Laser Treatments in Dentistry
LASER is an acronym for Light amplification by the stimulated emission of radiation. A Laser is used in dentistry in many areas like caries prevention, bleaching, would healing, removal of hyperplastic tissue uncovering impacted tooth, gingival re contouring, crown lengthening etc
In Confydentz at guntur, specialists use Lasers in Gum surgeries to reduce the microorganisms in periodontal pockets, root planning and debridement which in turn helps patients to heal faster
What are various applications of LASERS in dentistry?
LASERS have numerous applications in dentistry. Few of them are:
- Caries Prevention
- Sterilization of canals during RCT
- Treatment of gum diseases with LANAP
- Teeth whitening
- Would Healing
- Removal Of Hyperplastic Tissue
- Uncovering Impacted Tooth
- Dental Implant Exposure
- Gingival Re Contouring
- Crown Lengthening
- Fiber band excision in OSMF
What are the types of dental LASER treatments available?
Laser procedures are divided into hard tissue and soft tissue procedures. Hard tissue procedures involving the tooth structure whereas soft tissue procedures for periodontal treatment.
Will the LASER hurt?
Since 1990 LASERS are being used extensively in dentistry. LASERS are very comfortable when compared to the conventional dental drill/Surgical blade. It is a painless procedure and there is very minimal need of Local anesthesia. In patients who are uncomfortable with dental drill/surgical blade, LASER treatment is the best option which reduces anxiety in those patients. Bleeding and swelling are also very minimal. Treatment with LASERS is safe and effective. A wide range of dental procedures can be done with LASER and are often used along with other instruments. It is a FDA approved procedure.
How long will I need to stay home after the LASER gum surgery?
LASER gum surgery is painless and there will be no significant impact on the patients.
Patients can return to work from very next day. Patients can manage with any discomfort just with the simple pain medication given.
Is LASER gum surgery safe for patients with serious medical conditions?
In patients with serious medical conditions like diabetes and heart disease also, LASER gum surgery is the treatment of choice. Patients who are on medication and cannot be treated by conventional procedures can be treated by LASER. Bleeding is minimal and bacterial infection is much minimized in LASER treatment procedures. The clotting and sterilizing properties of LASER are good.
What is the difference between a Dental LASER surgery VS traditional gum surgery?
Key differences between traditional gum surgery and LASER gum surgery are
|Dental Lasers||Conventional Surgery|
|Pain||Very minimal||Need NSAIDs|
|Gum Recession||Very minimal||Present over long term|
|Long term results||Excellent tissue regeneration||Relatively less|
|Other medications||No need to stop medications||Sometimes requires to stop other medications|
|Cutting and stitching||Not required||Needs cutting and stitching|
Is LASER gum surgery more expensive than traditional gum surgery?
LASER gum surgery is definitely more expensive than the traditional treatment because of cost of the equipment incurred. However the benefits of LASER therapy outweigh the cost as there are many advantages such as minimal pain, minimal bleeding and minimal inflammation and quick healing. Higher rate of patient satisfaction is seen in LASER gum treatment. It is safest possible gum treatment in some patients.
How long does LASER gum therapy take?
LASER gum therapy is performed in one long session of 2-3 hours in many cases, to treat the periodontal disease. It can also be done in two sessions, with one week apart each taking about 1-1/2hours.
The action of LASER is quick, bacteria or tissues can be removed in few minutes. Depending on the severity of gum disease and size and number of areas treated, gum therapy requires single or several visits.
How does a dental LASER work?
LASER produces a very narrow, intense beam of light. LASER work by delivering energy in the form of highly concentrated beam of light and heat. It works as infrared light is easily absorbed by water and gum tissues contain more water content. It acts as a cutting instrument & it also acts as vaporizer by causing a reaction when kept in contact with the tissue.
What are the benefits of dental LASERS?
Benefits of LASERS
- More comfortable (less invasive)
- Virtually painless
- Less need of anesthesia
- Treatment done more precisely and accurately
- Reduces trauma(No cutting and stitching needed)
- Fewer complications(The symptoms are very minimal)
- Fast recovery (Healing is quick.)
- Reduce the amount of bacteria
- Minimal bleeding and swelling
- Versatility( used for wide range of both hard and soft tissue procedures)
- Less use of drill
- Reduce post operative pain and therebyreduce the need for pain medication
- Water LASER does not generate any heat, vibration or pressure
- Fewer dental visits
What are the causes of Gum Disease?
Bacterial Plaque is the main cause of Gum Disease. A sticky, colorless film of Bacteria that constantly forms on your teeth is called Plaque or bacterial Plaque.Many Bacteria which are present in this Plaque are harmless, but some Bacteria are harmful and are the cause for Gum Disease. If Plaque is not removed it hardens, which is called Calculus (tartar). Brushing and flossing cannot remove Calculus. The supporting tissues and bone around the teeth are destroyed by the Bacteria in the Plaque. The Gums around the tooth become swollen and moves away from tooth forming pockets. As Disease progresses, more Gum and bone tissue is destroyed and teeth become loose, which eventually exfoliate.
What are the stages of Gum Disease?
The stages of Gum Diseases are:
- 1. Gingivitis (most well known and mild form of Gum Disease)
- Most common and earliest form of Periodontal Disease.
- Gingiva is inflamed.
- Inflammation is caused by Bacterial Plaque accumulation in the absence of effective daily oral hygiene.
- Change of color from tissues normal pink to various shades of red.
2. Early or Mild Periodontitis (more advanced stage of Gingivitis).
- Clinically appears the same as Gingivitis.
- Redness, bleeding on probing, and gum swelling are seen.
- Bone loss is seen.
- Pocket depth increases approximately from 4-6 mm.
3. Moderate Periodontitis
- Inflammation and infection extend deeper into the tissues.
- 20-50% bone loss from around the tooth root.
- Pocket depths may increase from 4-8 mm.
- Bleeding, swelling, redness are present.
4. Advanced Periodontitis
- Bone loss is severe representing a loss of 50-85% of bone support from the tooth root.
- Teeth become very loose.
- Uncomfortable during functional movements.
- Pocket depths range from 7-12 mm.
- Bleeding, swelling, redness are seen.
- Gingivitis if not treated progresses to Periodontitis which is the severe form of Gingivitis
How will I know whether I have Gum Disease?
Bleeding of Gums is the sign for Gum Disease. As there is no pain in Gingivitis or Periodontitis, you will not be aware of Disease
Symptoms of Gum Disease:
- Bleeding Gums while brushing. “Healthy Gums do not bleed”
- Swollen, red, tender Gums
- Loose Gums that move away from tooth
- Continuous Bad breath or bad taste in the mouth
- Teeth becoming loose
- Pus around teeth and Gums
How can Gum Disease be treated?
Treatments for Gum Diseases: Gum Diseases can be treated in two ways:
A) Non-surgical treatments for Gum Diseases
- Professional dental cleaning
- Scaling and root planning
B) Surgical treatments for Gum Diseases
- Flap surgery/pocket reduction surgery
- Bone grafts
- Soft tissue grafts
- Guided tissue regeneration (GTR)
- Bone surgery
Can Gum Disease affect my general health?
Health of your mouth certainly affects the health of your whole body. There is a strong association between Gum Disease and heart disease, diabetes and stroke. Bacteria from Gums enter blood stream and settle in the coronary arteries thus causing heart diseases.
“Without Periodontal health, you can’t have good general health”
- Pneumonia can be caused by inhaling bacteria from the mouth and throat
- Bacteria from dental plaque can be inhaled into the lungs
- Gum disease and related tooth loss is seen in Osteopenia
- In postmenopausal women, severity leads to tooth loss
Preterm or low birth weight babies
- Giving birth to preterm baby is seen in women with advanced gum disease
- Fetus is exposed to infection as oral microbes cross the placental barrier
- Increased risk of stroke is seen in Periodontitis
- Increased risk of fatal heart attack is seen in Periodontitis
- Cardiovascular disease is diagnosed more likely
- Clotting problems in Cardiovascular system is due to the bacteria from mouth
- Diabetic control is disrupted in chronic periodontal disease
- Pocket environment is altered in diabetes and bacterial overgrowth is seen
- Risk of tooth loss is increased by 2 times in smokers with diabetes
- Periodontal disease is 3 times more likely to develop in type 2 diabetics
What can I do to prevent Gum Disease?
Habits to be cultivated as daily routine to prevent Gum Disease
- Brush your teeth (after meals is more helpful)
- Floss your teeth
- Swish using mouthwash
- Consult dentist every 6 months.
How can you prevent Periodontal Diseases from returning?
Withpatients’ vigilance and good oral hygiene practices you can prevent the return of Periodontal diseases. Maintenance therapy is important.
- Proper brushing and flossing
- You need to have your teeth checked periodically every 6 months if any Plaque buildup is there.
- Avoid smoking
- Good Dietary habits
What is the treatment for Gummy smile?
When excessive gingival tissue is covering the anatomical crown of tooth causing Gummy smile, Gingival surgery (Gingivoplasty) is done. The Gingival margin is positioned apically without exposing the root surface. A new surgical technique involves both Gingival recontouring and traction and containment surgery of elevator muscle of upper lip and wing of nose (EMULWN)
REASONSTO CORRECT A GUMMY SMILE
- Improve the aesthetics of your smile
- Increase your self confidence
- Eliminate self-consciousness or embarrassment associated with smiling
CAUSESOF GUMMY SMILES
- ABNORMAL ERUPTION OF TEETH
Teeth may be normal length but appear shorter because of excessive Gum tissue
- HYPERACTIVE UPPER LIP MUSCLE
This muscle may cause your lip to rise higher than normal, exposing more Gum when you smile
- UPPER JAW BONE GROWTH PATTERN
If the upper jaw protrudes excessively, a Gummy smile may result
- ABNORMAL ERUPTION OF TEETH
TREATMENT OPTIONS for Gummy smiles
- Lip repositioning
The excess movement of a hyperactive upper lip muscle
The lip closer towards the teeth
Require hospitalization and can be performed under local anesthetic
- Crown lengthening
More of the tooth through the reshaping of bone and Gum tissue
Done on one or more teeth, or the entire Gum line
Only require local anesthetic to reshape targeted areas
- Jaw Corrective Surgery / Orthognathic Surgery
When there is abnormal upper jaw growth Pattern
Does smoking affect my Gums?
- Gum disease get worse in smoking.
- Severe bone loss and more deep Pockets are seen in smokers.
- Gum destruction is 3-6 times more in smokers.
- Smokers have 5 times greater bone loss than nonsmokers.
- Gum bleeding and redness are less in smokers and thereby difficult to know the presence of disease.
What is the role of Laser in treating Gum diseases?
- Periodontal Diseases are best treated by lasers.
- Lasers are used to access and remove inflamed Gum tissue from around the root of the tooth.
- The diseased tissue is vaporized and removed from the mouth by laser.
- Laser is fired until clot is formed, wound is cauterized.
- Lasers in addition to the scaling and root planing have good effect of the procedure.
- When used properly, patients have less bleeding, swelling and discomfort.
- Lasers remove infection from Gums and reshape it.
- Bleeding of Gums is eliminated immediately.
- Deep Periodontal Pockets are sealed.
- No cutting of gums, soreness or discomfort.
- Bone and ligament tissue is regenerated.
- High success rate.