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Wesley Harris
Wesley Harris

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Lasers have various periodontal applications including calculus removal (Er: YAG, Er, Cr: YSGG lasers); soft tissue excision, incision and ablation; decontamination of root and implant surfaces; biostimulation; bacteria reduction; and osseous surgery. This paper reviews some of the major opportunities for using lasers in periodontal and implant specialty practices. The literature relating to the use of lasers for removal of the pocket epithelium, root conditioning, bacterial reduction and decontamination of infected implant surfaces is discussed, and a summary of the advantages and disadvantages of using lasers for periodontal treatment is provided.


Donald J. Coluzzi, DDS, a 1970 graduate of the University of Southern California School of Dentistry, is an Clinical Professor in the Department of Preventive and Restorative Dental Sciences at the University of California San Francisco School of Dentistry. He ran his own private practice of general dentistry in Redwood City, CA; and retired from it after 35 years. He is a life member of both the California Dental Association and the American Dental Association. He has served as a past president of the Academy of Laser Dentistry, received its Leon Goldman Award for Clinical Excellence, and is a past editor-in-chief of the Journal of Laser Dentistry. He has used dental lasers since early 1991 and holds Advanced Proficiency in Nd:YAG and Er:YAG wavelengths. He is a Fellow of the American College of Dentists, a University of California certified Dental Laser Educator, and is a member of Omicron Kappa Upsilon, the national dental honor society. He serves as a reviewer for several journals, and is a founding associate of Laser Education International. He recently received the outstanding faculty member award from the American College of Dentists. Dr. Coluzzi has presented about lasers worldwide, co-authored two textbooks, and published several peer-reviewed articles and book chapters.

Teeth that require endodontic treatment are often structurally compromised and this considerably complicates endodontic procedures. Therefore, pre-endodontic restoration is a key approach that dentists should consider for such teeth. This article discusses current concepts of pre-endodontic restoration, with a focus on adhesive restorative methods and surgical/orthodontic techniques, and provides a relevant decision-making flowchart.

The aim of this article is to provide an evidence-based overview of modern concepts of pre-endodontic restoration focusing on restorative techniques with bondable materials and surgical/orthodontic techniques that expose tooth tissue.

Laser dentistry is the latest advancement in dental technology. The lasers we use in laser dentistry at our practice are an alternative to the common hand-held scalpel. These lasers direct an invisible energy beam onto problem areas and allow us to efficiently treat gums. The benefit of laser dentistry is that they minimize the pain most often associated with dental procedures, meaning more comfort to our patients. Clinical studies show that approximately 96% of all patients require no anesthesia when lasers are being used during dental treatments. Dental lasers have been approved by the Food and Drug Administration and are safe for both adults and children.

Soft tissue lasers are used to safely remove soft tissue, such as excess gum tissue. The soft tissue laser can also be employed to destroy bacteria in gum pockets, preventing infection and allowing the tissue to return to a healthy state. The soft tissue laser enables the dentist to treat our patients with extreme accuracy and eliminates the need for most stitches.

The mission of the Phoenix College Center for Continuing Dental Education is to expand upon the scientific and professional knowledge of oral health care providers; by presenting quality continuing dental education courses that promote current concepts of practice and excellence in patient services.

This book provides information on the basic science and tissue interactions of dental lasers and documents the principal current clinical uses of lasers in every dental discipline. The applications of lasers in restorative dentistry, endodontics, dental implantology, pediatric dentistry, periodontal therapy, and soft tissue surgery are clearly described and illustrated. Information is also provided on laser-assisted multi-tissue management, covering procedures such as crown lengthening, gingival troughing, gingival recontouring, and depigmentation. The closing chapters look forward to the future of lasers in dentistry and the scope for their widespread use in everyday clinical practice.When used in addition to or instead of conventional instrumentation, lasers offer many unique patient benefits. Furthermore, research studies continue to reveal further potential clinical applications, and new laser wavelengths are being explored, developed, and delivered with highly specific power configurations to optimize laser-tissue interaction. This book will bring the reader up to date with the latest advances and will appeal to all with an interest in the application of lasers to the oral soft and/or hard tissues. DownloadNote: Only Dental member can download this ebook. Learn more here!

Results Five concepts relevant to the cell biology of AMD are as follows: (1)AMD involves aging changes plus additional pathological changes (ie, AMD isnot just an aging change); (2) in aging and AMD, oxidative stress causes retinalpigment epithelial (RPE) and, possibly, choriocapillaris injury; (3) in AMD(and perhaps in aging), RPE and, possibly, choriocapillaris injury resultsin a chronic inflammatory response within the Bruch membrane and the choroid;(4) in AMD, RPE and, possibly, choriocapillaris injury and inflammation leadto formation of an abnormal extracellular matrix (ECM), which causes altereddiffusion of nutrients to the retina and RPE, possibly precipitating furtherRPE and retinal damage; and (5) the abnormal ECM results in altered RPE-choriocapillarisbehavior leading ultimately to atrophy of the retina, RPE, and choriocapillarisand/or choroidal new vessel growth. In this sequence of events, both the environmentand multiple genes can alter a patient's susceptibility to AMD. Implicit inthis characterization of AMD pathogenesis is the concept that there is linearprogression from one stage of the disease to the next. This assumption maybe incorrect, and different biochemical pathways leading to geographic atrophyand/or choroidal new vessels may operate simultaneously.

Dr. Riccardo Poli studied dentistry (DDS) at the Faculty of Medicine and Surgery of University of Turin, Italy, and graduated in 1993.\nSince 1995 he maintains a Private Practice in Turin, Italy. His main work regards therapies of Endodontics, Prosthetic Dentistry, Oral Surgery and Laser Dentistry.\nFrom 1990 Dr. Poli attended many postgraduate University Courses (Endodontics, Periodontology, Medical Hypnosis, Conscious Sedation, Dental Management, Implantology, Prosthetic Dentistry, BLS, BLSD, PBLSD, ALS, LASER Dentistry).\n2006 MASTER in NLP.\n2013-2014 MSc in LASER Dentistry (University of Genoa, Italy).\n2016 Master in Legal and Forensic Dentistry (University G.Marconi, Rome Italy)\nSpeaker for University of Turin.\nFrom 2015 Member of Faculty of Medicine of Genoa, Italy (Department of Surgical Sciences and Integrated Diagnostics).\nHe is Professor a c. in Laser Dentistry (International Master in Laser Dentistry) at the University of Genoa, Italy. He published on several Italian and International scientific journals. In 2017 he was author of the chapter \u201cLaser Assisted Restorative Dentistry - Hard Tissue: Carious Lesion Removal and Tooth Preparation\" in the textbook \u201cLasers in Dentistry \u2013 Current Concepts\u201d by Coluzzi D and Parker S. (Pub. Springer). Speaker in National and International Courses.\nHe serves as referee in the peer-reviewed Journal Lasers in Medical Science - LIMS. Dr Poli is currently studying for a PhD at De Montfort University, Leicester UK.

Dr Cronshaw has used lasers in his daily clinical practice since 2005 and he maintains a busy private general practice in Cowes, UK. He was appointed a Professor a.c. at the University of Genoa 2014-2020 where he taught the level two masters in science course in oral laser applications and he lectures on oral laser applications Worldwide.

His clinical interests are in phototherapy, aesthetic dentistry, holistic dental care, minimally invasive dentistry as well as the application of laser therapy as an adjunct to tissue regeneration and pain management in periodontics and surgery.

Bachelor in dentistry. University ISCS-S Lisbon (Portugal). Masters degree in periodontics. University of Paris (France). Masters degree in laser applications. University of Barcelona (Spain). European masters degree in oral laser applications (European Union). Invited profesor of the Masters degree in oral laser applications. U. Barcelona (Spain). Invited profesor of the Masters degree in lasers of the ITAV. (Méjico). Member of the 2010-2012 jury of the European masters degree in oral laser applications thesis EMDOLA program (Barcelona). Worldwide speaker about periodontics and laser. Ambassador of the Spanish society of periodontics. (SEPA). Member of the Spanish society of periodontology (SEPA). Member of the European federation of periodontology (EFP). Member of the American academy of periodontology (AAP). Member of the Spanish society of lasers (SELO). Member of the international society for oral laser applications (SOLA). Member of the world federation of laser dentistry (WFLD). Member of the world association of laser therapy (WALT). President of the Burgos dental associationPresident of the XIII meeting of the Spanish society of lasers (SELO). President of the scientific comitee of the Spanish dental association (ANDA). Practice limited to Perio, and Laser in Burgos (Spain). 041b061a72


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