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Why Buy Soft Tissue Laser Over Electrocautery?

The field of dentistry continues to evolve, allowing for better patient care. Dental lasers are a valuable addition to dental treatment in terms of achieving precision in surgical procedures, contamination management, and faster healing control. It is crucial to recognize the role of lasers in dentistry in a range of important treatments in order to appreciate its value and benefits. 

Soft tissue Diode Laser is Simple, intuitive, and ergonomic.  It is easy to use and implement in Dental practice. The Dental diode Laser is so popular due to its optimal power aids in healing and superior regeneration. Incorporating laser therapy on a daily basis offers numerous benefits to the overall health of the practice, clinicians, and patients.

The latest innovations in technology and dentistry are used to improve the patient experience and provide a higher standard of treatment that also boost dental clinic’s productivity. 

Difference between an Electro-Cautery and Laser?

 

Why-Buy-soft-tissue-laser-over-electrocautery-1-276x300

A device like Electrocautery and Diode Lasers are being used for Dental soft tissue procedures. Electrocautery uses electricity or high-frequency electrical currents to conduct soft tissue surgery. A device that creates thermal energy to cut the tissue, resulting in lateral thermal injury to the tissue and also may result in delayed healing and post-up inflammation.

Here are a few disadvantages of the dental electrocautery which a clinician experiences:

  • Local Anaesthesia is a must before starting any surgical procedure.
  • The patient’s fear and anxiety increases with the electrocautery
  • High heat production may cause the burning of tissues. 
  • Burning flesh smell that comes from the tissue charring whenever electrocautery is used.
  • Overcutting of the tissue may happen due to fast cutting of electrocautery
  • Cannot use around metal driven prosthesis e.g. dental implants or PFM crown or Metal Crown or even pacemaker patients.

The list below shows the difference between electro-surgery and the dental diode laser 

LaserElectrocautery
Epix Electrocautery
Local anaesthesia not mandatory Local Anaesthesia mandatory
Healing is faster and betterHealing takes a longer duration of time
Non-invasive- zone of necrosis limits to only3—5 cell deepInvasive- Zone if necrosis is in multilayer
Sutures are not mandatorySutures are mandatory
Can be used in safe proximity of cementum, dentin, and alveolar bone Cannot be used in close proximity with bone- can lead to sequestration of healthy bone
Can be used safely in systemically compromised patients Cannot be used in pts with a pacemaker and other valvular replacement
With Bio-stimulation mode can assure better predictable healing Healing Delayed
Has multiple applications in- Endodontics, Periodontal procedure, dentistry e.g. Bleaching, root canal disinfection, desensitization, etcIt has very limited applications in dentistry. Moreover, the thermal damage caused can be irreversible at times.

Advantages of Dental Laser:

When dental care is concerned, the use of a diode soft tissue laser allows for new and improved ways of giving patients the best treatment. Lasers are incredibly adept at accurately cutting through soft tissues, making them an excellent solution for a variety of soft tissue surgical procedures. 

In conjunction with traditional procedures, laser dentistry offers some really remarkable benefits. And besides our objective is to provide a comfortable environment for our patients. 

The diode laser has benefitted both dentists as well as the patient.

Benefit for DentistBenefit for the Patient
Practice growth and differentiationMinimal or no bleeding
Precise incision, excision, and ablationNo Swelling, faster healing
Quality of workReduced post-operative infection
Clean, clear and Bloodless Operating fieldMinimal or no anaesthesia
Reduced Stress Minimal Pain and inconvenience
Greater efficiencyLess time in the chair, Less anxiety
A versatile tool for Several applicationsWhitening single visit procedure
Can be used in any compromised patientLess time predictable result
Increased patient comfortHigh-quality treatment

Dental diode laser is a versatile device that can be used for a wide variety of dental treatments. Nowadays the dental laser technology and its use in dentistry, particularly for oral surgery, are rapidly evolving. The use of a dental laser can be done for other procedures also  and the benefits it provides are:

Diode Laser pain therapy                                                           

  • Increase vasodilatation which creates an anti-inflammatory effect.
  • Stimulates cellular function and temporary increase in blood circulation.
  • Promotes wound healing and tissue regeneration.
  • Modulates the Immune system. 
  • Topical heating elevates, tissue temperature creating a temporary relief of minor muscle and joint pain and stiffness.

Laser Bacterial Reduction

  • Sulcular decontamination
  • Reduces the risk of bacteremia.
  • Encourage healthy cellular function.

Laser-Assisted Periodontal Therapy (LAPT)

  • Sulcular Debridement.
  • Eliminates periodontal pathogens.
  • Encourages reattachment and cultivates a healthy microbiome.

Epix

Diode laser with a wavelength of 940nm as in Biolase Epic X  for soft tissue oral surgery provides better coagulation and tissue penetration. It works on the concept of absorption of chromophores of the tissues providing high precision treatment to the patient. 

Conclusion:

Due to better coagulation, ablation, vaporization, protein denaturation, Less pain, and faster healing, and last but not least easy application, Diode soft tissue Laser always provides advantages over electro-cautery. Its reduced post-operative trauma to the patients provides the patient a better clinical experience. If you are confused, how to choose the right diode laser for your dental practice, we will help you with 12 decision-making points for selecting a diode laser

You Can Also Buy The Best Dental Equipment & Dental Instruments at Affordable Price from our online store.

3-Dimensional Printing In Dentistry – A Review

Author’s :- Dr. Shaik Ali Hassan1, Dr. Sumit Bhateja

Date :- 3 June’2021

Advanced technology in dentistry has helped a lot in the treating the diseases properly. 3D Printing allows the dentist to visualise, record hard and soft tissue significantly with precise measurement and print the models. Use of the CAD/CAM is most advanced one in the dentistry. But it also lack the trainee who knows how to use it. In this article we will show how its is used in various dental treatments.

3D printing is emerging as a good technology in a variety of areas including arts, design, architecture, engineering, medicine and dentistry. CAD / CAM technology brings 3D printing in medicine and dentistry to revolutionary growth and provides an excellent view for various anomalies.1 3D printing gives medicine based on the anatomic data that radiologists acquire and interpret everyday. 3D printing is used mostly to create natural image of the calcified and non calcified structures that it can be seen as such it is in its normal vicinity position.

Hull invented 3D printing which he named stereolithography. Stereolithography interprets the data in a CAD file by using the file.

In dentistry, using CT and CBCT data, and also using intra-oral or laboratory optical surface scan data. Advancement in the computer technology and the software applications has contributed a lot to 3D printing. The 3D printing process begins with the design of a virtual image of the object to be created, and then converts the information into a digital file. A 3D modeling program provides the virtual design that the printer should follow. This requires CAD software that can be used to create objects from scratch.

3d Image of Fracture of Mandible

3d image of fracture of mandible

In oral surgery

Using 3d print the perfect anatomical models can be obtained which is used for new treatment and planning purpose as it allows the surgeon to get an overview of the complex structures before performing a surgery on patient.5 When reconstructing jaw and facial defects, in addition to maintaining uniformity and anatomical appearance, it is also important to restore tissue function. Autologous bone grafts remain the standard for the reconstruction of jaw and facial defects due to their osteoconductive and osteoinductive properties.

The main disadvantage of autologous bone grafting is that it is necessary to manually model the shape of the defect. Therefore, a less invasive treatment is needed to treat bone defects. Computer-assisted modeling and rapid production require a series of events that converts a computer-designed virtual three-dimensional image into a solid model for clinical use.6 It is also used to customised reconstruction plates and morphological reconstruction of bony defect area for cases of fractures.

In orthodontics

Invisalign system digitally realigns the patient’s teeth to create a series of 3D printed models to build aligners. The patient receives a new set of aligners every two weeks and repositions the teeth for a period of time. This technology saves time, the patient’s record can be stored digitally, printed on demand and minimized physical memory requirements. With CAD / CAM technology, two separate bracketing and fork positioning processes merge into one unit. With this method, the need for maximum individuality with a reduced volume is put into practice.

 

Aligners built from CAD/CAM technology

Aligners built from CAD/CAM technology

In restorative dentistry

Since photopolymerization has long been used in dentistry, 3D printing approaches based on UV or visible light. Therefore, resins are commonly used in 3D printing, but have shown some contraction due to their light-activated and mechanical polymerization properties. Therefore, 3D technology is used.9 While fabricating restorations, customary CAD/CAM processing frameworks give various focal points to clinicians and patients, including accuracy. Be that as it may, there are additionally hindrances to subtractive generation strategies. Milling the restoration from a ceramic block, for example, wastes some of the raw material. In addition, exposure to tooling during production presents the possibility of microscopic cracks in the ceramic surface. These shortcomings could be minimized or even eliminated with 3D printing.

In maxilofacial prosthesis

3D printed implants are used to replace and reconstruct the zygomatic bone, the temporal bone, including the auditory ossicles, the calvaria and the jaw. They are also used in the restoration of soft tissues of the head and neck. They are used appropriately after trauma or tumor resection of the ameloblastoma, extensive restoration of bone and soft tissue is required. 3D implants significantly reduced cosmetic defects associated with these surgeries.10 In implantology, 3D printing and CAD/CAM are additionally picking up acknowledgment for making surgical templates.11 As per Fuster-Torres et al, the utilization of a CAD/CAM framework, alongside stereolithographic quick prototyping, produces a careful layout that permits increasingly exact arrangement and direction of implants.

In 2014, Vidal and Vidal portrayed a technique that uses advanced scanners, 3D printing and CBCT to permit embed arranging in a total computerized convention. The technique includes taking intraoral and extraoral pictures so as to assess the esthetic necessities. The smile line, tooth position and gingival edges are assessed and checked digitally.

Study models are examined with a 3D scanner, making a virtual computerized wax up. This enables clinicians to decide the ideal embed position. Next, a tomographic embed control is delivered utilizing CAD programming and 3D printing. The guide is along these lines situated while CBCT pictures are gotten and used in a virtual medical procedure to decide last embed arrangement and position.11 The actual surgical guide is modeled and printed when the CBCT image of the tomographic guide and digital wax up are integrated and confirmed as a viable placement plan.

The study showed that the implants were accurately placed, as per the presurgical implant planning conducted through the combined use of CBCT, scanning and 3D printing. The implant sites showed proper healing and were later restored appropriately. This combined use of technological advances was shown to be more precise than conventional methods of manual wax up and fabrication of surgical templates.

Stereolithiography

Stereolithiography

In endodontics

Endodontics also profits by 3D technology in the creation of exact aides for application in surgical as well as nonsurgical endodontic systems. 3D printed carefully help in a guided apicoectomy. Aides in nonsurgical endodontic methods are particularly useful for get to cavity planning in instances of calcified canals.15,16 Utilization of 3D printing empowers production of tooth models with sensible anatomical root channel structures by utilizing CT image in this way giving dental students a chance to manage properly, rather than to use of typhodont teeth.

In periodontology

3D printed guides are all the more ordinarily utilized in periodontology for esthetic gingival reconstruction. Persistent explicit careful guides are used for gingivectomy and smile planning.12 The utilization of 3D printing innovation in Regenerative periodontology is still under research. Studies are being done to assess the utilization of 3D printed biphasic platforms to help in tissue recovery of defects and in healing process.13 This procedure is called as added substance biomanufacturing. A CT scan of the defect helps in creation of a wax mold from which is intended to make a scafofold that will help in guided tissue recovery.

Surgical splint

Surgical splint

CBCT of periodontitis

CBCT of periodontitis

Conclusion

With the advent of the 3d printing in dentistry that is the use of CAD/CAM technology has a huge impact on treatment of patients. It enables to create a geometrical form using a variety of materials from digital data in patients. With the increased use of intra-oral scanning system, in practically in orthodontics by high resolution printing resin, printing models for restorative dentistry and lost wax process pattern. Even though 3D printing is becoming cost effective in the present but still the cost of running, materials used and maintenance of the machines are still of great problem. There is also lack of well trained personnel also causes lack of the use of 3D printing Dental Machine.

Get The Exclusive Range of Dental 3D Printers and It’s Accessories Available on our Online Store-www.bestdentaldeals.in

12 decision making points for Selecting Diode Laser – You may not have known

Dental Laser

Every day, dental industries use innovative technological advancements in new ways for the treatment of patients. Despite the fact that dental health is indeed a very essential to personal wellbeing and for having a pleasant smile, among other benefits, sometimes people avoid dental visits because they are uncomfortable in the dental clinic with the dental treatment procedure. Latest technological improvements, thankfully, are making dental visits faster, simpler, less traumatic, and more reliable. The dental industry is fast evolving as a result of these innovations and it currently appears to be very distinct. Patients are more comfortable with the treatment processes and are more interested in dental operations as a result of less traumatic procedures with technologically advanced devices. One such advancement in dentistry is Soft-tissue Dental lasers, also known as dental diode lasers, which are suitable for procedures that include cutting or contouring of oral soft tissues.

Why Choose Diode Soft Tissue Dental Laser?

Decision making point for dental laser

Earlier the surgical procedures were performed by using scalpel and blade. This technique of Dental soft tissue surgery was adopted by many dental professionals under the misconception of “Safe”, but it resulted in many issues during the dental surgical procedure:

  • The limited size & shape of the scalpel & blade reduce the accessibility of the dentist to every corner of the oral cavity
  • Compromised visibility of the operational site due to more bleeding 
  • Increased risk of Staff injury if mishandled the scalpel and blade
  • Increased post-operative trauma to the patient
  • More time required for healing as more tissue damage
  • Need of local anaesthesia always before starting the surgery
  • If not sterilized properly, the chance of cross-contamination is increased
  • Invasive procedure

According to leading researchers and educators, Soft-tissue lasers, produce desired aesthetic results in general practice. Soft Tissue dental laser is a wonderful technique to provide the patients with a better experience in dental treatment procedures and upgrade the dental practice. Here are a few benefits to count on:

  • Improved haemostasis
  • Improved patient comfort
  • Decreased post-operative trauma
  • Reduced bacterial count
  • Less use of Local Anaesthesia
  • Less damage to periodontal tissues
  • Less need for sutures
  • Faster Healing
  • Sterile Laser Tip, reduced risk of cross-contamination
  • Extremely Precise Cutting
  • improved versatility and practice impact

There are a few key points that need to be focussed on while choosing a dental diode laser. Every diode has its own uniqueness, so it’s crucial to choose one that best suits your dental practice. In the market, advanced diode lasers with highly qualified features and functions are available. Factors that may appear insignificant at the time of purchase, such as handpiece’s design and device portability can become major annoyances later.

Here are some guidelines for a successful self-analysis with a diode laser that will help you in selecting just the right one for your dental practice:

Dental Laser

The power, speed, and shape of the laser all influence user comfort, but it is also the sole attribute that is influenced by personal preference. Newer diodes are distinguished by their accurate and sharp handling characteristics. During the trial run, make sure the diode is comfortable in your hand.

Some self-analysis can be done by asking fewer questions to oneself, 

Is the Dental handpiece too big, too little, or just perfect?

Is the tip design help you feel the tissue or giving you a feel of total isolation from the tissue? 

Look for a diode that you can operate and feel at ease in your hand.

 

  • Speed

When beginning a procedure, ensure that the laser provides adequate acceleration and that you can move it around safely. The cutting speed is primarily determined by the diode’s power. When a brilliant system is combined with a lousy user interface, the results are uncertain. One of the key advantages of a test drive is the ability to determine whether or not you like the more Powerful Diode. If that’s the case, great; if it isn’t, it’s time to adjust your mind and keep looking. Make sure to try quick acceleration from a standstill during your test drive.

  • Stopping

At times, determining stopping might be tough. It’ll be a lot easier if you have expert help nearby, such as a doctor or a trained product representative. When you set the power, both rising and dropping, you should feel how the handpiece reacts. It should be rather smooth and determining the proper amount of stopping power should be uncomplicated.

  • Movement

Does the laser respond well to movement? Does it monitor well and stay on track, or does it require minor modifications and corrections on a regular basis? The stroke should be smooth and free of soft tissue darting. On varying tissue thicknesses, it should also remain relatively composed.

  • Quietness

When choosing a diode, keep the amount of noise produced by the device in mind. Units should be tested in a peaceful environment, such as your practice during non-patient hours, so you can hear what’s going on. The background sounds should be at a volume that you are comfortable with. Noise is determined by the laser’s quality, as well as its size and design. If a laser sounds rough and noisy while being accelerated, it may become unpleasant thereafter. 

  • Drag

The ability to create a smooth, snag-free cut is crucial. Is the laser delaying or catching (dragging) on the demo tissue? If not immediately noticed, as a result, unneeded collateral thermal damage occurs. because the time spent on one area of tissue is prolonged. Don’t allow your Dental laser to bring you down.

  • Size

A cluttered workplace is unappealing. The size of the diode matters and diodes can be as little as a pen or as large as a well-organized dentistry cart. Choose a location for the laser in each operating room.

  • Portability

A small, portable device is easier to transport than a large, bulky unit with a jumble of cords.

  • Bells & Whistles

The option is available to healing minor pain and TMJ-related pain with Low-level Laser Therapy (LLLT). Advanced diodes come with deep tissue handpieces which provide temporary relief of minor pain, such as TMD and TMJ conditions. Furthermore, top manufacturers provide whitening accessories for 20-minute teeth whitening.

  •  Accessories

The test-drive process should include laser tips and other equipment such as laser glasses and protective covers. Disposable, single-use tips eliminate the risk of cross-contamination that can occur with traditional dental burs. 

  • ROI

Take a step back from the profit cycle and consider the broad picture. While many practices perceive innovation and technology efforts to be overhead, it is more sensible to consider technology as a form of future output security.

  • Credibility

So, you’re on the verge of making a decision? Inquire about FDA approval and request evidence-based studies and peer-reviews from the manufacturer. Remember that not all FDA clearances are created equal, so ask the manufacturer if there are any restrictions.

Epic X Soft Tissue Diode Laser:

Best dental laser

Epic X soft tissue diode laser from Biolase is committed to providing the highest quality standards and the most durable dental laser to the industry. It is also designed to provide temporary relief from minor discomfort using the device’s pain therapy option and also aid in the tooth whitening process through the laser bleaching option in addition to different soft tissue surgical procedures. Its patented 940nm superior diode wavelength help in precise cutting and simultaneously its comfort pulse mode provide the patient with great comfort by preventing overtemperature to the tissues. 

Conclusion:

Pick a Diode laser with powerful functionality to give your patients a better clinical experience. They will share their experiences with others and your practice will flourish as a consequence of the greater footfall in your dental clinic. Choose a manufacturer that provides exceptional support and service for training and continuous education on how to use the diode laser. The Unicorn Denmart & Biolase offers a standard competence training program that enables practitioners to work at a reasonable level of skill. The World Clinical Laser Institute has certified more clinicians than any other organization and provides ongoing training, safety, and certification courses for all levels of practitioners.

 

Book your free Biolase Epic X Soft Tissue Diode Laser Demo at our Online Dental Store.

Prefect Result With Trios Intraoral Scanner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Case information :

  • Patient was a 20 yr old girl 
  • No medical history 
  • H/o trauma few yrs back #21 asymptomatic
  • Spacing, deep bite, midline shift, canine cross bite, mild proclination.

Pre treatment x-rays :

CadCam

Cadcam 1

Treatment objectives :  

  • Correction of cross bite
  •  Space closure 
  • Bite opening 
  • Smile correction 
  • Retraction 
  • Arch development

Treatment plan :

  • Phase 1: planned 16 sets 
  • 20-22 hrs wear time per day 
  • 14th day night change pattern
  •  Pt. motivation to wear for specified time
  •  Refinement or phase 2: 8 sets
  • Same wear pattern as above.

cadcam 3

 

 

 

 

 

Post treatment x-rays

cadcam 8

Patient monitoring

cadcam12

 

Advantages of in house aligners :

• Timely treatment with no lag
• Prompt treatment planning as per clinicians demand
• Replacement of any aligner in no time
• Can involve pt. in treatment planning easily and gain confidence in treatment
• Provide experiential treatment
• Can reduce cost to pt. to a greater extent
• Increased profitability of clinical practice

Discussion : 

  • Patient was co operative and that led to treatment success
  • No bite ramp on teeth required to correct cross bite
  • Designed bite ramps in aligners
  • Patient kept on removable retention for long time
  • Pressure point for labial root movement of canine
  • Pt, has been referred to prosthodontist for repair of # 21 (temporization done for photos only)
  • Attachments added in refinement stage on 16 26
    Trios Intraoral Scanner is the best choose for these type of surgery.

 

 

 

 

 

 

 

 

 

 

 

Simplifying Dentistry with Chairside CAD-CAM – An All-in-One Solution

CAD-CAM technology or digital dentistry has evolved as one of the most popular and efficient technologies available as the dental industry progresses. The variety of materials available for in-office fabrication of dental restorations has a significant impact on the continuous growth of chairside CAD-CAM technology for delivering single visit dental restorations. Nowadays chairside digital dentistry is no more an unknown term in dentistry. 

The chairside CAD-CAM dentistry is the manufacturing process of the restoration, but we have to keep in mind that in order to achieve esthetically superior restoration, the type of material and the handling of the material also greatly impact the quality of the outcome.

Let’s have a look at the Digital Workflow for Chairside CAD-CAM dentistry.

Digital Work-Flow: This process involves every step when a patient walks into the dental clinic with a complaint and gets treated on the same day and moving out of the clinic with a happy face.

Scan

Design

Mill

3D print

 

 

 

 

 

 

 

 

Step # 1 Scanning:- This step involves recording the intraoral conditions e.g. dental caries etc. to a computer software program using an intraoral scanner. It converts 2D Images to 3D images and provides the precise dental digital impression.

 

 

 

 

 

 

 

 

Step # 2 Designing of Digital Crowns:- This is the 2nd step of chairside dentistry. This step involves the designing of the digital crowns on the digital impressions. Veneers, Inlays, and Onlays can also be designed up to 3 units. With the recent advancements in chairside CAD-CAM dentistry, Now in Chairside CAD-CAM guided implant surgery is also possible where surgical guides can be designed and can be 3D printed. 

 

 

 

 

 

 

 

 

Step # 4 Chairside Dental Milling: The designed restoration is fabricated utilizing a manufacturing procedure to mill the appropriate restoration contour from a prefabricated block of material based on the design developed with the help of software. Depending upon the material and the application various types of milling machines are used. Most commonly used is the Wet type milling machine for immediate crowns. They are single block-based milling machines that are helpful for faster cutting.

 

 

 

 

 

 

 

 

Use of 3D Printers

With the latest advancements in chair-side dentistry, 3D dental printers are also available. Dentists can create 3D printed digital temporary or permanent crowns with the same aesthetic as any other material using a 3D printer. It is faster to print, but with less finishing work. Chairside 3d Printing can also be helpful for printing digital models immediately to check the fitting of crowns so that dentist can save their chairside adjustment on crowns.

 

 

 

 

 

 

 

 

Step # 5 Placing Final Fabricated Restoration in Patient Mouth

After the process of SCAN – DESIGN – MILLING, the Final step is finishing and placing milled or 3d printed crowns in the patient mouth. The overall time taken by the whole process is up to 1 hour. So the chairside CAD-CAM dentistry is also known as Same Day Dentistry. It provides the patient with satisfaction to receive the restoration on the same day by omitting the waiting time. 

Reasons to Go For Chairside Dentistry:

Improved patient experiences

Get digital accuracy and limit

Enjoy east impression making less retake

Save time and see more patients

Save on sending impression

 

 

 

 

 

 

 

There are many reasons to go for chairside dentistry when you want to uphill your dental practice through digitization and attracting more patients by providing them peace of mind & enhancing the patient experience.

  • Offers faster treatment including same-day dentistry
  • Widest selection of treatment options for patients
  • Fewer clinic visits
  • Unrivaled functionality and aesthetic
  • Time Optimization

Advantages of Chairside CAD-CAM Dentistry:

# 1 Time Saving for Both Dentist & Patient

The basic principle is to minimize the chairside time and working time of the dentist to provide faster treatment to the patient. No more multiple visits by the patient, allows the dentist to focus on other patients too. 

# 2 Fewer Errors than Traditional Impressions

There is a chance of errors in the traditional impression technique i.e. shrinkage or any other factors that lead to more chairside time and errors in crowns or prosthesis. It can cause ill-fitting crowns or prostheses that require more adjusting. 

The Digital Impression technique saves time and provides an accurate impression by eliminating the other manual errors. 

# 3 Enhanced Patient Comfort

Traditional impression making technique with the help of impression material may lead to many discomforts to the patient that includes gag reflex, stress, uneasiness, etc.  A better experience can be provided by the intraoral scanner while making the digital impression that is easy and convenient. 

# 4 Widest Range of Application

 

 

 

 

 

 

There is the widest range of applications for the dentist while making chairside CAD-CAM crowns. Digital temporary crowns, permanent crowns, veneers, inlays, Inlays up to 3 units can be made. 

# 5 Assured Quality Work

Since all the steps for dental restoration fabrication are done by digital dentistry, so there is less chance of human errors. It provides assurance of high-quality work. 

Conclusion:

Keeping in mind the current scenario chairside CAD-CAM provides quality work to the dentist eliminating the risk of contamination. Chairside Dentistry provides a better patient experience, high-quality work including the same-day provision of the treatment. Digital designs of crowns and chairside production of prosthesis help dentists to deliver the immediate crowns to the patient helps in better patient experience and reduce multiple visits. Unicorn Denmart Ltd. helps you to choose the best equipment for chairside CAD-CAM dentistry by providing all the solutions to your queries and better after-sales service through our well-trained service engineers. 

Checkout our Online Dental Store for Exciting Offers on Dental Equipment

Management of Hyperpigmentation of Lips with 940 nm Diode Laser : Two Case Reports

Author’s:- Dr. Vidyaa Hari Lyer, Dr. Sana Farista

Date:- 25 May 2021

Abstract 

Lip hyperpigmentation is an issue with young adults when the dark brown patch on the lips makes an unsightly appearance.  The laser energy is selectively absorbed by the melanin that causes pigmentation. This causes a photothermal ablation of melanocytes which leads to its disruption and subsequent removal by the body’s immune system. It generally takes one to three treatments to lighten or remove unwanted pigmentation with a laser. With most laser lip pigmentation removal, the pigmentation becomes darker for approximately 1 week and then flakes off. The treatments are spaced at least 1 month apart. There is also usually some redness and mild swelling in the treatment areas for a few days after treatment. The previous studies reported 100% clearance of pigmentation of the lips with single laser treatment, and recurrence was not observed even after 6 months. This article highlights the use of 940 nm diode dental lasers for lip depigmentation procedures. Dental diode lasers have become a universal alternative tool for esthetic corrections of the oral cavity.  

INTRODUCTION 

Lips are a visible body part at the mouth of humans and many animals. Lips are soft, movable, and serve as the opening for food intake and in the articulation of speech and sound.  A woman’s lips are also a visible expression of her fertility creating the illusion that a woman has more estrogen.1 

Human lips are a tactile sensory organ and can be erogenous when used in kissing and other acts of intimacy.2 

1Private Practitioner, 2Postgraduate Student  

1Fellowship and Diplomate in Laser Dentistry, Smile Dental  Clinic, Chennai, Tamil Nadu, India 

2Diplomate in Laser Dentistry, Arora Dental Clinic, Chhattisgarh  India 

Corresponding Author: Vidyaa Hari Iyer, Private Practitioner  Fellowship and Diplomate in Laser Dentistry, Smile Dental  Clinic, Chennai, Tamil Nadu, India, Phone: 09840176088  e-mail: [email protected]

Anatomically, the upper and lower lips are referred to as the ‘Labium superius oris’ and ‘Labium inferius oris respectively. The juncture where the lips meet the surrounding skin of the mouth area is referred to as the vermilion border, and the typically reddish area within the borders is called the vermilion zone. The vermilion border of the upper lip is known as the Cupid’s bow and is the area of transition from the skin to the oral mucosa.

Histologically,3 the skin of the lips is stratified squamous epithelium with three to five cellular layers and is very thin compared to typical face skin, which has up to 16 layers.  Connective tissue papilla extends deep into the epithelium and is heavily vascularized. Between the outside and inside of the lips—the labial vessels, nerves, the orbicularis oris muscle (striated) which shapes the lips, and labial salivary glands are present. With light skin color, the lip skin contains fewer melanocytes (cells that produce melanin pigment which gives skin its color). Hence, the blood vessels appear through the skin of the lips, which leads to their notable red coloring. With darker skin color, this effect is less prominent, as the skin of the lips contains more melanin and thus is visually darker.  

Laser equipment  

A 940 nm diode (Ezlase, Biolase, USA) was used for the removal of hyperpigmentation of the lips. Diode surgical soft tissue lasers are class IV lasers, and all laser safety precautions are to be followed precisely, such as wearing of protective eyewear specific to the wavelength by the patient,  dental assistant, and the operating dentist; minimizing reflective surfaces in the operating site, reduce the traffic within the operatory, the laser safety officer is present to ensure all safety protocols are adhered to control the hazards, etc. 

Case reports 

The patients were initially evaluated for their concern about the appearance of lip discoloration after consultation with a general physician to rule out any systemic conditions.  General prescriptions prescribed authentically by doctors or beauticians did not eradicate the patches on the lips, hence,  increasing their anxiety to reduce the dark appearance significantly. 

Case 1 

A 19-year-old boy had come to our dental clinic with concern about his dual-colored lips (Fig. 1). His expectation was monotone lips and leveling his melanin tone. History taking was done meticulously and all systemic factors were ruled out. The patient was clinically examined, informed consent was taken after a complete explanation of the procedure, and all laser safety precautions were followed  (Fig. 2). A topical anesthetic spray (15% lidocaine) and anesthetic gel (procaine—lidocaine 8%, dibucaine 0.8%  in a flavored aqueous base) were applied on the lips of the patient. The patient was asked to open the mouth widely as if a lipstick was to be applied and the depigmentation process was carried out from the upper lip to the lower lip in a sequential clockwise manner (Fig. 3). A 400 µm 7 mm length surgical disposable tip was used to ablate the lips and bring about depigmentation (Fig. 4). The laser setting was  1 W continuous mode (Fig. 5). Care was taken to remove the pigmentation along the commissure also. A visual analog scale (VAS) was used to record pain, bleeding, and redness.  The entire lip was depigmented (Fig. 6), and the patient was comfortable throughout the treatment process. Low-level laser therapy (LLLT) was done extra orally with 2.5 W using a specialized handpiece (Fig. 7). Postoperative instructions were given and the patient was encouraged to have cold beverages and to avoid hot and spicy food. The patient was advised to apply lip vaseline after 24 hours and throughout the healing process. The patient was continuously monitored at 24 hours postoperatively (Fig. 8), 3 days (Fig. 9), and 1 month (Fig. 10) postoperative interval to access the repigmentation pattern.   

Fig. 1: Preoperative view of hyperpigmented dual-toned lips (Case 1)

Fig. 2: All laser safety precautions adhered to pre-and intraoperatively (Case 1)

Fig. 3: Intraoperative view using diode lasers for depigmentation (Case 1)

Fig. 4: A 400 μm initiated surgical tip used for depigmentation of lips (Case 1)

Fig. 5: Laser settings used in 940 nm diode 1 W, continuous wave (Case 1)

Fig. 6: Immediate postoperative view after depigmentation with laser (Case 1)

 

Fig. 7: Low level laser therapy done postoperatively (Case 1)

Fig. 8: One day postoperative view showing crusted lip appearance (Case 1)

Fig. 9: Three-day postoperative view showing pink lips (Case 1)

Fig. 10: One month postoperative view showing pink lips (Case 1)

 

 

 

 

 

 

 

 

 

 

 

 

 

Case 2 

A 21-year-old girl had visited our dental office and complained of dark pigmented lips (Fig. 11). It was an esthetic concern hampering her self-confidence and attitude. She had enquired many dermatologists too regarding her concern before visiting us. Her expectation was to lighten her lips so that she could wear light-colored lipsticks. History taking was done meticulously, and all systemic factors were ruled out before commencing the treatment. The patient was clinically examined, informed consent was taken after a complete explanation of the procedure and all laser safety precautions were followed (Fig. 12).  A topical anesthetic spray (15% lidocaine) and anesthetic gel (procaine—lidocaine 8%, dibucaine 0.8% in a flavored aqueous base) were applied on the lips of the patient. The patient was asked to open the mouth widely as if a lipstick was to be applied, and the depigmentation process was carried out from the upper lip to the lower lip in a sequential clockwise manner (Fig. 13). A 400 µm 7 mm length surgical disposable tip was used to ablate the lips and bring about depigmentation  (Fig. 14). The laser setting was 1W continuous mode Fig. 16: Immediate postoperative view after depigmentation with laser (Case 2)(Fig. 15). Care was taken to remove the pigmentation along the commissure also. A visual analog scale was used to record pain, bleeding, and redness. The entire lip was depigmented,  and the patient was comfortable throughout the treatment process (Fig. 16). Low-level laser treatment was done extra orally with 2.5 W using the specialized handpiece (Fig. 17). Postoperative instructions were given to the patient and she was encouraged to have cold beverages and to avoid hot and spicy food. The patient was advised to apply lip  Vaseline after 24 hours and throughout the healing process.  The patient was continuously monitored at 1 day (Fig. 18),  3 days (Fig. 19), 1 month (Fig. 20), and 6 months (Fig. 21)  postoperative interval to access the repigmentation pattern.

Fig. 11: Preoperative view of hyperpigmented dark toned lips (Case 2)

Fig. 12: All laser safety precautions followed pre- and intraoperatively (Case 2)

Fig. 13: Intraoperative view using diode lasers for depigmentation (Case 2)

Fig. 14: A 400 μm initiated surgical tip used for depigmentation of lips (Case 2)

Fig. 15: Laser settings used in 940 nm diode 1 W, continuous wave (Case 2)

Fig. 16: Immediate postoperative view after depigmentation with laser (Case 2)

Fig. 17: Low-level laser therapy done postoperatively (Case 2)

Fig. 18: One-day postoperative view showing crusted lip appearance (Case 2)

Fig. 19: Three-day postoperative view showing pink lips (Case 2)

Fig. 20: One-month postoperative view showing pink lips (Case 2)

Fig. 21: Six-month postoperative view showing pink lips (Case 2)

 

 

 

 

 

 

 

 

Procedure  

The psychological quotients of patients need to be considered and clearly evaluated before the commencement of such procedures. A realistic evaluation of the dark-colored lips, the treatment process, postoperative healing, and reappearance of the pigments is clearly informed to the patients. A realistic decision is then charted out. The patients appreciate such time spent with them before the procedure so that the dentists can safely deliver what is possible.  

Dummett and Gupta’s oral pigmentation classification4,5 (1964) and William and Terry Meyers’s gingival pigmentation index were modified to classify the lip tone under this new classification. The lip tone can be classified into categories,  such as:

  1. No islands of melanocytes giving a pink color to the lips.
  2. Few light brown-hued islands of melanocytes giving a  light brown tone to the lips.
  3. Mild dark-hued islands interspersed on the surface of the lips giving a brown color. 
  4. Moderate dark-hued islands interspersed on the surface of the lips giving a dark brown color. 
  5. Dark-hued tone on entire lips giving it a chocolate brown color. 
  6. Severe dark-hued tone on entire lips giving it blackish brown-colored lips. 

The laser tip was initiated and the outer skin layers of the lips were ablated sequentially in a clockwise manner so that no areas were left untouched. The tip was cleaned periodically to eliminate the hot tip effect while doing the complete procedure. Care was taken to continuously monitor the patient’s comfort level using the VAS.  A crusted appearance of the lips is seen during the first 3 days of healing, which might be esthetically compromising. Application of Vaseline and vitamin E brings about radical relief for the patient. This crust is self-whitening and leaves pink-colored lips beneath it in about 7 days. 

The general postoperative instructions included are the usage of a sunscreen lotion daily and staying out of the sun which decreases the activation process of the melanocytes thereby preventing early recurrence of pigmentation in the lips. Sun exposure increases the melanin in the skin and causes areas to darken. Eating green vegetables and fruits,  and drinking plenty of water help to keep the lips hydrated and supple. Honey and glycerin work as best moisturizing agents, and neem paste or aloe vera paste revitalizes the lips. Rubbing cucumber to the lips also brings quick relief to chapped skin. The application of lime juice on lips helps to maintain the natural color of lips and keeps them shining and soft. Usage of beeswax contained in lip balms generally protects, seals, and moisturizes the lips. Cocoa butter is also an excellent antioxidant that softens and protects the lips. Vitamin C intake is also essential for getting rid of lip pigmentation. Gentle massages using olive and peanut  oil are great for pigmented lips. These homecare remedies aid in maintenance of healthy lips. Decades before, red rose  petals were crushed and applied on lips to give it a beautiful red hue. General instructions, such as reduced caffeine  and nicotine consumption, avoiding smoking also improves  the lip color. Traditional methods, such as skin-bleaching  products, chemical peel that are safe for sensitive skin can  lighten skin color by peeling away layers of the skin. Application of hydroquinone cream decreases the production of  melanin in skin and kojic acid, a natural product extracted  from mushrooms works by blocking the melanin production  in the skin. Topical retinoid application lightens the color  in lips and reduces the pigment by promoting rapid cell  turnover. Many of these techniques cumulatively can result  in significant downtime with transient results but cannot be  fool proof methods to guarantee predictable results when  done individually. 

Discussion 

Oral melanin pigmentation is caused due to endocrine distur bances, Albright syndrome, malignant melanoma, familial  intestinal polyposis,6-8 antimalarial therapy, Peutz-Jeghers  syndrome,9 trauma, hemochromatosis, chronic pulmonary  disease, smoking,10 racial pigmentation11 to name a few.  Melasma, a skin condition that commonly effects people  with dark complexions, is characterized by patches of  discolored skin on the lips and other areas of the face. This  increase in melanin is often due to sun exposure, though  pregnancy, hormonal imbalances12 and genetics are other  common causes. Laugier-Hunziker13,14 (LH) syndrome is a  rare benign condition in which hyperpigmentation of the lips  and buccal mucosa occurs with no systemic associations.  

A number of previous studies have been published over  the past few years enumerating the successful removal of  benign cutaneous15 pigmented lesions, such as lentigines, café  au lait macules’ nevi,16 nevus of Ota, and lentigo maligna17 

by a variety of lasers,18-23 such as the excimer (351 nm), argon24-27 (488, 514 nm), ruby28,29 (694 nm), Nd:YAG30 (1060 nm), and CO231 (10,600 nm). Q-switched Nd:YAG  lasers can also be very effective and requires a course of three  to four treatments spaced 4 weeks apart which includes an  advantage of minimal downtime. 

Laser tissue interaction is basically based on the chromo phore present in the host tissue and the ability of these  chromophores to absorb the laser light. The melanocytes  present in the basal layer get activated and spread over the  tissue thereby creating a darker hue to the lips. Such melanin  when closely placed causes an increase in the pigment of  the lips giving it a dark appearance. The diode lasers have  an affinity toward melanin and hemoglobin and hence were  used to bring about the depigmentation process in this case  report. 

The diodes (810, 940 and 980 nm) are used widely in  treatment of depigmentation procedures intraorally for over  a decade now. The same concept was extended to bring  about changes in the vermillion zone of the lips to enhance  the esthetic quotient of patients who had a desire for such  corrective treatment. Both the cases showed a radical change  of pigmentation within 1 week of laser intervention and  reduced the lip tone to two to four shades lighter which  brought a change in the outlook of the patients. The VAS  aided in understanding the psychological quotient in both  the patients and also reiterated the fact that lasers are indeed  painless and bloodless in nature. The patients recorded  scores less than 1 and were very receptive to the concept  of lasers in esthetic correction of their dark pigmented lips. 

Management of Hyperpigmentation of Lips with 940 nm Diode Laser: Two Case Reports 

The patients were very happy and gave excellent feedback  as it restored their confidence levels in addition to improving  their self-esteem and self-worth. These patients further went  out to become brand ambassadors for the procedure which  further increased the practice revenue. Such procedures with  predictable noticeable change are encouraged and can also  aid in enhancing the smile design of the patient. 

Conclusion 

Lip hyperpigmentation is an esthetic concern as it masks  the overall appearance of the individual. Today’s society  gives immense credentials to smart pleasant looks and  an internal craving to meet the demanding standards of  society plays a pivotal role in propelling the patients to  undergo such esthetic corrections intra, and extraorally. Lip  depigmentation procedures further enhances the personality  of the patients. Different from facial skin, the lip skin is more  delicate and very sensitive to the outside environment. A  routine protection with moisturizing lip care products helps  in maintaining a healthy look and feeling of well-being. 

Lasers being in the nonionizing part of the electromag netic spectrum; no adverse side-effects are clinically  reported with use of them as against conventional  scalpel, electrocautery or usage of abrasive burs. The  lip depigmentation procedures are bloodless, relatively  painless, comfortable postoperative healing period, reduced  medications has initiated and encouraged the patients to  undergo such corrections willingly. The procedure itself  being so simple the patients do not mind repeatedly doing  this atleast once a year similar to removing the tan on the  facial skin. Lasers have paved a new way for such esthetic  corrections and thereby widened the horizon of the duty  of a laser specialist dental surgeon to offer such treatment  procedures in his clinic. 

References :

  1. Law Smith MJ, Deady DK, Moore FR, Jones BC, Cornwell RE,  Stirrat M, Lawson JF, Feinberg DR, et al. Maternal tendencies  in women are associated with estrogen levels and facial  femininity. Hormones and Behavior 2011;61(1):12-16. 
  2. Bisson M, Grobbelaar A. ‘The esthetic properties of lips: a  comparison of models and nonmodels.Angle Orthod 2004;74(2):  162-166. 
  3. Lever WF, Schaumberg-Lever G. Histopathology of the skin.  6th ed. Philadelphia, JB Lippincott, 1983. p. 668-697.
  4. Doshi Y, Khandage N, Byakod G, Patil P. Management of  gingival pigmentation with diode laser: is it a predictive tool?  Int J Laser Dent 2012;2(1):29-32. 
  5. Rao P. Depigmentation of gingiva: a step by step procedure, with  the use of Er:YAG laser—a case report. Solaze J Laser Dentist  2011;5(1):29-30. 
  6. Wolff HH, Camb. Familial intestinal polyposis with pigmenta tion of lips, oral mucosa, face and digits. The Lancet 1952;259  (6705):446-448. 
  7. Jeghers H, McKusick VA, Katz KH. Generalized intestinal  polyposis and melanin spots of the oral mucosa, lips and  digits: a syndrome of diagnostic significance. N Engl J Med  1949;241:993-1005. 
  8. Edward VZ, Beatrice MK, Austin HK. Melanin spots of the  oral mucosa and skin associated with polyps: report of a case  of peculiar pigmentation of the lips and mouth. Oral Surg Oral  Med Oral Pathol 1954;7(9):972-978. 
  9. Ohshiro T, Maruyama Y, Nakajima H, Mima M. Treatment  of pigmentation of the lips and oral mucosa in Peutz-Jeghers  syndrome using ruby and argon lasers. Br J Plast Surg  1980;33(3):346-349. 
  10. Haresaku S, Hanioka T, Tsutsui A, Watanabe T. Association of  lip pigmentation with smoking and gingival melanin pigmen tation. Oral Diseases 2007;13(1):71-76. 
  11. Szabo G, Gerald AB, Pathak MA. Racial differences in  human pigmentation on the ultrastructural level. J Cell Biol  1968;39:132-133. 
  12. Multani S. Interrelationship of smoking, lip and gingival  melanin pigmentation and periodontal status. Addict Health 2013;5(1-2):57-65. 
  13. Ozawa T, Fujiwara M, Harada T, Muraoka M, Ishii M.  Q-switched alexandrite laser therapy for pigmentation of the  lips owing to Laugier-Hunziker syndrome. Dermatol Surg  2005;31(6):709-712. 
  14. Lenane P, Sullivan DO, Keane CO, Loughlin SO. The  Laugier-Hunziker syndrome. J Eur Acad Dermat Venereol  2001;15(6):574-577. 
  15. Anderson RR, Parrish JA. The optics of human skin. J Invest  Dermatol 1981;77:13-19. 
  16. Goldman L, Igelman JM, Richfield DF. Impact of the laser on  nevi and melanomas. Arch Derm 1964;90:71-75. 
  17. Goldman L. Surgery by laser for malignant melanoma. J Dermatol Surg Oncol 1979;5:141-144. 
  18. Sherwood KA, Murray S, Kurban AK, Tan OT. Effect of  wavelength on cutaneous pigment using pulsed irradiation. J  Invest Dermatol 1989;92:717-720. 
  19. Lane RJ, Linsker R, Wynne JJ, Torres A, Geronemous RG.  Ultraviolet laser ablation skin.Arch Dermatol 1985;121:609-617. 20.
  20. Wagner RI, Kozlor AP, Moskalik KG, Khachuturyan LM,  Pertsov OL. Laser therapy of human benign and malignant  neoplasms of the skin. Acta Radiol 1975;14:417-423.
  21. 21. Kozlov AP, Moskalik KG. Pulsed laser radiation therapy of skin  tumors. Cancer 1980;46:2172-2178. 
  22. Anderson RR, Parrish JA. Selective photothermolysis:  precise microsurgery by selective absorption of pulsed  irradiation. Science 1983;220:524-527. 
  23. Murphy GF, Shepard RS, Paul BS, Menkes A, Anderson RR,  Parrish JA. Organelle-specific injury to melanin-containing cells  in human skin by pulsed laser irradiation. Lab Invest 1983;49:  680-685. 
  24. Landthaler M, Haina D, Waidelich W, Braun-Falco O. Argon  laser therapy of verrucous nevus. Plast Reconstr Surg 1984;74: 108-111. 
  25. Apfelberg DB, Maser MR, Lash M. Extended clinical use of  the argon laser for cutaneous lesions. Arch Dermatol 1979;115: 719-721.
  26. Apfelberg DB, Maser MB, Lash H, Rivers J. The argon laser  for cutaneous lesions. JAMA 1981;245:2073-2075.
  27.  Arndt KA. Argon laser treatment of lentigo maligna.J Am Acad  Dermatol 1984;10:953-957. 
  28. Ohshiro T, Maruyama Y. The ruby and argon lasers in the  treatment of naevi. Ann Acad Med Singapore 1983;12:388- 395. 
  29. Polla LL, Margolis RJ, Dover JS, Whitaker D, Murphy GF,  Jacques SL, Anderson RR. Melanosomes are a primary target of Q-switched ruby laser irradiation in guinea pig skin. J Invest  Dermatol 1987;89:281-286.
  30. Goldman L, Natb G, Schindler G, Fidler J, Rockwell RJ. High power neodymium: YAG laser surgery. Acta Derm Venereol  (Stockh) 1973;53:45-49. 
  31. Bilik R, Kahanovich S, Rubin M, Rothem A, Geiernter I, Kaplan I. Morbidity and recurrence rates after surgical treatment of malignant melanoma by scalpel versus CO2 laser beam. Surg  Gynecol Obstet 1987 Oct;165(4):333-338.

 

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Autoclave Working Mechanism In Dentistry

Auto clave

For the protection of patients, a reliable and efficient infection control in a dental office is necessary. Effective cleaning and sterilization of reusable dental instruments and equipment are all used in infection prevention systems. The dental healthcare provider must take precautions to ensure that all instruments are effectively washed before sterilization and that it is performed in a secure way to minimize the spread of infection.

Of all the methods used for sterilization, the most commonly used and most effective is moist heat in the form of condensed steam under pressure. Steam sterilization is economical, non-toxic, and much more effective than dry sterilization due to its high penetrating capacity.

For an effective sterilization i.e. killing of all harmful microorganisms including bacterial spores, viruses, fungi, etc. the reusable dental instruments need to remain exposed to a specific temperature under pressure for specific holding time, which is possible to maintain in autoclave.

Mechanism of Steam Sterilization :

The fundamental concept of a steam sterilizer is to expose all the instruments those need to be sterilized to highly pressurized steam at appropriate temperature for specific time period. Hence steam sterilization has 4 things to consider for a cycle i.e. Temperature, Pressure, Time and steam (moist heat).

Depending upon the type of dental autoclave, the duration of the sterilization cycle varies.

Types of Steam Sterilizers:

There are basically 2 types of dental steam sterilizers used in dental industry.

N class Autoclave:

This is small and economical dental autoclave. The “N” stands for “Non-Vacuum” sterilizer. It is mostly used to sterilize only solid and naked dental instruments e.g. mouth mirror, probe, explorer, tweezer, forceps, elevators etc. It works by the mechanism of “Gravity displacement”. At the sides of the sterilizing chamber, moist heat is admitted and it thus pushes the air out of the chamber due to the less weight of air than steam. Porous and hollow instruments are not recommended for sterilization in this type autoclave due to the unavailability of vacuum cycle and also the penetration time of porous instruments is prolonged due to incomplete air elimination.

B class Autoclave:

This type autoclave is the most advanced type of autoclave with triple vacuum cycle. This autoclave meets all the European standard guidelines for an effective infection control in the dental clinic. All varieties of porous/non-porous, solid/hollow, wrapped/unwrapped instruments can be sterilized in B-type autoclave. One vacuum cycle starts prior to sterilization to eliminate the contaminated air from the chamber, another vacuum cycle starts after sterilization to remove the moist air from the chamber for an effective dry cycle, the last vacuum cycle starts at the end of the cycle to ensure a 100% sterilization. Now-a-days B class autoclave also come with a Prion Cycle or B+ Cycle for effective destruction of prion bacteria and assurance of sterile dental instruments prior to any surgical case.

The most renowned dental autoclave in India is Runyes autoclave i.e. Feng 23L B class autoclave. This autoclave also comes with B+ cycle.

How to Choose the right Autoclave for your dental clinic?

  • Capacity:

Depending upon the practice and the size of the dental clinic, the dental healthcare worker needs to choose an autoclave which can easily sterilize all the used dental instruments of the clinic at a time, keeping in mind the safety of the patients and the assistants.

  • Reduced Full Cycle Time:

The faster the full sterilization cycle, the more the productivity of the dental professional. As in Feng 23L B class autoclave the full cycle time is reduced, that does not impede the entry of subsequent patients and instruments can be sterilized on a continuous basis for the increased safety of the patients.

  • Design: 

The dental autoclave should be compact to place in the sterilization area of dental clinic. It should not acquire much space in the dental clinic.

  • Data Accessibility:

To ensure the safety standards, the sterilization data can be stored and easily be accessible. As in Runyes Feng 23L autoclave, the data accessibility feature is available along with option for printer to meet all the requirements of the dentist.

  • Effectiveness of the Sterilization:

With advanced technology, the autoclave now comes with feature of checking the temperature penetration with “B&D Test” and also steam generator cleaning program to increase the effectiveness of the sterilization cycle. It mostly reduces the need of service calls which gives the dentist a peace of mind.

You Can Also Buy The Best Dental Autoclave at an Affordable Price from our Online Store.

Dental Lasers: Benefits & Adoptibility in Dentistry

Laser dentistry is one of the most advanced technology dental treatments today. Laser technology that integrates focused light and radiant energy for a highly accurate, extraordinary superb dental experience.

Dental Laser Technology allows dentist to perform multiple procedures with benefits including Faster healing time and less trauma to gums. Less anesthetic for most procedures. Less post-operative discomfort. Making dental care a more moderate & comfortable experience for Dentists and patients.

The adaptability of Laser in Dentistry

The laser has so many applications and benefits. It can repair the damaged tissue and increase patient acceptance during treatment with Laser.

Laser dentistry provides all the following treatments faster and more comfortable experience:

·        Treating root canal infections

·        Treating Gum disease

·       Removing gum disease

·       Prevent Gum recession

·       Improve gummy smile

·       Repairing tooth decay

·       Lip Plumping

·       Biopsies

·       Exposing wisdom teeth

·       Regenerating damaged nerves

·       Removing benign oral tumors

·       Canker and cols sore treatment

·       Fix Tongue-tie

·       Teeth Whitening

Benefits of Laser Dentistry

Laser dentistry dramatically the care you receive without compromising the outcome. Overall, you’ll enjoy a variety of benefits, including:

·       Reduce time for treatment

·       Reduces the need for drills and needles

·       Avoid the stress of drills and needles

·       Painless & Bloodless

·       Less trauma to the tissue

·       No postoperative inflammation

·       Less chance of drug interaction

·       Less risk of cross-contamination

·       Reduce time for treatment

·       Patient comfort

·       Promote conservative treatment

Revolutionize Restorative & Conservative Treatments:

The laser can take away the fear of common restorative treatments because it can get rid of loud drills or pain-full needles like when treating cavities. The laser removes the cavities and prepares the tooth for a filling without needing shots. It can also be used for crown preparation without a loud, vibrating high-speed hand-piece. It helps in the same day, multi-quadrant treatments require fewer appointments and are more convenient.

It also benefits in many other restorative procedures, like root canals. Lasers can be used to remove organic debris and dental pulp, It also helps to even modify (shape and clean) the dental walls of the root canals and other Endodontic surgery (Amputation):

• Cutting bone to prepare window access to the apex (apices) of the root(s)

• Apicoectomy – amputation of the root end

• Root end preparation for retrofill amalgam or composite

• Removal of pathological tissues and hyperplastic tissues from around the  apex

Laser Dentistry also helpful for periodontal therapy by absolute removal of bacteria in the perio pockets. This get rid of the infection at its source while also encouraging the gums to reattach to the teeth to prevent it from reoccurring.

Laser Uses in Periodontics:

·       Incisions for Full-thickness/ Partial-thickness flap

·       Removal of granulation tissue from bony defects

·        Sulcular debridement

·       Ostectomy

·       Osteoplasty and osseous recontouring

·       Osseous crown lengthening

·       Soft tissue procedures such as gingivectomy, gingivoplasty, depigmentation, frenectomy.

Laser magnify the emergence of smile:

The laser technique is also used to activate the bleaching gel for whitening teeth. The laser whitening procedure takes only 20 minutes which is less or without sensitivity.

It means less time is spent driving back and forth to the dentist’s office. It also means that less time will be spent away from work and less time will be spent sitting in the dental chair resulting in a more comfortable experience.  Laser Whitening is ideal for anyone looking for immediate results. The convenience of Laser Whitening in comparison to days of wearing trays and gradual whitening makes it the perfect choice for the busy individual.

Laser The Best Technology :

Laser technology is the best for Dentistry. Doctors can enjoy the latest innovations in dentistry using dental lasers. Whether for restorative or cosmetic benefits, Doctors will achieve superior results.

 

Book your free Biolase Epic X Soft Tissue Diode Laser Demo at our Online Dental Store.

Advantages of electric driven handpieces over air turbine.

In Dentistry, The handpiece is one of the most basic needs and commonly used dental instruments. The number of applications in endodontics, general dentistry, and implantology requires a comfortable handpiece that works well. Behind every best dental specialist, there is always an incredible dental handpiece with numerous applications in dental procedures.

The air-driven high-speed handpiece is the widely accepted handpiece because it is much cheaper than an electrical handpiece. Electrical Handpiece on the other hand are expensive but due to its air turbine feature, it stands apart from normal air-driven handpieces.

 AIR DRIVEN HANDPIECES

Air-driven dental handpieces utilizes air energy to create a cutting or rotary motion. This technology is well-proven over many years.

There are several advantages of using an air-driven instrument.

Air-driven high-speed handpieces are smaller in head height, lighter in weight, and easy to handle than the electrical handpieces.

Air-driven high-speed handpieces tend to have a higher speed, but a lower torque.  However, when a bur comes into contact with the tooth, it slower down the bur due to resistance builds up. The harder the pressure on the bur, the slower the bur spins.

There are several disadvantages of using the traditional air-driven low-speed handpiece. One major issue is aerosol. It generates lots of aerosols while working in the patient mouth. Nowadays the generation of aerosol is prohibited in the epidemic period of Covid-19. As aerosol may cause cross-contamination of bacteria and viruses.

Also, other issues are the high noise and vibrating sensation of the air motor. However, air-driven low-speed handpieces make a loud whirring noise that disrupts the relaxing environment and disturbance to other patients.

ELECTRICAL HANDPIECES

Electrical handpieces operate using an electric motor to create the rotation and cutting motion of the burs. Electric driven handpieces tends to be a little heavier and can increase user fatigue, especially when used for a longer period of time.

There may be a slightly higher risk in the hands of an inexperienced practitioner because there is no “sound-feedback” like that of an air-driven instrument.

Electric high-speed handpieces run at a constant speed and consistent torque that does not decrease with higher load. It also produces a smoother and more precise cutting due to the stable speed which allows high flexibility in preparations.

Some electrical systems allows to control the torque and speed which tends to have additional ENDO & RESTORATIVE preparations.

In the recent scenario, the Covid-19 outbreak has spread in many countries. As dental professionals are at maximum risk due to Covid-19 transmission, the electrical handpiece is quickly picking up ubiquity supplanting conventional air-driven as these electric handpieces generate less aerosol compared to the air-driven high-speed handpieces.

The generation of less aerosol is the major advantage of an Electric high-speed handpiece. Patients also like electric handpieces because they are quieter and Vibration free which creates a relaxing environment. This can help in patients satisfaction which translates to positive reviews online and increased patient retention.

The Optic Light in handpiece always gives better visualization. Nowadays electric motor systems are equipped with LED light which gives further an added advantage.

Conclusion: The electric handpiece provides constant speed, high torque, optimum durability, utmost cutting efficiency with very less noise & thus enables faster cutting & long durability of the handpieces. Now it’s time to upgrade from High-speed Air-driven handpieces to High torque electric drive handpieces.

MAKING THE DECISION

To start working with an electrical handpiece is allow to get the advantage of two systems.

NSK NLX nano

A new generation of micromotor is well balanced as an air turbine.

NLX nano has been designed to minimize weight and size to improve the balance of instrument and motor in the hand of the clinician, reducing fatigue during prolonged procedures. Despite its small size and lightweight, the NLX nano is as powerful as traditional micromotors and offers a wider range of speeds. Its 180° Vector Control assures smooth and stepless control over the entire speed range. Thanks to LED illumination, it now delivers 32,000 LUX*, natural daylight quality light, and assures clearer vision, reducing fatigue during operation.

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