Apply a low-power laser to the gums of the tooth. Laser treatment of dental caries - how effective, safe and painless the procedure is. Tooth cyst treatment

The CO 2 laser used in dentistry dates back to 1968, which was first used in soft tissue surgery. Although only in the mid-eighties, the creation of laser dental treatment related to the healing of tissues with a solid base began. Currently, this method of treatment has gained popularity in various applications of the surgical method.

Laser types

These therapies have electromagnetic and low energy radiation. The principles of the technology of influence on the object are applied in dosed radiation, depending on its type.

Argon - has the same beam length (488 nm) similar to a polymerization lamp. The application of this laser has superior hemostasis compared to conventional lamps.
Diode - having the magnitude of the beam range (792-130 nm) of study. Has the property of treating pigmented cells and has a hemostatic effect, promotes stimulating quality. The radiation passes under the polymer quartz, light - by the input of radiation, which improves the accessibility of work in an inconvenient place.
Nd: YAG Laser - neodymium laser in dentistry with a beam size (1064 nm) in water worse, but pigmented tissue is well absorbed.
The non-Ne laser helium-neon wave size (610-630 nm) has a photo-stimulation effect that is used in physiotherapy. This is a kind of laser that the patient can use with his own hand due to the fact that he is on sale.
CO2 laser - carbon dioxide beam size (10600 nm) has significant absorption, absorbs less in hydroxyapatite. It is applied on bone cells, to beware in cases of overheating of the bone and enamel. They are inferior to other systemic principles of application.
Erbium laser - the magnitude of this beam exposure (2940-2780 nm) with excellent absorption by hydroxyapatite. It is considered an innovation in laser systemic therapy and is used on the hard cells of the tooth. It has the property of being used for all diseases of the jaw.

The use of laser in dentistry

In the initial development of caries, the use of a laser is considered a favorable therapy. It removes tooth lesions without touching healthy enamel. Filling of wedge-shaped defects on the hard places of the tooth is considered a targeted method. To an excellent result of treatment and insensitivity of the operation, has reason to achieve in the use of periodontal - a logical operation.

In cases of odor from the mouth and bleeding gums, treatment is facilitated by laser treatment and photodynamic treatment with laser and algae. Also, a high-quality cure of periodontal tissue cells and enamel hardening. These drugs are used for any stitches when removing fibroids. The biopsy procedure is performed in a sterile manner; the required operation on the soft tissues is performed without blood. The treatment of the oral mucosa is successfully carried out:

Lichen planus (red).
Therapy for aphthous ulcers.
Hyperkeratosis.
Leukoplakia.

Also used in the use of dentures, the laser creates a precise micro lock for the crown, which helps not to grind the teeth in the neighborhood. Lasers allow you to find a place for implants and quick healing. Laser treatment is considered to be an effective technique in relation to traditional methods of therapy.

Indications

The use of treatment includes the following indications:

Carisogenic process - contributing to the damage to tooth enamel and dentin, which are removed without adversely affecting healthy tissues.
When bleeding from the gums.
With the treatment of periodontitis and pulpitis associated with the neutralization of root canals.
Get rid of bad breath, with the destruction of bacteria.
When the gums are strengthened, periodontal disease is irradiated to build up immunity.
When bleaching enamel.
In the case of a neoplasm on the cells of the dental tissue.
In the treatment of cysts for the effect of cleaning the bases of the channels of an unfavorable focus.
For the complete removal of sensations from hard tissues and the extension of implants.

Contraindications

Violation of the nervous system.
With strong sensitivity of tooth enamel.
Changes in the endocrine system.
Pathological diseases of the lungs, which are caused by infectious diseases and respiratory failure.
Diseases associated with the cardiovascular system.
Weak blood clotting.
A neoplasm that has a malignant appearance in the oral cavity and in the body.
The recovery period is due to the intervention of surgeons.

Diode laser in dentistry

Regardless of the saturation of the lasers used, the method of using a diode laser (Ka Vo GENTLE ray 980) is considered popular. Safety - this type is highly appreciated in recognition by European dentists, usually used in the field of:

surgery,
periodontics,
endodontics.

Although they are more in demand in surgical intervention. It has anti-inflammatory properties with bacteriostatic effects.

Diode laser in dentistry 7.0 W

The diode beam laser has application in significant procedures that were previously difficult to perform by surgeons associated with suturing, bleeding and similar negative consequences. Depends on the fact that the laser beams have waves of coherent monochromatic action, the beam length is (800-900 nm).

Also, the laser has a positive effect on soft tissue cells, where a small area of necrosis is contouring the cells. This is an opportunity to apply in the improvement of the smile contour, to prepare the teeth and to make an impression in one visit. This method is used in such traditional areas as:

Surgery - frenectopia, implant release, flap surgery, gingivectomy, tissue removal. With an infection of the mucous membrane, herpes, aphthae.
Endodontics - canal sterilization, pulpotomy.
Prosthetics - enlargement of the periodontal sulcus without retraction threads.
Periodontics - getting rid of the infected tissue area, decontamination of Pockets, gum formation, removal of marginal epitheliums.

Disease therapy

Caries therapy - this use is used in laser treatment in dentistry, takes place without any drilling, using a beam of low radiation power produces an effect on the affected area. This effect suppresses an increase in the autogenous environment and excludes microcracks and chips. This therapy has several stages:

establishing the diagnosis, studying the sensitivity and the method of treatment;
with the need to use an anesthetic;
cleansing plaque from a carious cavity;
knowledge of the length of the channels;
preparation of a carious area with a laser with a slow decrease in the beam power. High power is applied to the enamel, small when it approaches the pulp;
closure of dentin canals;
formed cavity by coating with an adhesive solution;
after which a seal is placed;
the last restoration of a part of the crown.

Granulomas - laser exposure is considered a conservative method without removing the affected area. The removal method proceeds in the same way as in the case of caries, in stages, they have the same properties of preparation and conduct of surgery. Relapse happens extremely rarely if you adhere to the prescribed rules:

It is necessary to frequently rinse the gum cavity with antiseptic solutions.
Do not consume food and water within 4 hours after the end of the procedure.

Periodontitis - these treatments are used at the first stage of development. The laser beam cuts the deposits on the neck of the tooth and disinfects the gum pocket and accumulated pathogenic viruses, preventing relapse. The operation is completely painless, the effect appears in 2 hours.

The price of treatment of species, laser

Dental laser treatment for children

According to dentists, children are a special contingent in dental treatment associated with the fact that the child is afraid at the sight of dental instruments. With the new method of laser therapy, the procedure is painless. At this time, therapy is gaining popularity among children and adults.

Laser dental treatment for children helps to solve a number of the following problems:

Disappearance of fear.
Reducing the duration of the procedure.
Preservation of the result for a longer time with painless manifestations in milk teeth.

At a young age, treatment has applications such as:

Teeth whitening.
Getting rid of pulpitis and caries.
Treatment of periodontal canals.
Getting rid of retention cysts.
A therapy for the treatment of aphthous symptoms.
Correction of the frenum of the tongue or lips.

Methods

There are four types of laser therapy:

Contact - in this case, the emitter is pressed against the surface of the problem area, which allows it to penetrate as deeply as possible into the tissue cells. It is used for photophoresis and has the properties of irradiation of alveolar holes and beginnings associated with pathology.
Non-contact - a gap is left (1-8 cm.), This method is not used more than this gap. It causes scattering and reflection of the beam. This technique is used for external irradiation of the infected focus, reducing edema and pain relief.
Stable - used with a minimum field (less than 1 cm) is used when the pathology corresponds to the beam wave diameter.
Labile - with significant and painful lesion of the focus. Has a method of applying point irradiation with movement throughout the nucleation site.

According to written reviews, people get the impression that painless laser dental treatment is the most effective way.

Laser dentistry is a fast, effective and sterile method of dental treatment that preserves healthy tissue and reduces postoperative discomfort. The laser method has proven itself well when exposed to the gums (treatment of periodontal disease), since bleeding is minimized.

Despite the high prices, laser dental treatment is popular with patients. Those who have already tried this method on themselves have radically changed their attitude towards visiting the dentist for the better.

Laser treatment has many benefits:

pronounced anti-inflammatory effect;
acceleration of wound healing during surgical interventions;
no bleeding;
fast tissue regeneration;
decrease in the permeability of the vascular walls;
elimination of increased sensitivity of the teeth;
when treating caries with a laser, microcracks do not remain on the enamel of the teeth;
has a neurotropic, analgesic, microrelaxing, bactericidal effect.

Laser treatment of teeth is actively used in dentistry "All ours!". You can make an appointment with the clinic right now.

Prices for laser dentistry

Laser dental treatment is safe and painless

Laser dentistry can prevent many negative consequences. Bloodless treatment, carried out with the least likelihood of infection, puts this method at the top of the bar in dental therapy.

at the initial stage of caries: the laser allows, without affecting healthy tissues, to remove the affected areas;
in the complex treatment of periodontal disease and other gum diseases: after the first laser treatment session, bleeding gums and unpleasant odors are eliminated;
when installing dentures: using a laser, you can create an accurate micro-lock for the crown, which will allow you not to grind adjacent teeth;
for the treatment of hypersensitivity of teeth: laser action increases the hardness of the enamel by 38%;
removal of a tooth cyst with a laser is a bloodless operation, fast healing, minimal risk of spreading purulent bacteria in the future.

Normal teeth Dental treatment The best laser dentistry clinics in Moscow: an overview

The laser has become an integral part of modern medicine, and dentistry is no exception. The laser beam has become a full-fledged medical instrument that is used both for therapeutic treatment and for operations. How much does laser dentistry cost in Moscow, the best clinics and their services - read about this in the review.

Briefly about laser dentistry

What are the reasons for the widespread use of laser devices in dental practice and the popularity of this technique among patients?

Painlessness, since when the surface is treated with a beam, the nerve endings are not affected.
No bleeding as the irritation of the blood vessels is minimal.
Damaged tissues are quickly restored, there are no scars, there is no need to suture.
Ensuring complete sterility, there is no need to use expensive antiseptics.
The rate of tissue recovery and regeneration increases, which is important, for example, during implantation.
Point effect: the beam does not affect healthy tissues, affecting only the sick.
The treatment is completely controlled by the doctor who can adjust the laser power.

The laser increases the rate of tissue repair and regeneration.

Different types of lasers are used to solve various problems. In dentistry, the following are most commonly used:

Argon, in which argon ions serve as an active medium. Its radiation is not able to interact with hard tissues, but is well absorbed by connective tissues, including pigment ones.
Diode also does not interact with hard tissues, but has a lower penetration depth in comparison with argon at a greater heat release. This ensures a higher level of coagulation.
Erbium a laser with a maximum wavelength that is used to process hard tissue.

Laser treatment can be used in several areas of dentistry:

Treatment of carious cavities, during which the hard tissues surrounding the cavity are not destroyed. On the contrary, they are compacted, due to which the cavity becomes wider. In addition, the laser kills bacteria and relieves inflammation.
, in which the laser activates the argon-containing compound applied to the teeth.
Curettage is the treatment of pockets formed on the gums, where food debris accumulates and bacteria multiply.
Removal of tartar, which is exfoliated under the influence of a laser, after which it is easily washed off.
Outpatient oral surgery, such as cutting the frenum. In this case, the laser beam seems to seal the vessels, so there is no bleeding.
Preparing the gingival margin before placing the denture.
Reducing inflammation, improving blood circulation in periodontitis, gingivitis and other inflammatory diseases.

There are few contraindications for laser dentistry: these are cancer, tuberculosis, some blood diseases, diabetes mellitus.

Review of the best clinics in Moscow

We list several clinics that patients consider leaders in the field of laser dentistry.

MVK Beauty Line

The center has three branches in the capital. Laser dentistry is one of the main areas of his activity. Among the techniques used, for example, the following:

Scanning for orthodontic treatment, which produces a digital 3D model of the jaw.
Dental treatment - cleaning of carious cavities.
Whitening.

The approximate cost is shown in the table (in dollars):

Clinic of laser medicine doctor Kolesnichenko

The laser is used in the treatment, restoration, whitening of teeth, the installation of prostheses and orthodontic structures.

The center applies the laser in the following directions:

Implantation: during the operation to install the implant, physiotherapy to accelerate osseointegration, to open the implant when installing the healing abutment.
Periodontics. The laser device is used in parallel with, due to which deposits are quickly removed. In addition, the technique of phytodynamic therapy is used. A chlorophyll-based preparation is applied to the diseased gums, releasing oxygen under the influence of a laser, which destroys diseased cells without damaging healthy ones.
Tooth-preserving techniques for periodontitis. These are de-epithelialization (removal of granulations from the gingival pockets) at the initial stages and tissue regeneration (opening the pocket for cleaning and insertion of an autoimplant).

In addition, laser technologies are used in the treatment, restoration, teeth whitening, prosthetics and orthodontic structures.

DentalJazz

The clinic uses the KaVo K.E.Y device, which can fully automate the treatment process. The device begins to work only at the moment when its head is directed at pathological tissues. In addition, its radiation has the property of stimulating the growth of bone tissue. The table shows the cost of some procedures for which the laser is used.

Center for Aesthetic Dentistry

The center offers the following prices for treatment:

The laser device Picasso is used, which is considered the most popular among dentists in different countries. Its distinctive characteristics are the presence of 8 programs, the ability to normalize blood circulation and stimulate local immunity.

I visited this clinic on a tip from my acquaintances, who assured me that they treat here using advanced equipment and that there will no longer be any terrible impressions from the doctors. I made an appointment with Elena Sergeevna Dronova. The doctor examined me and immediately offered to make a filling on carious teeth, the doctor immediately said that they would do it with a laser and painlessly. I am delighted! I treated 2 teeth and I plan to visit the office again, I want to do ultrasonic cleaning. I recommend this clinic to everyone. Competent and modern doctors work here!

Read more Hide

I did not visit the dentist for two years, it was impossible to escape with the baby in my arms. I chose “A.M. Dent ”, because the clinic is located next to my work. I thought I would have to treat everything, but I panicked in vain, the doctor found only two small holes. During the consultation, the dentist Asya Albekovna offered me laser treatment - a new method. It is not suitable for everyone, but as it turned out, in my case, the laser was just appropriate. I agreed. The doctor explained to me how the procedure would be carried out, set up the equipment - the clinic really has its own laser. As they explained to me, the laser is much more efficient than conventional and unpleasant drilling. I don't know how true this is, but there really was less discomfort. Well, the cost due to the laser, of course, turned out to be more expensive than I expected.

Read more Hide

Delighted with laser dental treatment at this clinic! I hate drilling, all this pain, terrible sounds and hellish torment when a nerve is touched. I learned about laser dentistry and immediately began to look for a clinic that offers this service, so I found “A.M. Dent ". Unlike a drill, the laser is really silent, there is no such feeling that you are picking out a tooth with all these creepy dental devices. So the doctor hardly touched me, I only felt how the filling was being placed - complete delight!

Read more Hide

I went here for treatment several times, at the last visit the doctor offered a new service - laser teeth whitening. I hadn’t heard of this before, it became interesting, because I have long wanted to whiten my teeth. The doctor spoke in great detail about the procedure, convinced that it was safe and effective, in general, I agreed. Everything went very quickly, the bottom line is that you are "guided" by a laser along the tooth, on which a special gel is applied. This brightens the enamel. The effect was indeed very good! The only thing is that after bleaching, you can neither tea nor coffee. But for the sake of beauty, you can be patient.

Read more Hide

In the blade “A.M. Dent "underwent laser whitening. The procedure itself is quick, takes place in 3 stages. After consulting a doctor, testing the sensitivity and evaluating the expected result, I was invited to the dental chair. A special mouth guard was inserted into the mouth, the paste was applied to the teeth, after which they were shone with a laser for 2-3 minutes. The rest 15 minutes you just sit and watch TV.))) Immediately after the procedure, I reached for the mirror. The yellow bloom is gone. There was no pain. It's hard then to live almost a week without tea and coffee, but everything is super! Doctor: Vadakhova Asya Albekovna

Read more Hide

I did laser teeth whitening at the AM Dent clinic. Everything went quickly and painlessly. When a young doctor entered the office (I did not remember his name), I immediately tensed. Go after university just now, inexperienced, suddenly "screw up". As a result, I was in vain nervous. First, the dentist consulted me. Showed pictures of my teeth "before" and the possible result. After we had discussed everything, they put on a special “mouth guard” for me. A protective gel was applied to the gum so as not to burn it with the drug and laser. The doctor applied a special preparation to the teeth themselves and began to process it with a laser. It didn't hurt, but I felt some discomfort. Unpleasant, but tolerant. After the laser treatment, I was left to sit for 10 minutes with my mouth open. After that, the remaining preparation was washed off with a protective gel and a mirror was served. To be honest, I expected it to be better. But as the specialist explained, my teeth are naturally dull and it is unrealistic to whiten them to the level of Hollywood actors. But the yellowness is gone, which is good news. The doctor warned that the sensitivity may increase and it is better to feed the tooth tissues with preparations with microelements (mainly calcium). I agreed. The procedure was similar to the first. The gel was applied to the teeth, the process was accelerated with a laser and left for 10 minutes, waiting. This did not affect the color of the teeth, the result was preserved. I did not feel any discomfort. Generally satisfied with the effect, better than aggressive cleaning.

Read more Hide

Dear Readers. Today we will discuss a very interesting issue - laser caries treatment. Now this service is offered in many cities of Russia, Ukraine, Belarus, Kazakhstan, Moldova and other states in the post-Soviet space. Over time, it is gaining popularity and there are quite objective reasons for this. This is the topic we are going to talk about today. How effective, safe and painless is the laser in the treatment of enamel and dentin caries?

If fear has large eyes, then fear of going to the dentist has large eyes. When we imagine the sound of a drill, goose bumps run through our skin. The desire to treat teeth disappears and does not appear until severe pain forces them to take this "extreme measure." But what if they can help you without the hassle of drilling? Is it real? Let's try to find out by listening, reading experts and people who themselves have gone through this procedure.

How is laser treatment performed?

If I tell you that modern dentists use erbium laser in their practice, it will hardly explain anything to you. In fact, its main advantage lies in the wavelength - only 2.78 microns. Only the tissues that need to be removed are heated, not the entire tooth.

How it works? Very simple. Banal physics. There is water in all tissues of the human body, including bones. Enamel and dentin are no exception. When a laser beam heats up this water, it instantly boils.

The tissues in which it was contained are immediately destroyed and they can only be washed off with water. The whole procedure goes exactly like this - the necessary areas are heated and cooled in order to prevent further destruction of healthy tissues.

Pros:

efficiency;
sterility;
less risk of complications;
physiotherapeutic effect of laser on dentin.

When a patient comes to a specialist, he must first carefully examine the oral cavity, damaged tooth / teeth, and clarify the diagnosis. After that, a treatment plan is established and agreed upon, according to which all subsequent actions will be carried out. Moreover, the doctor will need to obtain written consent from the client of the clinic for the laser procedure.

The device with which the operation is performed has the ability to accurately adjust the power. The denser the fabric, the more impact is required. Accordingly, the closer to the nerves, the more carefully the dentist has to work.

After the laser, a special adhesive is applied, which improves the adhesion of the filling to the tooth tissues. Further, the standard filling of the cleaned and prepared cavity is carried out.

Truth and myths

Laser treatment really has a lot of advantages. However, they are trying to present it to us in the form of a miraculous technique that saves from everything. The main argument in favor of a laser is painlessness. Is it really? Practice shows that everything depends on the circumstances. If the enamel is being processed, it doesn't hurt. But the dentin is penetrated with nerve endings coming from the pulp through small tubules. When they are heated, painful sensations are indispensable.

Another detail is the mandatory eye protection. Laser radiation can damage the retina. During work, the doctor and the patient wear special glasses.

The speed of work does not get higher. Moreover, more care is required than with a conventional bur.

If you need to get to a cavity covered with hard tissues, it is problematic to do it carefully with a laser. A similar situation arises in cases where the doctor needs to perform a bevel on the enamel. It is possible to do this with a laser, but it is longer and more difficult. Therefore, in most cases, you cannot do without a drill at all. After all, some operations can be performed only with its help.

Of course, doctors will not tell you about this for a known reason. After all, this is their, so to speak, bread. However, this does not mean that you need to completely forget about new technologies and return to the stone age of dentistry. It is simply not worth considering every technique as something cosmic.

Application of the laser method in children

Many are interested in whether this technique is suitable for children. Specialists have been actively using it in pediatric dentistry for several years. It helps to fight caries from the first stages of its appearance, and is also used to eliminate fissures and fight wedge-shaped defect.

There are many pluses. The most important thing is that the child is not afraid of the laser as much as the drills. If boron causes panic even in some adults, then the laser device is more likely to interest than frighten the baby.

In the process, usually no injections with anesthesia are given, which can cause allergic reactions in young patients.

According to statistics, the risk of complications after a laser is several times less. This is due to the fact that when the tissues are heated by the beam, bacteria are destroyed, which could remain in the cavity and lead to a relapse or complications. During operation, the zone and depth of exposure are precisely regulated. The doctor does not run the risk of harming healthy tissues.

One of the main problems with standard techniques is the risk of re-infection with the same bacteria. Often the tooth is filled, bringing an infection into the cavity. As a result, a "healthy" tooth begins to cause significant discomfort.

Price

Contrary to popular belief that laser treatment is expensive, I have found that it is not as scary as people think. In general, the price is quite reasonable. What do the rates depend on? Believe me - not only "from the greed of the director of the clinic." They are influenced by several factors:

time costs;
the complexity of the job;
the number of diseased teeth;
form of caries.

For example, in Moscow for the treatment of superficial caries you will be charged an average of one and a half thousand rubles, the average will cost from two to four thousand and up to five costs - to save a tooth with deep caries.