Waterlase iPlus & MD Dental Lasers
Heat, vibration and pressure are the primary causes of pain associated with the use of the traditional dental drill. Since cutting
both hard and soft tissues (teeth and gums) with the Waterlase® does not generate heat, vibration or pressure,
many dental procedures can be performed with fewer shots, less need for anesthesia, less use of the drill and
fewer numb lips! Additionally, using the Waterlase® for gum procedures reduces bleeding, post-operative pain,
swelling and the need for pain medication in many cases.
Using our WaterlaseMD® we are able to remove tooth enamel decay (the
hardest substance in the body), bone and gum tissue precisely while leaving surrounding areas unaffected. This
conserves and allows you to keep more of the healthy tooth structure.
High speed drills can cause hairline cracks and fractures in the teeth that
eventually lead to future dental problems. Waterlase® reduces damage to healthy portions of the tooth and minimizes
Waterlase® cavity preparations can increase bond strength of tooth-colored
restoration resulting in longer lasting fillings.
LESS BLEEDING AND
Due to its conservative, gentle cutting action and coagulating capabilities, the
Waterlase® performs many soft tissue (gum) procedures with little or no bleeding and less post-op
FEWER DENTAL VISITS
Since you often do not need shots or anesthesia, with WaterlaseMD® we can perform cavity preps in all areas of
the mouth in just one visit. This technology also gives trained Waterlase® dentists the ability to perform many
procedures that were previously referred to specialists.
The Waterlase® is extremely versatile. It can be used for a wide range of hard and soft tissue procedures.
From decay removal, cavity preparation, root canals, smile design, gum and bone surgical procedures and many
What is Hydrokinetic technology?
The Hydrokinetic process is the removal of tissues with YSGG laser-energized
water droplets. Hydrokinetic energy is produced by combining a spray of atomized water with laser energy. The
resulting Hydrokinetic energy gently and precisely removes a wide range of human tissue including tooth enamel
(the hardest substance in the body), and soft tissue (gum tissue) with no heat and no pain in most
What are the benefits of the
- Heat and vibration are the causes of most of the pain associated with the drill. Since Hydrokinetic cutting
does not transmit heat or vibration, MOST DENTAL PROCEDURES CAN BE PERFORMED WITH NO PAIN, VIRTUALLY
ELIMINATING THE NEED FOR ANESTHESIA IN MOST CASES.
- The laser's pinpoint accuracy is precise enough that your dentist can leave behind as much healthy tooth
structure as possible, allowing you to keep your own teeth longer.
- Effectively performs numerous soft tissue (gums) procedures with little or no bleeding. The laser gives
your dentist a new high-tech tool for many procedures that previously required referral to a specialist. Now
you can have them performed during your scheduled appointment.
- Avoids many common problems of the high speed drill, including cracks in the teeth from the vibration and
rapid turning of the drill burs which can weaken your teeth, creating future problems. The laser sterilizes as
it cuts, leaving less chance for bacterial contamination.
- The WaterlaseMD™ prepares your teeth in a way that maximizes the bonding of tooth colored fillings,
allowing them to last longer.
Waterlase™ vs. Drill
The high speed dental drill may cause a smear layer, a layer of dead organic material. The Waterlase™ creates
cuts with NO smear layer, providing a better surface for bonding, and allowing your filling to last longer.
Is the Laser Safe?
In the hands of Dr. Rosenberg, the WaterlaseMD™ is as safe as other medical devices. With it's 2 mm active range
from the tip, the laser provides pinpoint accuracy, reducing the chance of causing damage to healthy tissues. The
primary safety measure necessary during laser treatment is proper protective glasses.
What are the uses of Waterlase iPlus & MD™?
- Decay Removal
- Cavity Preparation
- Reshape "gummy" smiles
- General soft tissue procedures
- General dentistry for enamel and dentin
- Avoid being "numbed"
- Avoid the shot and pain
- Treat Aphthous Ulcers (AKA "Canker Sores")
- Treat Herpes "Cold Sores" on the Lips and Gums
Deep Pocket Therapy with New
Attachment™ using the Waterlase iPlus or MD™ and Radial Firing Perio Tip™
The Radial Firing Tip
The Root, Gingiva and Radial Firing Tip Radial Firing Tip Action Enlarged
In areas of periodontal
pocketing deeper than 4 or 5 mm, we understand that the bacterial mix shifts toward more anaerobic
bacteria since less oxygen can get into the deeper pocket between the gingiva (gum) and the tooth
root. The epithelium attachment to the tooth has also migrated down and the root surface is
contaminated with bacteria, their waste products and hardened calculus that strongly adhere to the
root surface and prevent the gum from attaching to the root. This inflammation of the gingiva leads
to less healing and more resorbtion of the bone that supports the tooth with the results that the
pockets get deeper with time, along with more bone loss, tooth mobility and ultimately loss of the
tooth from periodontal disease.
The Protocol used:
Measure the pockets with a periodontal probe and review xray images of the area.
Use conventional hand scalers and ultrasonic scalers to remove as much calculus (hard
tartar) from the tooth and roots as possible.
The radial firing periodontal tips with the Waterlase MD is introduced into the
periodontal pocket and, with a sweeping motion, the base of the pocket is sterilized
(the laser activates and vaporizes tiny areas of water and since the bacteria are
mostly water they individually explode) and the waste products are flushed out at the
same time by the gentle flow of water and air.
As the sweeping motion is continued and the tip is slowly withdrawn the infected
epithelium lining is dissolved on the tissue side of the pocket and the root is
cleansed of calculus, bacteria and their toxins.
In order to prevent re-epithelialization of the pocket wall, the surface epithelium of
the gingiva is laser de-epithelialized for 3-4 mm.
procedure is sometimes combined with Localized Antibiotic Therapy in the form of
placing Arestin (minocycline 1 mg of microspheres) into the treated periodontal
pocket to ensure prolonged anti-bacterial effect and induce soft tissue adherence to
the cleansed tooth root and filling of the periodontal defect with
The bite is evaluated to reduce any local trauma from the occlusion (bite).
The use the Biolase
Waterlase MD laser combined with Arestin placement with more advanced
periodontal pockets in this combined approach:
trauma to the healthy tissue,
the height of the tissue around teeth,
pain and discomfort to the patient,
closure of the periodontal pocket wound and,
more rapid healing to take place than with open flap periodontal surgery.
Deep Pocket Therapy (DPT) with New Attachment™ using the Waterlase iPlus or MD™
laser and patented Radial Firing Perio Tip™ (RFPT) is a minimally invasive, FDA-cleared, therapy for moderate
to advanced gum disease that promotes cementum-mediated periodontal ligament new-attachment to the root
surface in the absence of long junctional epithelium.
The YSGG laser energy of the Waterlase MD is especially effective for minimally invasive removal of
both subgingival inflamed tissue and calculus deposits, to prepare the pocket and surface of the tooth for healing
and new attachment. The Waterlase MD has FDA clearance for both of these indications.