Non-surgical pathology that may respond to PBM therapy include TMJDS, trigeminal neuralgia, oral mucositis, myofacial pain syndrome, herpetic lesions, post-surgery pain management.
Lasers have the capacity to change tissue and cellular physiology promoting good quality healing and repair. Also lasers can have highly useful anti-inflammatory and analgesic applications. This offers very many clinical uses in daily and specialist practice as it provides a tool to optimise the outcome whilst minimising the patients post operative discomfort. PBMT is a science and evidence based treatment modality and offers an indispensable aid to assist in the management and resolution of many clinical situations
The interior anatomy of a root canal is highly complex and bacteria are able to gain access to the many lateral canals as well as the dentinal tubules. In consequence total disinfection via conventional tools is nearly impossible. Lasers have the capacity to distribute irrigant solutions to areas which are normally not reached and offer the possibility of true disinfection at depth within the dentinal and especially apical tissues. In addition: laser assisted endodontic surgery minimises surgical trauma and optimises good quality post operative healing with the minimum of patient discomfort
Biofilm has the capacity to reform rapidly after conventional disruption and it is difficult to eradicate in many patients. Lasers can be used to perform selective micro surgery to re-move the diseased layers of tissues. In addition: lasers are able to selectively promote the resolution of inflammation and promote healing. For the management of many periodontal clinical situations the adjunctive use of lasers have proven of great benefit to patient care: repair, excellent stable results and even some regeneration of tissues
Regrettably peri-implanittis is posing an increasing problem in clinical practice. Once es-tablished the biofilm is impossible to eradicate from an infected surface without removing the threads. However lasers are able to safely remove the biofilm and restore the implant surface to one which is biocompatible to bone regeneration. Also: used as a surgical tool lasers optimise the biological capacity of the tissues to repair and are a highly useful tool in minimising surgical trauma whilst stimulating excellent healing and repair.
To achieve excellent aesthetic results the ability to manage alveolar crestal bone and soft tissues is essential. One of the major benefits of oral laser use is the ability to manage hard and soft tissues in a minimally invasive and atraumatic process. Patient trauma is greatly reduced in comparison to the routine use of flap surgery or gingival soft tissue sur-gery by means of a scalpel or an electrosurgery unit
Erbium lasers are superb tools for surgery as they can safely cut hard and soft tissues with excellent haemostasis and the minimum of tissue damage. In addition: lasers improve the biological capacity of the tissues to heal, repair and regenerate . Post operative healing is superb and the patient experience is unparalleled as there is very little post operative pain and swelling by comparison to the normal surgical approach.
