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  • #3315 Reply

    etienne
    Spectator

    I had an interesting discussion with an orthodontist this morning concerning laser.

    1. Could anyone tell me what lasers are used for by othodontists at this time?

    2.He mentioned that under certain circumstances (adult ortho after tooth loss) it is difficult to close gaps where teeth had been lost. Apparently it seems as if the tissue “bunches up” (osseus as well as soft tissue?) which causes complications during treatment. As far as I understood this is more of a problem with adults and less so with kids. Any use for laser in this specific situation?
    Thanks very much
    Etienne

    #10130 Reply

    Glenn van As
    Spectator

    Hi Etienne…….here is a list. I will send some photos later this week…….to swamped right now. The list is off the top of my head.

    1. Exposure of soft tissue and hard tissue impactions of teeth. I use both hard and soft tissue lasers ALOT for this.
    2. Sulcular fibertomy after ortho.
    3. Frenum removals to close diastemas both with and without brackets depending on the age of the patient
    4. Gingivectomy for bracket placement on teeth and also when tissue is bunching up in places
    5. Apthous ulcers or traumatic ulcers due to the brackets

    There is five off the top of my head not even spending alot of time contemplating it.

    Hope that gets you started.

    Glenn

    #10129 Reply

    BNelson
    Spectator

    Hello,
    The orthodontists I know, and myself, often remove tissue between teeth that act as elastic bands to push teeth back appart after closing. This is most common with heavy frenum between front teeth. I used to do frenectomies with a scalpel and remove the tissue between the teeth as well. Now I use a laser and it is much less traumatic to the patient.

    Good luck!

    #10125 Reply

    etienne
    Spectator

    Hi Glenn
    Which wavelength would be most useful for an orthodontist in your opinion? I am wondering whether the expense would be justified. I know that you feel the same way but am a little concerned about people having to “find” work to justify the cost.
    Take care
    Etienne

    #10127 Reply

    etienne
    Spectator

    Hi Bruce
    I was wondering, from my discussion with this guy it sounds to me as the remodelling potential of adults is not the same as in kids, therefore the complication? If this is the case, could laser not be used to stimulate the tissue and hopefully obtain a “natural” closure of these spaces? I am just thinking out loud here…Am I completely on the wrong track?
    Take care
    Etienne

    #10131 Reply

    Glenn van As
    Spectator

    I think that Diodes are the most cost effective soft tissue laser for orthodontists to use.

    NdYAG is better for perio I believe in my heart. But for cutting soft tissue , a diode laser is really best for the orthodontic community.

    Hope that helps

    Glenn

    PS I have some photos to share one day when I get around to it.

    Just so swamped these days.

    #10128 Reply

    etienne
    Spectator

    Thanks Glenn
    Photos would be appreciated when you get round to it!
    Take care
    Etienne

    #10126 Reply

    etienne
    Spectator

    Hi All
    Further regarding lasers for ortho…I saw a patient last week that had a surgical mid-palatine expansion done as part of his ortho treatment. Unfortunately, he has had some bone loss associated with this procedure with associated loss of the papilla. Has anybody any experience regarding generating bone growth in such a situation? Any thoughts at all about it?
    Thanks very much
    Etienne

    #10132 Reply

    webpiter
    Spectator

    Today’s orthodontic patients are interested in more than just straight teeth. They know that what makes a good smile become great is having ideal gingival contours (shape and size of the gums), well-proportioned teeth and facial balance. The diode laser is one tool that allows us to optimize and improve our patient’s smiles. These lasers are comfortable, safe and very effective. The procedure is done with a strong topical anesthetic, so there are no shots needed!

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