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International Magazine of Laser Dentistry Editor: Prof issn 2193-4665 august 2013 laser international magazine of laser dentistry Editor: Prof. Dr Andreas Braun, DDS, PhD, Chief Consultant, Department of Operative Dentistry and Endodontology, Philipps-University Marburg SIROLaser Factbook—Clinical articles about SIROLaser Advance and Xtend applications - Periodontology - Endodontics - Surgery - Miscellaneous User reports laser 02 I international magazine of laser dentistry GREETING Dear colleagues, Prof. Dr Roland Frankenberger As the President of the German Society of Conservative has significantly eased. I am very happy to say that Prof. Dentistry (Deutsche Gesellschaft für Zahnerhaltung; DGZ), Dr Andreas Braun, an internationally recognized scientist I am delighted to have the opportunity of writing a small fore - from the area of “laser dentistry”, is part of my team. This word for this edition. has almost turned us in the conservative dentistry branch in Marburg into a “laser department”. Let me be honest: For years, “laser dentistry” was a dou - ble-edged sword. On the one hand, there are few instru - This journal shows you the possibilities and the limits of a ments that symbolize modernity and innovation in the field of 970 nm laser in the field of dentistry. As a dentist in conser - dentistry more than the laser. When patients see the bright vative dentistry, I am particularly happy about the fact that a yellow sign outside the treatment room stating “Caution— great number of interesting aspects of daily work is revealed Laser in Use”, they immediately know that the practice and that the topic ‘laser’ is conveyed objectively, but with does not work with outdated instruments or “lightsabers”. enthusiasm. Sometimes, however, the “laser world” seemed to be slightly strange to me because you belonged to a sworn society, I hope you enjoy reading this issue. which, admittedly, sometimes promised more than it was able to keep. In 1992, during a presentation, I heard for the With kind regards, first time that, thanks to lasers, we would no longer have to pick up a curette for periodontal treatment. In addition to that, for decades, laser systems were simply too expensive. That has changed completely. Nowadays, “laser den - tistry” is scientifically recognized, our study group publishes articles, e.g. in top journals such as “Lasers in Medical Science”. Compared to earlier years, the financial situation Prof. Dr Roland Frankenberger laser international magazine of laser dentistry I 03 laser 04 I international magazine of laser dentistry Dear colleagues, Prof. Dr Andreas Braun Ongoing research means that all medical disciplines are indicative laser system for dentistry therefore remains, for the subject to continuous change. As such, new findings and treat - time being at least, unfulfilled. However, the latest research ment strategies in the field of dentistry can and should also be results are promising. integrated into efficient treatment concepts which meet the needs of contemporary dental care. However, it should not be The 970 nm diode laser which is the focus of this issue assumed today that the findings from yesterday are no longer covers a wide range of dental indications. These include inci - valid and that the latest therapy methods are inevitably better. sions/excisions as part of gingivectomy, gingivoplasty, implant Modern and patient-oriented treatment demands careful con - exposure and the removal of tissue changes (e.g., fibromas sideration based on the most recent research reports. and epulis). The coagulating, hemostatic effect is also used to advantage here. In light of the growing resistance to antibi - Systems based on laser technology are generally used for a otics, laser-induced germ reduction as a supporting measure wide range of dental treatments in the oral cavity. For example, for periodontal, peri-implant or endodontic treatment meas - the laser-based removal of caries is described. Since, in con - ures can restrict the adjunctive administration of medication trast to a conventional drill, there are no mechanical vibrations, with an antibiotic effect to cases which would otherwise be this kind of treatment is relatively pain-free compared to the tra - impossible to solve. Adjunctive treatment in the case of oral ditional treatment method. The laser also represents an alter - ulcers is also described and is linked to a reduction in pain native to the use of formocresol for pulpotomy in deciduous and accelerated healing. teeth. In terms of caries detection, fluorescence-based tech - niques involving either probe or camera systems have become The following articles describe the application and treat - established. With respect to endodontics, both thermal and ment options when using a 970 nm laser for dentistry. The ar - non-thermal laser-based treatment techniques are employed. ticles chosen cover both daily and less frequent dental treat - For example, more than 95 per cent of endodontic microor - ments and, in particular, focus on new treatment strategies ganisms can be eliminated via a correctly performed chemo - in combination with conventional techniques. The treatment mechanical root canal preparation. A combination of chemo - measures described may be a possible source of new ideas for mechanical treatment and laser application can, however, in day-to-day work at the practice and result in the closer inte - certain cases, result in an additional reduction of microorgan - gration of pioneering technology in our discipline. isms compared to conventional endodontic therapies. With kind regards, When considering the potential dental indications for laser technologies, it must also be taken into account that not all ap - plication areas can be covered by a single laser. This limitation is due to the fact that a number of different wavelengths are required for the specific therapeutic and diagnostic indica - tions; these wavelengths are absorbed to differing extents by the radiated tissue in each case. The wish for a truly multi- Prof. Dr Andreas Braun laser international magazine of laser dentistry I 05 Prof. Dr Andreas Braun Michael Krech Department of Operative Dentistry and Endodontology, Department of Operative Dentistry and Endodontology Medical Center for Dental, Oral and Maxillofacial Sciences, Medical Center for Dental, Oral and Maxillofacial Sciences, University of Marburg University of Marburg Georg-Voigt-Straße 3 Georg-Voigt-Straße 3 35039 Marburg, Germany 35039 Marburg, Germany Prof. Dr Roland Frankenberger Dr Michael Maier Department of Operative Dentistry and Endodontology, Dental office Medical Center for Dental, Oral and Maxillofacial Sciences, Sauerbruchstraße 48 University of Marburg 81377 Munich, Germany Georg-Voigt-Straße 3 35039 Marburg, Germany Dr Almut Marsch Dental office Jesko Gärtner Darmstädter Straße 26 Dental office and dental office for children 64625 Bensheim, Germany Wittener Straße 242 44803 Bochum, Germany Dr Matthias Johannes Roggendorf Department of Operative Dentistry and Endodontology Stefan Gottschalk Medical Center for Dental, Oral and Maxillofacial Sciences, Dental office University of Marburg Friedrich-Offermann-Straße 5 Georg-Voigt-Straße 3 51429 Bensberg, Germany 35039 Marburg, Germany Priv.-Doz. Dr habil. Friedhelm Heinemann Dr Tristan M. W. Schiele Dental office Dental office Im Hainsfeld 29 Andreasplatz 6 51597 Morsbach-Lichtenberg, Germany 76698 Ubstadt-Weiher, Germany Dr Bernhard Kirn Dr Simone Suppelt Dental office Dental office Schönbergstraße 3 Im Steingarten 1 79115 Freiburg im Breisgau, Germany 64665 Alsbach-Hähnlein, Germany Dr Alexander Krauße Dental office Hauptstraße 110 50996 Köln, Germany laser 06 I international magazine of laser dentistry CONTENT Greeting/Editorial 32 Dr Tristan M. W. Schiele 03 Prof. Dr Roland Frankenberger Therapy of the recurring epulis granulomatosa 05 Prof. Dr Andreas Braun 34 Dr Simone Suppelt The treatment of herpes labialis with a diode laser Clinical articles (970 nm)—a field study 08 Prof. Dr Andreas Braun 37 Dr Simone Suppelt Dr Matthias Johannes Roggendorf The application of diode laser (970 nm) in the treatment Prof. Dr Roland Frankenberger of aphthous ulcers Germ reduction during endodontic treatment of a geminated tooth with a 970 nm laser User reports 12 Prof. Dr Andreas Braun 41 Jesko Gärtner Dr Matthias Johannes Roggendorf Treatments without bothersome filing Prof. Dr Roland Frankenberger 43 Stefan Gottschalk Use of a 970 nm laser for removal of a retromolar mucous Using lasers to tackle periodontitis membrane change 46 Stefan Gottschalk 16 Jesko Gärtner Virtually no blood loss when treating periodontitis Pulpotomy and the treatment of dentin hypersensitivity 48 Dr Bernhard Kirn with a 970 nm diode laser Innovative aids for treating caries with CEREC restorations 22 Priv.-Doz. Dr habil. 50 Alexander Krauße Friedhelm Heinemann SIROLaser in the daily practice, a comparison between Prof. Dr Andreas Braun SIROLaser and its successor SIROLaser Advance The use of a 970 nm diode laser in implantology 54 Dr Michael Maier 28 Michael Krech Laser and CEREC: High-tech combination for optimal Prof. Dr Roland Frankenberger workflow Prof. Dr Andreas Braun 56 Dr Almut Marsch Use of a 970 nm laser for adjunctive periodontal therapy Diode lasers: Effective and economic of tooth 16 30 Dr Almut Marsch Use of a Diode Laser for Gingival Troughing in Conservative 06 Authors and Prosthetic Dentistry 27 Imprint laser international magazine of laser dentistry I 07 I clinical article Germ reduction during endodontic treatment of a geminated tooth with a 970 nm laser Prof.DrAndreasBraun
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