| Use of the 810 nm Diode ; Soft Tissue Management a and Orthodontic Application of Innovative. Technology David M, Sarver, DMD, MS* Inrovadve echnaones sich ste dose have prow conecyabie | Ove the bt set yest eft da points ond profession acing ecencutingot | ogy has helped dertal poessenas tise ad subsequent coagulant soft tive ar eances sue | argo the let of cae povied 12 aang and con rece pesoural campcatens Due ee comer» | ter pater. for arhadorte proce the rte of tesmantsccmptied with te ise ne tectnaegy «| eats loses oe rom beng used to sey wala eect procedure. The dod tr & aed noth | rhage gn! sft su fo sec ‘exec enhancer of he smi ond weve Marapeent cf sft | faihing ad sohe sues invoking ‘sue ues that pete efficent athodentenestent. scincl apm | ated tooth eupton, Ths advanced cation wal be usted ta sees of arhodote cases laser technology is sgnicanly ana fen imorvog the dean, es, ed over appearance of orhodonte ates ses, ule ako echoing ther chaiside exerinces. Orbe. lon interest ale eg as do rsa cease 2s 9 ret of bth thee colbert wth ets inter: ‘Slay teatmert ad at ote tl of arstered deny is ove ready weston by ortredotss. (One centamporry dena! ba the B10 nm ode ee ie, Ose" clr Viet, Ares, RO which ts nameroue benefits for onde ucatent. ts manageable nse ottrl top ares nce, ta pode cao greta the other doesnot news tothe tse. Ober wale of nvcce mecon singe othe lyse aoe ate ih Faw Thecriagaional ta die patent ts pacity breasted at teste of th ue sess and congas tpt. sn he open onthe ic where Since the 810 nm dade loser has cara sen Sen suc! mOOM "ngs ye oft bering test an afity for hemoglobin and rove Adon, pants 8 ot mcbnin, & more cent ad Cuidered wt the poturd seo" beter equpped Yo ates dpe ton of loc areas and pros sue peers" lenges ees The bgt egy wed bye The dde ier sepes and ade ase Worfors no hes cong athe sae tie fc” eangin the panto ot 2 ing mrt aso af eke Gocess ered a he shot ing erro ig, Heng alec The Soe sey cote food hoe ede petal Ther he mec te fo vieton Posapwae cma: the egy tote te The dee tor ae Minna and sues ate Ou tetae mats hs ergy tonacey Te doce fas an Sepa on iy Toe ats Siraylstnycfie, tentype- woven, the ciicanaeeded Certng damage tothe suourrg ergy au ch tated by Soneondenanelesandcrt adn edaines ote tae etme gure2 Mey otesrsscan tenn ‘006 Or te otodntet. Fath, eau, andthe ATES of an genrioarsaang he" those ecadvescanbe acon We gs ue” The aoe! srectaleotdy 0 agit pink anin ine vats” ergy ress he Wenge of she targeted sue, immediately effect ofthe 810 nm Laser resulting im a sequence of tissue on Soft Tissue reactions (eg wheh anges on Dera laser eomgy hasan afinty seaming ant weg to canyon or diferent sue components, The prteh dentralzaen, vapor, 210 om dnc bis, for wane, has dg, ang caonzaon depending feregr end navlength chores onthe amu of Det uid) aco that spacfealy get tesa tues, ing the space ee andunder te Inhas on aity fr hemancin and dct conv f the tngan* igure 2.x 1. One aoeTs estan acon ead entrant. They octonay ek ison aban te spaaton the che eres ofan este Of te tvs, whch teu an amie leg. Wel inca conow, Inson at sale Santana tight proprio, eo pote ya today ge). contacts gel cour Bgue 2) gue oy Pat aro ge Tiss of puma imparance tat gon be pecs coeed or Ser cernd wren meine becaeiwhot eas caret enhaied. withthe sot tue Mole 20 hast gaa imodiyst seria dette out rei The paent in Foue 3, fr ‘Wheres 219s! cus empha undergone oho tase ws ticlon the Sade let eae bu reds as sees 0 Wout Hp ergy tal rot ete anc be Teg Seteed in ee 8 corns of gal ets of the sete ttn puede When ued cn er ot eb, Which ited an uous mde, sot tse strbs anmete ste. Te ight cena Continous et, teey essing ncbr had a room gina sex so hper lve of eat. The mae an ase. gal ape he heat gee, he ae pope’ ele cent cer haa ft the doconfor may be peered ghl spe ad wer doptoparion. ty te port The puted made, se shor pie, The Gade tet gu The dato ws rower sors fr ert ook wah dt recon he sngd ee ae ma ng between pulses of eneray, sane figue 8; four weeks postop “abe ad ena tooth #8 was ma Tero, erst neue pocedes. erated he pte seh 89 {1 ths auers recmmerdrion icant impeved ue 6) Meese thatthe coder neal be ned hain pombe de fhe oe alow ponerstingteg, LOW tothe Teton ft er Re 86 BW arain te pulse mode thee a5 vetualy 0 bleing, the er surge eld enable the cae Use ofthe Diode Laser in ‘canto easy uae the mended Orthodontic Smile Design tase contour Cntodontiss fen fous on acs ‘oa, rane te eth nthe most fstnese potion possible, and then teasing isl edges at the end of gure 68 fur ese posers. ‘ee pra mee. The a Sie wos seca eared bythe Frenngconaurgoose|In othodonte sme design, the etd ued for trace place pends on he neds oF each inc vidual case, For accurate bracket acement however the entire crown Shoulda be vstle stn de, ‘oases compromised toch pepe ten rw erode bak poe ment oo so, the ersontst fst Irene the out of ie dey ‘when the patent ps are atest ard fail thease, eny 5 in of ‘he malay nceos were payed fer sl ce to deayed passive ‘erupion Figue 7. As a reat of "he gigi encroachment the ‘racket wouldhave had tobe pce ret elo te cater of the tooth (Foue 8, but tis woul rest in ‘2 nisin ana en es tooth sp. on smile. ter probing the fntenor teeth and tating into ‘accunt the biog wath twas Getermind that 2 gingnecomyign: verity using the 810 am doce [er would prance adequate coun exposure to. permit more ideal fradet placement (gure 9) Specialy, the patnt would gain Sin coun lens nd with no sna restalehment of te atch ‘tent apparatus would yield 2 en ‘em mince hight At the bracket placement apparent, the od ser 98 ed to remove the exces aga tissue The result wos a hamatc lcrece i own ace and delay thatenculd permit proper trove pact after te hse poceuie (Figees 10 and 1) he dd cana te edo fe ‘sh smiles in eho eaten, Suh a whon the patent has aspo- ortonste con with and hehe (fue 12, Te gngval mars of ‘he patents tera mcons were sight bbw the angha haghs of the cena nos a canines, One ‘westment option was to ehadon Colyer the era cre 0 the ‘ra margins more cosy apron ‘re the lth ad nett ad to pace pace veneers 1 reste ‘he lrg of the tooth The other option was tous the dose set to lenge he eran torre ‘oath pepation then 2 emeve the brackets and rebone tem, tee fru the arterer teth 10 more ‘eel match he re Fig 13). (nce the Odysey sft sue a was ed 10 lengthen the te ness (que 14) reaknment wat cere ted io enhance re eshetes ofthe Patents sme gue 15. Fig 16. ci Pron ee, Sere Notre Frpetore ake nd pate cea epee nee en oe Faure 17. he ero ge wee ‘Bees ne gona tare Foe suet ean enranen| gun 18 wets te a atmooe ro Management of Altered Teoth Eruption via Combined LaseriOrthodontic Therapy COrtnodentss are under constant presi on patents nl parents fo finn eaten in 2 manner fn uneraced beret oF the sot tive Laer the aly 12 onl tisve response due t0 poor orl Igiee ane 0 rerove ns ott ‘liane can acess dowly erupting of ee urate tet, ‘Wen oodorte pins do ot lw adequate gene Imers, the remo of orthodontic soplances may fesst a eged inercenalpoplle ad ong mar sre au 16, m2. sal non os epee Seesouree iar osama tn rf enone the nrg plac fom ths patent, the lr twas woe oss the ky tue, 2d aban eouced he buy pani oe and enone peutopaces fh fateg improves enna Fe 17). ‘en renting the eres gaa mags, th uta agan took ada tage ofthe ser recon tose the gigi! margins against the tooth nn thc, hese coed an meradate reponse ‘0 the laser and, apronvately four weeks postoperative, showed ‘xk ipeoveres (que 1. the past rthodonte west rent wos afer delved oF cont Promise by the incempicte or ate feruption of the tarot tea Paria eupted teeth can be of Paral concern when the nein ‘mast place onhodontc brakes ‘When toot wae parity erupted, dincan etter had twat fr he tooth to ert though the ase oF have 2 pellodantst rerese the tes bth of whieh a me 10 the eatment process wth the Siode nay, howe onhodontats ing tue (gues 19 through 23) Dee to the lasers ability 1 me _atly sa theicson wth bsg ‘al ese, the rakes cauld be aceon th patentinasingle vit ‘Additional Applications Soha kes cn be oe of the mact-uncamforabe condone onhadente sates einer, and these ules ean prong veatment There ae weanent aves, but ras of he ptons do rt imate the pan—they sey oer emprary feet The dase lef rng 2 lowe 2.4 ace as onde 2 ssiscnedio cma wih agcyng ses“ Sy eof fo seal aieert pce Soon ee ‘inter ote ae comeing tas nO is neste gat aigy eng 5 LI nen opin nereteanys | ance Figen, Awe checie Samal cuing te le of Stag enn Si TORENT Get eNotes SS “ noes ming space rere cond” aot le fey fier, bt te ae aso proving 2 Sew sy rr 2, oe comforadi patent experience, ‘cession Wh te dode ine, References Sptmone Tobe ke aot or oy ta he" rn a 9 i era hansceapes Pensae 2 Rest atures Seastmocetepantomtauce "gimmie! amor Seiad ada ond he Mt Bp “hayeen wt A ee ces ttesametaratmnae 3 eta te the treet ca Conclusion Sra Diode lases exe how crcl feeilegy sm mdm dey 2s dlniane ate becoring more ronledoabie about the Benelts of laser use in aap they ae groning Fig 730 orl 5 a, (he crore nat bean eed {at goto fore cae wte ,