Module II-Lasers in OS and Perio Flashcards

1
Q

Laser beams _______ soft tissue and ______ blood vessels, lymphatic vessels and nerve endings.

A

vaporizes, seals

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2
Q

The NEAR ir 808-1064: does it go deep or shallow?

A

DEEP, difficult to determine amount of ablation

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3
Q

The NEAR ir 808-1064: how is its bacteria fighting capability?

A

EXCELLENT as long as the bacteria is pigmented

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4
Q

The NEAR ir 808-1064: can it cause thermal damage?

A

YES if used outside the proper perameters

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5
Q

The MID ir 2780-2940: How efficient and accurate at ablation?

A

HIGHLY efficient and accurate ablation tool, precise depth and penetration

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6
Q

The MID ir 2780-2940: how are its coagulation skills?

A

POOR coagulation, minimal depth of coagulation in comparison to diameter of most blood vessels

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7
Q

The MID ir 2780-2940: how is its bactericidal efficiency?

A

EXCELLENT

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8
Q

The ir 10,600nm: how precise and accurate?

A

HIGHLY efficient and accurate ablation tool, VERY precise depth of penetration

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9
Q

The ir 10,600nm: How is the coagulation?

A

EXCELLENT coagulation properties c/o depth of penetration and diameter are nearly equal

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10
Q

The ir 10,600nm: how is the bactericidal efficiency?

A

EXCELLENT

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11
Q

How much epithelium absorption (%) happens in the NEAR ir spectrum?

A

ONLY 5% (95% transmits to the connective tissue)

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12
Q

How much epithelium absorption occurs (%) with the MID and LONG ir lasers?

A

100%

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13
Q

Why use lasers instead of a knife?

A

less pain, swelling, scarring, more precision and so on

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14
Q

Why is there less scarring when using lasers? (think type of cell that causes scarring)

A

less MYOfibroBLASTS

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15
Q

What happens to the healing rate when using lasers?

A

PROLONGED- Blade 7-10days vs LASER 2-3 weeks

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16
Q

What type of surgical healing occurs with lasers?

A

SECONDARY INTENTION

17
Q

Focused lasers in general are used to ______ the tissue

A

CUT

18
Q

Defocused lasers in general are used to for _______ vaporization

A

surface

19
Q

Contact or Non-Contact? Erbium Laser

A

Non Contact

20
Q

Contact or Non-Contact? Nd-YAG and Diodes

A

DEPENDS! Contact for altering gingiva, Non-contact for apthous ulcers

21
Q

What happens when a tip is activated? What about inactivated?

A

Activated it gets HOT…inactive acts as an optical laser

22
Q

What type of laser is “attractive” for uncovering an implant when BONE is covering the implant?

A

Er-YAG

23
Q

What is a good laser for less collateral damage in soft tissue surgery?

A

CO2 10.6 (pulse)

24
Q

MORE Power or SMALLER size = laser penetrates _______

A

DEEPER

25
Q

LESS power or LARGER size = laser penetration is _______

A

SHALLOWER

26
Q

3 parameters for successful surgery: deep thin cuts for incision and wide superficial surface vaporization for tissue ablation is crucial to minimize ______.

A

scarring

27
Q

When outlining the incision-use the _____ mode with low fluency and minimize the depth of penetration

A

GATED

28
Q

How long does it take for bacteria to recolonize?

A

10 days`

29
Q

How long does it take for epithelial tissue to regenerate?

A

10 days

30
Q

Never use ______ when using a laser and remove the ______ mask if that gas is being used.

A

OXYGEN….Nitrous Oxygen