser for your practice and the specific     tissue treatments – the all-purpose        trolled microexplosions within the        ful articulated-arm lasers with the       water extremely well, providing a
        applications that you are interested in      tools among dental lasers. The laser       hard tissue of the teeth. The water       unique elexxion “floating arm” tech-      good cutting effect in intraoral tis-
        requires a certain familiarity with the      light these devices provide is created     contained in the tissue is converted      nology.                                   sues. They are used almost exclusively
        subject. Basic facts about the differ-       directly by coherent coupling after ap-    to steam, which in turn carries away                                                as surgical lasers, and to a limited ex-
        ent types of dental lasers available         plying electric power to a semicon-        hard-tissue particles. The microexplo-    Nd:YAG lasers                             tent for microbiological manage-
        and their various uses will have to          ductor. Diode lasers can be built          sions are shorter than the response       Neodymium-doped yttrium-aluminum-         ment. Their use in dental hard tissue
        play a key role in any decision.             smaller than other types of lasers.        times of the nerves. Patients there-      garnet lasers are derivatives of the      is contraindicated.

6|                                                                                                                                                                                                                        |7
     Periodontics                      Endodontics                     Oral surgery                                        Oral implantology                 Desensitization                        Laser-Powerbleaching                Laser therapy
     • Pathogen reduction in pockets   • Pathogen reduction            • Implant decontamination      • Abscess drainage   • Implant exposure                • Single-session desensitization       (vital and non-vital teeth)         • Pain therapy
     • Membrane decontamination          in root canals                • Peri-implantitis treatment   • Haemostasis        • Decontamination                   of hypersensitive cervical areas     • In-office                         • Buccal aphthae
     • Granulation tissue removal      • Retrograde pathogen           • Laser power bleaching        • Frenectomies       • Peri-implantitis treatment                                             • Single-session                    • Herpes
                                         reduction                     • Curettage                    • Implant exposure                                                                            • Instant activation of             • Wound care
                                       • Pulp capping                  • Buccal aphthae or herpes     • Biopsies                                                                                      free O2 radicals                  • Gag reflex suppression
                                       • Treatment of necrotic         • Pre-impression               • Retention cysts                                                                             • Delivery time optimization        • TMJ disorders
                                         tissue                          gingivectomies               • Removal of                                                                                  • tissue preservation
                                                                       • Sulcus preparation             impacted teeth                                                                              • Better results

          Diode lasers: More indications and better results
                           Diode lasers represent an entirely                                                              laser is more than made up for by a              surgery) or scalpel. The clinical and                  of an implant. Re-entering Exposing
                           new treatment category in dentistry,                                                            significantly improved long-term                 economic benefits of the laser proce-                  implant sites is as much an indication
                           with extensive treatment options. In                                                            prognosis. The root canal is prepared            dure resulting in almost no bleeding                   for the laser as periodontal treatment
                           addition to their periodontological,                                                            as usual. After the final disinfecting           are self-evident.                                      around implants and highly effective
                           endodontic and surgical applications,                                                           rinse, the laser is used as a supportive                                                                implant decontamination.
                           they facilitate the much-noted low-                                                             adjunct to conventional therapy.
                           level laser therapies (LLLT).                                                                   The laser beam not only passes                                                                          The range of indications for diode la-
                                                                          Pathogen management in periodontology            through the lateral aspect of the den-                                                                  sers in LLLT treatments is constantly
                           In periodontology, experts consider            The diode laser can subsequently be              tin tubules but also succeeds in ef-                                                                    expanding, making laser treatment
                           high-quality diode laser therapy a             employed for the removal of granula-             fectively     destroying       pathogenic                                                               more and more important. Already,
                           vital and indispensable adjunct to             tion tissue. Finally, the root is decon-         microorganisms behind these tubu-                                                                       elexxion’s diode lasers can be used for
                           conventional treatment. The diode              taminated with the diode laser. In this          les – regions that rinsing solutions             Use of the diode laser on the mesial gingiva           25 soft-laser indications for which
                                                                                                                                                                            following subgingival preparation
                           laser can even be used to de-epitelialize      manner, the use of antibiotics can be            cannot penetrate. The decontamina-                                                                      there is scientific evidence. In addi-
                           prior to calculus removal, providing           avoided in most cases; the treatment             ting effect of laser energy is greater           More and more oral implantologists                     tion, elexxion’s diode lasers can be
                           better access especially in the case of        supports the formation of the healthy            by a factor of 5 than that of rinsing            would agree today that the use of the                  used for other other soft-laser appli-
                           deep periodontal pockets. The princi-          periodontal environment.                         solutions.                                       diode laser is standard procedure. Un-                 cations – such as laser power blea-
                           pal treatment, including flushing of           In endodontics, the minimal extra                In surgery, the laser can be used as a           like the electrotome, the laser can                    ching, which allows complete tooth
                           the pockets, is performed as usual.            time required for using the diode                substitute for an electrotome (elctro-           also be used in the immediate vicinity                 bleaching in a single session.

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                                                                                                                                                                                            Fig. 1

       Painkillers or soft laser?
            By Dr. Darius Moghtader, Oppenheim

            Warning: this is not a polemic. Read       the soft-laser function now? On the           (P). 6. In cervical sensitivity (P). 7. In   to the average per-minute rate of
                                                                                                                                                                                            Fig. 2
            on and you will see your laser in a        surface of it, this function would ap-        TMJ disorder (P). 8. In acupuncture,         €3.50 as determined by German pro-
            completely different light. When my        pear to be less exciting for us dentists.     e.g. for choking or sinusitis (P).           fessional dental associations).
            elexxion claros – an extremely power-      Let us talk hard numbers first. Within
            ful 30-watt variable-pulse 810-nm          three years I had chalked up 1,748 soft-      Soft-laser therapy ostensibly makes          In addition, this treatment may be de-
            diode laser – first arrived, what I had    laser applications alone. What indica-        little difference to appearance of the       legated, provided your laser is equip-
            in mind was anything but its soft-         tions do we use LLL for? Two main             tissue The patient experience, ho-           ped with a card-based access control
            laser applications. What I wanted to       areas turned out to be pain preven-           wever, is completely different; and          system. A well-trained operator will
            do was cut painlessly, operate wit-        tion (P) and the promotion of healing         patients are quite willing to reward         be able to complete the treatment
            hout bleeding without sutures and          (H). 1. After any oral surgery (Fig. 1),      less pain and speedier treatment             within 3½ minutes.
            improve my endo and perio results.         from the simple extraction of an              results.
            And of course I did not just want to       unstable tooth to the osteotomy of                                                         Our office charges at least €25.00 for    Fig. 3
            enjoy the unit itself but also its posi-   an intractable third molar (P, H). 2. After   We calculate 5 minutes of treatment          each soft-laser application. At 1,748
            tive economic impact.                      each endo treatment (P, H). 3. After          for LLL therapy. Of these 5 minutes,         applications over three years, we
                                                       each perio treatment (P, H) (Fig. 2).         1 minute goes to patient education,          would have amortized not only one
            That this diode had also a low-level       4. Before implant insertion (P, H) and        1 minute goes to setup, 2 minutes go         but two elexxion claros lasers. This
            laser (LLL) integrated was something       after suturing (P, H). 5. In physical or      to the treatment itself, and 1 minute        way of looking at it means that all
            I more or less noted only in passing.      chemical injury (P) (Fig. 3), in buccal       goes to the final cleanup. All told, we      hard-laser applications are effectively
            So why am I writing this article about     aphthae (P) (Fig. 4) or herpes of the lip     get 5 minutes at €5.00 each (compare         free (Fig. 4).

                                                                                                                                                                                            Fig. 4

10 |                                                                                                                                                                                                 | 11
                                                                         Hard tissues                   Preparing dental hard tissues without rotary instruments has been the basic philosophy behind 30 years of
                                                                                                        development of dental lasers. Erbium:YAG lasers are the only lasers for which scientific evidence has been put
                                                                         • Adhesive techniques
                                                                         • Endodontics                  forward in support of their use on dentin and enamel.
                                                                         • Oral implantology
                                                                         • Carious lesions              The working mechanism of the elexxion Er:YAG-lasers is based on the Er:YAG wavelength of 2940 nm being
                                                                         • Cavity preparation
                                                                                                        absorbed by water to a large extent. Water molecules are stimulated and caused to explosively evaporate microlocally,
                                                                         • Enamel conditioning
                                                                         • Scaling                      resulting in a controlled removal of dental hard tissue. The energy provided by the laser is used up almost completely
                                                                         • Periodontal therapy          by the water contained in the body tissues, leaving no residual energy that could be converted into heat.
                                                                         • Peri-implantitis treatment
                                                                                                        elexxion lasers therefore exclude the risk of carbonization to a very large extent.
                                                                         • Prevention
                                                                         • Preparation
                                                                         • Apical resections
                                                                                                        The range of indications of Er:YAG lasers is constantly expanding. For example, Er: YAG lasers are successfully used
                                                                         • Bone ablations               in periodontics, caries therapy, implant dentistry and orthodontics.

       Er:YAG lasers – not restricted to specialists
              Dr. Georg Bach, Freiburg

              When we read or hear something                                                            Er:YAG can be used in dentistry. In my     tions constitute some of the main in-               the Gram-negative and anaerobic
              about Er:YAG lasers, the first thing                                                      opinion, not enough attention is being     dications for dental treatment overall.             bacteria that prevail in the oral cavity.
              that comes to mind tends to be                                                            given to applications in periodontology                                                        Special transducer systems make it
              preparation. I believe this to be some-                                                   and peri-implantitis therapy, which                                                            possible apply Er:YAG laser energy in
              what unjustified. It is true that the                                                     can also be successfully performed                                                             hard-to-reach areas such as deep
              wavelength of light used by the                                                           with lasers working at this wave-                                                              periodontal pockets or bone defects.
              Er:YAG laser is the best-documented                                                       length. A considerable amount of re-
              wavelength in the field of laser-                                                         cent research and publications has                                                             Er: YAG lasers can therefore be em-
              assisted tooth preparation; and           exhausts the potential of Er:YAG hard-          have focused on possible uses of the                                                           ployed for numerous indications in
              German scientists – this deserves         tissue applications: Laser-assisted             Er:YAG laser in biofilm reduction and                                                          hard and soft tissues alike – on a daily
              mention – have played a decisive role     implant-bed preparation is only one             related topics.                                                                                basis and targeting patients with very
              in this development.                      of several highly promising options                                                                                                            different therapeutic needs.
                                                                                                                                                   Removing hard tissue with the 800-µm sapphire tip
                                                        for laser use in bone surgery.                  The Er:YAG laser – a powerful tool
              No wonder, then, that most Er:YAG                                                         for biofilm reduction                      This is where Er:YAG laser light can                The Er:YAG laser is a very special in-
              lasers are used mainly for preparing      And yet, applications related to the            “Biofilm control is our daily bread” ...   help. Monochromatic laser light has                 strument for use in dentistry – but
              dental hard tissues. But this far from    hard tissues are only one area where            It is true that biofilm-related condi-     proven a reliable tool for combating                not only for use by specialists!

12 |                                                                                                                                                                                                                                          | 13
                                                                                                                                                                                        Low-pain future
                                                                                                                                                                                        Many clinical studies have shown that the
                                                                                                                                                                                        contact-free aseptic Er:YAG laser preparation
                                                                                                                                                                                        of enamel and dentin is hardly felt by patients,
                                                                                                                                                                                        or not at all, making this treatment approach
                                                                                                                                                                                        less traumatic than the conventional method.

                                                                                                                                                                                        Another important point that patients greatly
                                                                                                                                                                                        appreciate is the elimination of the dreaded
                                                                                                                                                                                        drilling noise. In addition, patients are spared
                                                                                                                                                                                        unpleasant vibrations in the case of bone
                                                                                                                                                                                        preparation. Cuts through the mucous mem-

       No two ways about it: Cavity preparation only with the Er:YAG                                                                                                                    brane can be very delicate and bleeding can be

           Dr. Georg Bach, Freiburg

           Of course, any dental hard tissue can      dentine bonding thanks to the laser-     dental hard-tissue treatment is the         aspect alone, the results were in fact
           prepared in the “conventional” way.        induced opening of the dentinal          option to remove carious tissue selec-      not particularly convincing, making
           But the Er:YAG laser will in many          tubules. Another aspect that deserves    tively. Carious tooth structure has a       this treatment inferior to the conven-
           cases yield better results and be easier   mention when comparing laser-as-         composition different from healthy          tional approach.
           on the patient.                            sisted treatment with conventional       tissue, resulting in completely different
                                                      treatment methods is less traumatic      absorption patterns of Er:YAG laser         Er:YAG lasers by elexxion, in contrast,
           In particular the more demanding           tooth preparation and the reduction      energy. An audible change in the sound      are capable of removing hard tissue
           applications – such as cervical fill-      of pathogen counts in the prepared       generated by the “flatter” absorption       just as quickly as rotary instruments,
           ings, smooth surface caries, caries        surfaces caused by laser energy. The     of the laser energy applied and the         at the same time offering added
           removal near the dental pulp and in        same laser energy causes degrada-        resultant surface changes indicate          benefits such as cavity sterilization
           fact any applications requiring spe-       tion of the fibers inside the dentinal   successful removal of the diseased          and better bonding for adhesive
           cial care and caution such as initial      tubules, greatly reducing a well-known   tooth substance. The dentin worked          restorations.
           caries treatment in paediatric pa-         cause of hypersensitivity. Bacteria      on will exhibit tremendous hardness
           tients – show the Er:YAG laser to its      present in the surgical field are de-    after laser application. The surgical       The most important aspects for our
           best advantage.                            hydrated and eliminated to a depth of    field is sterilized, preventing subse-      patients, however, is that of pain re-       almost completely avoided – another reason
                                                      0.2 mm – rendering the field almost      quent formation of secondary caries.        duction by “laser drilling.” The frequency   why patient perception of this treatment
           Aim: A minimally invasive procedure        sterile.                                                                             of the Er:YAG laser energy applied is        mode is highly positive.
           Important benefits of dental hard-                                                  Efficient and pain-free                     below the pain threshold of the pulp
                                                                                                                                                                                        Finally, all laser-assisted procedures are asso-
           tissue preparation include gentle re-      Selective caries removal by              A frequently cited argument against         fibers, allowing laser treatment to          ciated with an antiseptic effect – yielding extra
           moval of diseased tooth substance          Er:YAG laser energy                      earlier Er:YAG laser systems was their      proceed gently and efficiently in            patient benefits in terms of long-term treat-
           and greatly improved adhesion of           Another advantage of laser-assisted      low ablation efficiency. Looking at this    younger and older patients alike.            ment success.

14 |                                                                                                                                                                                                                             | 15
                                                                                                 elexxion claros®                         My patients love it:
       Every dental office is different.                                                         The claros was the first diode laser     My Nano!
                                                                                                 designed and built in Germany using
       Go for the best diode laser!                                                              the patented SC-Pulse™ technology.
                                                                                                                                          This is why:

                                                                                                 The device has a touch-screen control    ➞ Kids love my nano because I can per-
                                                                                                 panel and is considered the most         form frenectomies without bleeding –
                                                                                                                                          quickly and easily and with minimum pain.
            Selecting the right diode laser for your own office requires: rational decisions.    powerful diode laser in the dental
            These are the questions you should ask yourself:                                     field. This highly mature and easy-to-   ➞ Patients in pain love my nano be-
                                                                                                 use product offers the broadest range    cause I can help them quickly and effec-
                                                                                                                                          tively with their buccal aphthae and
                                                                                                 of indications, with special emphasis    herpes.
            1. What treatments do you primarily        5. What role do you expect your new
                                                                                                 on major surgical procedures.
            want to perform with the device?           dental laser to play when it comes to
                                                       marketing your dental services?
            2. How many minutes of treatment                                                     elexxion claros nano®
            time per day does that translate           6. How much space do you have for         The nano is a smaller sibling of the
            into?                                      setting up a dental laser?                claros. It can do much of what the
                                                                                                 claros can do, but requires much
            3. Do you want a unit that is stationary   7. What are your requirements in          less space. The most important
            in one treatment room, or do you           terms of handling?                        settings are pre-programmed into
            want a mobile unit?                                                                  the nano. But you also have the
                                                       8. What are your service requirements,    opportunity to create and save
            4. Does your patient structure allow       should you encounter a problem?           custom programs. As with all diode
            you to recoup high, medium or low                                                    lasers by elexxion, the applicators      ➞ Hemangioma patients love my nano
                                                                                                                                          because I no longer need to refer them the
            extra cost? Make sure to remember          9. Is the fact that a combination         are autoclavable.
                                                                                                                                          oral surgeon but can treat them directly
            LLL therapy and laser power bleach-        Er:YAG/diode laser is available impor-                                             myself.
            ing. Both types of treatment can be        tant to you?
                                                                                                 elexxion claros pico®                    ➞ Hypersensitive patients love my nano
            performed by your dental team after
                                                                                                 The pico fulfills the needs of many      because I can help them fast and without
            some training.                             10.Would you prefer to lease or to buy?                                            local anesthesia.
                                                                                                 dentists for a mobile diode laser
                                                                                                 that still meets all professional        ➞ Perio and endo patients love my nano
            Once you have answered these questions for yourself, you have completed an           requirements. With its five-button       because they do not have to take antibi-
            important step of the decision-making process. The elexxion upgrade war-             inter face and its lithium-ion           otics after the treatment.

            ranty gives you additional security. This warranty allows you to upgrade your        battery, this device symbolizes the      ➞ Bleaching patients love my nano
            used elexxion laser to a new and larger elexxion dental laser – up to three          reduction to the essential for any       because they do not need any time-
            years after your purchase and on excellent terms. Our laser specialists will be      modern practitioner. It is operated      consuming home bleaching sessions –
                                                                                                                                          laser power bleaching gives them dazzling
            happy to answer any questions you may have.                                          via an ergonomic switch in the           white teeth in a single session.
                                                                                                                                          Dr. Darius Moghtader, Oppenheim

16 |                                                                                                                                                                            | 17
                                                                                                                                             Cosmetic dentistry
                                                                                                                                             short and snappy
                                                                                                                                             Professor Martin Jörgens, Kaiserswerth

                                                                                               elexxion duros® 3.0
                                                                                               The new duros 3.0 continues the devel-
                                                                                               opment of the proven duros® laser,

       Er:YAG or the Er:YAG/diode combination?                                                 which has served as the basis of many
                                                                                               clinical studies. This pure-bred Er:YAG

       Plan the future of your office                                                          laser has an intuitive 10.5" touch-screen
                                                                                               color display, individually programmable
                                                                                               software with predefined programs and
            In times of increasing competition, it   When drawing up the capital invest-
                                                                                               an integrated fee calculator. The system      The more complex applications of cosmetic
            is more and more important to score      ment plan for the dental office, you                                                    dentistry (such as complicated rehabilita-
                                                                                               uses autoclavable handpieces with
            points with patients with a special-     should therefore consider whether                                                       tion after accidents) certainly belong in
                                                                                               sapphire tips and no external com-
                                                                                                                                             the hands of specialists. But cosmetic
            ized service offering.                   this might not be the time for be-
                                                                                               pressed-air or water connectors are           dentistry is also a topic in everyday dental
                                                     coming a specialist in laser dentistry.                                                 practice; in fact, aesthetic issues constitute
                                                                                               required. It is both mobile and stable due
            This is one of the reasons why inno-                                                                                             a major consideration for any patient and
                                                                                               to a special roller system. Upgrade to
                                                                                                                                             any treatment.
            vative laser dentistry is on the rise.   This decision requires expert input.
                                                                                               delos 3.0 available now! State of the art
            Another reason: More and more            elexxion will be happy to put you in                                                    This is why the diode laser is one of the
                                                                                               – ideally suited for dental hard tissues.     most important pieces of equipment in
            patients have heard about successful     touch with an experienced laser
                                                                                                                                             my office. The example I would like to show
            laser treatment and would like to        dentist to compare notes with. For                                                      you here is that of a patient with severe
            benefit from this advanced form of       additional support, clinical studies      elexxion delos® 3.0                           habitual dysfunction, where the laser unit
                                                                                                                                             figures prominently in not only one but
            treatment themselves.                    and users reports are available for       The new delos 3.0 Combines the ad-
                                                                                                                                             two phases of our treatment.
                                                     download from our website.                vantages of the Er:YAG dental laser
            Learning how to use the laser is rel-                                              elexxion duros 3.0 with those of the
            atively quick, given appropriate         Current and future specialists in laser   high-power diode laser elexxion claros.
            training course. This also applies to    dentistry will appreciate dental lasers   In other words: This unit does every-
            Er:YAG lasers, which are used with       by elexxion, which are unrivaled in       thing the duros 3.0 can do – and more:
                                                                                                                                             1. Pronounced habitual dysfunction
            great success for a growing number       terms of quality, ergonomics and          it performs high-performance surgery
            of indications.                          performance.                              (50-watt diode) and of course features
                                                                                               all treatment programs the claros of-
                                                                                               fers, including comprehensive LLL ther-
                                                                                               apy and laser power bleaching. Users of       2. Crown lengthening/sulcus access
                                                                                                                                             using the diode laser
                                                                                               this dental laser offer their patients
                                                                                               excellence in laser dentistry, underscoring
                                                                                               their position in the vanguard of dental
                                                                                               office equipment.

                                                                                                                                             3. Result with finished veneers

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                                                                                                                                                                                                                    Getting things done:
                                                                                                                                                                                                                    Practitioners to the front!
OdoBleach® and elexxion diode lasers:                                                                                                                                                                               Dr. Dr. Gerald Heigis, Munich

Laser bleaching becomes laser power bleaching
                                              Because OdoBleach® is precisely tai-       no damage to the tooth surface, no
Laser bleaching                               lored to the wavelengths and pulse         post-treatment hypersensitive reac-
                                              frequencies of the elexxion diode          tions, high efficiency.
Can be delegated to
                                              lasers, OdoBleach® turns simplistic
the dental office staff
                                              bleaching treatments into fast and
Like any low-level laser therapy (LLLT),      effective laser power bleaching.           Each OdoBleach® pack contains the
laser bleaching can be delegated to                                                      complete set you need to restore the
members of the dental staff once they                                                                                                                                                                               One might wonder why high-quality
have been appropriately trained. For the
                                              Conventional     hydrogen     peroxide     brightness of the patient’s teeth in a   Laser expert in a single day?                                                     laser equipment has been so slow in
                                              bleaching gels will require long expo-     single session – including a Liquid
dentist, this frees up valuable time in a
                                              sure times, often requiring multiple       Dam syringe, desensitization gel,
                                                                                                                                  Dental Academy “on the road”                                                      being adopted in dentistry. In the past
                                                                                                                                                                                                                    there were, sometimes good, technical
                                              sessions and result in an acidic pH        basic hydrogen peroxide solution and     Of course, even the most gifted         device types and their indications and    reasons for this. Today, however, now
                                              with the concomitant risk of sensory       the special power-bleaching powder.      dentist will not turn into a laser      focal treatment areas. The seminars       that the laser products on the market
                                              loss.                                                                               expert overnight. But the Dental        for future diode lasers users will in-    meet all requirements of the dental

                                                                                         Using OdoBleach® means making                                                                                              office, offer a good price/performance
                                                                                                                                  Academy, founded by elexxion in         struct you in the practical application
                                              OdoBleach® works in combination                                                                                                                                       ratio and have come down considerably
                                                                                         patients happy within a predictable      2002, has trained many dentists to      of laser dentistry, including live sur-
                                                                                                                                                                                                                    in terms of the capital investment
                                              with titanium dioxide and hydrogen         time using a predictable amount of       become laser practitioners in the few   gery and legal certification as laser     needed, nothing should keep advanced
                                              peroxide – further enhanced by the         material                                 years of its existence. Within the      safety officer.                           dental lasers from easy success across
                                              intense effect of the elexxion diode                                                framework of a close cooperative                                                  the board.
                                              laser. The result: Short exposure times,                                            effort with international dealers,      The Dental Academy has its headquar-
                                                                                                                                  the Dental Academy will now be          ters in Radolfzell on Lake Constance,     Yet resentment continues to exist in some
densely packed day at the office, while                                                                                                                                                                             quarters. One dentist I know believes
                                                                                                                                  visiting regional centers, signifi-     in southern Germany. You can combine
at the same time widening its economic                                                                                                                                                                              that the reason is that we have been
                                                                                                                                  cantly minimizing the time and          your seminar with a stay in one of
foundations.                                                                                                                                                                                                        trained to do and manipulate things
                                                                                                                                  effort to be invested by prospective    Germany’s most beautiful holiday          with our own hands, seeing or feeling
Incidentally, one laser safety officer per                                                                                        laser dentists.                         regions.                                  the results of our actions directly. But
dental office is sufficient to to ensure                                                                                                                                                                            this is no different with the laser, once
safe and proper use of the laser unit or                                                                                          The “Dental Academy on the road”        At Radolfzell we offer seminars for       we actually try it!
units. In general, this will be the dentist
                                                                                                                                  concept offers worldwide entry-level    future users of Er:YAG or diode lasers,
him- or herself (see page 21).                                                                                                                                                                                      It is now up to us practitioners to show
                                                                                                                                  seminars at the dealers offices as      including Laser Safety Officer certi-
                                                                                                                                                                                                                    that we support new treatments modes,
                                                                                                                                  well as user training in regional       fication and continuing education
                                                                                                                                                                                                                    treatments that benefit the patient, in
                                                                                                                                  reference practices. The entry-level    courses for existing laser users who
                                                                                                                                                                                                                    every way. And we certainly hope that
                                                                                                                                  seminar “Fundamentals of Laser          would like to improve their knowl-        this will soon be reflected in the sched-
                                                                                                                                  Dentistry” will familiarize you with    edge and skills in the fields of one or   ules of fees where such schedules are
                                                                                                                                  different laser technologies and        both of these laser types.                imposed upon us.

 20 |                                                                                                                                                                                                                                                | 21
Reprocessing and sterilization: elexxion laser tools                                                                                                                       Part of one package: Quality, ergonomics,
in tune with infection control requirements                                                                                                                                equipment and service
                                                                                                                       both the different laser models and                 elexxion develops its products in                    nent of the device is a top-quality                    the dental office in the long term.
                                                                                                                       the different fiber systems. Of course,             Germany and manufactures and                         component. And this is equally true                    But what if something goes wrong?
                                            Use and
                                          consumption                                                                  the specialists at elexxion will be                 distributes them worldwide. This                     of all system accessories. Only the                    A good question, it would seem. In
                                                                                                                       happy to assist you when it comes to                results in a number of benefits for the              high quality of all its components                     this situation, what counts is impec-
                      Storage                                                                                                                                              customers of elexxion.                               ensures high quality of the whole.                     cable service that sees to it, as soon
                      Supply                                                      Preparation, pre-
                                                                               treatment, collection,                               Regulatory                                                                                  This high-quality will of course have                  as humanly possible, that you can
                                                                                pre-cleaning, and if
                                                                               necessary disassembly                               information                             It should be possible to operate den-                to be reflected in the purchase price.                 quickly continue working as usual.
              Documentation                                                         and disposal                                                                           tal lasers economically in everyday                  elexxion lasers therefore cannot be                    And this is guaranteed by elexxion.
                 Sign-off                                                                                                The reprocessing of medical devices
                                                                                                                                                                           practice. To this end, dental lasers                 cheap when you first buy them – but
                                                                                                                         are regulated by the Medical Device
                                                                           Cleaning, disinfection,                                                                         must meet many requirements. First                   offer the best value for money available               Just like we guarantee the excellent
                                                                             rinsing, and drying                         Directive (MDD) as implemented
                     Sterilization                                                                                                                                         of all, it is necessary to ensure that               today.                                                 ergonomics of our products. Because
                                                                                                                         nationally into national law, as well
                                                                                                                                                                           the dental laser is not just a fancy                                                                        this is the only way to ensure that
                                                                                                                         as various national directions for
                                                   Check for cleanliness and                                                                                               shell with outdated technological                    One thing is clear: The dental laser                   you can benefit from your dental
                                                    integrity, maintenance                                               operators of medical devices. In
                                                   and repair; function test
                                                                                                                         Germany, compliance with the joint                innards. Moreover, it must be ensured                is a sophisticated tool that must                      lasers quickly, consistently and with-
                                                                                                                         recommendations of the Robert                     that every single individual compo-                  contribute an economic benefit to                      out fatigue.

Reprocessing/infection control cycle (Robert Koch Institute)
                                                                                                                         Koch Institute (RKI) and the Federal
                                                                                                                         Institute for Drugs and Medical
In its development of dental lasers                        may integrate in their own quality                            Products entitled “Hygiene require-
and laser accessories, elexxion has                        management (QM) systems. These                                ments for processing medical de-
made sure from the outset that                             operating procedures are available,                           vices” must be ensured. EN ISO 17664
compliance with the pertinent infec-                       free of charge, from the Download                             covers the usability/ marketability
                                                                                                                                                                           Sapphire tips                          Fiber tips, pico                           Bleaching head, pico                 Multiflex handpiece
tion control regulations is made easy.                     Center on the elexxion website; they                          of reusable medicinal products.                   For elexxion duros and delos. Avail-   For elexxion claros pico. 7 different      6-mm glass rod for the bleaching     Universal handpiece for claros,
                                                           can be branded with the logos and                                                                               able in sizes 400/800/1200 µm,         tips available for surgery, endo,          application and low-level laser      claros nano and delos to accom-
                                                                                                                                                                           Paro short or long. Special peri-      perio. Autoclavable (15 cycles).           therapy. Autoclavable.               modate application fibers (200 –
In terms of risk assessment, com-                          addresses of the individual dental                          the adoption and implementation of                  implantitis application tip.                                                                                           600 µm). Adjustable bending
pliance with the recommendation                            office. The procedures take into account                    your quality management system.                                                                                                                                            angle and fiber length.

of the Robert Koch Institute and the
Federal Institute for Drugs and
Medical Products entitled “Hygiene
requirements for processing medical
devices” must be ensured.

Implementation of these guidelines                                                                                                                                         claros/nano application fibers         Operator Glasses with                      elexxion lite                        Sterile container for fibers/tips
                                                                                                                                                                           Multi-use application fibers with      magnifying lenses                          Radio-controlled signal light with   Sterilization container with insert,
requires validated reprocessing and                                                                                                                                        diameters of 200/300/400/600           Laser safety glasses with magnify-         remote control. This warning         suitable for all elexxion applica-
infection control cycles. elexxion pro-                                                                                                                                    µm. Autoclavable (up to 15 cycles).    ing lens attachment and integrated         light is mandatory for Class 4       tion fibers, fiber tips, and sapphire
                                                                                                                                                                                                                  laser safety filters (810 and 2,940 nm).   laser devices.                       tips.
vides sample operating procedures                                                                                                                                                                                 Several available magnification and
for this process that its customers                                                                                                                                                                               working distance options.

                                                          The treatment applicator and application fiber tip and must be reprocessed and sterilized after each treatment

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