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Why use a laser?

Lasers are the future of dentistry! The use of a laser in the every day dental practice yields excellent results in the treatment of many  diseases, especially those affecting soft oral tissue. Treatment is almost painless and guarantees long-lasting results.

Compared to traditional methods, dental and cosmetic laser technology has numerous advantages:

 

  •     Non-invasive, painless operations
  •     Faster and more effective treatment
  •     Less anesthetic required
  •     Haemostatic and bactericidal effect
  •     Minimal bleeding means a clear operating field
  •     Clean cutting conserves healthy tissue
  •     No turbine vibrations and noise
  •     Faster healing


This means setting a higher standards for patients that will benefit from simple and fast treatments, and at the same time enhancing your studio's professionalism.

 

Biolase LaserSmile- The dental laser, while not completely new to dentistry, has comevery close to perfection with this state of the art soft tissue laser. In addition to helping us comfortably and reliably reposition unattractive or problem gum tissue,we can also perform such procedures as biopsies, frenum resection, incision and drainage, as well as gently treat cankers and cold sores, making them MUCH less painful and helping them heal quicker. We believe this device will revolutionize such procedures as periodontal therapy.

When we expect to offer our patients the very best in smile design and aesthetic dental care, there is simply no substitute for the use of a Diode laser for soft tissue recontouring.When we expect to offer our patients the very best in smile design and aesthetic dental care, there is simply no substitute for the use of a Diode laser for soft tissue recontouring.

 

SOFT TISSUE laser


Now, high-tech soft tissue lasers are changing the way we practice dentistry. The Biolase LaserSmile can actually transform swollen gums, uneven gum lines and gummy smiles into a state of optimal health and beauty. Tissue harmony is attained quickly and painlessly with the dental laser. It can make all the difference between a good smile and an incredible smile. It is truly an amazing new and safe technology and has application into nearly every cosmetic and surgical procedure we do.

Biolase LaserSmile can be used for:

The benefits of laser treatment include:

Laser Gum Recontouring
 

Enjoy the benefits of re-contouring your gumline through advanced laser technology. Gingivectomy, also known as a gum-lift, involves the removal of gum tissue to enhance the proportions of the teeth to the gum area. Your teeth will appear longer and your gum-line more symmetrical. The gum-lift is an excellent solution to eliminate unnecessary gum tissue that covers the front teeth, which can contribute to a gummy smile. A gingivectomy only requires a topical anAesthetic , is not painful, and heals quickly with minimal discomfort. This procedure is implemented with the Biolasr LaserSmile, a state-of-the-art instrument that makes teeth appear longer and the gum-line more symmetrical. This instrument is the laser of choice for today’s top cosmetic doctors.

Dental lasers have recently gained a lot of popularity due for various reasons. Our medical colleagues have been using lasers extensively for the past 30 years to perform procedures like uvuloplasty, cyst and aphthous ulcer removal, and more recently cosmetic laser skin resurfacing. The advantages of using the laser versus conventional surgery are:

American Dental Technologies (ADT) pioneered laser use in dentistry and obtained FDA clearance in 1990 for laser-assisted soft tissue procedures. There are different types of lasers based on their operating wavelength. Diode laser is becoming one of the most popular types due to its portability, light weight and versatility. The DioLase ST dental laser system is a portable instrument intended for ablating, incising and coagulating soft tissue using a contact fiber optic delivery system. "Addition of DioLase ST unit to my practice allowed me to perform a variety of cosmetic periodontal procedures in less time and with a more predictable post-operative result", - said Dr. Saldivar, whose focus is on achieving maximum esthetic outcome in dental and periodontal treatment. “Procedures like gingivectomy/gingivoplasty, tissue contouring prior to porcelain veneers and/or crown placement, esthetic crown lengthening, frenectomy, reduction of excessive gingival display or gingival overgrowth, and biopsies constitute a large proportion of contemporary periodontics, and lasers have definitely enhanced the results and simplified the course of treatment”, - further adds Dr. Saldivar. Here is the example of how laser assisted procedure was used to correct gingival color and contour. Brown or dark pigmentation and discoloration of gingival tissue, whether physiological or pathological, can be caused by a variety of local and/or systemic factors. Frequently, the gingival hyperpigmentation is caused by excessive melanin deposition. Melanin hyperpigmented gingiva is an esthetic problem to many individuals, especially those with gummy smiles. People become more conscious of the black or dark patches of pigmentation and request their removal, particularly if the hyperpigmentation is visible during smile and speech. Clinicians have tried to remove melanin hyperpigmentation of the gingiva by various methods. Chemical agents such as phenol and alcohol have been used in combination; however, these chemical agents are quite harmful to oral soft tissues. Free gingival graft surgery has also been used to eliminate the hyperpigmented area; but this requires an additional surgical site and color matching. Abrasion technique, using a large, round diamond bur in a high-speed handpiece with copious irrigation, has also been used, but it is difficult to control the depth of de-epithelialization and to obtain adequate access. Gingivectomy (gum removal) has also been used; however, this is associated with loss of alveolar bone, prolonged healing by secondary intention and excessive pain. Gingevectomy results in non-permanent depigmentation when performed solely for cosmetic reasons. In this case, diode laser was used in eliminating the melanin hyperpigmented gingiva, producing great esthetic result.

 

                                            

Figure 1.Melanin hyperpigmented gingiva                               Figure 2.Post-operative result in 2 weeks

                                                     

Figure 2.Gingivoplasty using a laser                                         Figure 4.Final result after orthodontic and restorative treatment

This is another example of using laser to treat drug-induced gingival overgrowth. It has been shown that certain medications, such as calcium-channel blockers (Nifedipine, Procardia, etc.) that are used to treat hypertension, immuno-suppressants (Cyclosporine) and anti-epileptic agents (Phenytoin) largely contribute to gingival overgrowth, which can affect both function and appearance of some people. Maintaining good oral hygiene is the key to minimize this adversary drug effect. However, when the condition has already developed, the only way to treat it is via periodontal surgical procedure, aimed at removal and contouring of soft tissues to produce an adequate functional and esthetic result.

                                                 

Drug-induced gingival overgrowth.                                Immediately after laser gingevoplasty.                           One week post-op.

Dr.Javier Saldivar

 

 

Before.

                                   

 

Biolase LaserSmile in use. 

 

After.                     

 

 Laser gum contouring

If you look closely at your teeth and gums in the mirror, do you see a notable difference in the depth of your gums on each tooth? When you smile, does your grin appear too "gummy"? This can be corrected through the use of a specially design dental laser. Generally, laser gum contouring is done in conjunction with the application of porcelain veneers . However, overly gummy smiles can be contoured to show more teeth than gum.

 

Dr.Javier Saldivar
              Before
 
                After
           Appointments :(956) 242 6826

"I used to feel so self-conscious about my smile, but now I smile every chance I get. I feel like I have a 'movie star' smile. Dr. Saldivar and his staff are so nice, they treat you like family."

Procedures: 10 porcelain veneers with gum reduction and teeth whitening.

 Make an appointement :(956)242 6824

Laser Dentistry - Gum Shaping

Gingiva Tissue Recontouring

Laser Gum Shaping Dr. James SandersonDr. Saldivar uses one particular laser for providing gum laser treatments that actually gently remove unwanted gum tissue. This treatment has become popularly known as gum shaping, contouring, reshaping, recontouring and in some treatment plans, crown lengthening.

Laser treatment is so precise that Dr. Saldivar is capable of changing the overall appearance of the gumline, from tooth to tooth, producing a great smile.

As can be seen from the photographs to the right, Dr. Saldivar was able to change a nice smile into a luring, almost kiss-able smile. Notice how the symmetry or balance affects the entire smile.

Only laser technologies can offer the precision needed for this type of procedure... and painlessly too.
Gum Reshaping Dr.Javier Saldivar


 

Laser Treatment + Porcelain Veneers

Dr.Javier SaldivarLaser treatments are used in conjunction with the application of porcelain veneers that do wonders for straightening smile lines and producing symmetry in a smile. This technique is popularly known as Instant Orthodontics.

Hand crafted with precision by professional dental labs and applied one by one by Dr. Saldivar,porcelain veneers are fitted and bonded to each tooth. Gaps and other imperfections disappear thereby producing a fuller appearance.

Lasers Porcelain Veneers Dr.SaldivarThe picture here reveals how Dr.Saldivar skillful application of porcelain veneers and use of Laser technology produces a near orthodontically correct smile.

One laser is used to trim soft tissue in the gum line while yet another laser is used to trim some of the teeth thereby producing a smile lin
e and biting surface that is orthodontically even.


 

Gummy Smiles + Laser Treatment

Birmingham gummy smile beforeThe adjacent photos show another example of laser treatments for the gummy smile.

In the top photo the lack of symmetry can be seen, giving the appearance of having smaller teeth. For some patients this can produce an appearance of what seems to be juvenille teeth.


 

Gummy to Perfection

Birmingham gummy smile afterNotice how in this second post operative treatment photo the teeth now appear much larger (adult sized) and produces a smile that is fuller, brighter (laser whitening) and more esthetically balanced.

The application of laser gum reshaping and re-contouring can create smiles that produce a better "fit" for a patient's physical features.



 

 

     Gum Contouring - Improving Your Smile
Correcting a Patient’s ‘Gummy’ Smile With Ease and Predictability

 
  Photo 1
Patient's chief complaint is that her teeth are too short. Patient also complains that she shows too much gum tissue when she smiles as well.

 

  Photo 2
The X-Rite Shade Vision system is used to determine the pre-op shade of the teeth.

 

  Photo 3
Unlike other shade systems, Shade Vision sends a color image to the laboratory technician with the shade map so the technician can see the actual tooth.

 

  Photo 4
A pre-op measurement of the teeth confirms that the clinical crown length is inadequate.

 

  Photo 5
A periodontal probe is used to measure the depth of the existing pocket. As a result of the minimal pocket depth, it will be necessary to remove bone to establish proper biological width.


 

  Photo 6
The proposed gingivectomy is drawn on the tissue with a marker. A lab fabricated splint can also be used to assist in marking the tissue to be removed.

 

Dr.Javier Saldivar
  Photo 7
Initial gingivectomy incisions being made with the Biolase diode laser. Note the absence of bleeding at the surgical site.

 

Dr.Javier Saldivar
  Photo 8
The gingivectomy is complete. If left as is, this would create a major biologic width violation, and this tissue would remain constantly inflamed, and would most likely attempt to re-grow. The osseous recoand provisionalization.

 

Dr.Javier Saldivar
  Photo 9
The clinical crown lengths are measured again to verify the desired lengths have been reached. The patient is allowed to view this initial result and give any input.

 

Dr.Javier Saldivar
  Photo 10
The veneer preparations are now accomplished utilized standard techniques, beginning with placement of facial depth cuts.

 

Dr.Javier Saldivar
  Photo 11
The veneer preparations have now been completed. The gingival margins of the preparations are placed at level of the new gingival crest.

 

Dr.Javier Saldivar
  Photo 12
A hard bite material, Luxabite, is injected between the teeth. Unlike many polyvinylsiloxane registration materials, Luxabite exhibits no flexibility that can lead to errors.

 

Dr.Javier Saldivar
  Photo 13
A D&D Double Bite Tray (Superior Surgical & Dental Manufacturing, Inc.) was used which gives the dentist and the lab technician the best of both worlds.

 

Dr.Javier Saldivar
  Photo 14
Due to the lack of subgingival margins, no retraction cord is necessary to produce this highly accurate impression with Honigum heavy and light body.

 

Dr.Javier Saldivar
  Photo 15
Temphase bisacryl provisionals are “spot-etched” into place and a thin layer of Luxaglaze is light cured onto the provisionals to enhance vitality.

 

Dr.Javier Saldivar
  Photo 16
With the provisionals in place the crown lengthening procedure can now begin. Intrasulcular incisions are made around the facial aspects of the teeth in order to reflect the flap.

 

Dr.Javier Saldivar
  Photo 17
With the flap reflected it is readily apparent there is not the required 3-4 mm of biological width between the restorative margin and the osseous crest.

 

Dr.Javier Saldivar
  Photo 18
The Waterlase from Biolase is a hard tissue laser that safely and conservatively removes and recontours osseous tissue.

 

Dr.Javier Saldivar
  Photo 19
Osseous recontouring is finished and it is now apparent that we have the proper vertical dimension between the osseous crest and the margin of the restoration. At this point the margins of the provisionals should be finished in the mouth to insure a smooth junction to promote gingival healing.

 

Dr.Javier Saldivar
  Photo 20
Sutures have been placed and the patient will be reappointed in 5-7 days for suture removal and a post-op check.

 

Dr.Javier Saldivar
  Photo 21
It has been 7 weeks since the preparation/surgical appointment. The excess of gingival tissue visible on the pre-op portrait is now gone. A closer look at the smile shows a dramatic difference when compared to the pre-op smile close-up seen in Photo 1.

 

Dr.Javier Saldivar
  Photo 22
A close-up facial view of the tissues show no signs that any surgery took place. This type of quick, complete healing is typical of laser surgery.

 

Dr.Javier Saldivar
  Photo 23
Extreme close-up of central incisors. Note vitality of restorations.

 

Dr.Javier Saldivar
  Photo 24
Extreme close-up of right lateral incisor. Note the optimum gingival health.

 

Dr.Javier Saldivar
  Photo 25
Extreme close-up of left lateral incisor. Recall that the margins were placed at the gingival crest, and even after the surgery, the gingival crest has remained in the same position as is often the case with laser surgery.

 

Laser-assisted surgery is not a substitute for conventional periodontal procedures. However, when used in appropriate cases, laser offers superior healing potential and more predictable esthetic results achieved in a shorter time. It can also enhance the outcome of ever so demanding restorative procedures, like porcelain veneers and other anterior restorations.If you have any questions or would like to discuss your case, please do not hesitate to contact Dr. Saldivar. We look forward to helping you achieve great health and a beautiful smile!

 

     Laser Treatment of Aphthous Ulcers

 

 

  Pre-treatment                Post treatment             Two days later               Four days later

        

                       Laser Canker Sore Treatment
Many people needlessly suffer from canker sores or Apthous ulcers. Gentle Laser energy is used in our office to quickly heal these painful and sometimes debilitating mouth ulcers. Not only is the pain reduced immediately, but the ulcers heal in 1 day versus the usual 10-day healing period.
Pain relief is immediate and lasts throughout the healing process.Aphthae (or canker sores) are ulcers that are typically round or oval and occur on the inside of the lips or underneath the tongue. They are very common and affect between 30-60% of the population.
The cause of aphthae is still uncertain but hereditary factors are certainly significant with approximately 40% of people who get them having a family history of aphthae.
The main causes of aphthous ulcers include: emotional stress and lack of sleep, local injury by an accidental self-inflicted bite, nutritional/vitamin deficiencies (especially iron and folic acid, vitamins B1, B2, B6, B12 and vitamin C), the menstrual cycle and certain foods (including coffee and chocolate). Aphthae can be divided into three types of ulcers.
Recurrent minor ulcers amount for over 80% of aphthae cases. These are usually between 1-10mm in diameter and heal spontaneously within 7-10 days. Recurrent major ulcers can be in excess of 10mm in diameter and can take months to heal. When they do the usually leave a scar behind. Herpetiform ulcers are multiple, clustered 'pin-prick' ulcers that usually occur on the tongue and can take up to a month to heal. Usually numbering between 2-10 they can number as many as 100.
In all cases, but especially with recurrent major ulcers, the sores can be painful, particularly if irritated by certain foods.
The herpes simplex virus is very common and can cause painful blisters and sores almost anywhere on a persons body. However infections are most common around the mouth and the genitals. Consequently herpes can be divided into two types: type 1 and type 2.
Herpes Simplex Type-1 (Herpes Labials, also known as Cold Sores) : It is estimated that between 60% and as many as 95% of people are infected with HSV-1 although only between 10-30% of these will develop recurrent oral-facial herpes infections. Most people catch the virus during childhood from close contact with family or friends who carry the virus. The virus can be transmitted by kissing, or by using glasses, cups and eating utensils or towels used by an infected person.
The main symptom of HSV-1 infection is the outbreak of blisters filled with fluid around the lips or nose. These can be painful and itchy. Other flu-like symptoms may accompany these outbreaks including fever, headache, muscles aches, and tiredness.

Usually the blisters will disappear by themselves within ten days but the virus will remain dormant in the body among clusters of nerve cells until the next outbreak is triggered. Common triggers include: illness, stress, fatigue and menstruation.
Many people are able to tell when an outbreak is going to occur because they notice a tingling sensation (known as the prodome stage). It is also at this stage when a person is particularly contagious.There is no cure for aphthae. Treatment consists of different medications to reduce the pain and discomfort they cause and to promote/accelerate the healing process. Such medications include: local anaesthetic gels to reduce the pain, antibacterial mouthwashes, protective pastes and in extreme cases sufferers may be prescribed topical corticosteroids.
There is also no cure for herpes simplex. However, traditional treatment involves the use of anti-viral drugs such as Acylovir. Acylovir has been shown to help speed up the infection cycle hastening the end of the outbreak. If used in the prodome stage it can also prevent the development of blisters and it has also been shown to reduce the number of future outbreaks.Studies have shown that patients who have their aphthae treated by laser therapy have immediate pain relief, faster healing and fewer recurrences in the future.
The application of laser energy to a person with HSV-1 equally has significant effects. If applied during the prodormal period nearly all patients will heal within the first 48 hours. In later stages (blistering or crust) over 90% will be cured within 48 hours and all by 4 days. In most cases between 2-4 treatments with laser energy will be required. In addition studies reveal that patients that have laser therapy for the treatment of herpes also see fewer recurrences when compared to conventional treatments.

The diode laser is an ideal choice for the treatment of aphthous ulcers and herpes simplex.

                       Dr.Javier Saldivar                 Dr.Javier Saldivar

                           Before                                  After                                                      

 

Frenectomy

After Before

A frenectomy is the surigcal removal or frenum (freae - plural, which is a thin band of tissue found in various parts of the body, especially the mouth. A frenctomy is the surgical removal of frenulum or frenum (frenae - plural), which is a thing band of tissue found in various parts of the body, especially the mouth. There are two primary locations in the mouth where frenum is found - under the tongue and underneath the center if the upper lip. The frenum attaches the muscles of the cheeks and lips to the mouth, but in some cases, this tissue may interfere with the development of the mouth. In the event that the tissue, or frenum, is attached to close to the tip of the tongue or too far down the gums between the front teeth, a frenectomy may be performed.

.

There are two primary locations in the mouth where frenum is found - underneath the center if the upper lip. The frenum attaches the muscles of the cheeks and lips to the mouth, but in some cases, this tissue may interfere with teh development of the mouth. In the event that the tissue, or frenum, is attached to close to the tip of the tongue or too far down the gums between the front teeth, a frenectomy may be performed.

A labial frenectomy is the removal of the tissue attached to the center of the upper lip. Frenum attached too far down the gum can cause gum recession and gaps between the front teeth. Further, denture patients often have a labial frenectomy to achieve a proper denture fit. A lingual frenectomy is the removal of the lingual frenum, or the tissue under the tongue. Generally, if the tissue is attached to closely to the tip of the tongue, it can interfere with speech development and proper tooth development. A lingual Frenectomy is a fairly common procedure for children who may be "tongue tied" and is sometimes referred to as clipping the tongue. After the procedure, the tongue can usually be fully extended and becomes fully mobile.

A labial frenectomy is the removal of the tissue attached to the center of the upper lip. Frenum attached too far down the gum can cause gum recession and gaps between the front teeth. Further, denture patients often have a labial frenectomy to achieve a proper denture fit.


 
Before After

                                 What is a laser and how does it work?

A laser is an instrument that produces a very narrow, intense beam of light energy. When laser light comes in contact with tissue, it causes a reaction. The light produced by the laser can remove or shape tissue.

Are lasers used in dentistry?

Yes, lasers have been used in dentistry since 1990. Lasers can be used as a safe and effective treatment for a wide range of dental procedures and are often used in conjunction with other dental instruments.

How are lasers used in dentistry?

Dental lasers can be used to:

  • reduce the discomfort of canker and cold sores.
  • expose partially erupted wisdom teeth.
  • remove muscle attachments that limit proper movement.
  • manage gum tissue during impressions for crowns or other procedures.
  • remove overgrown tissues caused by certain medications.
  • perform biopsy procedures.
  • remove inflamed gum tissues and aid in the treatment of gum disease.
  • remove or reshape gum and bone tissues during crown lengthening procedures.
  • help treat infections in root canals.
  • speed up tooth whitening procedures.

What are the benefits of using dental lasers?

There are several advantages. Dentists may not need to use a drill or administer anesthesia in some procedures,  allowing the patient to enjoy a more relaxed dental experience. Laser procedures can be more precise. Also, lasers can reduce symptoms and healing times associated with traditional therapies; reduce the amount of bacteria in both diseased gum tissue and in tooth cavities; and control bleeding during surgery.

Are dental lasers safe?

If the dental laser is used according to accepted practices by a trained practitioner, then it is at least as safe as other dental instruments. However, just as you wear sunglasses to protect your eyes from prolonged exposure to the sun, when your dentist performs a laser procedure, you will be asked to wear special eyeglasses to protect your eyes from the laser.

How can I be sure my dentist is properly trained to use a laser?

Ask your dentist questions about the extent of his or her laser education and training. Make sure that your dentist has participated in educational courses and received training by the manufacturer. Many dental schools, dental associations, and the Academy of Laser Dentistry (ALD) offer dental laser education. The ALD is the profession's independent source for current dental laser education and credentialing.

How will I know if treatment with a dental laser is an option for me?

Ask your dentist. Although the laser is a very useful dental instrument, it is not appropriate for every dental procedure.

Virtually Painless, More Natural Dentistry*

Heat, vibration and pressure are the primary causes of pain associated with the use of the traditional dental drill. Since cutting both hard and soft tissues (teeth and gums) with LASER does not generate heat, vibration or pressure, many dental procedures can be performed nearly pain-free with fewer shots, less need for anesthesia, less use of the drill and fewer numb lips! Additionally, using LASER for gum procedures reduces bleeding, post-operative pain, swelling and the need for pain medication in many cases. It’s just a better way to get your dentistry done!

Accuracy & Precision

LASER dentists are able to remove tooth enamel decay (the hardest substance in the body), bone and gum tissue precisely while leaving surrounding areas unaffected. This conserves more of the precious tooth structure you were born with, helping you to maintain your natural teeth longer!

Reduced Trauma

High speed drills can cause hairline cracks and fractures in the teeth that eventually lead to future dental problems. LASER reduces damage to healthy portions of the tooth and minimizes trauma.

Less Bleeding & Swelling

Due to its conservative cutting action, LASER performs many soft tissue (gum) procedures with little or no bleeding and less post-op swelling.

Fewer Dental Visits

Since you often do not need shots or anesthesia, a LASER dentist can perform cavity preps in all areas of the mouth in just one visit. This technology also gives trained LASER dentists the ability to perform many procedures that were previously referred to specialists, saving you time and hassle as you address the dental needs of you and your family.

Versatility

LASER is extremely versatile. It can be used for a wide range of hard and soft tissue procedures. From decay removal, cavity preparation, root canals, smile design, gum and bone surgical procedures and many others.

*Discomfort is based on individual sensitivity to pain, and other factors. Not all patients can be treated painlessly without anesthetic. However, dentists using LASER to perform typical cavity preparations report not using anesthetic in the majority of cases.

 

 

En cirugía el láser ayuda a evitar el sangrado y esteriliza evitando el riesgo de infección. Así, los procedimientos son más rápidos, se requiere de poca anestesia (siendo posible hacer pequeñas incisiones sin el uso de ésta) y los pacientes que reciben este tipo de tratamientos regresan a su quehacer diario el mismo día. Por ejemplo:

  1. El láser dental está indicado en el tratamiento de úlceras aftosas. Únicamente se las trata sintomatológicamente, es decir, solo se retira la sensación dolorosa, pero no se corrige la etiología o el problema inmunológico.

Dr.Javier Saldivar Dr.Javier Saldivar Dr.Javier Saldivar

Vaporización de lesión aftosa con láser de diodo

  1. También el láser es efectivo en cirugías menores de papilomas, mucoceles, fibromas, etc., las cuales serán removidos con un sangrado prácticamente nulo.

Dr.Javier Saldivar Dr.Javier Saldivar Dr.Javier Saldivar

Exéresis de fibroma con láser de diodo sin necesidad de sutura

  1. Empleando el láser se pueden llevar a cabo frenillectomías o corte de frenillos. Tratamientos de rutina que se llevan a cabo en la consulta de manera rápida y eficaz, sin cortes, suturas y anestesia infiltrativa, únicamente tópica.

Dr.Javier Saldivar Dr.Javier Saldivar Dr.Javier Saldivar

Exéresis de frenillo labial inferior con láser de diodo

  1. Gingivoplastias. Curetajes cerrados con láser y cero sangrado.

  2. En apicectomías el láser se empleará única y exclusivamente para esterilizar la cavidad que aloja la patología apical y el periapice y, por la energía y calor que produce, derretir y sellar el foramen apical (gutapercha) además de esterilizarlo.

  3. Cirugía prepotésica de alargamiento de coronas con cero sangrado lo que permite comenzar de manera inmediata el proceso de reconstrucción.

  4. Toma de biopsias.

  5. Tratamiento de lesiones exofíticas y planas.

  6. Gingivectomías.

Dr.Javier Saldivar Dr.Javier Saldivar Dr.Javier Saldivar

Eliminación de opérculo gingival sobre las cúspides distales del segundo molar inferior

  1. Cirugía periodontal y estética de las encías (melanosis). Las pigmentaciones bucales o melanosis bucal se pueden retirar de manera fácil y eficaz mediante el uso del láser.

Para la mayoría de los tratamientos periodontales no se requiere el uso de anestesia. Se utiliza una pieza de mano especial que se introduce en las bolsas periodontales transmitiendo la energía a través de un cristal de cuarzo, desprendiendo así las sustancias adheridas a la raíz del diente; también desprende el sarro y tiene un alto efecto bactericida.

Láser de baja intensidad de potencia
 

Se trata de una luz con una longitud de energía de onda específica que estimula las células logrando un equilibrio para que puedan reaccionar adecuadamente en los procesos inflamatorios, regenerativos y de dolor, con lo cual tiene gran eficacia analgésica, antiinflamatoria y bíoestimulante, así como efecto cicatrizante y regenerativo, acelerando la velocidad de cicatrización de las heridas, así como la reducción del edema y la inflamación postoperatoria. Debido a que es un láser de baja potencia esta luz no provoca corte ni destrucción de los tejidos únicamente los fortalece y estimula.

Es útil en Odontología en tres puntos básicos: control del dolor, disminución de la inflamación y estimulación de las células que reparan las agresiones por cirugía o traumatismos, siendo fundamental en muchos de los procedimientos bucales preoperatorios y postoperatorios.

Su procedimiento terapéutico como analgésico es empleado para minimizar dolores dentales producidos por caries, tratamientos ortodónticos, sensibilidad dentaria, golpes o infecciones, mientras que como antiinflamatorio actúa después de efectuar extracciones y endodoncias, en inflamación de las encías o tras cirugías. Su efecto regenerativo acelera la cicatrización de los tejidos y ayuda a la formación de hueso, mejorando las condiciones de los tejidos de sostén del diente.

Sus principales aplicaciones en general son en casos de hipersensibilidad dentinaria, lesiones o úlceras aftosas y herpéticas, dolores neurálgicos del trigémino, alveolitos, disfunción o trismus de la ATM, parálisis facial, lesiones periapicales, bioestimulación ósea, traumas quirúrgicos bucales, procesos inflamatorios bucales, terapias láser prequirúrgica y postquirúrgica de terceros molares, etc.

Dentro de los láser terapéuticos de baja intensidad de potencia cabría destacar el láser de Helio-Neón (He-Ne), el láser de Arseniuro de Galio (Ga-As), el láser de Arseniuro de Galio y Aluminio (Ga-As-AI) y el láser de diodo.

Láser de diodo
 

Láser de diodoEs la evolución más importante del láser de Nd y el láser de CO2 y trabaja tanto en el infrarrojo como en el ultravioleta. Es un láser de baja intensidad de potencia que por su versatilidad es el habitualmente empleado en el Consultorio del Dr.Javier Saldivar. Es el láser más indicado para la realización de blanqueamientos dentales y para la mayoría de las técnicas quirúrgicas sobre tejidos blandos (vaporización, exéresis y hemostasia). Posee numerosas indicaciones entre las que podemos destacar las siguientes:

  • PERIODONCIA

Actúa en tejidos pigmentados, reconociendo el tejido malo ya que en el tejido de granulación hay mucha hemoglobina y melanina. Inactiva la toxina de las bacterias sin dañar los tejidos, sin necesidad de anestesia, sin hemorragia y sin necesidad de medicación postoperatoria. La fibra óptica actúa sobre el cemento y el sarro, por trabajar en tejido teñido, pulverizándolo, y descontamina la raíz y el epitelio. Puede ser empleado antes, durante y después de una Cirugía Periodontal.

Láser de diodo programado para iniciar un tratamiento periodontal

  • RESTAURADORA

Actúa en los cristales de hidroxiapatita endureciendo el esmalte. Después de una fluorización el esmalte es más resistente, por eso es útil en Odontopediatría ya que sella fosas y fisuras.

Restauración de caries clase I oclusal en diente premolar

Corta encía sin hemorragia ni anestesia y sella túbulos dentinarios con lo que es infalible como desensibilizante.

  • ENDODONCIA

El láser consigue salvar más dientes ya que esteriliza el conducto principal y los conductos adyacentes hasta un milímetro de profundidad. También permite hacer protecciones pulpares directas y activa los osteoblastos induciendo la formación ósea.

  • CIRUGÍA

En perimplantitis se abre el colgajo, se limpia el implante con el láser y se cierra el colgajo, induciéndose la formación de osteoblastos y la oseointegración. El láser actúa con gran eficacia también en reaperturas de implantes y cirugías de terceros molares.

Láser de diodo programado para realizar un tratamiento de implantología

  • PRÓTESIS

Desensibiliza los muñones vitales. Antes de una impresión podemos eliminar el uso del hilo de retracción ya que con el láser se puede realizar el surco con gran precisión y sin sangrado de la encía.

  • OTRAS INDICACIONES

  1. Cirugía de la encía (gingivectomía y gingivoplastia): exéresis de fibromas, épulis, hiperplasias gingivales farmacológicas, etc. Tratamiento de las pigmentaciones gingivales (hipermelanosis, etc.).

Láser de diodo programado para la llevar a cabo una gingivoplastia. El láser de diodo sirve para la realización de todo tipo de cirugía gingival de forma precisa, aséptica y sin ningún tipo de sangrado

Tras la cirugía no se precisan puntos de sutura ni apósitos gingivales y el postoperatorio transcurre sin dolor, cicatrizando la encía remanente con prontitud y sin la aparición de ningún tipo de secuelas

  1. Terapia de conducto: esteriliza conducto principal y adyacentes.

  2. Sensibilidad.

  3. Terapia de la bolsa periodontal: volatiliza tejido necrótico y elimina la flora bacteriana.

  4. Biopsia.

  5. Frenillectomía: no necesita sutura ya que el sangrado es escaso y la incisión mínima.

Láser de diodo programado para llevar a cabo una frenillectomía

  1. Afta.

  2. Herpes labial o quelitis angular.

  3. Leucoplasia.

  4. Liquen rubens plano.

  5. Analgesia láser en sustitución de la anestesia en restauraciones: indicado para dientes deciduos, dientes definitivos, pacientes alérgicos a la anestesia y pacientes fóbicos.

  6. Reapertura de un implante oseointegrado: indicado cuando existe una cantidad suficiente de encía adherida al implante, no altera las propiedades del titanio.

  7. Efecto hemostático: para controlar la hemorragia producida en una intervención llevada a cabo por el método tradicional.

  8. Preparación del surco protésico: evita el uso del hilo de retracción.

  9. Blanqueamiento dental.

Láser de diodo programado para realizar un blanqueamiento dental.

 

                                                                                                                                            


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