journal of laser-assisted dentistry -...
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50P
2 014
volume
one
no.
1
FFooccccaaaall PPPPPoooooiiiiinnnntttttAAAA pppppeeerriodontal protoccol for ttthhheee
Er,,CCCrr::YYYSGG laser transforms
effificciieenccy aaand clinical results.
Page 155
A P U B L I C A T I O N O F T H E W O R L D C L I N I C A L L A S E R I N S T I T U T E
JJOOUURRNNNNNNAAAAAAAAALLLLLLL OOFFFFF LLLLAASSEEERRRR--AAASSSSSSSSIIIIIISSSSTTEEDDDDDDDD DDDDDDDDDDEEEEEEEEENNNTTTTTTIIIIISSSSSSTTTTTTTTTRRRRYYYYYYY
INSID
E THIS ISSUE VOLUME O
NE N
O. 1
New
Laser Protocol For Periodontology
For years, researchers, periodontists and general dentists have utilized
Er,Cr:YSG
G lasers as an adjunct to traditional periodontal treatment
techniques. N
ow, w
ith a definitive periodontal protocol in place,
Er,Cr:YSG
G laser ow
ners have a guide for treating moderate to
severe periodontitis with ideal clinical results.
SE
E TH
E FU
LL STO
RY ON PAGE 15
SUCCESSFUL
MITOSIS
ABOVE: Three-dimensional confocal
scanning fluorescence microscopy,
originally conducted by Prof. Özlem
Yilmaz, shows high num
bers of
intracellular P. gingivalis (green)
undergoing successful m
itosis
after laser treatm
ent.
Source: M
icrobiology. 200
8 Oct;154(Pt 10
): 2897-903. doi: 10.1099/m
ic.0.200
8/021220-0.
FOCAL P
OIN
T
Aim
ing
Beam
Three steps
to predictable
laser troughing.
PAGE 21
Good to
Know
Essential advice
for peak laser
performance.
PAGE 24
In The N
ews
WCLI m
embers and
guests gather for
Super Symposium
2014.
PAGE 26
Spotlight
Introducing the
first Er,Cr:YSG
G
dentist in the U.S.
PAGE 30
WCLI
First Take
Soft tissue laser
adoption is soaring.
What is driving it?
PAGE 10
First Take
An original analysis
of optimal life for
radial-firing perio tips
when used for a standard
periodontal protocol.
PAGE 12
Chairside
View
Three in-depth analyses
of notew
orthy research
published on the Er,Cr:YS-
GG laser.
PAGE 4
Why It
Matters
Summaries and
practical implications
of the latest laser
research from
the literature.
PAGE 14
Maim
an’s
Vault
Meet Theodore Maiman,
esteem
ed by many as the
father of laser dentistry.
PAGE 32
RESEARCH
©2014
World C
linical Laser Institu
te. All rights reserv
ed. Any images,
quote
d text and/o
r oth
er mate
rials are
the opinion(s) of th
e original
auth
or(s) and/o
r publication(s). W
ate
rLase, W
CLI and W
orld C
linical
Laser Institu
te are
registe
red trademark
s.
JOURNAL O
F LASER-A
SSISTED D
ENTISTRY
JLAD F
ALL 2
014
1
JLAD F
ALL 2
014
32
JLAD F
ALL 2
014
JOURNAL O
F LASER-A
SSISTED D
ENTISTRY
JOURNAL O
F LASER-A
SSISTED D
ENTISTRY
JOURNAL O
F
LASER-A
SSIS
TED D
ENTIS
TRY
A P
UBLIC
ATIO
N O
F T
HE
WORLD C
LIN
ICAL L
ASER INSTIT
UTE
EDIT
OR
Chr
isto
pher
J.
Walin
ski,
DD
S
EDIT
ORIA
L A
DVIS
ORY B
OARD
Patr
ick J
. B
room
e, D
MD
Bru
ce L
. C
ass
is,
DD
S
Willi
am C
hen
, D
MD
Bre
t L
. D
yer
, D
DS
, M
S
Nor
ber
t G
utk
nec
ht,
DD
S,
PhD
Bra
d L
abr
ecqu
e B
Sc,
DM
D
Tod
d J
. M
orto
n,
DM
D
Law
ren
ce A
. N
uri
n,
DD
S,
MS
c
Mar
ina P
olon
sky,
DD
S
Mar
c R
ober
t, D
DS
Ste
war
t P.
Ros
enber
g, D
DS
Tzv
i R
ubin
ger
, D
DS
Patr
ick R
. R
ueh
le,
DD
S
Rob
ert
L.
Wau
gh,
DM
D
STAFF
Kim
mar
ie E
vere
tt
Kri
sten
Har
tman
Kri
stin
a K
rau
s
Inaki
Ser
ran
o
RESONATIN
G O
NA G
LOBAL SCALE
It w
as
14 y
ears
ago
th
at
a g
rou
p o
f d
en
tal
pro
fess
ion
als
, galv
an
ized
by
the p
oss
ibil
itie
s
of
de
nta
l la
sers
, ca
me
to
ge
the
r to
fo
rm t
he
Wo
rld
Cli
nic
al
La
ser
Inst
itu
te (
WC
LI)
.
Ba
ck i
n Y
2K
, d
en
tal
lase
r te
chn
olo
gy
wa
s ju
st e
me
rgin
g.
De
nta
l la
sers
sh
ow
ed
exc
ep
tio
na
l p
rom
ise
, b
ut
pro
toco
ls a
nd
cli
nic
al
effi
cacy
we
re n
ot
we
ll d
efi
ne
d –
or
acc
ep
ted
– b
y m
an
y in
de
nti
stry
.
Bu
t th
e f
ou
nd
ers
of
the
In
stit
ute
we
re s
tea
dfa
st i
n t
he
ir v
isio
n t
o a
dva
nce
de
nta
l
care
th
rou
gh
th
e u
se o
f la
ser
tech
no
log
y. A
nd
th
eir
me
ssa
ge
ha
s re
son
ate
d o
n a
glo
ba
l sc
ale
. It
is
in n
o s
ma
ll p
art
to
th
eir
co
ntr
ibu
tio
ns
tha
t la
ser
de
nti
stry
to
da
y
is n
o l
on
ger
con
sid
ere
d n
ew
or
exp
eri
men
tal.
Lase
rs a
re n
ow
bein
g u
sed
by
den
tist
s
all
ove
r th
e w
orl
d,
an
d t
he
WC
LI
ha
s g
row
n i
nto
th
e l
arg
est
gro
up
of
its
kin
d w
ith
me
mb
ers
on
six
co
nti
ne
nts
.
Desp
ite t
he im
pre
ssiv
e g
row
th o
f th
e u
se o
f la
sers
an
d o
ur
pro
fess
ion
al o
rgan
izati
on
,
I a
m c
on
tin
ua
lly
surp
rise
d b
y th
e o
vera
ll l
ack
of
ge
ne
ral
aw
are
ne
ss a
bo
ut
wh
at
ou
r
mem
bers
hip
has
un
ders
too
d f
or
years
: th
e v
ery
real
clin
ical
ben
efi
ts o
f d
en
tal
lase
rs
in p
ract
ice
.
An
d t
ha
t’s
wh
y w
e c
rea
ted
th
e J
ourn
al o
f L
aser
-Ass
iste
d D
enti
stry
(JL
AD
). I
t is
a n
ew
init
iati
ve b
y th
e W
CL
I to
sh
are
th
e e
xcit
em
en
t a
nd
ad
van
cem
en
ts t
aki
ng
pla
ce i
n
lase
r d
en
tist
ry w
ith
ou
r p
eers
. W
e h
ave
co
mm
itte
d t
o p
ub
lish
ing J
LA
D o
n a
qu
art
erl
y
ba
sis,
an
d I
am
pro
ud
of
the
eff
ort
s o
f o
ur
Ed
ito
ria
l A
dvi
sory
Bo
ard
, co
ntr
ibu
tin
g
ed
ito
rs a
nd
sta
ff.
We
are
a n
ew
ly f
orm
ed
te
am
!
In t
his
, o
ur
firs
t is
sue
, w
e’v
e e
nd
ea
vore
d t
o c
rea
te a
ba
lan
ced
, p
ee
r-re
vie
we
d
pu
bli
cati
on
th
at
com
bin
es
no
tew
ort
hy
rese
arc
h,
an
aly
ses
an
d s
um
ma
rie
s o
f
curr
en
t re
sea
rch
, a
lon
g w
ith
pra
ctic
al
ad
vice
an
d p
rofi
les
of
lea
de
rs i
n l
ase
r
de
nti
stry
– i
ncl
ud
ing
on
e o
f W
CL
I’s f
ou
nd
ing
me
mb
ers
, D
r. R
ob
ert
Mil
ler.
We h
op
e y
ou
en
joy
ou
r in
au
gu
ral
issu
e. If
yo
u h
ave
su
ggest
ion
s fo
r im
pro
vin
g
ou
r p
ub
lica
tio
n o
r w
ou
ld l
ike
to
co
ntr
ibu
te i
n o
the
r w
ays
, p
lea
se c
on
tact
me
by
em
ail
at
chri
s@w
cli.
org
.
Chri
stop
her
J. W
alin
ksi, D
DS
EDIT
OR &
EXECUTIV
E D
IRECTOR O
F T
HE W
CLI
CHRISTOPHER J.
WALIN
SKI, D
DS
EDITOR Dr. Walinski is a
founder of the W
CLI as well as
an author, instructor and innovator
in laser dentistry. He is currently
the Executive Director of the W
CLI.
COVER IMAGE
The definitive periodontal protocol for the Er,Cr:YSG
G
laser represents a major step forward. Our cover art, an
original by artist Gregory Dunn, represents the blending
of new
technology and clinical techniques that result in a
dynamic new
path for dental practitioners and the
patients they serve.
JLAD F
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54
JLAD F
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RESEARCH I
I
RESEARCH
“…the Er,Cr:YSGG laser m
ay represent a
less invasive modality than traditional
periodontal surgery…”
CASE DESCR
IPTION
“Th
e p
urp
ose
of
this
pa
pe
r is
to
pre
sen
t a
case
re
po
rt o
f th
e E
r,C
r:Y
SG
G l
ase
r b
ein
g
use
d t
o c
on
serv
ati
vely
tre
at
a r
eca
lcit
ran
t
pe
rio
do
nta
l p
ock
et
in t
he
pre
sen
ce o
f a
bo
ne d
efe
ct a
nd
th
at
resu
lted
in
su
ccess
ful
reso
luti
on
of
the
po
cke
t...
”
Th
is c
ase
rep
ort
in
volv
es
a d
en
tal
pati
en
t
wh
o p
rese
nts
wit
h a
dva
nce
d c
hro
nic
pe
rio
do
nti
tis.
In
itia
l tr
ea
tme
nt
wa
s
no
nsu
rgic
al
full
-mo
uth
sca
lin
g a
nd
roo
t p
lan
ing
. S
ix w
ee
ks p
ost
-op
, a
re-
eva
luati
on
of
the p
ati
en
t’s
peri
od
on
tal
con
dit
ion
re
ve
ale
d p
ocke
t re
so
luti
on
in a
ll a
rea
s e
xce
pt
for
the
ma
xil
lary
left
qu
ad
ran
t.
Desp
ite s
cali
ng a
nd
ro
ot
pla
nin
g, an
8 m
m p
ock
et
rem
ain
ed
on
the m
esi
al
of
too
th #
15. R
ad
iogra
ph
icall
y,
an
an
gu
lar
de
fect
wa
s n
ote
d i
n t
his
are
a.
Un
de
r lo
cal
an
est
he
sia
, m
inim
all
y
inva
sive
la
ser
surg
ery
wa
s p
erf
orm
ed
usi
ng t
he E
r,C
r:Y
SG
G w
ave
len
gth
on
ly i
n
the
are
a o
f th
e p
ock
eti
ng
an
d o
sse
ou
s
de
fect
. T
he
pro
toco
l u
sed
wa
s a
s fo
llo
ws:
“A g
ing
iva
l tr
ou
gh
do
wn
to
th
e c
rest
of
bo
ne
wa
s m
ad
e i
n t
he
are
a o
f th
e p
ock
et
usi
ng
th
e E
r,C
r:Y
SG
G l
ase
r to
pro
vid
e
imp
rove
d a
cce
ss t
o t
he
ro
ot
su
rfa
ce
ass
oci
ate
d w
ith
th
e b
on
e d
efe
ct. N
o fl
ap
wa
s ra
ise
d a
nd
th
e b
on
e d
efe
ct w
as
no
t
sub
ject
ed
to
op
en
-fla
p d
eb
rid
em
en
t.
Me
cha
nic
al
de
bri
de
me
nt
of
the
ro
ot
surf
ace
wa
s th
en
pe
rfo
rme
d u
sin
g
ult
raso
nic
s, s
low
-sp
eed
ro
tary
dia
mo
nd
bu
rs a
nd
ha
nd
in
stru
me
nts
. T
he
ro
ot
surf
ace
an
d i
ntr
a-p
ock
et
soft
tis
sue
we
re
the
n e
xpo
sed
to
a fi
na
l re
gim
en
of
lase
r
en
erg
y w
ith
a s
ide
-firi
ng
tip
th
at
dir
ect
ed
the
ma
jori
ty o
f th
e e
ne
rgy
in a
dir
ect
ion
rad
ial
to t
he l
on
g a
xis
of
the fi
ber. F
inall
y,
the s
oft
tis
sue w
as
gen
tly
pre
ssed
again
st
the
ro
ot
surf
ace
an
d s
ea
led
wit
h
cya
no
acr
yla
te t
issu
e a
dh
esi
ve.”
RESULTS
“At
the 1
-year
re-e
valu
ati
on
exa
min
ati
on
,
pro
bin
g d
ep
ths
in t
he
de
fect
are
a h
ad
de
cre
ase
d f
rom
8 m
m t
o 2
mm
. T
he
peri
ap
ical
rad
iogra
ph
sh
ow
ed
evi
den
ce
of
com
ple
te b
on
e fi
ll.
Th
e p
ati
en
t a
lso
rep
ort
ed
be
ing
asy
mp
tom
ati
c.”
CONCLUSION
“Su
cce
ssfu
l p
ock
et
red
uct
ion
[w
as]
ach
ieve
d u
sin
g E
r,C
r:Y
SG
G l
ase
r
min
imall
y in
vasi
ve s
urg
ery
. Th
is p
roto
col
usi
ng
th
e E
r,C
r:Y
SG
G m
ay
rep
rese
nt
a
less i
nva
siv
e m
od
ali
ty t
ha
n t
rad
itio
na
l
pe
rio
do
nta
l su
rge
ry o
r th
e u
se o
f o
the
r
mo
re p
en
etr
ati
ng
la
se
r w
ave
len
gth
s
(Nd
:YA
G a
nd
dio
de)
for
the i
ntr
a-p
ock
et
tre
atm
en
t o
f p
eri
od
on
tal
dis
ea
se.”
n
PRE- AND POST-O
P
RADIO
GRAPHS
TOP: A pre-operative radiograph
demonstrates radiographic evidence
of an angular bone defect on the
mesial of the maxillary left
second molar.
LOWER: O
ne-year post-surgical
radiograph showing complete
clinical success on the mesial
of the maxillary left second molar.
Associated probing depths were
3 mm or less.
1. IN
DEPENDENTLY R
EVIEW
ED
This manuscript was originally published in July 2013 in The Open
Dentistry Journal. ODJ is a peer-review
ed publication containing
important and reliable current inform
ation on developments in the
dental field. All subm
itted articles are subject to an extensive peer
review
in consultation with mem
bers of the Journal Editorial Board
and independent external referees.
2. ESTABLIS
HED B
ENEFITS
Lasers have been established as having a positive effect on oral
tissues. This peer-reviewed case report further substantiates some
of the benefits of using an Er,Cr:YSG
G laser to promote cementum-
mediated periodontal ligam
ent new-attachm
ent to the root surface
in the absence of long-junctional epithelium.
3. R
ENOW
NED A
UTHOR
Author Dr. Doug Dederich is currently a full professor in the
Departm
ent of Dentistry at the University of A
lberta. His clinical
interests include implant, cosm
etic and laser dentistry. He has served as
a consultant on lasers in medicine and dentistry to the United States
National Institute of H
ealth, the American Academy of Periodontology
and the American Dental Association. He has published over 60 articles
and abstracts in refereed scientific journals and has made over 120
scientific presentations in North America and Europe.
4. TREATMENT A
ND FOLLOW
UP
Researchers used an Er,Cr:YSG
G laser to treat a recalcitrant
periodontal pocket in the presence of a periodontal bone defect,
with assessment at a 1-year follow-up appointm
ent.
5. LESS INVASIV
E
“This protocol using the Er,Cr:YSG
G laser for the treatm
ent of
periodontal loss of attachm
ent…may represent a less invasive
alternative than traditional open-flap periodontal surgery or
the intra-sulcular use of other more penetrating wavelengths…”
ONE Q
UESTIO
N FOR M
ANY Er,Cr:YSGG LASER U
SERS
is
the
wa
vele
ng
th’s
eff
ect
in
pe
rio
do
nta
l
thera
py.
Wit
h m
ult
iple
stu
die
s alr
ead
y su
bst
an
tiati
ng t
he e
ffect
s o
f th
e E
r,C
r:Y
SG
G l
ase
r fo
r p
eri
o, a r
ece
ntl
y p
ub
lish
ed
rese
arc
h p
ap
er
is a
dd
ed
to
th
e l
ist.
1
2
3
4
5
Scan to learn
more or visit w
ww.w
cli.org
/jlad
CASE R
EPORT D
EMONSTRATES E
FFIC
ACY
FOR TREATIN
G R
ECALCITRANT POCKETS
DURIN
G P
ERIO
DONTAL THERAPY
CH
AIR
SID
E V
IEW
CH
AIR
SID
E V
IEW
JLAD F
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76
JLAD F
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RESEARCH I
I
RESEARCH
RESEARCHERS D
ETERMIN
E Er,Cr:YSGG
LASER W
AVELENGTH EFFECTIV
E IN
REMOVIN
G B
IOFILM FROM IMPLANT SURFACES
1. IMPLANTS O
N THE R
ISE
Contam
inated im
plant surfaces are the primary cause for peri-
implantitis, a condition that is becom
ing more commonplace as
implant placem
ent by dental professionals significantly increases.
2. W
ORLDW
IDE PANEL
Dr. Gizem
Berk, a private practitioner and researcher based in Ankara,
Turkey, headlines an all-star team of authors from
around the world,
including physicist Dr. Rene Franzen, periodontists Dr. Kubra Atici and
Dr. Sema Hakki, aesthetic dentist Dr. Nuket Berk and restorative
dentist and professor Dr. Norbert Gutknecht. The team of authors
has collectively been credited with more than 200 peer-review
ed
clinical articles published around the world.
3. CONTAMIN
ATED IMPLANTS
Berk et al studied the effects of Er,Cr:YSG
G laser energy on
the surface of nine contam
inated SLA titanium im
plant surfaces.
Conservative laser settings were used. Evaluation was conducted
through photographs, light microscopy and SEM analysis.
4. SAFE R
EMOVAL O
F B
IOFILM
Using correct settings, an Er,Cr:YSG
G laser may be useful to remove
biofilm
from
a contaminated im
plant surface.
5. AUTHORITATIV
E
The Journal of Implant & Advanced Clinical Dentistry is published
monthly. The publication “strives to provide the dental profession
with peer-reviewed original research, authoritative reviews, clinical
techniques and expert commentary.”
INTRODUCTION
Va
rio
us
typ
es
of
de
nta
l la
sers
ha
ve b
ee
n
use
d f
or
ma
ny
yea
rs t
o u
nco
ver
sub
me
rge
d
imp
lan
ts a
nd
pe
rfo
rm o
the
r m
ino
r, a
dju
nc-
tive
so
ft t
issu
e p
roce
du
res.
Mo
re r
ece
ntl
y,
rese
arc
he
rs h
ave
be
gu
n e
valu
ati
ng
th
e
effi
cacy
of
vari
ou
s w
ave
len
gth
s fo
r tr
ea
tin
g
pe
ri-i
mp
lan
titi
s. T
he
pri
ma
ry q
ue
stio
n
faci
ng
re
sea
rch
te
am
s is
wh
eth
er
or
no
t
lase
rs a
re s
afe
fo
r re
mo
vin
g b
iofi
lm f
rom
a c
on
tam
ina
ted
im
pla
nt
surf
ace
wit
ho
ut
ha
rmin
g t
he
su
rfa
ce o
f th
e i
mp
lan
t.
An
in
tern
ati
on
al te
am
of d
en
tal re
searc
hers
,
led
by A
nka
ra,
Tu
rke
y-b
ase
d d
en
tist
Dr.
Giz
em
Be
rk,
pu
bli
sh
ed
a s
tud
y i
n
the
Jou
rnal
of I
mpl
ant
and
Adv
ance
d C
linic
al
Den
tist
ry,
wh
ich
exa
min
es
wh
eth
er
an
Er,
Cr:
YS
GG
la
ser
is s
afe
an
d e
ffe
ctiv
e i
n
rem
ovi
ng b
iofi
lm f
rom
an
im
pla
nt
surf
ace
wit
ho
ut
cau
sin
g p
hys
ical o
r th
erm
al d
am
age.
DESCR
IPTION
Th
is s
tud
y fo
cuse
d o
n t
he
eff
ect
of
an
Er,
Cr:
YS
GG
la
ser
on
th
e t
ita
niu
m s
urf
ace
s
of
nin
e f
ail
ed
de
nta
l im
pla
nts
an
d o
ne
con
tro
l. A
cco
rdin
g t
o t
he
stu
dy,
“N
ine
fa
ile
d
SL
A-s
urf
ace
d d
en
tal
imp
lan
ts w
ere
use
d f
or
lase
r ir
rad
iati
on
an
d o
ne
un
use
d i
mp
lan
t
serv
ed
as
con
tro
l. O
f th
e n
ine
co
nta
min
ate
d
imp
lan
ts,
eig
ht
we
re m
ark
ed
ve
rtic
all
y to
cre
ate
tw
o s
ide
s o
n t
he
sa
me
im
pla
nt,
an
d
the
nin
th c
on
tam
ina
ted
im
pla
nt
wa
s ke
pt
as
a c
on
tro
l im
pla
nt
of
the
fa
ile
d i
mp
lan
t
gro
up
. O
ne
sid
e o
f th
e c
on
tam
ina
ted
imp
lan
ts w
as
tre
ate
d w
ith
an
Er,
Cr:
YS
GG
lase
r w
hil
e t
he
oth
er
sid
e r
em
ain
ed
un
tre
ate
d.
Th
e s
urf
ace
s w
ere
irr
ad
iate
d
wit
h a
pu
lse
d E
r,C
r:Y
SG
G l
ase
r w
ith
a
po
we
r se
ttin
g o
f 1
.5 W
, 1
5 H
z, 1
40
µs
pu
lse
du
rati
on
fo
r 3
0 s
eco
nd
s p
er
thre
ad
in n
on
-co
nta
ct m
od
e.
Aft
er
ma
cro
sco
pic
pic
ture
eva
lua
tio
n,
lig
ht
mic
rosc
op
ic
eva
lua
tio
n a
nd
SE
M a
na
lysi
s w
ere
pe
rfo
rme
d s
ub
seq
ue
ntl
y.”
RESULTS
Th
e r
ese
arc
he
rs w
ere
ab
le t
o d
ete
rmin
e
the E
r,C
r:Y
SG
G lase
r is
an
eff
ect
ive m
eth
od
to r
em
ove
su
rfa
ce c
on
tam
ina
nts
wit
ho
ut
cau
sin
g d
am
ag
e t
o t
he
im
pla
nt
surf
ace
.
“SE
M a
nd
lig
ht
mic
rosco
py i
ma
ge
s
de
mo
nstr
ate
d t
ha
t E
r,C
r:Y
SG
G l
ase
r
tre
atm
en
t w
ith
pre
-de
term
ine
d s
ett
ing
s
for
tita
niu
m s
urf
ace
s w
as
ab
le t
o r
em
ove
all
th
e c
on
tam
inan
ts a
nd
deb
ris
fro
m t
he
imp
lan
t su
rfa
ces
wit
ho
ut
an
y su
rfa
ce
alt
era
tio
n,
wh
ich
wa
s a
lso
no
tice
ab
le
in t
he
ma
cro
sco
pic
pic
ture
s.”
CONCLUSION
“We
co
ncl
ud
ed
th
at
usi
ng
an
Er,
Cr:
YS
GG
lase
r w
ith
1.5
W,
15
Hz,
10
0 m
J p
uls
e e
ne
rgy,
14
0 µ
s p
uls
e d
ura
tio
n (
H m
od
e),
65
% a
ir
an
d 5
5%
wa
ter
is e
ffici
en
t fo
r th
e r
em
ova
l
of
bio
film
wit
ho
ut
da
ma
gin
g t
he
im
pla
nt
surf
ace
. T
he
Er,
Cr:
YS
GG
la
ser
see
ms
to
be
an
eff
ect
ive
to
ol
for
pe
ri-i
mp
lan
titi
s
tre
atm
en
t b
y m
ea
ns
of
rem
ova
l o
f b
iofi
lm.
Ho
weve
r, f
urt
her
in v
ivo
an
d i
n v
itro
stu
die
s
are
req
uir
ed
to
gain
a b
ett
er
un
ders
tan
din
g
of
ost
eo
bla
stic
ce
ll b
eh
avi
or
on
dif
fere
nt
typ
es
of
con
tam
ina
ted
im
pla
nt
surf
ace
s
an
d t
o c
on
firm
cli
nic
al
ap
pli
cati
on
s a
nd
op
tim
ize
its
pa
ram
ete
rs.”
Wh
en
co
mb
ine
d w
ith
th
e p
revi
ou
sly
pu
bli
she
d fi
nd
ing
s o
f M
ille
r1 a
nd
Sch
wa
rz2,
et
al,
in
regard
to
ad
dre
ssin
g p
eri
-im
pla
nti
tis
wit
h a
n e
rbiu
m-t
ype
la
ser,
th
is s
tud
y fr
om
JIA
CD
fu
rth
er
suggest
s th
at
Er,C
r:Y
SG
G l
ase
r
tech
no
log
y m
ay
be
eff
ect
ive
fo
r re
mo
vin
g
bio
film
fro
m a
n i
mp
lan
t su
rface
. n
FIRST IM
AGE: SEM
evaluation of
contam
inated, non-irradiated failed
implant #1 w
ith 300x magnification.
SECO
ND IM
AGE: SEM
evaluation of
non-irradiated control im
plant #2
with 300x magnification.
THIRD IM
AGE: SEM
evaluation of
unused control im
plant #2 with
3500x magnification.
FOURTH IM
AGE: SEM
examination
of the contaminated im
plant #7,
laser cleaned part with 3500x
magnification.
1. M
iller RJ. Treatm
ent of th
e conta
minate
d implant surface using an E
r,Cr:YSGG laser. Implant Dent
2004;13:165-170.
2. Schwartz F, Nuesry
E, Bieling K
, Sculean A
, Becker J. Clinical and histo
logical healing p
attern
of peri-
implantitis lesions following non-surg
ical treatm
ent with an E
r:YAG laser. Laser Surg
Med 2006;38:663-7
1.
FOR YEARS, LASERS H
AVE B
EEN U
SED
in
un
cove
rin
g s
ub
me
rge
d i
mp
lan
ts a
nd
oth
er
ad
jun
ctiv
e i
mp
lan
t
pro
ced
ure
s. N
ow
, re
searc
hers
exa
min
e t
he e
ffect
s o
f u
sin
g a
n E
r,C
r:Y
SG
G l
ase
r to
tre
at
the s
urf
ace
s o
f co
nta
min
ate
d i
mp
lan
ts.
1
2
3
4
5
Scan to learn
more or visit w
ww.w
cli.org
/jlad
CH
AIR
SID
E V
IEW
CH
AIR
SID
E V
IEW
JLAD F
ALL 2
014
98
JLAD F
ALL 2
014
RESEARCH I
I
RESEARCH
1. BLIN
D TRIA
L
Apical periodontitis is one of the most com
plicated dental procedures
to address. Similarly, blind, random
ized clinical trials are one of the
most in-depth forms of research possible, requiring rigorous
recruiting methods, data analysis and other exhaustive analyses
to reach conclusions.
2. PRESTIG
IOUS PANEL
Dr. Miguel M
artins headlines a prestigious group of dentists and
researchers from
around the world who focused on outcomes of
Er,Cr:YSG
G endodontic laser treatm
ent of apical periodontitis.
3. PRE-E
MIN
ENT
Photom
edicine and Laser Surgery remains one of the pre-eminent
publications for medical and dental laser research in the world.
4. BONE D
ENSITY
Forty-three single-rooted and prem
olar teeth were random
ly
assigned to four groups of varying treatments. The primary outcom
e
measurement was change in apical bone density at 12 months’ time,
based upon blind radiographic assessm
ent.
5. PREDIC
TABLE O
UTCOMES
The present findings suggest that for single-rooted and prem
olar
teeth, this laser-assisted protocol can achieve predictable endodontic
outcom
es com
parable to conventional strategies in 1-year follow-up.
IT IS W
ELL KNOW
N t
ha
t m
icro
bia
l p
rese
nce
wit
hin
th
e r
oo
t ca
na
l sy
ste
m a
fte
r e
nd
od
on
tic
the
rap
y
is t
he
ma
in e
tio
log
y o
f ch
ron
ic a
pic
al
pe
rio
do
nti
tis.
It s
tan
ds
to r
ea
son
, th
en
, th
at
the
pri
ma
ry g
oa
l o
f
en
do
do
nti
c th
era
py
is d
isin
fect
ion
of
the
ro
ot
can
al.
Trad
itio
nal
dis
infe
ctio
n m
eth
od
s em
plo
y b
oth
so
diu
m
hyp
och
lori
te a
nd
ca
lciu
m h
ydro
xid
e.
Ho
we
ver,
bo
th
me
dic
am
en
ts p
rese
nt
un
iqu
e l
imit
ati
on
s in
th
eir
ab
ilit
y to
th
oro
ug
hly
dis
infe
ct t
he
ro
ot
can
al
an
d f
or
this
re
aso
n,
alt
ern
ati
ve m
eth
od
s a
re b
ein
g s
ug
ge
ste
d.
On
e s
uch
su
gg
est
ion
is
the
use
of
an
Er,
Cr:
YS
GG
lase
r p
rep
are
d w
ith
a s
pe
cia
lly
de
sig
ne
d r
ad
ial
firi
ng
tip
(R
FT
). I
nst
ea
d o
f d
ire
ctin
g l
ase
r e
ne
rgy
dir
ect
ly
ap
ica
lly,
wh
ich
mig
ht
cau
se p
rob
lem
s w
ith
th
e r
oo
t
en
d o
r a
pic
al
sto
p,
the
RF
T d
istr
ibu
tes
lase
r ra
dia
tio
n
in a
pa
tte
rn l
ate
rall
y ra
the
r th
an
ap
ica
lly.
Th
is f
ea
ture
,
alo
ng
wit
h t
he
act
iva
tio
n o
f so
luti
on
s w
ith
in t
he
ca
na
l
space
, in
du
ces
pri
mary
an
d s
eco
nd
ary
cavi
tati
on
eff
ect
s.
Ca
vita
tio
n i
s id
ea
l fo
r th
e r
em
ova
l o
f d
eb
ris
an
d s
me
ar
laye
r, a
s w
ell
as
the
dis
rup
tio
n o
f b
act
eri
al
bio
film
.
In t
his
stu
dy,
Ma
rtin
s e
t a
l id
en
tifi
ed
43
sin
gle
-ro
ote
d
an
d p
rem
ola
r te
eth
an
d r
an
do
mly
ass
ign
ed
th
em
to
two
gro
up
s. T
he
te
eth
in
gro
up
1 w
ere
pre
pa
red
an
d
irri
ga
ted
wit
h 3
% s
od
ium
hyp
och
lori
te a
nd
ca
lciu
m
hyd
roxi
de d
ress
ing; th
e t
eeth
in
gro
up
2 w
ere
pre
pare
d
wit
h s
ali
ne
so
luti
on
an
d i
rra
dia
ted
wit
h a
n E
r,C
r:Y
SG
G
lase
r u
sin
g a
n R
FT
2 t
ip a
nd
RF
T3
tip
at
the
firs
t a
nd
seco
nd
ap
po
intm
en
ts,
fou
r ti
me
s e
ach
. T
he
pri
ma
ry
me
tric
uti
lize
d b
y th
e r
ese
arc
he
rs t
o d
ete
rmin
e
eva
lua
tio
n w
as
the
ch
an
ge
in
ap
ica
l b
on
e d
en
sity
at
12
mo
nth
s.
Th
e r
esu
lts
at
the
1-y
ea
r fo
llo
w-u
p s
ug
ge
ste
d t
ha
t
a l
ase
r-a
ssis
ted
en
do
do
nti
c p
roto
col
can
“a
chie
ve
pre
dic
tab
le e
nd
od
on
tic
ou
tco
me
s, c
om
pa
rab
le t
o
con
ven
tio
na
l st
rate
gie
s.”
Fu
rth
erm
ore
, “a
fte
r 1
ye
ar
of
foll
ow
-up
, a
nd
in
sin
gle
-ro
ote
d a
nd
pre
mo
lar
teeth
, th
e E
r,C
r:Y
SG
G
lase
r h
as
sho
wn
to
be
at
lea
st a
s e
ffe
ctiv
e a
s a
con
ven
tio
nal
irri
gati
on
/med
icati
on
regim
en
, re
du
cin
g
chro
nic
ap
ica
l p
eri
od
on
titi
s si
gn
ifica
ntl
y. W
ith
in t
he
sam
e c
lin
ica
l p
roto
col,
it
can
als
o c
on
firm
pre
vio
us
in
vitr
o fi
nd
ing
s, s
ug
ge
stin
g t
ha
t ra
dia
l fi
rin
g t
ips
cou
ld
(1)
rem
ove
sm
ea
r la
yer
in w
et
con
dit
ion
s a
nd
(2
)
ach
ieve
de
ep
dis
infe
ctio
n i
n d
ry c
on
dit
ion
s.”
n
Flexible fiber tips are used with the Er,Cr:YSG
G laser handpiece and inserted
into the canal after cleaning and shaping to aid in the reduction of pathogens.
Studies have shown Er,Cr:YSG
G laser radiation in the root canal reduced
E. faecalis in the canal “2.86 times more effectively than sodium
hypochlorite alone” (Christensen et al, 2007).
An SEM analysis of a single dentinal tubule show
s an open channel for fluid
transm
ission. No sm
ear layer, debris or other contam
inants are present.
WITH THE SAFETY A
ND EFFIC
ACY
of
ne
w p
roce
du
res
a b
ig f
ocu
s fo
r e
nd
od
on
tic
rese
arc
h,
inve
stig
ato
rs
con
du
cte
d a
co
ntr
oll
ed
cli
nic
al
stu
dy
to c
om
pa
re l
ase
r-a
ssis
ted
en
do
do
nti
c tr
ea
tme
nt
vers
us
con
ven
tio
na
l m
eth
od
s.
1 2
3
4 5
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more or visit w
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cli.org
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BLIN
D C
LIN
ICAL TRIA
L D
EMONSTRATES N
EW
LASER-B
ASED M
ETHOD FOR TREATIN
GCHRONIC
APIC
AL PERIO
DONTITIS
CH
AIR
SID
E V
IEW
CH
AIR
SID
E V
IEW
JLAD F
ALL 2
014
11
10
JLAD F
ALL 2
014
RESEARCH I
I
RESEARCH
AN A
NALYSIS O
F FACTORS D
RIV
ING
SOFT TISSUE LASER A
DOPTIO
N
THE R
ECENT POPULARITY o
f so
ft t
issu
e
lase
rs i
s im
pre
ssiv
e a
nd
un
pre
ced
en
ted
an
d c
an
be
tra
ced
to
se
vera
l fa
cto
rs.
Fir
st o
f a
ll,
the
op
po
rtu
nit
ies
for
de
nta
l la
ser
ed
uca
tio
n a
re b
eco
min
g f
ar
mo
re
ava
ila
ble
th
an
th
ey
we
re i
n t
he
pa
st;
in f
act
, a
ha
nd
ful
of
de
nta
l sc
ho
ols
an
d r
esi
de
ncy
pro
gra
ms
no
w o
ffe
r
lase
r-re
late
d c
ou
rse
s a
s p
art
of
the
ir c
urr
icu
lum
.
Th
ese
ed
uca
tio
na
l o
pp
ort
un
itie
s e
mp
ow
er
de
nti
sts
an
d h
ygie
nis
ts w
ith
an
un
de
rsta
nd
ing
of
the
cli
nic
al
be
ne
fits
of
lase
rs i
n d
en
tist
ry.
Se
con
d,
ad
din
g a
la
ser
to o
ne
’s d
en
tal
pra
ctic
e o
ffe
rs a
n a
dva
nta
ge
in
th
e
ma
rke
t fo
r n
ew
pa
tie
nts
wh
o a
re s
ee
kin
g h
igh
-te
ch-
savv
y d
en
tal
pra
ctic
es.
Fin
all
y, t
he
in
cre
ase
d r
eve
nu
es
tha
t ca
n b
e g
en
era
ted
by
the
ad
dit
ion
of
a l
ase
r to
th
e
de
nta
l a
rma
me
nta
riu
m c
an
ce
rta
inly
ju
stif
y th
e c
ost
of
the
te
chn
olo
gy.
Th
e f
act
or
tha
t d
esi
gn
ate
s a
pa
rtic
ula
r la
ser
as
be
ing
ha
rd t
issu
e o
r so
ft t
issu
e i
s th
e l
ase
r w
ave
len
gth
’s
ab
sorp
tive
pro
pe
rtie
s. J
ust
as
visi
ble
lig
ht
wa
vele
ng
ths
are
ab
sorb
ed
in
to v
ari
ou
s co
lors
an
d p
rod
uce
th
e
red
s, b
lue
s a
nd
ye
llo
ws
tha
t w
e c
an
se
e,
de
nta
l la
ser
wa
vele
ng
ths
are
sim
ila
rly
ab
sorb
ed
in
to w
ate
r,
hyd
roxy
ap
ati
te a
nd
pig
me
nte
d t
issu
es.
Th
ose
wave
len
gth
s w
hic
h a
re a
bso
rbed
in
to p
igm
en
ted
tiss
ue
s a
re d
esi
gn
ate
d a
s so
ft t
issu
e l
ase
rs s
ince
so
ft
tiss
ue
typ
ica
lly
con
tain
s p
igm
en
ted
co
mp
on
en
ts s
uch
as m
ela
nin
an
d h
em
og
lob
in.
Co
nve
rse
ly,
erb
ium
lase
r w
ave
len
gth
s ab
sorb
ed
in
to w
ate
r an
d h
ydro
xy-
ap
ati
te h
ave
th
e a
bil
ity
to a
bla
te h
ard
tis
sue
s su
ch
as d
en
tin
, e
na
me
l a
nd
bo
ne
, ye
t a
re s
urp
isin
gly
eff
ect
ive i
n s
oft
tis
sue a
s w
ell
. Th
is c
an
be e
xpla
ined
by
the
hig
h p
erc
en
tag
e o
f w
ate
r co
nta
ine
d w
ith
in
soft
tis
sue
s.
hyg
ien
e o
pe
rato
ry.
Th
ere
are
ma
ny
cho
ice
s o
f d
iod
e
lase
rs o
n t
he
ma
rke
t, f
rom
ba
sic
no
-fri
lls
dio
de
la
sers
to m
ore
so
ph
isti
cate
d d
iod
es
tha
t h
ave
ad
dit
ion
al
po
we
r a
nd
fe
atu
res.
Nd
:YA
G:
Th
e a
ctiv
e m
ed
ium
fo
r th
e n
eo
dyn
ium
:
yttr
ium
alu
min
um
ga
rne
t (N
d:Y
AG
) la
ser
is a
so
lid
sta
te c
ryst
al.
At
10
64
nm
, th
e N
d:Y
AG
fa
lls
very
ne
ar
dio
de l
ase
rs i
n t
he e
lect
rom
agn
eti
c sp
ect
rum
; h
ow
eve
r,
be
cau
se t
he
y e
mp
loy
a f
ree
-ru
nn
ing
pu
lse
d m
od
e,
the
clin
ical ap
pli
cati
on
s an
d r
esu
lts
dif
fer
fro
m d
iod
e lase
rs.
CO
2:
At
aro
un
d 1
0,0
00
nm
, th
e c
arb
on
dio
xid
e
lase
r re
sid
es
at
the
fa
r e
nd
of
the
in
fra
red
re
gio
n o
f
the
ele
ctro
ma
gn
eti
c sp
ect
rum
. T
his
wa
vele
ng
th h
as
the
dis
tin
ctio
n o
f b
ein
g w
ell
-ab
sorb
ed
by
pig
me
nte
d
tiss
es.
Re
cen
tly,
ca
rbo
n d
ioxi
de
la
sers
ha
ve b
ee
n
mark
ete
d a
s h
ard
tis
sue l
ase
rs, b
ut
their
wave
len
gth
is m
ost
id
ea
l fo
r so
ft t
issu
e p
roce
du
res
sin
ce u
sin
g
a c
arb
on
dio
xid
e l
ase
r a
rou
nd
im
pla
nts
, o
rth
od
on
tic
ap
pli
an
ces
an
d o
the
r re
fle
ctiv
e s
urf
ace
s m
ay
be
con
tra
ind
ica
ted
. In
ad
dit
ion
, a
pp
rop
ria
te d
eli
very
syst
em
s d
o n
ot
exi
st f
or
en
do
do
nti
c a
nd
pe
rio
do
nti
c
tre
atm
en
t u
sin
g a
ca
rbo
n d
ioxi
de
la
ser,
lim
itin
g
its
clin
ica
l a
pp
lica
tio
ns.
Ta
ble
1 l
ists
va
rio
us d
en
tal
lase
r w
ave
len
gth
s
an
d w
he
re t
he
ir a
bso
rpti
on
pe
aks o
ccu
r a
cro
ss
the
ele
ctr
om
ag
ne
tic s
pe
ctr
um
. N
oti
ce
th
at
the
two
erb
ium
la
ser
wa
vele
ng
ths
are
no
t w
ell
ab
sorb
ed
into
pig
me
nte
d t
issu
e a
nd
are
th
ere
fore
no
t n
orm
all
y
tho
ug
ht
of
as
soft
tis
sue
wa
vele
ng
ths,
alt
ho
ug
h t
he
ir
un
iqu
e i
nte
ract
ion
wit
h w
ate
r a
nd
ab
ilit
y to
be
use
d
on
ha
rd a
nd
so
ft t
issu
es
wit
h m
inim
al
the
rma
l
imp
act
ma
kes
Erb
ium
la
sers
su
rpri
sin
gly
ve
rsa
tile
.
Pe
er-
revi
ew
ed
jo
urn
als
de
vote
d t
o c
osm
eti
c d
en
tist
ry
tra
dit
ion
all
y re
po
rt t
he
be
ne
fits
of
usi
ng
va
rio
us
soft
tiss
ue
wa
vele
ng
ths
for
pre
cise
gin
giv
al
con
tou
rin
g
in e
sth
eti
c a
rea
s a
s o
pp
ose
d t
o u
sin
g a
sca
lpe
l o
r
ele
ctro
surg
ica
l u
nit
s. T
he
be
ne
fits
in
clu
de
min
ima
l
ble
ed
ing
, n
o c
on
cern
fo
r o
rth
od
on
tic
bra
cke
ts o
r
me
tall
ic r
est
ora
tio
ns
an
d,
pro
ba
bly
mo
st i
mp
ort
an
t,
the a
bil
ity
to t
ake
th
e fi
nal
imp
ress
ion
or
dig
ital
scan
at
the
tim
e o
f su
rge
ry w
ith
ou
t m
arg
ina
l re
cess
ion
or
reb
ou
nd
.
Th
e t
hre
e m
ost
po
pu
lar
soft
tis
sue w
ave
len
gth
s u
sed
in d
en
tist
ry a
re d
iod
e,
Nd
:YA
G a
nd
ca
rbo
n d
ioxi
de
,
wit
h E
r,C
r:Y
SG
G a
nd
Er:
YA
G q
uic
kly
clo
sin
g g
rou
nd
beca
use
of
their
vers
ati
lity
an
d u
niq
ue a
bil
ity
to c
ut
soft
tis
sue
s w
ith
min
ima
l th
erm
al
imp
act
.
Dio
de:
Dio
de
la
sers
are
un
iqu
e i
n t
ha
t th
ey
are
po
we
red
by
a s
em
ico
nd
uct
or
chip
ra
the
r th
an
ga
s
or
a c
ryst
al
like
all
oth
er
de
nta
l la
sers
. T
he
y ca
n
be
op
era
ted
in
eit
he
r co
nti
nu
ou
s o
r g
ate
d/c
ho
pp
ed
mo
de
. D
iod
e l
ase
rs a
re t
he
mo
st a
ffo
rda
ble
su
rgic
al
lase
r o
n t
he
ma
rke
t a
nd
as
such
th
ey
serv
e w
ell
as
an
en
try-
leve
l la
ser
an
d a
re m
ost
oft
en
use
d i
n t
he
de
nta
l
Th
e m
ost
im
po
rta
nt
be
ne
fit
of
uti
lizi
ng
a d
iod
e l
ase
r
in lie
u o
f tr
ad
itio
nal m
od
ali
ties
is s
eali
ng b
loo
d v
ess
els
.
Sealing B
lood
Vess
els
: S
ince
la
sers
ta
rge
t a
chro
mo
ph
ore
su
ch a
s h
em
oglo
bin
rath
er
than
sim
ply
vap
ori
zin
g i
nte
rsti
tia
l fl
uid
s, l
ess
he
at
is g
en
era
ted
tha
n o
ne
mig
ht
thin
k. I
n f
act
, th
e z
on
e o
f n
ecr
osi
s is
far
narr
ow
er
wit
h l
ase
r u
se t
han
wit
h a
n e
lect
rosu
rgic
al
un
it.
A d
iod
e l
ase
r h
as t
he
ca
pa
bil
ity t
o p
erf
orm
su
rgic
al
pro
ce
du
res w
ith
pu
lse
d l
ase
r ra
dia
tio
n,
wh
ich
min
imiz
es
late
ral
the
rma
l d
am
ag
e a
nd
all
ow
s
for
the
rma
l re
laxa
tio
n o
f th
e t
arg
et
tiss
ue
wh
ile
sti
ll
ach
ievi
ng
co
ag
ula
tio
n.
Wh
ile
pre
vio
usl
y fo
un
d i
n t
he
arm
am
en
tari
a o
f o
nly
a s
ele
ct f
ew
sp
eci
ali
sts,
so
ft t
issu
e l
ase
r te
chn
olo
gy
is
rap
idly
ma
kin
g i
ts w
ay
into
hig
h-t
ech
de
nta
l p
ract
ice
s
acr
oss
th
e c
ou
ntr
y. B
oth
th
e t
ech
no
log
y a
nd
th
e
pu
bli
c’s
pe
rce
pti
on
ha
ve a
dva
nce
d t
o t
he
po
int
tha
t
forw
ard
-th
inki
ng
de
nti
sts
are
qu
ickl
y u
nd
ers
tan
din
g
the
be
ne
fits
of
ad
din
g a
la
ser
to t
he
ir p
ract
ice
. T
he
clin
ica
l a
dva
nta
ge
s, a
s w
ell
as
a h
ea
lth
y re
turn
on
inve
stm
en
t, s
ee
m t
o h
ave
sa
tisfi
ed
no
t o
nly
tech
-fri
en
dly
de
nti
sts,
bu
t th
e m
ain
stre
am
.
pra
ctit
ion
ers
as
we
ll.
n
SOFT TISSUE LASERS A
RE N
OW
USED B
Y M
ORE THAN 35% o
f d
en
tal
pra
ctic
es
in
the
U.S
. a
nd
20
% o
f d
en
tal
pra
ctic
es
aro
un
d t
he
wo
rld
. W
ha
t is
dri
vin
g t
he
ra
pid
ad
op
tio
n o
f th
is t
ech
no
log
y?
By
Chri
stop
her
J. W
alinsk
i, D
DS
Active M
edium
Wavelength
(nm)
Absorp
tion P
eaks
Type
Arg
on
488-5
15
Pigmente
d Tissue, Resin C
ata
lyst
Soft
Diode
810
-980
Pigmente
d Tissue, W
ate
r
Soft
Nd:YAG
1064
Pigmente
d Tissue, W
ate
r
Soft
Er,Cr:YSGG, Er:YAG
2780-2
940
Hydro
xyapatite
, W
ate
r
Hard
/Soft
Carb
on D
ioxide
9300-10600
Pigmente
d Tissue, Hydro
xyapatite
, W
ate
r
Hard
/Soft
Table 1: Laser Chara
cte
ristics
Biopsy
Hemosta
sis/C
oagulation
Esth
etic G
ingival Conto
uring
Im
plant Pro
cedure
s
Excision/Incision
Incision and D
rainage of Abscess
Exposure
of Uneru
pte
d Teeth
Periodonta
l Pocket Elimination
Fre
necto
my
Soft Tissue C
rown Length
ening
Gingivecto
my/G
ingivoplasty
Tro
ughing C
rown/Veneer Pre
parations
Table 2
: Common S
oft Tissue P
rocedure
s C
omplete
d w
ith a Laser
Scan to see videos of th
e
most common soft tisse
lase
r pro
cedures or visit
www.w
cli.org
/jlad
FIR
ST
TA
KE
FIR
ST
TA
KE
JLAD F
ALL 2
014
13
12
JLAD F
ALL 2
014
RESEARCH I
I
RESEARCH
27
.1%
fro
m i
nit
ial
con
dit
ion
to
ste
p 6
(e
xclu
din
g
the
ext
ra b
on
e d
eco
rtic
ati
on
ste
p).
Th
e p
ow
er
ou
tpu
t fr
om
th
e M
Z6
tip
de
cre
ase
d b
y a
n a
vera
ge
of
13
.4%
du
rin
g t
he
de
cort
ica
tio
n o
f o
ne
qu
ad
ran
t.
Th
e a
pe
x o
f th
e c
on
ica
l a
rea
of
the
RF
PT
5 t
ip i
s th
e
mo
st f
rag
ile
an
d r
ece
ive
s th
e m
ost
da
ma
ge
. S
ince
the
tip
is
sub
me
rge
d i
n t
he
pe
rio
do
nta
l p
ock
et,
it
is fi
rin
g i
n c
on
tact
wit
h t
he
ha
rd a
nd
so
ft t
issu
es
in t
he
po
cke
t. T
he
mic
ro-e
xplo
sio
ns
of
the
wa
ter
wit
hin
th
e c
on
fin
ed
sp
ace
ca
vita
te t
he
tip
’s a
pe
x,
slo
wly
re
mo
vin
g t
he
tip
’s g
lass
ma
teri
al
alo
ng
wit
h
the
dis
ea
sed
tis
sue
. T
he
ca
vita
tio
n e
ffe
ct c
an
no
t b
e
avo
ide
d,
sin
ce t
he
tip
is
sub
me
rge
d w
ith
in a
tis
sue
po
cke
t. H
ow
eve
r, i
t ca
n b
e r
ed
uce
d b
y p
oin
tin
g t
he
tip
aw
ay
fro
m t
he
ha
rd t
issu
e.
Th
e b
on
e d
eco
rtic
a-
tio
n s
tep
, w
here
th
e t
ip i
s u
sed
to
tap
in
to t
he b
on
e,
cre
ate
s e
xte
nsi
ve c
hip
pin
g a
t th
e t
ip s
urf
ace
,
sho
wn
on
bo
th R
FP
T5
an
d fl
at
MZ
6 t
ips.
As
the
RF
PT
5 t
ip’s
ap
ex
de
gra
de
s, t
he
aim
ing
be
am
slo
wly
fill
s in
an
d b
eco
me
s le
ss d
efi
ne
d.
Th
e i
rre
gu
lari
ty o
f th
e t
ip s
urf
ace
fo
llo
win
g t
he
late
r st
ep
s sc
att
ers
th
e a
imin
g b
eam
. B
ack
-sca
tter-
ing e
nerg
y fo
llo
win
g t
he d
eco
rtic
ati
on
ste
p i
s als
o
po
ssib
le.
Th
e l
ase
r ca
n b
e r
efl
ect
ed
fro
m t
he
da
ma
ge
d s
urf
ace
of
the
tip
ba
ck i
nto
th
e t
ip fi
be
r,
wh
ich
ma
y d
am
ag
e t
he
mir
ror
an
d t
he
tru
nk
fib
er.
Rep
laci
ng t
he d
am
aged
tip
fo
llo
win
g t
his
last
ste
p
of
the
pro
ced
ure
is
imp
ort
an
t fo
r tr
ea
tme
nt
effi
cacy
an
d l
ase
r m
ain
ten
an
ce.
Th
e s
tud
y sh
ow
s th
at
aft
er
tre
atm
en
t o
f
on
e q
ua
dra
nt,
th
ere
is
sig
nifi
can
t w
ea
r to
th
e
RF
PT
5 t
ip s
urf
ace
an
d a
sig
nifi
can
t d
ecr
ea
se
in p
ow
er
ou
tpu
t fr
om
th
e t
ip.
Th
e r
esu
lts
an
d
ob
serv
ati
on
s le
ad
to
th
e r
eco
mm
en
da
tio
n t
o
cha
ng
e b
oth
RF
PT
5 a
nd
MZ
6 t
ips
foll
ow
ing
the
tre
atm
en
t o
f e
ach
qu
ad
ran
t.
n
IN V
ITRO A
NALYSIS O
F R
FPT5
TIP D
URABILITY THROUGHOUT
A STANDARD PERIO
DONTAL TREATMENT
By
Alina S
ivri
ver,
M.S
.
A new
RFPT5 tip creates a corona of
radiating laser energy (left). For best
results, use a new
RFPT5 tip for each
quadrant treated.
INTRODUCTION
Th
e r
ad
ial
firi
ng
pe
rio
do
nta
l ta
pe
red
(R
FP
T)
tip
is
de
sig
ne
d t
o d
eli
ver
lase
r e
ne
rgy
to t
he
pe
rio
do
nta
l
po
cke
t w
all
s a
nd
to
th
e b
ott
om
of
the
pe
rio
do
nta
l
po
cke
t, t
rea
tin
g b
oth
dis
ea
sed
so
ft t
issu
es,
ro
ot
surf
ace
an
d i
nfe
cte
d b
on
e s
imu
lta
ne
ou
sly.
La
ser
en
erg
y p
rop
ag
ate
s fr
om
th
e t
ip’s
dis
tal
en
d i
n b
oth
a l
ow
div
erg
ing b
eam
alo
ng t
he fi
ber
axi
s an
d i
n a
rad
ial
con
e r
ad
iati
ng
at
a 5
5°
an
gle
to
th
e t
ip a
xis.
Th
is d
esi
gn
all
ow
s th
e u
ser
to m
axi
miz
e t
rea
tme
nt
wh
ile
cu
ttin
g t
ime
, ti
p p
osi
tio
n a
nd
se
ttin
g c
ha
ng
es.
Su
rgic
al
pe
rio
do
nta
l p
roce
du
res
are
pe
rfo
rme
d e
ith
er
on
sin
gle
sit
es
or
mu
ltip
le s
ite
s a
s d
ete
rmin
ed
by
the
clin
icia
n a
nd
th
e p
ati
en
t’s
clin
ica
l co
nd
itio
n.
Fo
r th
is
an
aly
sis,
a n
ew
ste
p-b
y-st
ep
pe
rio
do
nta
l p
roto
col
de
velo
pe
d f
or
use
wit
h a
n E
r,C
r:Y
SG
G l
ase
r w
as
pe
rfo
rme
d o
n a
qu
ad
ran
t o
f te
eth
.
OBJECTIVE
Th
e p
urp
ose
of
this
stu
dy
is t
o d
ete
rmin
e t
he
du
rab
ilit
y o
f th
e R
FP
T5
50
0µ
m d
iam
ete
r ti
p t
hro
ug
h-
ou
t th
e r
eco
mm
en
de
d p
eri
od
on
tal
tre
atm
en
t fo
r th
e
Wate
rLase
® l
ase
r fo
r o
ne q
uad
ran
t an
d b
eyo
nd
. H
alv
ed
up
pe
r p
orc
ine
ja
ws w
ere
use
d i
n t
his
in
vit
ro s
tud
y
to m
imic
hu
ma
n d
en
titi
on
an
d g
ing
iva
l ti
ssu
e.
Th
e
pro
toco
l re
com
men
ds
sub
stit
uti
ng t
he M
Z6 t
ip,
a fl
at
surg
ica
l ti
p t
ha
t e
mit
s a
div
erg
ing
la
ser
be
am
ap
pro
xim
ate
ly 6
00
µm
in
dia
me
ter,
fo
r
the
RF
PT
5 t
ip d
uri
ng
th
e b
on
e d
eco
rtic
ati
on
ste
p
(ste
p 5
). T
he
pro
toco
l w
as
pe
rfo
rme
d b
oth
wit
ho
ut
tip
su
bst
itu
tio
ns
an
d a
s re
com
me
nd
ed
, u
sin
g b
oth
RF
PT
5 a
nd
MZ
6 t
ips.
STEPS
Th
e p
ow
er
ou
tpu
t fr
om
ea
ch t
ip w
as
test
ed
be
fore
be
gin
nin
g t
he
pe
rio
do
nta
l p
roce
du
re a
nd
fo
llo
win
g
ea
ch s
tep
. Tw
o m
icro
sco
pe
im
ag
es
we
re t
ake
n o
f e
ach
tip
be
fore
an
d a
fte
r e
ach
ste
p:
a p
rofi
le i
ma
ge
of
the
tip
an
d a
n i
ma
ge
of
the
dis
tal
en
d o
f th
e t
ip.
Th
e
con
dit
ion
of
the
aim
ing
be
am
wa
s a
lso
ph
oto
gra
ph
ed
.
Ea
ch s
tep
of
the
pe
rio
do
nta
l p
roce
du
re w
as
foll
ow
ed
exc
ep
t fo
r n
on
-la
ser
ste
ps,
wh
ich
we
re o
mit
ted
fro
m
this
test
. A
ll l
ase
r st
ep
s exc
ep
t st
ep
5 (
bo
ne d
eco
rtic
a-
tio
n)
we
re p
erf
orm
ed
usi
ng
an
RF
PT
5 l
ase
r ti
p.
Th
is
test
wa
s re
pe
ate
d fi
ve t
ime
s w
ith
tw
o t
rain
ed
op
era
tors
.
RESULTS AND DISCU
SSION
Acc
ord
ing t
o m
icro
sco
pic
, vi
sual
an
d p
ow
er
measu
re-
me
nt
da
ta,
the
RF
PT
5 t
ip d
eg
rad
es
wit
h e
ach
ste
p o
f
the
pro
toco
l, w
ith
th
e m
ost
da
ma
ge
de
alt
in
ste
p 3
,
like
ly d
ue
to
th
e e
igh
t-m
inu
te d
ura
tio
n o
f th
is s
tep
,
an
d i
n t
he
ext
ra b
on
e d
eco
rtic
ati
on
ste
p.
On
ave
rag
e,
the
po
we
r o
utp
ut
fro
m t
he
RF
PT
5 t
ips
de
cre
ase
d b
y
Er,Cr:YSGG Settings
Power
W
ate
r Air
Ste
p
Description
Tip
(W)
Hz
(%)
(%)
1
Oute
r D
e-E
pithelialization
RFPT5
1.5
30
50
40
2
Gingivecto
my
RFPT5
1.5
30
50
40
3
Inte
rnal De-E
pi. &
Retraction
RFPT5
1.5
30
50
40
4
Scaling &
Root Planing
- -
- -
-
5
Bone D
ecortication
MZ6
2.5
30
80
70
6
Sulcular Debridement
RFPT5
1.5
30
10
10
Table 1: Settings U
sed
Table 2
: Condition o
f RFPT
After Each S
tep in P
eriodonta
l Pro
tocol
Condition o
f Tip
after Ste
p
Aim
ing B
eam
Initial Tip
Quality
Step 1
Outer Pocket
De-E
pithelialization
Step 2
Gingivecto
my
Step 3
De-E
pithelialization
And Retraction
Step 5
Extra Step
Bone D
ecortication
Step 6
Sulcular
Debridement
Note: Step 4 of th
e periodontal pro
tocol not sh
own in
Table 2 since no lase
r tips are use
d during this scaling
and root planing step.
FIR
ST
TA
KE
FIR
ST
TA
KE
JLAD F
ALL 2
014
15
I
FOCAL P
OIN
T
14
JLAD F
ALL 2
014
RESEARCH I
P
Aft
er y
ears
of cl
inic
al re
searc
h in
th
e la
b an
d in
th
e fie
ld,
a n
ew p
roto
col fo
r tr
eati
ng p
erio
don
tal dis
ease
has
emer
ged
for
Er,
Cr:
YS
GG
las
er d
enti
sts
and
peri
odon
tist
s.
Pe
rio
do
nta
l d
ise
ase
re
ma
ins
on
e o
f th
e m
ost
pre
vale
nt
ora
l h
ea
lth
iss
ue
s in
th
e w
orl
d t
od
ay.
Acc
ord
ing
to
th
e
Am
eri
can
Aca
de
my
of
Pe
rio
do
nto
log
y, n
ea
rly
ha
lf o
f
the
U.S
. p
op
ula
tio
n a
ge
30
an
d o
lde
r su
ffe
rs f
rom
mil
d
to s
eve
re p
eri
od
on
titi
s.
Re
sea
rch
h
as
sho
wn
th
at
pe
rio
do
nta
l d
ise
ase
m
ay
be
ass
oci
ate
d w
ith
oth
er
chro
nic
in
fla
mm
ato
ry c
on
di-
tio
ns,
su
ch
as d
iab
ete
s a
nd
ca
rdio
va
scu
lar
dis
ea
se
.
Ad
dit
ion
al
rep
ort
s li
nk
peri
od
on
titi
s to
ch
ron
ic i
lln
ess
es,
such
a
s rh
eu
ma
toid
a
rth
riti
s,
Alz
he
ime
r’s d
ise
ase
an
d e
ven
ca
nce
r.
Eve
n w
ith
th
e l
ink
to v
ari
ou
s m
ed
ica
l co
nd
itio
ns,
th
e
nu
mb
er
of
pa
tie
nts
aff
ect
ed
wit
h m
ild
to
se
vere
pe
ri-
od
on
titi
s is
gro
win
g.
As
a r
esu
lt,
it i
s in
cum
be
nt
on
all
de
nta
l p
rofe
ssio
na
ls t
o t
ake
a m
ore
act
ive
ro
le i
n t
he
tre
atm
en
t a
nd
pre
ven
tio
n o
f th
e d
ise
ase
.
De
nti
sts
an
d r
ese
arc
he
rs a
ffili
ate
d w
ith
th
e W
CL
I a
nd
oth
er
pro
fess
ion
al
de
nta
l a
sso
cia
tio
ns
ha
ve c
on
du
cte
d
rese
arc
h o
n v
ari
ou
s la
ser
wave
len
gth
s u
sed
in
den
tist
ry,
incl
ud
ing
th
eir
e
ffica
cy
in
tre
ati
ng
p
eri
od
on
titi
s.
In
rece
nt
yea
rs,
a p
roli
fera
tio
n o
f p
ub
lish
ed
re
sea
rch
an
d
stu
die
s sh
ow
th
at
the
Er,
Cr:
YS
GG
la
ser
wa
vele
ng
th i
s
an
eff
ect
ive
to
ol
for
tre
ati
ng
pe
rio
do
nti
tis.
Usi
ng
sp
eci
all
y d
esi
gn
ed
ra
dia
l fi
rin
g l
ase
r ti
ps
tha
t
cre
ate
a
co
ron
a
of
lase
r e
ne
rgy
in
the
p
eri
od
on
tal
po
cke
t, t
he
Er,
Cr:
YS
GG
la
ser
ha
s b
ee
n s
ho
wn
to
be
an
esp
eci
all
y e
ffe
ctiv
e
inst
rum
en
t fo
r th
e
min
ima
lly
inva
sive
re
mo
val
of
bo
th s
ub
gin
giv
al
infl
am
ed
tis
sue
an
d ca
lcu
lus
de
po
sits
. T
his
u
niq
ue
co
mb
ina
tio
n,
as
dis
cuss
ed
in t
he li
tera
ture
, sets
th
e E
r,C
r:Y
SG
G la
ser
ap
art
for
tre
ati
ng
pe
rio
do
nti
tis
wit
h a
la
ser-
ba
sed
ap
pro
ach
.
Sto
ry c
onti
nu
ed o
n p
age
16
PERIO
DONTAL D
ISEASE,
MEET YOUR N
EW
W
ORST ENEMY
PERIO
“Tre
atm
en
t o
f o
ral
fib
rom
a o
f th
e t
on
gu
e u
sin
g
Er,
Cr:
YS
GG
la
ser:
Re
po
rt o
f tw
o c
ase
s,”
By
S.
Aro
ra,
A.K
. L
am
ba
, e
t a
l. P
ub
lish
ed
Fe
bru
ary
20
14
in
th
e
Jou
rnal
of P
erio
don
tolo
gy.
IN SUMMARY
“Th
e E
r,C
r:Y
SG
G l
ase
r w
ork
s a
t ce
llu
lar
leve
ls a
nd
pro
mo
tes
tiss
ue
re
pa
ir b
y p
ho
to m
od
ula
tio
n.
It c
au
ses
negli
gib
le b
leed
ing a
nd
po
st-o
pera
tive
dis
com
fort
wit
h
min
ima
l n
ee
d f
or
loca
l a
ne
sth
esi
a a
nd
be
tte
r p
ati
en
t
com
pli
an
ce.
Th
ere
fore
, th
e E
r,C
r:Y
SG
G l
ase
r m
ay
be
con
sid
ere
d a
pa
tie
nt-
an
d c
lin
icia
n-f
rie
nd
ly t
oo
l.”
WHY IT M
ATTERS
Fib
rom
as
are
be
nig
n t
um
ors
co
mp
ose
d o
f fi
bro
us
con
ne
ctiv
e t
issu
e.
Usi
ng
an
Er,
Cr:
YS
GG
la
ser,
th
e
op
era
tor
can
pro
vid
e t
heir
pati
en
ts w
ith
a s
olu
tio
n
tha
t o
ffe
rs b
en
efi
ts o
ver
tra
dit
ion
al
me
tho
ds.
ENDODONTIC
S
“Eff
ect
ive
ne
ss o
f a
ne
w m
eth
od
of
dis
infe
ctin
g t
he
roo
t ca
nal,
usi
ng E
r,C
r:Y
SG
G l
ase
r to
kil
l E
nte
roco
ccu
s
fae
cali
s in
an
in
fect
ed
to
oth
mo
de
l,”
By
M.E
. L
ica
ta,
A.
Alb
an
ese
, e
t a
l. P
ub
lish
ed
Ju
ly 2
01
3 i
n L
aser
s in
Med
ical
Sci
ence
.
IN SUMMARY
“Th
e u
se o
f th
e l
ase
r a
t 3
0 a
nd
60
se
c e
lim
ina
ted
92
.3 a
nd
10
0%
of
E.
fae
cali
s, r
esp
ect
ive
ly.
It i
s th
e
op
inio
n o
f th
e p
ap
er’
s a
uth
ors
th
at
an
Er,
Cr:
YS
GG
lase
r co
nst
itu
tes
a v
ali
d a
lte
rna
tive
to
co
nve
nti
on
al
tre
atm
en
t p
roto
co
ls.
On
e r
ea
so
n i
s t
he
gre
atl
y
red
uce
d t
ime
re
qu
ire
d f
or
tota
l d
isin
fect
ion
, w
hic
h
was
ob
tain
ed
by
usi
ng a
lase
r co
mp
are
d w
ith
th
e t
ime
LASER D
ENTISTRY IN THE LITERATURE
& W
HY IT M
ATTERS TO LASER D
ENTISTS
PEER-R
EVIEW
ED JOURNALS A
NNUALLY
PUBLISH H
UNDREDS O
F R
ESEARCH
art
icle
s fo
cuse
d o
n l
ase
rs i
n d
en
tist
ry.
In e
ach
iss
ue
of
JLA
D,
ou
r e
dit
ors
wil
l se
lect
an
d s
um
ma
rize
th
e m
ost
no
tew
ort
hy
art
icle
s fr
om
th
e l
ite
ratu
re w
hic
h a
dd
ress
sp
eci
fic
clin
ica
l a
rea
s o
f d
en
tist
ry a
nd
wh
y th
ey
ma
tte
r.
spen
t d
uri
ng t
reatm
en
t u
sin
g c
hem
ical-
mech
an
ical
pro
toco
ls;
in o
ur
stu
dy,
th
e s
am
e b
act
eri
cid
al
po
ten
tia
l w
as
ob
serv
ed
wh
en
th
e l
ase
r w
as
use
d
for
60
se
con
ds
an
d w
he
n i
rrig
ati
on
wa
s re
du
ced
in t
he
ro
ot
can
als
aft
er
a p
eri
od
of
30
min
ute
s.”
WHY IT M
ATTERS
An
oth
er
rese
arc
h a
rtic
le s
ub
stan
tiate
s th
e c
laim
th
at
an
Er,
Cr:
YS
GG
la
ser
po
sess
es
a b
act
eri
al
eff
ect
, a
n
esp
eci
all
y im
po
rta
nt
be
ne
fit
wh
en
usi
ng
th
e l
ase
r
as
an
ad
jun
ct i
n a
n e
nd
od
on
tic
pro
ced
ure
.
IMPLANTS
“La
ser
wa
vele
ng
ths
an
d o
ral
imp
lan
tolo
gy,
”
By
G.
Ro
ma
no
s, e
t a
l. P
ub
lish
ed
Ma
y 2
00
9
in L
aser
Wav
elen
gths
an
d O
ral Im
plan
tolo
gy.
IN SUMMARY
“Th
e a
pp
lica
tio
n o
f N
d:Y
AG
la
ser
for
tre
atm
en
t
of
pe
ri-i
mp
lan
titi
s, h
ype
rpla
stic
mu
cosi
tis
an
d
seco
nd
-sta
ge
su
rge
ry o
f su
bm
erg
ed
im
pla
nts
is
con
tra
ind
ica
ted
, d
ue
to
th
e s
ign
ifica
nt
incr
ea
se
in t
he
te
mp
era
ture
du
rin
g l
ase
r ir
rad
iati
on
, th
e
ext
en
sive
me
ltin
g o
f th
e i
mp
lan
t su
rfa
ce a
nd
the
hig
he
r p
en
etr
ati
on
de
pth
of
the
la
ser
be
am
.”
WHY IT M
ATTERS
As
lase
r u
se f
or
the
tre
atm
en
t o
f p
eri
-im
pla
nti
tis
con
tin
ue
s to
un
de
rgo
scr
uti
ny,
it
is i
mp
ort
an
t to
kno
w w
hic
h l
ase
rs a
re b
ein
g s
ho
wn
in
th
e l
itera
ture
for
safe
an
d e
ffe
ctiv
e u
se a
rou
nd
im
pla
nts
.
WH
Y I
T M
AT
TE
RS
JLAD F
ALL 2
014
17
16
JLAD F
ALL 2
014
FOCAL P
OIN
T I
I
FOCAL P
OIN
T
In 2
00
9,
the
Er,
Cr:
YS
GG
la
ser
wa
s cl
ea
red
by
the
U.S
. F
oo
d a
nd
Dru
g A
dm
inis
tra
tio
n
(FD
A)
for
pro
mo
tin
g “
ce
me
ntu
m-m
ed
iate
d
pe
rio
do
nta
l li
ga
me
nt
ne
w-a
tta
chm
en
t to
th
e
roo
t su
rfa
ce i
n t
he
ab
sen
ce o
f lo
ng-j
un
ctio
n-
al
ep
ith
eli
um
.” L
ate
r th
at
sam
e y
ea
r, t
he
U.S
.
FD
A c
lea
red
th
e E
r,C
r:Y
SG
G l
ase
r fo
r “t
he
rem
ova
l o
f su
bg
ing
iva
l ca
lcu
lus
in p
eri
od
on
-
tal
po
cke
ts w
ith
pe
rio
do
nti
tis
by
clo
sed
or
op
en
cu
rett
ag
e.”
Th
rou
gh
ou
t th
e W
CL
I’s h
isto
ry,
the
to
pic
of
tre
ati
ng
pe
rio
do
nta
l d
ise
ase
usi
ng
an
Er,
Cr:
YS
GG
la
ser
ha
s b
ee
n t
he
fo
cus
of
hu
nd
red
s o
f cl
inic
al
pre
sen
tati
on
s a
nd
rese
arc
h p
ap
ers
pre
sen
ted
to
WC
LI
me
mb
ers
. T
he
de
velo
pm
en
t o
f a
sta
nd
ard
pro
toco
l fo
r tr
ea
tin
g p
eri
od
on
tal
dis
ea
se
usi
ng
an
Er,
Cr:
YS
GG
la
ser
ha
s b
ee
n a
pa
inst
aki
ng
, d
eta
ile
d p
roce
ss l
ed
by
pro
min
en
t p
eri
od
on
tist
s, g
en
era
l d
en
tist
s
an
d l
ase
r re
sea
rch
ers
. A
fte
r ye
ars
of
lab
test
s, i
n v
ivo
an
d i
n v
itro
exa
min
ati
on
s a
nd
fie
ld u
se b
y p
roto
col
de
velo
pe
rs,
a s
tan
da
rd
Er,
Cr:
YS
GG
-ba
sed
pro
toco
l is
in
pla
ce.
Th
e W
ate
rLa
se® E
r,C
r:Y
SG
G p
roto
col
for
treati
ng p
eri
od
on
titi
s co
mb
ines
a p
re-s
urg
i-
cal
an
d s
urg
ical
ph
ase
usi
ng a
n E
r,C
r:Y
SG
G
lase
r w
ith
se
ve
ral
ke
y d
iffe
ren
ce
s i
n
com
pa
rati
ve p
roto
cols
ass
oci
ate
d w
ith
mo
re l
imit
ed
la
ser
wa
vele
ng
ths
such
as
Nd
:YA
G,
dio
de
or
CO
2 l
ase
rs.
Th
e a
vail
ab
ilit
y o
f th
is p
roto
col
en
sure
s
eve
n g
rea
ter
clin
ica
l u
tili
ty f
or
Er,
Cr:
YS
GG
lase
r o
wn
ers
an
d p
rovi
des
op
po
rtu
nit
es
for
ge
ne
ral
de
nti
sts
to r
eli
ab
ly t
rea
t m
ild
to
seve
re p
eri
od
on
titi
s w
ith
a m
inim
all
y
inva
sive
te
chn
iqu
e.
n
PERIO
RESEARCH
FROM THE PODUM
For more than 12 years, lecturers
at W
CLI sym
posia have delivered
new research and developm
ents
on the use of Er,Cr:YSG
G lasers in
periodontics. Pictured from
the
top down, Prof. Nobert Gutknecht,
Dr. Gilles Chaum
anet, Dr. Larry
Nurin and Dr. Stew
art Rosenberg.
‘DRAMATIC
ALLY
ADVANCIN
G THE W
AY
WE TREAT PERIO
DONTITIS’
AFTER PRACTIC
ING c
on
ven
tio
nal
pe
rio
do
nti
cs f
or
20
ye
ars
, I
ha
d m
ad
e
ass
ess
me
nts
on
a d
ail
y b
asi
s o
f th
e c
ore
valu
es
ne
cess
ary
to
ach
ieve
pe
rio
do
nta
l
he
alt
h w
ith
th
e p
oss
ibil
ity
of
a m
inim
all
y
inva
sive
ap
pro
ach
. A
s d
en
tal
lase
r
tech
no
log
y co
nti
nu
ed
to
im
pro
ve,
my
inve
stig
ati
on
in
to t
his
mo
da
lity
he
igh
t-
en
ed
. A
de
cad
e a
go
, I
imm
ers
ed
mys
elf
into
la
sers
fo
r p
eri
od
on
tal
ma
na
ge
me
nt
fro
m p
eri
od
on
titi
s to
en
ha
nci
ng
th
e
rest
ora
tive
pro
du
ct b
y m
an
ipu
lati
ng t
issu
e.
Th
at
fasc
ina
tio
n a
nd
im
me
rsio
n i
n
lase
rs l
ed
me
to
be
com
e i
nvo
lve
d w
ith
a
WC
LI
clin
ica
l te
am
th
at
de
velo
pe
d a
nd
sta
nd
ard
ize
d t
he
firs
t-e
ver
Er,
Cr:
YS
GG
lase
r-a
ssis
ted
pe
rio
do
nta
l p
roto
col.
Th
e
pro
cess
to
de
term
ine
an
d v
ali
da
te l
ase
r
sett
ing
s, t
ech
niq
ue
s a
nd
ra
tio
na
lize
it
ag
ain
st c
lin
ica
l e
vid
en
ce a
nd
re
sult
s w
as
a d
au
nti
ng
ta
sk –
bu
t o
ne
I b
eli
eve
wa
s
me
t w
ith
vig
or
an
d c
are
by
all
me
mb
ers
of
the
WC
LI
rese
arc
h t
ea
m.
Ba
sed
on
a s
eri
es
of
ba
sic
ste
ps
tha
t le
vera
ge
the
be
ne
fits
an
d a
bso
rpti
on
ch
ara
cte
rist
ics
of
the
Er,
Cr:
YS
GG
la
ser
wa
vele
ng
th,
this
ne
w p
eri
od
on
tal
pro
toco
l is
str
aig
htf
orw
ard
,
pra
ctic
al – a
nd
th
e r
esu
lts
speak
for
them
selv
es.
Du
rin
g t
his
pro
cess
, th
e t
ea
m s
et
ou
t to
de
term
ine
th
e b
est
se
ttin
gs,
te
chn
iqu
es,
acc
ess
ori
es
to u
se,
an
d o
the
r im
po
rta
nt
crit
eri
a f
or
use
wit
h t
he p
op
ula
r E
r,C
r:Y
SG
G
lase
r. I
am
co
nvi
nce
d t
he
co
lle
ctiv
e r
ese
arc
h
eff
ort
s o
f th
e p
eri
o p
roto
col
tea
m h
ave
resu
lte
d i
n a
ne
w l
ase
r p
eri
o p
roto
col
tha
t w
ill
dra
ma
tica
lly
ad
van
ce t
he
use
of
Er,
Cr:
YS
GG
lase
rs i
n p
eri
od
on
tal
the
rap
y.
n
Dr. Samuel B. Low
, is Professor
Emeritus of Periodontology at
the University of Florida. He is a
past president of the American
Academy of Periodontology and
the Florida Dental Association.
He was most recently appointed
as an inaugural m
ember of the
Dental Professional Advisory
Board at BIOLASE.
WATERLASE® ER,C
R:YSGG
PERIO
DONTITIS PROTOCOL
Tip: RFTP5
Power: 1.5W
Air/Water: 40%/50%
Pulse rate: 30 Hz
H mode
Tip: RFTP5
Power: 1.5W
Air/Water: 40%/50%
Pulse rate: 30 Hz
H mode
1 2
OUTER POCKET
DE-E
PITHELIA
LIZ
ATIO
N
Out
er p
ocke
t gi
ngiv
al e
pith
eliu
m i
s re
-m
oved
fro
m t
he f
ree
ging
ival
mar
gin
dow
n to
a w
idth
at l
east
equ
al to
the
pock
et d
epth
.
GIN
GIV
ECTOMY (OPTIO
NAL)
A g
ingi
vect
omy
shou
ld o
nly
be p
erfo
rmed
if
pseu
do-p
ocke
ting
is p
rese
nt. E
nsur
e yo
u do
no
t co
mpr
omis
e ad
equa
te
atta
ched
gi
ngiv
ae.
Scan to download the W
aterL
ase
® Perio Pro
tocol
(PDF) or visit w
ww.w
cli.org
/jlad
THE W
ATERLASE® Er,C
r: YSGG PERIO
PROTOCOL
is
th
e fi
rst
de
fin
itiv
e
ste
p-b
y-st
ep
pro
toco
l fo
r u
sin
g a
n E
r,C
r:Y
SG
G l
ase
r to
ass
ist
in t
he
ma
na
ge
me
nt
of
ea
rly,
mo
de
rate
an
d s
eve
re c
hro
nic
pe
rio
do
nti
tis.
It
is b
roke
n i
nto
th
ree
ph
ase
s: p
re-s
urg
ica
l,
surg
ica
l a
nd
po
st-s
urg
ica
l.
PRE-SURGICAL PH
ASE
All
pati
en
ts s
ho
uld
have
a c
om
pre
hen
sive
peri
od
on
tal
exa
min
ati
on
/eva
luati
on
in
clu
din
g d
ata
co
lle
cti
on
of
pe
rio
do
nta
l ch
art
ing
an
d r
ad
iog
rap
hs,
me
dic
al
an
d d
en
tal
his
tory
, a
nd
ris
k
ass
ess
men
t. A
ph
ase
I t
reatm
en
t is
im
ple
men
ted
fo
r re
mo
val
of
sup
ra-
an
d s
ub
gin
giv
al
bio
film
an
d c
alc
ulu
s th
rou
gh
sca
lin
g a
nd
ro
ot
pla
nin
g (
S/R
P)
an
d t
he i
nit
iati
on
an
d e
valu
ati
on
of
ora
l
hyg
ien
e c
om
pli
an
ce.
Occ
lusa
l a
sse
ssm
en
t a
nd
tre
atm
en
t m
ay
be
wa
rra
nte
d i
n t
his
ph
ase
.
Sp
lin
tin
g o
f te
eth
ma
y b
e a
n o
pti
on
.
SURGICAL PH
ASE
A p
ha
se I
I su
rgic
al
tre
atm
en
t p
lan
is
de
velo
pe
d b
ase
d o
n t
he
re
-eva
lua
tio
n o
f p
eri
od
on
tal
infl
am
ma
tio
n a
nd
ora
l h
ygie
ne
co
mp
lia
nce
. T
he
su
rgic
al
pla
n c
an
be
fo
r a
sin
gle
or
mu
ltip
le
tee
th s
ite
s, a
qu
ad
ran
t o
r h
alf
-mo
uth
de
pe
nd
ing
on
nu
mb
er
of
ind
ica
ted
sit
es.
If
de
sire
d,
the h
alf
-mo
uth
pro
toco
l is
gen
era
lly
UR
/LR
fo
llo
wed
by
at
least
2-3
weeks
of
po
st-o
pera
tive
ma
na
ge
me
nt
be
fore
tre
ati
ng
th
e U
L/L
L a
rea
s.
JLAD F
ALL 2
014
19
18
JLAD F
ALL 2
014
FOCAL P
OIN
T I
I
FOCAL P
OIN
T
Tip: RFPT5
Power: 1.5W
Air/Water: 40%/50%
Pulse rate: 30 Hz
H Mode
Laser not used
Tip: MZ6
Power: 2.5W
Air/Water: 70% / 80%
Pulse rate: 30 Hz
H mode
Tip: RFPT5
Power: 1.5W
Air/Water: 10% / 10
%
Pulse rate: 30 Hz
H mode
WATERLASE® PERIO
PROTOCOL C
ONTIN
UED
4 5 6 73DE-E
PITHELIA
LIZ
ATIO
N
AND RETRACTIO
N
The
pock
et e
pith
eliu
m s
houl
d be
rem
oved
an
d sh
ould
be
com
plet
ed a
pica
lly, d
own
to
bone
. The
gin
giva
l mar
gin
can
be re
trac
ted
as a
min
i flap
for a
cces
s.
SCALIN
G A
ND ROOT PLANIN
G
Conv
entio
nal t
reat
men
t with
ultr
ason
ics
and
hand
inst
rum
ents
to re
mov
e ro
ot
surf
ace
accr
etio
ns a
nd/o
r cal
culu
s an
d
to s
moo
th c
emen
tum
.
BONE D
ECORTIC
ATIO
N
Reco
ntou
r oss
eous
def
ects
. Hol
d tip
par
alle
l to
roo
t su
rfac
e an
d ge
ntly
tap
all
the
way
do
wn
to a
nd i
nto
bone
, re
trac
ting
slig
htly
an
d re
peat
ing
all t
he w
ay a
roun
d to
oth.
If
nece
ssar
y, c
hang
e an
gle
of th
e la
ser t
ip a
nd
trea
t int
o th
e w
alls
of i
nfra
bony
def
ects
.
FIN
AL SULCULAR
DEBRID
EMENT
Rem
ove
resi
dual
deb
ris a
nd i
nduc
e bl
ood
coag
ulat
ion.
COMPRESS W
ITH 2X2
Com
pres
s su
rgic
al s
ite w
ith w
et 2
x2
for 5
min
utes
.
POST-SURGICAL PH
ASE
B
rush
te
eth
lig
htl
y w
ith
so
ft b
rush
a
nd
use
mo
uth
rin
se t
o s
up
ple
me
nt
bru
shin
g i
f d
isco
mfo
rt e
xist
s.
Gen
tly
clean
betw
een
teeth
usi
ng
an
in
terp
roxi
mal
bru
sh d
ipp
ed
in
mo
uth
wash
.
for
at
lea
st 3
mo
nth
s, a
t w
hic
h t
ime
a s
up
rag
ing
iva
l sc
ali
ng
is
com
ple
ted
.
JLAD
JLAD
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19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
I
FOCAL P
OIN
T
JLAD F
ALL 2
014
21
20
JLAD F
ALL 2
014
WCLI I
I
WCLI
W
ARE YOU W
EARY O
F ‘RETAKES’ AND ‘REMAKES’
wit
h y
ou
r d
en
tal
rest
ora
tio
ns?
It
is w
ell
kn
ow
n t
ha
t
trad
itio
nal
tro
ugh
ing a
nd
tis
sue r
etr
act
ion
tech
niq
ues
can
be m
ess
y, u
np
red
icta
ble
an
d d
iffi
cult
. W
ith
an
Er,C
r:Y
SG
G l
ase
r,
you
ca
n b
id f
are
we
ll t
o y
ou
r tr
ou
gh
ing
ha
ssle
s.
THREE TIP
S FOR M
ORE EFFECTIV
E TISSUE
RETRACTIO
N & PREDIC
TABLE IMPRESSIO
NS
USIN
G YOUR ER,CR:YSGG LASER
Wa
terL
ase
®
Er,
Cr:
YS
GG
ti
ssu
e
retr
act
ion
see
ms
pre
tty
sim
ple
an
d s
tra
igh
tfo
rwa
rd. S
o
wh
y sp
en
d t
ime
dis
cuss
ing
su
ch a
ru
dim
en
-
tary
su
bje
ct?
Wit
ho
ut
pro
pe
r in
form
ati
on
,
tiss
ue
re
tra
ctio
n h
as
the
po
ten
tia
l to
be
a
fru
stra
tin
g,
tech
niq
ue
-se
nsi
tive
p
roce
du
re.
Ho
we
ver,
o
nce
yo
u
pe
rfe
ct
it,
the
re
is
no
retu
rnin
g
to
tra
dit
ion
al
retr
acti
on
co
rd
tech
niq
ue
s fo
r m
ost
ca
ses.
In a
pe
rfe
ct w
orl
d,
we
so
ak
retr
act
ion
co
rd i
n
a h
em
ost
ati
c a
ge
nt
an
d t
he
n p
ack
it
aro
un
d
ou
r p
rep
ara
tio
n.
Wh
en
we
re
mo
ve i
t, t
he
re i
s
an
id
ea
l a
mo
un
t o
f sp
ace
fo
r o
ur
op
tica
l o
r
po
lyvi
nyl
si
loxa
ne
im
pre
ssio
n
ma
teri
al
to
acc
ura
tely
ca
ptu
re t
he
de
tail
s o
f th
e m
arg
ins.
Un
fort
un
ate
ly,
wh
at
ha
pp
en
s in
re
al
life
is
oft
en
qu
ite
dif
fere
nt.
As
soo
n a
s th
e r
etr
ac-
tio
n c
ord
is
rem
ove
d,
the s
ulc
us
qu
ickl
y fi
lls
up
wit
h b
loo
d a
nd
an
y h
op
es
of
cap
turi
ng
acc
ura
te d
eta
il q
uic
kly
dis
ap
pe
ar.
Th
e W
ate
rLa
se® l
ase
r a
llo
ws
you
to
ge
ntl
y
coa
gu
late
th
e t
issu
e a
rou
nd
th
e p
rep
ara
tio
n
as
we
ll a
s cr
ea
te a
tro
ug
h, e
xpo
sin
g s
uffi
cie
nt
ferr
ule
fo
r yo
ur
imp
ress
ion
. Tro
ug
hin
g
the
pre
pa
rati
on
ta
kes
30
-40
se
con
ds
an
d c
an
be
com
ple
ted
co
mfo
rta
bly
wh
eth
er
or
no
t th
e
pa
tie
nt
ha
s b
ee
n a
ne
sth
eti
zed
, a
s in
th
e c
ase
of
an
en
do
do
nti
call
y tr
ea
ted
to
oth
.
It i
s e
asi
er
to d
o t
his
wit
h a
9-m
m-l
on
g l
ase
r
tip
(s
uch
a
s M
Z6
, M
GG
G
or
G6
) si
nce
it
all
ow
s b
ett
er
acc
ess
in
terp
roxi
ma
lly.
P
lace
the
la
ser
tip
ju
st a
t ti
ssu
e l
eve
l ra
the
r th
an
into
th
e
sulc
us
an
d
act
iva
te
the
la
ser.
Re
me
mb
er
tha
t la
sers
use
en
d-c
utt
ing
tip
s,
an
y ti
ssu
e n
ext
to
th
e l
ase
r fi
be
r w
ill
no
t b
e
rem
ove
d.
Ke
ep
th
e si
de
o
f th
e ti
p re
stin
g
ag
ain
st t
he
sh
ou
lde
r o
f th
e p
rep
an
d m
ake
you
r w
ay
aro
un
d t
he
to
oth
. D
o t
his
wit
h h
igh
spe
ed
su
ctio
n c
lose
by
to c
oo
l th
e a
rea
an
d
eli
min
ate
th
e l
ase
r p
lum
e.
Sto
ry c
onti
nu
ed o
n p
age
22
AIM
ING
BE
AM
JLAD F
ALL 2
014
23
22
JLAD F
ALL 2
014
WCLI I
I
WCLI
FOLLOW
THESE THREE EASY TIP
SFOR PREDIC
TABLE TISSUE TROUGHIN
G
TIP 1
Use
sho
rt,
over
lapp
ing
stro
kes
abou
t 2
mm
wid
e as
you
mak
e yo
ur w
ay a
roun
d th
e to
oth.
TIP 2
Be
awar
e th
at a
ny t
issu
e th
at
has
been
ther
mal
ly a
Jec
ted
will
be
com
e bl
anch
ed
or
char
red
and
will
ult
imat
ely
rece
de a
nd
expo
se t
hat
part
of
the
mar
gin.
If
this
occ
urs,
you
nee
d to
adj
ust
your
mar
gin.
TIP 3
Do
not
trou
gh t
he t
issu
e to
o de
eply
. D
oing
so
w
ill
allo
w
mar
gina
l tis
sue
to c
olla
pse
on to
th
e si
des
of y
our p
repa
ratio
n.
Phot
ogra
phy c
ourt
esy o
f Dr. G
lenn v
an A
s,
Van
couve
r, B
ritish
Col
um
bia,
Can
ada
TROUGHIN
G IT
Dr. Glenn van As, a practicing dentist and
longtime laser educator, uses his Er,Cr:YSG
G
laser for troughing prior to taking impressions.
He is routinely achieving precise, predictable
results in a bloodless field, greatly simplifying
a common dental procedure.
PRE-OP V
IEW
PRE-OP V
IEW
, CROW
NS R
EMOVED
FIN
AL IMPRESSIO
N
PRE-OP V
IEW
, PRIO
RTO T
ROUGHIN
GIM
MEDIA
TE P
OST-OP V
IEW
,TROUGHIN
G C
OMPLETE
IMMEDIA
TE P
OST-OP V
IEW
,ZOOMED IN
Scan to let us know w
hich clinical tips you’d like to see
in futu
re issues of JLAD, or visit w
ww.w
cli.org
/jlad
JLAD
JLAD
JLAD
JLAD
JLAD
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JLAD
JLAD F F F
ALL
ALL
ALL 2
014
23
I
WCLI
AIM
ING
BE
AM
JLAD F
ALL 2
014
25
24
JLAD F
ALL 2
014
WCLI I
I
WCLI
INTRODUCTION
A t
ypic
al
Er,
Cr:
YS
GG
la
ser
syst
em
uti
lize
s
gla
ss o
r sa
pp
hir
e t
ips
to t
ran
smit
en
erg
y
fro
m t
he
la
ser’
s d
eli
very
sys
tem
to
th
e
targ
et
tiss
ue
. In
sta
llin
g a
ne
w t
ip o
n t
he
Er,
Cr:
YS
GG
ha
nd
pie
ce f
or
eve
ry p
roce
du
re
is i
de
al;
ho
we
ver,
th
e r
ea
lity
is
tha
t so
me
tip
s m
ay
be
use
d a
se
con
d t
ime
, o
r ti
ps
ma
y b
eco
me
co
mp
rom
ise
d f
rom
du
st,
mis
ha
nd
lin
g o
r o
the
r ci
rcu
mst
an
ces.
Th
e u
se o
f a
n u
nin
spe
cte
d E
r,C
r:Y
SG
G
lase
r ti
p i
s o
ne
of
the
mo
st c
om
mo
n
cau
ses
of
com
pro
mis
ed
tru
nk
fib
ers
an
d d
am
ag
ed
co
mp
on
en
ts w
ith
in t
he
lase
r sy
ste
m i
tse
lf.
A t
ip m
ay
coll
ect
con
tam
ina
nts
su
ch a
s d
ust
or
tiss
ue
du
rin
g h
an
dli
ng
or
use
an
d m
ay
als
o
ha
ve c
rack
s. A
co
mp
rom
ise
d t
ip m
ay
po
ten
tia
lly
refl
ect
la
ser
en
erg
y b
ack
into
th
e fi
be
r d
eli
very
sys
tem
, ca
usi
ng
sig
nifi
can
t d
am
ag
e t
o t
he
fib
er
or
oth
er
lase
r co
mp
on
en
ts,
resu
ltin
g i
n d
ow
nti
me
wh
ile s
erv
ice a
nd
rep
air
s are
exe
cute
d –
an
d
fru
stra
tio
n f
rom
th
e E
r,C
r:Y
SG
G l
ase
r o
wn
er
beca
use
of
a l
ack
of
acc
ess
to
th
e s
yste
m.
Fin
all
y, a
co
mp
rom
ise
d l
ase
r ti
p w
ill
dra
ma
tica
lly
aff
ect
th
e t
issu
e c
utt
ing
effi
cien
cy o
f th
e E
r,C
r:Y
SG
G lase
r, r
esu
ltin
g
in m
uch
slo
we
r h
ard
- a
nd
so
ft-t
issu
e
pro
ced
ure
s, d
isco
mfo
rt t
o t
he
pa
tie
nt
an
d a
n o
vera
ll n
eg
ati
ve e
xpe
rie
nce
fo
r
all
in
volv
ed
.
As
a r
esu
lt,
it i
s cr
itic
all
y im
po
rta
nt
to
un
de
rsta
nd
th
e b
asi
cs o
f h
ow
to
in
spe
ct
an
Er,
Cr:
YS
GG
la
ser
tip
be
fore
ea
ch u
se.
By
foll
ow
ing
th
e b
asi
c st
ep
s o
utl
ine
d i
n
this
art
icle
, E
r,C
r:Y
SG
G l
ase
r o
wn
ers
wil
l
be
ne
fit
by
mo
re e
ffici
en
t ti
ssu
e c
utt
ing
,
a m
ore
co
mfo
rta
ble
exp
eri
en
ce f
or
the
pa
tie
nt
an
d f
ew
er
issu
es
wit
h
ma
inte
na
nce
or
do
wn
tim
e.
Fo
rtu
na
tely
, e
very
Er,
Cr:
YS
GG
sys
tem
ship
s w
ith
th
e t
oo
ls n
ece
ssary
to
pro
perl
y
insp
ect
a t
ip.
Th
ese
to
ols
in
clu
de
a T
ip
Re
mo
ver,
a T
ip I
nsp
ect
ion
Mic
rosc
op
e
an
d a
Tip
Te
st A
da
pte
r. A
dd
itio
na
l su
pp
lie
s
are
als
o r
eq
uir
ed
, in
clu
din
g 9
9%
iso
pro
pyl
alc
oh
ol,
co
tto
n s
wa
bs
an
d a
pa
ir o
f
twe
eze
rs f
or
tip
ha
nd
lin
g.
Als
o,
Er,
Cr:
YS
GG
la
ser
ow
ne
rs s
ho
uld
ass
ign
th
e r
esp
on
sib
ilit
y o
f ti
p i
nsp
ect
ion
to o
ne
me
mb
er
of
the
te
am
, w
ho
ca
n
be
com
e t
he
on
-sit
e “
exp
ert
” a
t th
is
crit
ica
lly
imp
ort
an
t st
ep
. T
he
be
st t
ime
for
insp
ect
ion
is
wh
en
an
ass
ista
nt
or
team
me
mb
er
is s
ett
ing
up
a p
roce
du
re t
ray.
Init
iall
y, t
he i
nsp
ect
ion
pro
cess
may
take
2-3
min
ute
s, w
hic
h w
ill
red
uce
ove
r ti
me
as
the
in
spe
ctio
n p
roce
ss b
eco
me
s
mo
re f
am
ilia
r.
Wh
en
ha
nd
lin
g E
r,C
r:Y
SG
G l
ase
r ti
ps,
ne
ver
tou
ch t
he
pro
xim
al
en
d t
ha
t
con
ne
cts
into
th
e h
an
dp
iece
. D
uri
ng
insp
ect
ion
, h
an
dle
la
ser
tip
s w
ith
a
pa
ir o
f tw
ee
zers
or
the
Tip
Re
mo
ver.
TIP INSPECTION INSTRUCTIONS
Re
mo
ve t
he
tip
fro
m t
he
ha
nd
pie
ce o
r ti
p
sto
rag
e c
on
tain
er
an
d i
nse
rt t
he
pro
xim
al
(or
inp
ut)
en
d i
nto
th
e T
ip T
est
Ad
ap
ter
usi
ng
th
e T
ip R
em
ove
r su
pp
lie
d w
ith
th
e
Er,
Cr:
YS
GG
sys
tem
.
Inse
rt t
he
Tip
Te
st H
old
er
into
th
e T
est
Ad
ap
ter
wit
h t
he
dis
tal
(or
ou
tpu
t) e
nd
tow
ard
th
e T
ip I
nsp
ect
ion
Mic
rosc
op
e.
Sli
de t
he a
dap
ter
ove
r th
e T
ip I
nsp
ect
ion
Mic
rosc
op
e t
o m
ove
th
e t
ip s
urf
ace
to
ward
the
fo
ca
l p
oin
t o
f th
e m
icro
sco
pe
. T
he
foca
l p
oin
t li
es i
n t
he
pla
ne
at
the
en
d
of
the
cle
ar
tub
e o
f th
e T
ip I
nsp
ecti
on
Mic
rosco
pe
.
FOUR TIP
COMPONENTS
Er,Cr:YSG
G laser tips have four com
ponents: Proximal
(input) End, Distal (output) End, Plastic Ferrule and Shaft.
DISTAL (OUTPUT) END
The output end that em
anates laser energy and ablates tissue.
SHAFT
The glass or sapphire com
ponent of the tips.
PLASTIC
FERRULE
The plastic, cylinder-shaped com
ponent that locks
the the tip into the handpiece.
PROXIM
AL (IN
PUT) END
The end that connects to the laser handpiece.
MIC
ROSCOPIC
TIP IMAGES
There are four com
mon conditions you might recognize
on an Er,Cr:YSG
G laser tip.
CONTAMIN
ATED TIP
Specks of dust, debris or other particulates are visible
on either the input or output end of the tip. Use cotton
swabs dipped in 99%
isopropyl alcohol to clean.
BURNED TIP
Evidence of overheating such as black charring are
visible around the periphery of the tip. Discard tip.
BROKEN TIP
Chips or cracks in either end of the tip will be visible
when a tip is broken. Discard tip.
GOOD TIP
A good tip should have no debris, specks,
charring or chips.
THE IMPORTANCE
OF TIP
INSPECTIO
N IN
ACHIEVIN
G PEAK Er,Cr:YSGG
LASER PERFORMANCE
Turn
on
th
e T
ip I
nsp
ect
ion
Mic
rosc
op
e’s
bu
ilt-
in l
igh
t b
y g
en
tly
pu
llin
g a
pa
rt t
he
up
pe
r a
nd
lo
we
r tu
be
s, o
r h
old
it
up
to
an
oth
er
ligh
t so
urc
e a
nd
bri
ng t
he s
urf
ace
of
the
tip
in
to f
ocu
s u
sin
g t
he
th
um
b
wh
ee
l. E
xam
ine
th
e t
ip s
urf
ace
ca
refu
lly
for
da
ma
ge
or
con
tam
ina
tio
n.
To e
xam
ine
the
pro
xim
al
(or
tru
nk
fib
er)
en
d o
f th
e t
ip,
rem
ove
th
e A
da
pte
r fr
om
th
e T
ip I
nsp
ec-
tio
n M
icro
sco
pe
an
d g
en
tly
fit
the
oth
er
sid
e o
f th
e t
est
ho
lde
r in
to t
he
cle
ar-
en
d
tub
e o
f th
e m
icro
sco
pe
. R
efo
cus
the
Tip
Insp
ect
ion
Mic
rosc
op
e.
Fin
all
y, r
em
ove
th
e t
ip f
rom
th
e T
ip T
est
Ho
lde
r u
sin
g t
he
Tip
Re
mo
ver.
If
the
tip
is c
on
tam
inate
d a
t eit
her
en
d, tr
y cl
ean
ing
it a
s d
esc
rib
ed
in
th
e T
ip C
lean
ing In
stru
c-
tio
ns
belo
w. If
th
e t
ip is
dam
aged
or
bu
rned
,
dis
po
se o
f it
in
a s
ha
rps
con
tain
er
imm
ed
i-
ate
ly.
Do
no
t re
-use
.
TIP CLEA
NING INSTRUCTIONS
Ho
ld t
he
tip
wit
h a
pa
ir o
f tw
ee
zers
.
Mo
iste
n a
co
tto
n s
wab
wit
h 9
9%
iso
pro
pyl
alc
oh
ol.
Pu
sh t
he
co
nta
min
ate
d t
ip i
nto
the
mo
iste
ne
d c
ott
on
sw
ab
. Tw
irl
the
cott
on
sw
ab
wh
ile
ma
inta
inin
g s
lig
ht
pre
ssu
re o
n t
he
su
rfa
ce o
f th
e t
ip.
CONCLUSION
Th
e p
roce
ss o
f in
spe
ctin
g E
r,C
r:Y
SG
G
lase
r ti
ps
be
fore
use
is
on
e o
f th
e m
ost
imp
ort
an
t st
ep
s a
la
ser
ow
ne
r ca
n t
ake
for
imp
rovi
ng
pe
rfo
rma
nce
of
the
ir l
ase
r,
as
we
ll a
s m
inim
izin
g p
ote
nti
al
ma
inte
-
na
nce
iss
ue
s w
ith
fib
ers
an
d o
the
r la
ser
com
po
ne
nts
. n
Implem
enting an Er,Cr:YSGG laser is a bold decision for any
dental practice. Now
you and your team can learn an essential
trick to ensure your Er,Cr:YSGG laser operates at peak levels.
Scan to download a Tip
Insp
ection G
uide (PDF)
or visit w
ww.w
cli.org
/jlad
INSPECTIO
N
MIC
ROSCOPE
A Tip Inspection Microscope is available in
the Laser & Inspection Cleaning Kit (P/N
7200104) available from
Er,Cr:YSG
G laser
manufacturer BIOLASE, Inc.
TIP TEST
ADAPTER
The Tip Inspection Adapter is a com
ponent
of the Inspection Microscope that holds
the tip in place while examining.
TIP R
EMOVER
A Tip Rem
over (show
n, with tip in place)
is used to remove a tip from
the handpiece
and to insert it into the Tip Test Adapter.
CLIN
ICAL
TW
EEZERS
Tweezers are im
portant for handling
the YSGG tips during the inspection.
COTTON
SW
ABS
Rem
ove debris, dust and other
contam
inants using a cotton swab dipped
in 99.9%
pure isopropyl alcohol.
ISOPROPYL
ALCOHOL
Must be 99.9%
pure
isopropyl alcohol.
GO
OD
TO
KN
OW
GO
OD
TO
KN
OW
JLAD F
ALL 2
014
27
26
JLAD F
ALL 2
014
WCLI I
I
WCLI
Seve
ral
speake
rs f
ocu
sed
on
peri
od
on
tal
the
rap
y u
sin
g t
he
Er,
Cr:
YS
GG
la
ser.
Am
on
g t
he
se w
ere
Dr.
Le
s B
inkl
ey,
Dr.
Ra
na
Al-
Fa
laki
, D
r. B
ret
Dye
r, D
r. M
ark
Sch
lesi
ng
er,
Dr.
Ma
rk C
ron
sha
w a
nd
Dr.
Pre
ed
y D
esa
i.
Th
e S
up
er
Sym
po
siu
m a
lso
fe
atu
red
no
tew
ort
hy p
rese
nta
tio
ns o
n l
ase
r
en
do
do
nti
cs,
lase
r h
ygie
ne
an
d s
oft
tissu
e t
rea
tme
nt,
la
se
r-a
ssis
ted
ora
l
surg
ery
an
d l
ase
r w
hit
en
ing. H
ygie
nis
ts
an
d a
ssis
tan
ts i
n a
tte
nd
an
ce h
ad
th
e
op
po
rtu
nit
y to
att
en
d a
fu
ll r
an
ge
of
cou
rse
s d
ed
ica
ted
to
la
ser
ad
op
tio
n
in t
he
hyg
ien
e r
oo
m.
Wit
h a
gro
win
g n
um
be
r o
f e
xhib
ito
rs
in a
tte
nd
an
ce a
nd
a s
late
of
eve
nin
g
act
ivit
ies,
att
en
de
es
ha
d n
o s
ho
rta
ge
of
op
po
rtu
nit
ies
to e
ng
ag
e t
he
gro
win
g t
ide
of
lase
r d
en
tist
ry.
Fo
r a
co
mp
lete
su
mm
ary
of
the
WC
LI
Su
pe
r S
ymp
osi
um
an
d d
eta
ils
ab
ou
t
20
15
da
tes,
vis
it w
ww
.wcl
i.o
rg.
n
HUNTIN
GTON B
EACH, CALIF.,
USA
T
he
Wo
rld
Cli
nic
al
La
ser
Inst
itu
te
ho
ste
d m
ore
th
an
35
0 d
en
tal
pro
fess
ion
als
fro
m a
rou
nd
th
e g
lob
e a
t it
s a
nn
ua
l S
up
er
Sym
po
siu
m s
tag
ed
at
the
Re
ge
ncy
Hya
tt
Re
sort
, M
arc
h 2
0-2
3,
20
14
.
Th
e S
up
er
Sym
po
siu
m i
s tr
ad
itio
na
lly
the
la
rge
st g
lob
al
eve
nt
of
the
ye
ar
for
the
WC
LI
– a
nd
th
e 2
01
4 e
ven
t w
as
no
exc
ep
tio
n.
Wit
h a
tte
nd
ee
s a
nd
sp
ea
kers
ha
ilin
g f
rom
se
vera
l d
oze
n c
ou
ntr
ies
on
five
co
nti
ne
nts
, th
e 2
01
4 d
ele
ga
tio
n w
as
on
e o
f th
e m
ost
div
ers
e y
et!
Th
is y
ea
r’s
pro
gra
m i
ncl
ud
ed
a w
ea
lth
of
clin
ica
l re
sea
rch
fro
m t
he
la
rge
st p
an
el
of
speake
rs e
ver. K
eyn
ote
sp
eake
r, D
r. S
tory
Mu
sgra
ve,
form
er
NA
SA
ast
ron
au
t a
nd
acc
om
pli
she
d p
hys
icia
n,
sha
red
his
pro
ce
ss f
or
ach
ievin
g g
oa
ls.
Ad
dit
ion
al
ke
yn
ote
sp
ea
ke
rs i
nclu
de
d r
en
ow
ne
d
lase
r re
se
arc
he
r D
r. N
orb
ert
Gu
tkn
ech
t
an
d D
r. Y
ose
f K
resp
i, a
lead
ing e
xpe
rt
in t
he
fie
ld o
f la
ser
use
fo
r tr
ea
tin
g
EN
T c
on
dit
ion
s.
WCLI MEMBERS G
ATHER
AT 2014 SUPER SYMPOSIU
M
ON C
ALIFORNIA
COAST
HUNTIN
GTON B
EACH The W
CLI Super Sym
posium
2014 featured more than 350 attendees, six
educational tracks, num
erous exhibitors and renow
ned keynote speaker Dr. Story Musgrave. (Photo Courtesy: W
CLI)
LEARNIN
G
WITH LASERS
TOP & MIDDLE:
The Super Symposium
features
a one-of-a-kind learning lab with
lasers and other technology available
for personalized hands-on instruction.
DRS. MUSGRAVE
AND R
OSENBERG
LOWER: Dr. Story Musgrave,
a form
er NASA
astronaut, (pictured,
right, with an original founder of the
WCLI, Dr. Stew
art Rosenberg), was
featured as the Super Symposium
’s
keynote speaker. Many attendees
lined up to take photographs and
get his autograph following his
captivating presentation.
TAIPEI, TAIW
AN
T
he
WC
LI
an
d
Taip
ei
Me
dic
al
Un
ive
rsit
y C
oll
eg
e o
f O
ral
Me
dic
ine
(T
MU
) a
nn
ou
nce
d a
fo
rma
l
pa
rtn
ers
hip
in
la
te 2
01
3 t
o p
rovi
de
hig
he
r
ed
uca
tio
n i
n d
en
tal
lase
r te
chn
olo
gy
– a
nd
no
w,
alm
ost
a f
ull
ye
ar
late
r, t
he
pro
gra
m
is p
rovi
ng
to
be
a s
ucc
ess
fo
r b
oth
pa
rtie
s.
Ori
gin
all
y, T
MU
an
d t
he
WC
LI
pa
rtn
ere
d
to p
rovi
de
WC
LI-
ba
sed
de
nta
l la
ser
con
tin
uin
g e
du
cati
on
to
TM
U a
lum
ni
an
d o
the
r d
en
tal
pro
fess
ion
als
in
th
e
Asi
a-P
aci
fic
reg
ion
. C
ou
rse
s a
nd
cli
nic
al
con
ten
t a
re t
au
gh
t b
y se
vera
l o
f th
e
WC
LI’s
mo
st p
rom
ine
nt
inte
rna
tio
na
l
ed
uca
tors
. P
art
icip
an
ts i
n t
he
co
urs
es
beco
me e
ligib
le f
or
Mast
ers
hip
Cert
ifica
-
tio
n w
ith
in t
he
org
an
iza
tio
n.
Ea
ch h
ou
r
of
cou
rse
wo
rk i
n l
ase
r e
du
cati
on
at
TM
U i
s e
lig
ible
fo
r d
en
tal
con
tin
uin
g
ed
uca
tio
n c
red
its.
“Th
e p
art
ne
rsh
ip b
etw
ee
n t
he
Wo
rld
Cli
nic
al
La
ser
an
d I
ma
gin
g I
nst
itu
te
an
d T
aip
ei
Me
dic
al
Un
ive
rsit
y h
as
be
en
a m
ajo
r st
ep
to
wa
rd a
dva
nci
ng
lase
r e
du
cati
on
to
de
nta
l p
rofe
ssio
na
ls,
bo
th a
cad
em
ica
lly
an
d i
n g
lob
al
sta
ture
.
We
ha
ve e
njo
yed
a v
ery
pro
du
ctiv
e
rela
tio
nsh
ip,
wh
ich
ha
s b
ee
n m
utu
all
y
be
ne
fici
al
an
d p
rovi
de
d s
ign
ifica
nt
op
po
rtu
nit
ies
to b
oth
pa
rtie
s,”
said
Dr.
Wa
lin
ski,
Exe
cuti
ve D
ire
cto
r o
f th
e W
CL
I.
Fu
ture
pro
ject
s b
etw
ee
n T
MU
an
d
WC
LI
incl
ud
e t
he
cre
ati
on
of
a g
rad
ua
te
sch
oo
l p
rog
ram
exc
lusi
vely
fo
cuse
d o
n
lase
r d
en
tist
ry,
as
we
ll a
s jo
int
pro
gra
ms
inte
nd
ed
to
ad
van
ce t
he
fie
ld o
f d
en
tal
lase
r re
sea
rch
, e
du
cati
on
an
d
clin
ica
l tr
ain
ing
.
In a
dd
itio
n,
TM
U a
nd
WC
LI
wil
l co
lla
bo
-
rate
in
th
e p
rom
oti
on
of
Fe
llo
wsh
ip a
nd
Ma
ste
rsh
ip C
ert
ifica
tio
ns
off
ere
d t
hro
ug
h
the
WC
LI,
as
we
ll a
s sh
are
ap
po
intm
en
ts,
titl
es
an
d q
ua
lifi
cati
on
s b
etw
ee
n t
he
tw
o
org
an
iza
tio
ns.
n
For complete
WCLI Super Symposium news
and details about 2015 dates, visit w
ww.w
cli.org
ASIA
-PACIFIC
PARTNERSHIP
Lea
ders
of T
aipe
i Med
ical
Uni
vers
ity a
nd th
e W
CLI
met
in T
aipe
i, Ta
iwan
, in
late
201
3 to
fina
lize
deta
ils o
f a u
niqu
e pa
rtne
rshi
p to
pro
vide
den
tal l
aser
educ
atio
n to
den
tists
in th
e A
sia-
Paci
fic re
gion
. (Pi
ctur
e le
ft to
righ
t: M
r. M
eigh
en H
u, D
r. Ja
mes
Chih
-Che
n Le
e, D
r. Ch
ris W
alin
ski,
Prof
. Ken
g-Li
ang
Ou
and
Dr.
His
-jen
Cha
iang
.
TAIP
EI MEDIC
AL U
NIV
ERSIT
YAND W
CLI CELEBRATE
FIRST A
NNIV
ERSARY O
F
UNIQ
UE EDUCATIO
NAL
PARTNERSHIP
WCLI MEMBER
DENTISTS
COMPLETE
STEPS TO EARN
ADVANCED-L
EVEL
CERTIFIC
ATIO
N
FROM THE W
CLI
After com
pleting an intensive
series of continuing education
requirements, hands-on trials
and oral and written examina-
tions, the W
CLI has granted
advanced certification
opportunities to mem
bers
of the Institute.
Most recently the following
dental professionals have
qualified for Fellowship or
Mastership Certification:
FELLOW
SHIP
CERTIFIC
ATIO
N
Dr. Naresh Shetty
Dr. Lin Han-Ju
Dr. Chen Wei-Tsung
Dr. Liao Tsung Hsuan
Dr. Ying Ying Nin
Dr. Yang He
Ms. Jenny Head, RDH
Ms. Katrina New
ton, RDH
Ms. Heidi Christopher, RDH
Dr. Jerry Paz
Dr. Ford Gatgens
Dr. Yuan-Kai Lin
Dr. Barry Applegate
Dr. James Duncan
Dr. Jinno Takayoshi
MASTERSHIP
CERTIFIC
ATIO
N
Dr. Linda Murzyn-Dantzer
Dr. Christopher Mast
Dr. Jennifer Matthew
s
Congratulations! For more
inform
ation on W
CLI A
ssociate
Fellowship, Fellowship and
Mastership Certification please
visit wcli.org or contact the
WCLI directly at 1-800-616-1553.
Congratulations!
Scan to view all
upcoming W
CLI
events and seminars,
or visit w
ww.w
cli.org
IN T
HE
NE
WS
IN T
HE
NE
WS
JLAD F
ALL 2
014
29
28
JLAD F
ALL 2
014
WCLI I
I
WCLI
Wit
hin
a s
ho
rt t
ime
of
ad
din
g h
is fi
rst
Er,
Cr:
YS
GG
lase
r, D
r. S
pit
z b
egan
cre
ati
ng
pro
toco
ls f
or
YS
GG
-ass
iste
d i
mp
lan
t
de
nti
stry
an
d p
rost
ho
do
nti
c p
roce
du
res.
Tod
ay,
in
ad
dit
ion
to
his
pri
vate
pra
ctic
e,
he
is
the
ass
ista
nt
tre
asu
rer
for
the
Ma
ssa
-
chu
sett
s D
en
tal
So
cie
ty,
Me
tro
po
lita
n
Dis
tric
t, a
s w
ell
as
inte
rna
tio
na
l e
dit
or
for
the
Alp
ha O
meg
an.
In 2
01
3,
he
wa
s a
wa
rde
d
the
Alp
ha
Om
eg
an
Ce
rtifi
cate
of
Me
rit,
on
e
of
the
mo
st p
rest
igio
us
aw
ard
s p
rese
nte
d t
o
a m
em
be
r fo
r o
uts
tan
din
g a
nd
exe
mp
lary
serv
ice
at
the
in
tern
ati
on
al
or
cha
pte
r le
vel.
Wh
en
it
com
es
to o
fferi
ng t
he b
est
an
d m
ost
tech
no
logic
all
y ad
van
ced
den
tist
ry p
oss
ible
to h
is p
ati
en
ts i
n t
he
gre
ate
r B
ost
on
are
a,
Dr.
Sp
itz
ha
s se
t h
imse
lf a
pa
rt.
His
in
no
va-
tive
ap
pli
cati
on
of
de
nta
l te
chn
olo
gy
ha
s
resu
lte
d i
n h
on
ors
an
d r
eco
gn
itio
n a
mo
ng
his
pe
ers
, a
pp
oin
tme
nts
at
vari
ou
s e
du
ca-
tio
nal
inst
itu
tio
ns
an
d a
vib
ran
t co
mm
un
ity
of
loya
l p
ati
en
ts.
La
tely
, h
ow
eve
r, h
is
tech
no
log
y-o
rie
nte
d d
en
tal
ap
pro
ach
is
cre
ati
ng
a l
eg
ion
of
ha
pp
y p
ati
en
ts i
n
the
an
ima
l ki
ng
do
m a
s w
ell
.
Dr.
Sp
itz
is a
gra
du
ate
of
Tuft
s U
niv
ers
ity
Sch
oo
l o
f D
en
tal
Me
dic
ine
. H
e r
ece
ive
d
his
pro
sth
od
on
tic
cert
ifica
te a
t th
e H
arv
ard
Sch
oo
l o
f D
en
tal
Me
dic
ine
an
d s
erv
ed
eig
ht
ye
ars
as c
lin
ica
l p
rofe
sso
r w
ith
in
the
de
pa
rtm
en
ts o
f u
nd
erg
rad
ua
te a
nd
po
st-g
rad
ua
te p
rost
ho
do
nti
cs.
He
is
als
o
the
fo
un
de
r a
nd
pri
nci
pa
l o
f S
mil
eb
ost
on
Co
smeti
c an
d I
mp
lan
t D
en
tist
ry w
ith
offi
ces
in B
roo
klin
e a
nd
Pe
mb
roke
, M
ass
.
In r
ece
nt
yea
rs,
Dr.
Sp
itz
is p
art
of
a t
ea
m
of
vete
rin
ari
an
s a
nd
de
nti
sts
tha
t p
erf
orm
s
de
nta
l w
ork
in
wil
dli
fe s
an
ctu
ari
es
an
d z
oo
s
aro
un
d t
he
co
un
try,
he
lpin
g t
o t
rea
t a
nim
als
that
are
in
pain
an
d i
n s
eri
ou
s n
eed
of
den
tal
care
.
Dr. S
pit
z re
cen
tly
part
nere
d w
ith
Zo
o N
ew
En
gla
nd
as
the d
en
tist
on
call
fo
r b
oth
th
e F
ran
klin
Pa
rk
Zo
o i
n B
ost
on
an
d S
ton
e Z
oo
in
Sto
neh
am
, M
ass
.
Dr. S
pit
z to
ok
tim
e o
ut
of
his
bu
sy s
ched
ule
to
sit
do
wn
wit
h t
he J
ourn
al o
f Las
er-A
ssis
ted
Den
tist
ry
to d
iscu
ss h
is o
rig
ins
as
a d
en
tal
pro
fess
ion
al,
his
lo
ve f
or
tech
no
log
y (e
spe
cia
lly
his
mu
ltip
le
Er,C
r:Y
SG
G lase
rs)
an
d t
ho
se lio
ns,
tig
ers
an
d b
ears
.
Q.
Wh
at m
ade
you
dec
ide
to
bec
ome
a de
nti
st?
A.
As
a k
id,
I h
ad
alw
ays
wa
nte
d t
o b
e i
n
me
dic
ine
. I
ha
d t
ho
ug
ht
of
vete
rin
ary
me
dic
ine
as
my
futu
re a
nd
stu
die
d a
nim
al
scie
nce
as
my
un
de
rgra
du
ate
ma
jor.
I w
ork
ed
in t
he
ve
teri
na
ry fi
eld
an
d r
ea
lize
d i
t w
as
no
t
for
me
. I
wa
s in
tro
du
ced
to
de
nti
stry
by
my
un
cle
an
d f
ell
in
lo
ve w
ith
it.
I a
m s
till
in
love
wit
h d
en
tist
ry t
od
ay.
Q.
How
lon
g h
ave
you
been
a las
er d
enti
st?
A.
I h
ave
be
en
wo
rkin
g w
ith
la
sers
fo
r 1
2 y
ea
rs
an
d h
ave
be
en
an
act
ive
me
mb
er
of
WC
LI
for
mo
st o
f th
at
tim
e.
In t
ha
t ti
me
, I
ha
ve
att
ain
ed
Ma
ste
r st
atu
s.
Q.
Wh
at w
ould
you
say
is
the
spec
ific
clin
ical
foc
us
of y
our
prac
tice
?
A. S
mil
eb
ost
on
is
mu
lti-
spe
cia
lty
pra
ctic
e.
Ho
we
ver,
de
nta
l im
pla
nts
an
d f
ull
-mo
uth
reh
ab
ilit
ati
on
are
th
e m
ain
fo
cus
of
my
pra
ctic
e;
it i
s w
ha
t I
tru
ly l
ove
to
do
. It
is
the
ad
dit
ion
of
lase
rs i
n m
y p
ract
ice
th
at
all
ow
s m
e t
o w
ork
th
e w
ay
I d
o a
nd
, a
s a
pro
sth
od
on
tist
, p
rovi
de b
oth
th
e p
rost
heti
c
an
d s
urg
ical
asp
ect
s to
ou
r p
ati
en
ts. D
en
tal
lase
rs a
re a
ne
cess
ary
an
d a
pe
rfe
ct
acc
ess
ory
fo
r m
e.
A PROSTHODONTIST’S FOCUS
ON H
IGH-TECH D
ENTISTRY ENSURES
HE IS A
DENTIST FOR A
LL PATIENTS
Q.
You
hav
e be
en v
ery
in
volv
ed in
las
er
den
tist
ry a
nd
edu
cati
on.
Wh
at w
ould
you
say
is
you
r m
ost
not
ewor
thy
acco
mpl
ish
men
t as
a las
er d
enti
st
and
wh
at a
re y
ou w
orki
ng
on n
ow?
A. I
wa
s p
art
of
cre
ati
ng
th
e fi
rst
pro
toco
l
for
surg
ica
lly
pla
cin
g d
en
tal
imp
lan
ts
an
d u
sin
g t
he l
ase
r to
rem
ove
th
e s
oft
tiss
ue
an
d t
he
co
rtic
al
pla
te b
efo
re
usi
ng a
dri
ll. I
am
cu
rren
tly
usi
ng t
he
lase
r to
op
en
win
do
ws
for
late
ral
sin
us
lift
s.
Q.
Wh
at is
you
r fa
vori
te a
spec
t
of p
ract
icin
g de
nti
stry
?
A. A
s cl
ich
é a
s it
so
un
ds,
I l
ike
ma
kin
g a
dif
fere
nce
in
my
pa
tie
nts
’ li
ves.
I k
no
w
the
tre
atm
en
t m
y te
am
an
d I
pro
vid
e
an
d t
he p
osi
tive
exp
eri
en
ce m
y p
ati
en
ts
ha
ve w
ith
de
nti
stry
in
my
offi
ce m
ake
s
a d
iffe
ren
ce.
Q.
In a
ddit
ion
to
you
r w
ork
on h
um
ans,
we
un
ders
tan
d th
at y
ou a
lso
take
on
som
e ve
ry s
peci
al a
nim
al p
atie
nts
via
you
r w
ork
wit
h t
he
Pet
er E
mily
Inte
rnat
ion
al V
eter
inar
y D
enta
l
Fou
nda
tion
. Tel
l us
mor
e ab
out
that
.
A. W
ork
ing
wit
h P
EIV
D i
s li
tera
lly
a d
rea
m c
om
e t
rue
. E
arl
y in
my
coll
eg
iate
ca
ree
r, I
co
nte
mp
late
d
att
en
din
g e
ith
er
vete
rin
ary
or
de
nta
l
sch
oo
l. I
n t
he
en
d,
I ch
ose
de
nta
l a
nd
it w
as
ab
solu
tely
th
e r
igh
t d
eci
sio
n f
or
me
. P
EIV
D a
llo
ws
me
to
use
my
de
nta
l
kno
wle
dg
e a
nd
wo
rk i
n a
n a
ma
zin
g
way
for
an
imals
th
at
need
my
exp
ert
ise.
I h
ave
pe
rfo
rme
d d
en
tist
ry o
n t
ige
rs,
a b
ea
r, a
kin
kajo
u,
a l
em
ur,
bir
ds,
an
ott
er
an
d a
mu
ltit
ud
e o
f p
rim
ate
s a
nd
oth
er
an
ima
ls.
Q.
How
hav
e y
ou a
pplie
d la
ser
den
tist
ry
to y
our
wor
k w
ith
an
imal
s?
A. A
s B
IOL
AS
E g
ave
me
th
eir
ve
teri
na
ry
lase
r p
rio
r to
on
e o
f m
y tr
ips,
I b
eca
me
the fi
rst
den
tist
to
perf
orm
lase
r su
rgery
on
la
rge
an
ima
ls.
On
a m
issi
on
to
th
e
BOSTON-B
ASED
PROSTHODONTIST
HELPS A
FEW
FURRY FRIENDS
In his work with the Peter Em
ily
Foundation, Dr. Spitz is part
of a team of dentists and
veterinarians who perform
dentistry for animals in need
at zoos and wildlife parks across
the nation. Dr. Spitz was the first
dentist to perform
laser dental
surgery on a captive tiger.
A D
ENTIST FOR
ALL PATIENTS
WCLI m
ember Dr. Steven
D. Spitz began his journey
as a laser dentist in 2002
with his first Er,Cr:YSG
G
system
. Within a short time,
he began creating protocols
for Er,Cr:YSGG-assisted
implant dentistry and
prosthodontic procedures.
Today, in addition to his busy
private practice, he teaches
at Harvard School of D
ental
Medicine and is on staff
at Franciscan Children’s
Hospital in Brighton, Mass.
SHOW
ING TEAM
SPIR
IT IN B
OSTON
Dr. Spitz with Boston Red Sox
slugger David Ortiz is currently
the team
dentist for the world
cham
pion Boston Red Sox,
serving the dental needs of
Red Sox players and personnel.
“We are having a blast at Smileboston, and
our lasers are a big part of that enjoyment…”
Exo
tic
Feli
ne R
esc
ue C
en
ter
in I
nd
ian
a,
on
e p
rio
rity
case
was
a l
ion
th
at
was
in
an
ext
rem
e a
mo
un
t o
f p
ain
wit
h a
vert
ical
spli
t in
her
too
th. Th
e r
oo
t w
as
exp
ose
d a
nd
op
en
to
ba
cte
ria
wh
ich
cou
ld h
ave
qu
ickl
y sp
rea
d t
hro
ug
h
the
lio
n’s
en
tire
bo
dy.
Tre
atm
en
t w
as
pa
infu
l fo
r th
is
an
ima
l a
nd
it
wa
s co
mp
lica
ted
su
rge
ry.
Ho
we
ver,
th
e l
ase
r a
llo
we
d f
or
acc
ura
te
tre
atm
en
t th
at
wo
uld
no
t h
ave
be
en
po
ssib
le i
n t
he
sa
me
wa
y w
ith
ou
t th
e
lase
r. F
ina
lly,
th
e fi
na
nci
al
dif
fere
nce
ha
s b
ee
n h
ug
e b
eca
use
I a
m a
ble
to
pe
rfo
rm t
rea
tme
nts
mo
re e
ffici
en
tly,
wh
ich
in
tu
rn f
ree
s u
p c
ha
ir t
ime
at
bo
th o
f m
y p
ract
ice
s, a
llo
win
g m
e a
n
op
po
rtu
nit
y to
gro
w t
he
nu
mb
er
of
pa
tie
nts
I c
an
tre
at.
I a
m h
avi
ng
a
bla
st,
an
d o
ur
lase
rs a
re a
big
pa
rt
of
tha
t e
njo
yme
nt.
Q.
How
hav
e la
sers
im
pact
ed
you
r de
nta
l pr
acti
ce o
vera
ll?
A.
De
nta
l la
sers
ha
ve m
ad
e a
hu
ge
dif
fere
nce
in
my
pra
ctic
e a
nd
ha
ve
been
a c
ata
lyst
in
maki
ng S
mil
eb
ost
on
the
su
cce
ss i
t h
as
be
com
e t
od
ay.
La
sers
ha
ve a
llo
we
d m
e t
o b
e m
ore
effi
cien
t an
d p
rod
uct
ive i
n p
erf
orm
ing
tre
atm
en
t a
nd
to
be
kin
d t
o m
y
pa
tie
nts
, e
spe
cia
lly
tho
se w
ith
hig
h
fea
r. O
n t
op
of
tha
t, t
he
fin
an
cia
l
asp
ect
is
imm
ea
sura
ble
as
I a
m a
ble
to p
erf
orm
tre
atm
en
t m
uch
mo
re
effi
cie
ntl
y. U
tili
zin
g t
he
la
ser
ma
kes
me
mo
re a
ccu
rate
, a
llo
ws
me
to
do
mo
re t
ha
n o
ne
pro
ced
ure
du
e t
o t
he
min
imiz
ati
on
of
flu
ids
an
d i
n t
he
en
d
red
uce
s ch
air
tim
e,
all
ow
ing
me
to
incr
ea
se t
he
nu
mb
er
of
pa
tie
nts
I c
an
tre
at
thro
ug
ho
ut
the
da
y, t
he
we
ek
an
d
the
ye
ar.
I
love
te
chn
olo
gy
an
d e
njo
y
de
nti
stry
eve
ry d
ay.
Th
e t
ech
no
log
y o
f
lase
rs a
nd
be
ing
pa
rt o
f e
xpa
nd
ing
wh
at
lase
rs c
an
acc
om
pli
sh a
re a
big
pa
rt o
f th
at
en
joym
en
t.
n
MEET D
R. STEVEN D
. SPITZ,
a B
ost
on
-ba
sed
pro
sth
od
on
tist
wh
ose
jo
urn
ey
as
a
lase
r d
en
tist
be
ga
n i
n 2
00
2 w
ith
his
firs
t E
r,C
r:Y
SG
G l
ase
r a
nd
co
nti
nu
es
tod
ay
wit
h t
wo
thri
vin
g B
ost
on
pra
ctic
es
an
d a
n a
pp
roa
ch t
o d
en
tist
ry t
ha
t se
rve
s a
ll p
ati
en
ts.
Cou
rtes
y D
r. S
teve
n S
pitz
SP
OT
LIG
HT
SP
OT
LIG
HT
JLAD F
ALL 2
014
31
30
JLAD F
ALL 2
014
WCLI I
I
WCLI
A LEADER IN D
ENTAL e
du
cati
on
,
esp
eci
all
y in
th
e fi
eld
of
imp
lan
tolo
gy,
Dr.
Ro
be
rt M
ille
r, h
as
de
dic
ate
d h
is l
ife
to
th
e
ad
van
cem
en
t o
f d
en
tist
ry.
An
d i
t su
its
him
just
fin
e.
Dr.
Mil
ler
op
en
ly s
ha
res
tha
t h
is
life
-lo
ng
de
dic
ati
on
to
his
pro
fess
ion
ha
s
be
en
an
in
cre
dib
le a
nd
wo
nd
erf
ul
jou
rne
y
– a
nd
he
’s n
ot
do
ne
ye
t.
In a
dd
itio
n t
o r
un
nin
g h
is o
wn
pra
ctic
e,
Th
e C
en
ter
for
Ad
van
ced
Ae
sth
eti
c a
nd
Imp
lan
t D
en
tist
ry i
n D
elr
ay
Be
ach
, F
la.,
Dr.
Mil
ler
is C
ha
irm
an
of
the
De
pa
rtm
en
t
of
Ora
l Im
pla
nto
log
y a
t th
e A
tla
nti
c C
oa
st
De
nta
l R
ese
arc
h C
lin
ic a
t P
alm
Be
ach
Sta
te
Co
lle
ge
. H
e i
s B
oa
rd C
ert
ifie
d b
y th
e
Am
eri
can
Bo
ard
of
Ora
l Im
pla
nto
log
y/Im
pla
nt
De
nti
stry
(A
BO
I),
a D
iplo
ma
te o
f th
e I
nte
rna
-
tio
nal
Co
ngre
ss o
f O
ral
Imp
lan
tolo
gis
ts (
ICO
I),
a F
ell
ow
of
the
Aca
de
my
of
Oss
eo
inte
gra
tio
n
(AO
), a
n H
on
ore
d F
ell
ow
of
the
Am
eri
can
Aca
de
my
of
Imp
lan
t D
en
tist
ry (
AA
ID)
an
d
Fe
llo
w o
f th
e A
me
rica
n C
oll
eg
e o
f D
en
tist
s
(FA
CD
). H
e h
as
be
en
na
me
d o
ne
of
the
To
p
10
0 L
ea
de
rs i
n C
on
tin
uin
g E
du
cati
on
by
Den
tist
ry T
oday
ma
ga
zin
e.
Dr.
Mil
ler
is a
fou
nd
ing
me
mb
er
of
WC
LI
an
d o
ne
of
its
mo
st s
ou
gh
t a
fte
r le
ctu
rers
. A
s su
ch,
we
fe
lt
tha
t it
wa
s fi
ttin
g t
o p
rofi
le D
r. M
ille
r fo
r o
ur
ina
ug
ura
l is
sue
of
JLA
D.
A M
AN O
F M
ANY FIR
STS
IS B
LAZIN
G A
TECHNOLOGY
TRAIL IN SOUTH FLORID
A
Q. H
ow lon
g h
ave
you
been
a las
er d
enti
st?
A. I
co
mp
lete
d m
y fi
rst
acc
red
ite
d
lase
r co
urs
e u
sin
g N
d:Y
AG
at
the
Flo
rid
a N
ati
on
al
De
nta
l C
on
gre
ss i
n
19
90
un
de
r th
e d
ire
ctio
n o
f D
r. R
ob
ert
Pic
k. T
his
ye
ar
rep
rese
nts
my
24
th y
ea
r
as
a l
ase
r cl
inic
ian
usi
ng
mu
ltip
le
wa
vele
ng
ths.
Q. W
hat
is
you
r fa
vori
te a
spec
t
of p
ract
icin
g de
nti
stry
?
A. W
hil
e I
am
in
ge
ne
ral
pra
ctic
e a
nd
en
joy
ma
ny
dif
fere
nt
asp
ect
s o
f o
ur
clin
ica
l e
nd
ea
vors
, fo
r th
e p
ast
30
yea
rs I
ha
ve m
ain
tain
ed
a p
art
icu
lar
em
ph
asi
s in
ora
l im
pla
nto
log
y. W
e
ha
ve b
ee
n a
t th
e f
ore
fro
nt
of
he
lpin
g
to d
eve
lop
la
ser-
ass
iste
d p
roto
cols
in
imp
lan
t su
rge
ry a
nd
re
con
stru
ctio
n.
Q.
Wh
at s
peci
fic las
er w
avel
engt
hs
hav
e
you
use
d in
dai
ly p
riva
te p
ract
ice?
A. T
he
pri
ma
ry w
ave
len
gth
th
at
I u
se
clin
ica
lly
for
bo
th h
ard
an
d s
oft
tis
sue
is 2
78
0n
m.
Ho
we
ver,
I a
lso
uti
lize
81
0n
m,
94
0n
m,
an
d 1
06
4n
m l
ase
rs
for
spe
cifi
c so
ft t
issu
e p
roce
du
res.
AN EARLY
ADOPTER
OF M
ANY D
ENTAL
TECHNOLOGIES
ABOVE: Founding WCLI m
ember
Dr. Robert Miller poses with the
first-ever Er,Cr:YSG
G laser in the U.S.
and the first-ever New
tom 3D cone
beam
system in the U.S.
FROM PODIU
M
TO W
HEATIES B
OX
TOP: Dr. Robert Miller is regularly
featured as a speaker at im
plant,
technology and dental
conferences around the world.
LOWER: In 2010, W
illiam Brown,
then Executive Director of the
WCLI, presents Dr. Miller
a personalized box of the
Breakfast of Champions
at an aw
ards cerem
ony.
Q. P
leas
e lis
t a
few
not
ewor
thy
acco
mpl
ish
men
ts a
s a
lase
r de
nti
st?
A. A
sp
eci
fic
exa
mp
le o
f h
ow
la
sers
save
tim
e i
n m
y p
ract
ice
is
du
rin
g
imp
ress
ion
-ta
kin
g f
or
bo
th i
mp
lan
ts
an
d n
atu
ral
tee
th.
On
occ
asi
on
, a
pa
tie
nt
ma
y p
rese
nt
wit
h b
lee
din
g
or
hyp
erp
last
ic t
issu
e a
t th
e i
mp
res-
sio
n a
pp
oin
tme
nt.
Ra
the
r th
an
rea
pp
oin
tin
g t
he
m,
I p
refe
r to
use
eit
he
r th
e e
rbiu
m o
r d
iod
e l
ase
r to
rem
ove
th
e h
ype
rpla
stic
tis
sue
an
d
ach
ieve
ou
tsta
nd
ing
he
mo
sta
sis,
all
ow
ing
us
to c
om
ple
te t
he
pro
ced
ure
in
a t
ime
ly f
ash
ion
.
Q. W
hat
is
you
r fa
vori
te p
art
of b
ein
g a
mem
ber
of t
he
WC
LI?
A. W
ith
ou
t q
ue
stio
n b
ein
g a
ble
to
inte
ract
wit
h s
om
e o
f th
e fi
nest
lase
r
clin
icia
ns
in t
he w
orl
d i
s ce
rtain
ly t
he
mo
st r
ew
ard
ing
. M
uch
of
the
bra
in-
sto
rmin
g f
or
ne
w l
ase
r p
roto
cols
com
es
fro
m s
hari
ng i
nfo
rmati
on
fro
m
ou
r p
ract
ices
an
d c
oll
ati
ng d
ata
fro
m
ou
r p
roce
du
ral
ba
se.
Mu
ch o
f th
is
info
rmati
on
has
beco
me t
he f
ou
nd
ati
on
for
FD
A c
lea
ran
ces
for
mo
st o
f th
e
lase
r p
roce
du
res
we
pe
rfo
rm t
od
ay.
Q. W
hy
do
you
bel
ieve
las
ers
are
a br
eakt
hro
ugh
too
l fo
r de
nti
stry
?
A. W
e a
re l
ea
vin
g t
he
era
of
me
cha
nic
al
ma
nip
ula
tio
n o
f ti
ssu
e a
nd
en
teri
ng
the
era
of
bio
log
ics.
Pa
rt o
f o
ur
pa
rad
igm
of
tre
atm
en
t is
to
no
t
on
ly c
om
ple
te p
roce
du
res
in a
mo
re
min
ima
lly
inva
sive
ma
nn
er,
bu
t to
als
o c
om
pre
ss t
reatm
en
t ti
me a
nd
to
pre
ven
t in
fect
ion
s fr
om
in
terf
eri
ng
wit
h o
ur
clin
ica
l o
utc
om
es.
Q. H
ow h
ave
lase
rs im
pact
ed
you
r de
nta
l pr
acti
ce o
vera
ll?
A. L
ase
r su
rgery
has
beco
me a
n e
ffect
ive
vali
dato
r o
f th
e h
igh
-tech
vis
ion
fo
r m
y
pra
ctic
e.
My
clin
ica
l o
utc
om
es,
th
e
com
fort
exp
eri
en
ced
by
my
pa
tie
nts
po
st-o
pe
rati
vely
an
d t
he
pa
tie
nt’
s
imp
ress
ion
th
at
we
are
at
the
cu
ttin
g
ed
ge
in
ou
r p
rofe
ssio
n i
s fu
nd
am
en
-
tall
y th
e m
ost
re
wa
rdin
g p
art
of
a
de
cisi
on
ma
de
ye
ars
ag
o w
he
n w
e
inco
rpo
rate
d t
his
te
chn
olo
gy.
Q. W
hat
is
you
r cu
rren
t
favo
rite
las
er p
roce
dure
?
A.
Cu
rre
ntl
y th
e l
ase
r p
roce
du
re I
use
mo
st o
fte
n i
s d
eb
rid
em
en
t o
f th
e
infe
cte
d e
xtra
ctio
n s
ite
at
the
tim
e
of
imp
lan
t p
lace
me
nt.
I fi
nd
th
is t
o
be
an
in
cre
dib
ly e
ffe
ctiv
e p
roto
col
for
rem
ovi
ng
gra
nu
lom
ato
us
tiss
ue
ap
ica
l cy
sts,
re
mn
an
ts o
f p
eri
od
on
tal
lig
am
en
t a
nd
ach
ievi
ng
go
od
de
cort
i-
cati
on
of b
on
e – ab
solu
te r
eq
uir
em
en
ts
for
succ
ess
ful
imp
lan
t o
utc
om
es.
Q. W
hat
are
you
r h
obbi
es a
nd
inte
rest
s ou
tsid
e of
den
tist
ry?
A.
Wh
en
I a
m n
ot
pra
ctic
ing
de
nti
stry
,
you
ca
n fi
nd
me
at
my
seco
nd
ho
me
in C
olo
rad
o,
wh
ere
I a
m a
n a
vid
hik
er,
skie
r, b
ike
r a
nd
mo
un
tain
ee
r. H
ow
eve
r,
wh
en
th
e s
un
go
es
do
wn
it’
s ti
me
to
pla
y m
y g
uit
ar
an
d p
erf
orm
wit
h m
y
mu
sici
an
fri
en
ds.
In
fa
ct,
on
e o
f m
y
pe
rso
na
l h
igh
lig
hts
of
WC
LI
me
eti
ng
s
is p
layi
ng
in
th
e W
CL
I b
an
d,
Th
e
Hyd
rop
ho
ton
ics.
We
ha
ve p
erf
orm
ed
all
ove
r th
e w
orl
d a
t W
CL
I m
ee
tin
gs
an
d I
am
co
nst
an
tly
am
aze
d a
t h
ow
tale
nte
d o
ur
me
mb
ers
are
. n
“We are leaving the era of mechanical m
anipulation
of tissue and entering the era of biologics.”
MEET R
OBERT M
ILLER, DDS, a
pio
ne
eri
ng
de
nti
st w
ho
de
plo
ys t
he
la
test
tech
no
log
y to
im
pro
ve h
is p
ract
ice
of
imp
lan
tolo
gy
an
d i
s o
fte
n s
ee
n e
du
cati
ng
fe
llo
w
de
nti
sts
fro
m t
he
po
diu
m a
t la
ser
an
d i
mp
lan
t co
nfe
ren
ces
wo
rld
wid
e.
SP
OT
LIG
HT
SP
OT
LIG
HT
INTRODUCIN
G THEODORE M
AIM
AN
THE FATHER O
F M
ODERN
LASERS IN D
ENTISTRY
THEODORE M
AIM
AN
may
no
t b
e a
ho
use
ho
ld n
am
e t
o m
ost
den
tist
s – b
ut
the
Am
eri
can
en
gin
eer
an
d p
hys
icis
t is
cre
dit
ed
wit
h t
he i
nve
nti
on
of
the "
rst
wo
rkin
g l
ase
r.
His
tra
ilb
lazi
ng
wo
rk l
ed
to
th
e 1
96
0
bre
akt
hro
ugh
desi
gn
of
a s
ynth
eti
c ru
by
crys
tal
that
em
itte
d t
he "
rst-
eve
r in
stan
ce
of
coh
ere
nt
ligh
t, w
ith
rays
all
th
e s
am
e
wave
len
gth
an
d f
ull
y in
ph
ase
.
Maim
an
was
bo
rn i
n L
os
An
gele
s, C
ali
f.
Aft
er
serv
ing in
th
e n
avy
at
the e
nd
of W
orl
d
Wa
r II
, h
e b
eg
an
his
co
lle
gia
te j
ou
rne
y,
earn
ing a
n u
nd
erg
rad
uate
degre
e f
rom
Un
ivers
ity
of
Co
lora
do
. H
e t
hen
pu
rsu
ed
gra
du
ate
stu
die
s, c
ap
pin
g a
fo
ur-
year
run
at
Sta
nfo
rd w
he
re h
e e
arn
ed
a m
aste
r’s
of
scie
nce
in
Ele
ctri
cal
En
gin
eeri
ng a
nd
a P
hD
in
Ph
ysic
s.
Fro
m 1
955 t
o 1
958 h
e w
ork
ed
fo
r H
ugh
es
Rese
arc
h L
ab
ora
tori
es
in C
ali
forn
ia, w
here
he l
ed
th
e r
ub
y M
AS
ER
desi
gn
pro
ject
fo
r
the
U.S
. A
rmy
Sig
na
l C
orp
s. H
is t
ask
?
Red
uci
ng a
2.5
to
n c
ryo
gen
ic d
evi
ce t
o 4
po
un
ds
wh
ile i
mp
rovi
ng i
ts p
erf
orm
an
ce.
In 1
958, w
hil
e M
aim
an
was
stil
l w
ork
ing
at
Hu
gh
es,
a g
rou
p s
cien
tist
s w
ho
had
been
fo
cusi
ng o
n f
urt
her
MA
SE
R i
nn
ova
tio
n
pu
bli
shed
a p
ap
er
that
do
cum
en
ted
a n
ew
typ
e o
f sy
stem
usi
ng p
ota
ssiu
m v
ap
or
exc
ited
by
a p
ota
ssiu
m l
am
p.
Maim
an
’s i
ngen
uit
y an
d s
ucc
ess
wit
h h
is
MA
SE
R p
roje
ct s
et
him
up
to
ob
tain
fu
nd
ing
in 1
95
9 t
o s
up
po
rt a
re
sea
rch
pro
ject
on
a
ne
w “
LA
SE
R”
de
vice
. M
aim
an
re
ceiv
ed
$50,0
00 o
f go
vern
men
t b
ack
ing t
o d
eve
lop
his
ow
n s
oli
d-s
tate
LA
SE
R d
esi
gn
. M
aim
an
’s
new
lase
r re
qu
ired
th
e f
ab
rica
tio
n o
f a
syn
theti
c ru
by
crys
tal
wh
ich
wo
uld
be
use
d a
s th
e l
igh
t so
urc
e i
n l
ieu
of
a
po
tass
ium
lam
p. Fell
ow
sci
en
tist
s d
isco
un
t-
ed
Maim
an
’s e
ffo
rts
an
d d
id n
ot
beli
eve
he
wo
uld
be s
ucc
ess
ful.
Late
r th
at
year, h
ow
eve
r,
Maim
an
ast
on
ish
ed
his
cri
tics
an
d p
rove
d
the
m w
ron
g w
he
n h
e p
ub
lish
ed
his
inve
nti
on
an
d d
ocu
me
nte
d i
ts p
ract
ica
l
ap
pli
cati
on
s in
Nature
magazi
ne i
n l
ate
1959.
Eve
n t
ho
ugh
Maim
an
’s w
ork
did
no
t b
egin
in e
arn
est
on
his
ru
by
lase
r p
roje
ct u
nti
l
1959, h
e h
ad
been
"ll
ing n
ote
bo
oks
wit
h
sketc
hes
an
d i
deas
for
years
. H
is w
ork
focu
se
d o
n m
ovin
g t
he
mic
row
ave
fre
-
qu
en
cy o
f M
AS
ER
S u
p t
he e
lect
rom
agn
eti
c
spect
rum
, w
hic
h r
eq
uir
ed
him
to
"n
d a
wo
rkab
le l
asi
ng m
ed
ium
an
d m
eth
od
of
exc
itati
on
an
d t
o d
esi
gn
th
e o
vera
ll s
yste
m
itse
lf. A
cco
rdin
g t
o r
eco
rds,
oth
er
majo
r
rese
arc
h g
rou
ps
at
IBM
, B
ell
Lab
s, M
IT,
West
ingh
ou
se, R
CA
an
d C
olu
mb
ia
Un
ivers
ity
were
als
o p
urs
uin
g s
imil
ar
lase
r p
roje
cts.
Tod
ay,
mo
re t
han
50 y
ears
late
r, M
aim
an
’s
wo
rk h
as
be
en
re
cog
niz
ed
as
on
e o
f th
e
mo
st i
mp
ort
an
t in
ven
tio
ns
of
the
la
st
10
0 y
ea
rs.
Ma
ny
aca
de
mic
co
mp
eti
tio
ns,
fou
nd
ati
on
s a
nd
oth
er
org
an
ize
d b
od
ies
cele
bra
te M
aim
an
’s i
nve
nti
on
on
an
an
nu
al
ba
sis
. In
fa
ct,
th
e 5
0th
an
niv
ers
ary
of
Ma
ima
n’s
in
ve
nti
on
is c
ele
bra
ted
as
Lase
rFest
wit
h n
um
ero
us
cele
bra
tory
eve
nts
staged
aro
un
d t
he w
orl
d b
y m
ajo
r sc
ien
ti"
c
an
d p
ho
ton
ics
org
an
izati
on
s.
Dr. M
aim
an
’s w
ork
has
had
a m
ajo
r im
pact
on
den
tist
ry, w
ith
lase
rs c
on
tin
uin
g t
o a
dva
nce
pati
en
t co
mfo
rt, m
inim
all
y in
vasi
ve s
urg
ery
an
d e
nh
an
ced
cli
nic
al
resu
lts.
WITH A
STRONG D
ESIR
E TO PROVE H
IS C
OLLEAGUES W
RONG,
a C
ali
forn
ia s
cien
tist
desi
gn
s a l
ase
r th
at
em
its
man
kin
d’s
"rs
t co
here
nt
ligh
t in
1960.
MA
IMA
N’S
VA
UL
T
1
JLAD F
ALL 2
014
2P
9P
16P
23P
30P
37P
44P
51P
58P
50P
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