laser therapy Flashcards
what are lasers
1) electrical source excites the protons
2) photons bounce back against the mirror and shoot out the laser pointer
advantages of lasers in periodontal therapy
1) ablation
2) hemostasis
3) bactericidal
when laser reaches the tissue
1) it can be reflected, absorbed, scattered, or transmitted
2) degree of water absorption determine the lasers ability to penetrate biologic tissue
nd:yag and diode lasers have shorter wavelengths
1) not absorbed by water and transmit through tissue
co2 and er:yag
1) longer wavelengths, absorbed by water and therefore will function at tissue surface
CO2 laser
1) 10,600 nm
2) high concentrated heat, excellent for soft tissue
3) not for hard tissue bc high temperature
er yag
1) 2940 nm (moderate to high absorption)
2) can be used for tissue and bone
3) minimal heat related side effects
4) can remove calculus
nd yag
1) 1064 short wavelength, poor surface absorption
2) use for excision and incision of soft tissue, pocket curettage, and bacterial disinfection
3) selective absorption by melanin, hemoglobin and pigmented bacteria
diode laser
1) carbonization of the tip increases the temperature
2) absorbed by pigmentation
3) similar to nd yag but not as effective
current evidence suggests that
1) lasers do not add additional benefit as adjunct to SRP, not covered by insurance
exostosis
1) can be removed with er yag