Deep Pocket Therapy with New Attachment™ - Biolase

Deep Pocket Therapy
with New Attachment
using the Waterlase MD and Radial Firing Perio Tip
For minimally invasive removal of subgingival
inflamed tissue and calculus deposits.

Periodontists using the ysgg Waterlase
are achieving marked success in all the
periodontal indices.
NEw LitErAturE SupportS thE
EffECtivENESS of thE 2,780 Nm YSGG
wAvELENGth iN thE trEAtmENt of
pErioDoNtAL DiSEASE.
Published and soon-to-be published data indicate that
Er,Cr:YSGG minimally invasive surgical periodontal
laser therapy using the Waterlase MD “led to
significant improvements” in bleeding on probing,
probing depth, and “appeared to be advantageous
when compared to SRP alone, due to more efficient
attachment level restoration.” 6
CASE 1
Example of Minimally Invasive Deep Pocket Therapy utilizing the Waterlase MD
Courtesy of Bret Dyer, DDS, MS, Private Periodontal Practice, Sugar Land, TX
Pre-OP
1 YeAr
2 YeArS
3 YeArS
4 YeArS
Pre-OP
4 YeArS
Pre-OP
1 YeAr
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3 YeArS
4 YeArS
8 9 10 11 12 13
6 3 8
3 2 3
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8
7 6 6
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3 2 3
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3 2 3
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6 6 5
3 2 3
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8 6 5
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5 7 5
3 2 3
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5 4 4
3 2 3
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3 2 3
9 10 11 12 13
7 7 5
3 2 3
3 2 3
3 2 3
3 2 3
8 9 10 11 12 13
CASE 2
Post-op Histology of a Site-specific Perio (SSP) Treatment utilizing the Er,Cr:YSGG Waterlase MD
laser. Courtesy of Andreas Moritz, MD, DDS, PhD, Dental School, Medical University of Vienna
A Root Surface
B Cementum
C Periodontal Ligament
D Old Bone
E New Bone

“Deep Pocket Therapy is a highly effective, more
aesthetic and more comfortable alternative to
traditional surgical procedures for my patients.”
Bret Dyer, Periodontist
Sugar Land, TX
Deep Pocket Therapy (DPT) with New Attachment using the Waterlase 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.
The Waterlase MD will enhance your practice, distinguish you as a practitioner at the
forefront, and give patients and referring dentists a minimally invasive option for many
procedures. For enhanced clinical results, unmatched versatility, and technological
superiority, the Waterlase MD Turbo YSGG laser is the proven treatment choice.

The Total
Periodontal
Laser solution
Unlike most lasers historically used in periodontal therapy, the Waterlase
MD Turbo YSGG laser is a true all-tissue laser. It is indicated for use on soft
tissue, bone and tooth structures, making it extremely versatile.*
SurGErY
Most periodontal lasers cut tissue using heat. The Waterlase MD combines
YSGG laser energy and a patented spray of water (HydroPhotonics ) to
cut soft tissue and bone without heat, with benefits reported such as less
swelling and patient post-op sensitivity, for a better patient experience and
greater case acceptance.
In soft tissue mode, the 2,780 nm Er,Cr:YSGG Waterlase MD laser energy
penetrates into tissues to seal blood vessels as it cuts, providing excellent
hemostasis, which in turn provides you with a better field of vision during
surgery.
impLANtS
If you place implants, the Waterlase MD can improve your productivity
through a range of related applications:
• Creating ideal emergence profile
• Bone resection
• Osteotomy
• Implant recovery
oSSEouS CrowN LENGthENiNG for SAmE DAY rEfErrALS
The minimally invasive nature of the Waterlase MD YSGG laser can help
minimize tissue displacement and flap preparation in osseous crown
lengthening. It assists in performing an externally beveled gingivectomy,
shaping the free gingival margin, troughing, and recontouring and
smoothing bone. 4
*FDA 510(k) Clearances:
K011041, K013908, K030523, K083927 (new attachment) and K091746 (calculus removal)
Comprehensive Periodontal
Waterlase MD Training
Included
At Biolase, our goal is to help maximize the benefits of laser ownership
for you, your patients and practice. We include training specially
designed for Waterlase DPT and other applications with your
Waterlase MD Turbo laser.
A two-day course in Waterlase MD periodontal applications, conducted
by periodontists, is provided with your purchase of the laser.
• Case selection, diagnosis and
treatment planning
• Step-by-step treatment protocols,
including laser settings and laser
tip selection
• Debridement and removal of
subgingival inflamed tissue
and calculus deposits in the
periodontal pockets to promote
new attachment
• Open flap periodontal surgery,
including flap designs
• Gingivectomy and gingivoplasty
• Removal of granulation tissue
from bony defects (furcation)
• Frenectomy
• Soft-tissue ablation
(de-epithelialization)
• Root amputation
• Reverse vestibuloplasty
• Bone resection
• Osseous cutting and contouring
• Osseous periodontal surgery,
including bone resection
View a recorded online seminar on Lasers in Periodontics with Bret Dyer, DDS, MS,
Private Periodontal Practice, Sugar Land, TX; and on Lasers in Oral Surgery with Michael
Block, DMD, Private Oral Surgery Practice, Metarie LA at lasercast.biolase.net
Clinically &
Technically superior
by Design
The 2,780 nm Er,Cr:YSGG wavelength of the Waterlase MD was developed
exclusively by Biolase for its superior effectiveness on all tissues you encounter.
For ease of use, ergonomics, and performance it is the most technologically
advanced laser system in periodontics:
• Soft tissue mode for cutting soft tissue with excellent hemostasis
• Hard tissue mode for cutting bone without thermal damage
• Contra-angle, 360° rotatable handpiece for superior comfort and access to
all areas of the oral cavity
• MD Gold handpiece for accurate micro-surgical procedures and the MD
Turbo handpiece for increased efficiency when cutting hard and soft tissues
• Ultra-bright, shadow-free illumination and red aiming beam enhance
visibility and tractability in the surgical field
thE rADiAL firiNG pErio tip Our patented Radial Firing Perio Tip (RFPT) is superior to tips traditionally used
by laser systems for periodontal therapy. The 14-mm long RFPT is based on
Biolase’s patented Endolase tips but features a unique design that precisely
tapers the end of the 500µm diameter tip. The result is primary radial emission
of laser energy with a portion of straight emission, and better access to the
narrow part of the periodontal pocket since the tip has no side edges.
Compared to most tips (and fibers) that only emit straight laser energy, the
RFPT’s radial energy provides more efficient irradiation of diseased or inflamed
soft tissue as well as calculus deposits and is advantageous in treating
moderate to advanced periodontal disease. And by decreasing the amount
of straight energy emission, potential damage to the periodontal ligament is
reduced when the tip is used vertically.
Additionally, we also offer the most comprehensive selection of traditional
straight firing tips for periodontal surgery, implant recovery, and osseous crown
lengthening, to help you treat all of your patients’ needs.
www.Biolase.com

1. Arnabat-Dominquez J, Bragado-Novel M, et al. Advantages and esthetic results of erbium,
chromium:yttrium-scandium-gallium-garnet laser application in second-stage implant surgery in patients
with insufficient gingival attachment: A report of three cases. Lasers Med Sci, 2009 Sept 11.
2. Arnabat J, Escribano C, et al. Bactericidal activity of erbium, chromium:yttrium-scandium-gallium-garnet
laser in root canals. Lasers Med Sci, 2009 Jun 23.
3. Azzeh MM. Er,CR:YSGG laser-assisted surgical treatment of peri-implantitis with 1-year reentry and
18-month follow-up. J Periodontol 2008 Oct; 79(10): 2000-5.
4. Dyer B, Minimally invasive osseous crown-lengthening procedure using an erbium laser: clinical case and
procedure report. J Cos Dent 2008; 23(4):72-78
5. Hakki SS, Berk G, Dundar N, Saglam M, Berk N. Effects of root planning procedures with hand instrument
or erbium, chromium:yttrium-scandium-gallium-garnet laser irradiation on the root surfaces: a
comparative scanning electron microscope study. Lasers Med Sci, 2009 Feb.
6. Kelbauskiene S, Maciulskiene V, A pilot study of Er,Cr:YSGG laser therapy used as an adjunct to scaling
and root planing in patients with early and moderate periodontitis; Stomatologija 2007; 9(1):21-6.
7. Kimura Y, Yu DG, et al., Effects of erbium,chromium:YSGG laser irradiation on canine mandibular bone. J
Periodontol 2001 Sep;72(9):1178-82.
8. Lee C, Procurement of Autogenous Bone from the Mandibular Ramus with Simultaneous Third-Molar
Removal for Bone Grafting Using the Er,Cr:YSGG Laser: A Preliminary Report; J Oral Implantol 2005 Feb;
31(1):32-38.
9. Miller R, Treatment of the contaminated implant surface using the Er,Cr:YSGG laser. Implant Dentistry
2004 Jun; 13(2):165-70.
10. Rizoiu I, Eversole L, et al., Effects of an Erbium, chromium: yitrium, scandium, gallium, garnet laser on
mucocutaneous soft tissues. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82:386-95.
11. Schoop U, Kluger W, et al., Bactericidal effect of different laser systems in the deep layers of dentin.,
Lasers Surg Med 2004;35(2):111-6.
12. Soares F, et al Gingival overgrowth in a child with arthrogryposis treated with a Er;Cr: YSGG Laser: A Case
Report. Pediatr Dent 2009;31:8-13.
13. Sun SP, Pan YP, Zhang DM, Zou B. Morphological study and Ca/P ration analysis of Er,Cr:YSGG laser
irradiation on periodontal diseased root surfaces. Hua XI Kou Qiang Yi Xue Za Zhi 2006 Oct; 24(5):444-6.
14. Ting CC, Fukuda M, et al., Effects of Er,Cr:YSGG laser irradiation on the root surface: morphologic analysis
and efficiency of calculus removal; J Periodontol.; 78(11):2156-64.
15. Wang X, Ishizaki NT, et al., Morphological changes of bovine mandibular bone irradiated by Er,Cr:YSGG
laser: an in vitro study. J Clin Laser Med Surg 2002 Oct;20(5):245-50.
USA
Biolase Technology, Inc.
4 Cromwell
Irvine, CA 92618
949.361.1200
Europe
MT Promedt Consulting GmbH
Altenhofstrasse 80
D-66386 St. Ingbert/Germany
+49 6894 581020
www.mt-procons.com
The Biolase
Total Solution
Clinical
R+D
About
Biolase.
Founded in 1986, Biolase Technology, Inc., specializes in lasers for medicine
and dentistry that feature proprietary and patented technologies for
reducing pain and improving clinical results.
Only Biolase combines the leading laser technology – continuously improved
through ongoing clinical R&D and engineering – with unmatched training,
practice integration support and service.
Biolase leads the global dental laser market with over 12,000 lasers in use
today and the most complete family of dental lasers – from diode lasers to
the most advanced soft- and hard-tissue laser, the Waterlase MD Turbo.
The most complete family of dental laser solutions, to match the needs of
you and your patients perfectly as you expand your laser applications:
The Personal Laser, for everyday
soft-tissue procedures.
The Total Diode Solution , including
whitening and temporary pain relief.
Economical, entry-level soft and hard
tissue laser for common restorative
and pediatric procedures.
Best-of class soft and hard tissue laser
for common and advanced restorative,
periodontics, endodontics, cosmetic,
surgical and pediatric procedures.
WaterlaseDentistry.com
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Deep Pocket Therapy with
New Attachment, and
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