powered by technology easy laser guide

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1 powered by technology easy laser guide Rev. 1.0 / Oct. 2009

2 2 Easy Laser Guide The elexxion Easy Laser Guide offers both general information about dental lasers as well as specific information about elexxion s lasers. It is intended to support dental distribution staff in understanding the current laser market, the benefits of laser use and the role of elexxion s laser program.

3 powered by technology Table of contents 1 Lasers in medicine 5 2 Benefits of lasers in dentistry 7 3 Dental lasers and their application 9 4 claros nano 11 5 claros, 30 watts and 50 watts 13 6 duros 15 7 delos 17 8 How to choose an elexxion laser? 19 9 Market overview of diode lasers Market overview Erbium-YAG and Erbium-Combination lasers Laser classification Eye protection 25

4 4 Easy Laser Guide

5 powered by technology 1 Lasers in medicine Since the beginning of the 70 s, lasers have been used in various medical disciplines. Here are some examples: Laser applications in medical disciplines Vascular surgery: sclerotherapy Oncological surgery: tissue removal Skin cancer diagnostics: laser scanning Ophthalmology: Lasik surgery Urology: prostate surgery Dermatology: tattoo removal, depilation Laser applications in dentistry Caries diagnostics and removal Hard tissue removal Root canal disinfection Periodontal pocket debridement and decontamination Oral surgery Periimplantitis treatment Desensitizing Biostimulation Why are lasers so hesitantly accepted in dentistry? In the early years of lasers, dentistry lasers were viewed as a kind of miracle tool to substitute the dental drill. This was clearly promising too much, which quickly dampened enthusiasm for laser use. Furthermore, to achieve excellent results with lasers, the user needs to have certain knowledge and be properly trained. Lasers are available in many different wavelengths, emission modes, power levels and more. These parameters determine where a specific laser is indicated and how it should be applied. That is why education and training is essential in order to avoid disappointment with a very useful tool. Poor training, a longer learning curve and the fact that laser dentistry is only beginning to be integrated in dental school curricula has slowed adaptation among dentists.

6 6 Easy Laser Guide

7 powered by technology 2 Benefits of lasers in dentistry Laser benefits for patients minimal requirement for anesthetics less invasive perio-therapy minimized requirement for sutures less postoperative pain immediate cosmetic result selective removal of diseased tissue enhanced healing less postoperative inflammation photodynamic therapy minimally invasive procedures faster procedures bacterial decontamination less chair time less stress/anxiety = High acceptance and increase in patients comfort Laser benefits for the dentist durable, timely hemostasis clean dry field/better restorations less stress for soft tissue minimal anesthetic elimination of packing cord immediate aesthetic result fiber access to confined areas precise incision/excision root canal sterilization practice marketing advantage staff enthusiasm less stress for laser procedures practice revenue growth potential less need to refer patients out efficiencies; more procedures/visit = Laser use is very well accepted by patients and is economical

8 8 Easy Laser Guide

9 powered by technology 3 Dental lasers and their application Type Wave Length (nm) Penetration Depth Surgery Endo Periodontology Hard Tissue Soft Laser Bleaching CO mm Yes Limited Limited No No No Er:YAG mm Limited No Limited Yes No No Er, Cr:YSGG mm Yes No Limited Yes No No Nd:YAG mm No Yes Yes No No No HeNe mm No No No No Yes No Diode mm Limited Yes Yes No Limited Yes elexxion nano, claros mm Yes Yes Yes No Yes Yes elexxion duros mm Limited No Limited Yes No No elexxion delos mm Yes Yes Yes Yes Yes Yes mm Yes Yes

10 10 Easy Laser Guide elexxion claros nano

11 powered by technology 4 claros nano elexxion claros nano is a diode laser with a wavelength of 810 nm. With 15-watt power, it is one of the best high-performance compact lasers. advantages: Patented Digital Pulse Technology (DPT) allows the application of high power for effective cutting while simultaneously preventing collateral tissue damage and thereby promoting faster healing All handpieces and fibers can be autoclaved for infection control Applications: claros nano Strength: Soft Tissue Applications oral surgery EndodonTics periodontology periimplantitis soft LasEr TrEaTmEnT hard TissuE ablation bleaching Yes Yes Yes Yes Yes No Yes Small surgical applications Root canal disinfection Pocket decontamination Gentle alternative to extensive rinse disinfection Children and panic patients Diode lasers cannot be used for hard tissue Faster than with bleaching gel alone

12 12 Easy Laser Guide elexxion claros

13 powered by technology 5 claros, 30 watts and 50 watts The claros is a high powered 810nm diode laser available in 30- and 50 watts. The 30-watt claros can be upgraded to 50 watts. Advantages: Patented Digital Pulse Technology (DPT) allows the application of high power for effective cutting while simultaneously preventing collateral tissue damage and thereby promoting faster healing All handpieces and fibers can be autoclaved for infection control Touchscreen controlled menu selection minimizes errors Key-card controlled unit access which allows provided access to only certain procedures (for example, soft laser applications) Applications: claros 30W/50W Strength: Soft Tissue Applications Oral Surgery Endodontics Periodontology Periimplantitis Soft Laser Treatment Hard Tissue Ablation Bleaching Yes Yes Yes Yes Yes No Yes Small surgical applications Root canal disinfection Pocket decontamination Gentle alternative to extensive rinse disinfection Children and panic patients Diode lasers cannot be used for hard tissue Faster than with bleaching gel alone

14 14 Easy Laser Guide elexxion duros

15 powered by technology 6 duros The duros is an Erbium-YAG laser with a wavelength of 2940 nm. It is a floor model equipped with a waterspray system. duros is suitable for hard tissue ablation, perio applications and soft tissue procedures where hemostasis is not desired. Advantages: Touchscreen controlled menu selection minimizes errors Handpiece system including fibers autoclavable Applications: duros Strength: Hard Tissue Ablation Oral Surgery Endodontics Periodontology Periimplantitis Soft Laser Treatment Hard Tissue Ablation Bleaching Yes No Yes Yes No Yes No Limited no hemostisis Root canal disinfection Root scaling Gentle alternative to extensive rinse disinfection Children and panic patients Diode lasers cannot be used for hard tissue Faster than with bleaching gel alone

16 16 Easy Laser Guide elexxion delos

17 powered by technology 7 delos The delos is a combination device consisting of a 50-watt 810 nm diode laser and a 2940 nm Erbium-YAG laser. The combination of the 2 lasers allows performance of all surgical soft tissue applications without any compromises, as well as hard tissue ablation. Advantages: 2 lasers in one allows performance of all common procedures with one device Touchscreen controlled menu selection minimizes errors Patented Digital Pulse Technology (DPT) allows the application of high power for effective cutting while simultaneously preventing collateral tissue damage and thereby promoting faster healing All handpieces and fibers can be autoclaved for infection control Key-card controlled unit access which allows provided access to only certain procedures (for example, soft laser applications) Applications: delos Oral Surgery Endodontics Periodontology Periimplantitis Soft Laser Treatment Hard Tissue Ablation Bleaching Yes Yes Yes Yes Yes Yes Yes Surgery Root canal disinfection Pocket decontamination Root scaling Gentle alternative to extensive rinse disinfection Children and panic patients Diode lasers cannot be used for hard tissue Faster than with bleaching gel alone

18 18 Easy Laser Guide

19 powered by technology 8 how to choose an elexxion laser? yes You need a laser for Soft Tissue and Hard Tissue Applications no elexxion delos yes only for Hard Tissue Applications no elexxion duros yes only for Soft Tissue Applications no yes For extensive and frequent Soft Tissue Applications? no elexxion claros 30 W / 50 W elexxion claros nano

20 20 Easy Laser Guide 9 Market overview of diode lasers Manufacturer Biolase KaVo KaVo Sirona Sirona Product EZ Lase GENTLEray 980 Classic GENTLEray 980 Premium Sirolase SIROLaser Advance Wavelength (nm) 810 nm 980 nm 980 nm 980 nm 970 nm Power (W) 10 W 6 W 7W ( 12 W Peak ) 7 W 7 W Frequence (Hz) Hz 40 Hz Hz Hz Hz Pulse Width (µs) 50 µs 25 µs 25 µs 50 µs No information Emission Mode cw, 1:1 pulsed cw, pulsed cw, 1:1 pulsed cw, 1:1 pulsed cw, pulsed Comments Upgrade to Premium Water for cooling build in Rechargeable battery

21 powered by technology dentek creation creation elexxion arc Laser Gmbh arc Laser Gmbh Ld15 i white star c-ld-005 white star c-ld-008 claros nano Q-810 fox 810 nm 810 nm 810 nm 810 nm 810 nm nm 10 W 5 W 8 W 15 W 6 W 5-9 W No information Hz Hz Hz Variable Variable 500 ms 10 µs 10 µs 17 µs 1 µs - 30 sec. 1 ms - cw cw, 1:1 pulsed cw, pulsed cw, pulsed cw, digitally pulsed No information -cw Water for Cooling optional Rechargeable battery Rechargeable battery 1.5 H Different wavelenghts available 810 nm 6W 940 nm 5W 980 nm 9W nm 5W

22 22 Easy Laser Guide 10 market overview Erbium-yaG and Erbium-combination lasers manufacturer Kavo elexxion fotona creation dlh biolase product Key3+ duros fidelis iii AquaStar star Erbium Waterlase md LasEr TypE Er: YAG Er: YAG Er: YAG Er: YAG ER:YAG Er, Cr3+:YSGG WAvELEnGTH (nm) 2940 nm 2940 nm 2940 nm 2940 nm 2940 nm 2780 nm (JouLE / WATT) 600 mj mj up to 20 W mj 6 W 300 mj FrEquEncE (Hz) 2-30 Hz 4-20 Hz 2-50 Hz Hz 20 Hz Hz PuLSE WIDTH (µs) µs 50-1,000 µs ms 75 µs Emission mode Pulsed Pulsed Pulsed cw / Pulsed comments

23 powered by technology elexxion dlh fotona Lumenis delos star duo fidelis plus iii opusduo Aqualite Er:YAG Diode Er: YAG Diode Er:YAG Nd:YAG Er:YAG CO nm 810 nm 2940 nm 810 nm 2940 nm 1064 nm 2940 nm nm mj 50W 20 W 10 W 1J - 20 mj W up to 1,000 mj cw 10 W, Pulse 6W 4-20 Hz 20,000 Hz 7-20 Hz Hz 2-50 Hz Hz 7-20 Hz µs 2.5µs-cw ms ms 50-1,000µs µs µs µs cw / Pulsed cw/ Pulsed

24 24 Easy Laser Guide

25 powered by technology 11 Laser classification Lasers are categorized into different classes based on their hazardous potential according to DIN EN All elexxion lasers are Class 4 lasers. Class 4 The laser beam is very dangerous for the human eye and skin. Even refracted radiation can be dangerous. Laser radiation can ignite fire or cause an explosion. 12 Eye protection It is a must for dentists, assistants and patients to wear eye protection. Important: The protection glasses must be compatible with the specific wavelength of the laser! Laser protection glasses claros protect, 810 nm for nano, claros Laser protection glasses elexxion protect, 2940 nm for nano, claros, duros, delos (combination glasses)

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