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23rd Annual Conference & Exhibition

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GENERAL SESSIONS

Thursday - General Sessions

Session Speaker(s) Details Date Time Handouts

The Science and Case Studies Using PDT in the Treatment of Oral Cancer (0100)

Dr. Maureen Sullivan View Details Thursday, April 14 8:00am-9:15am Download Handout
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Overview

Despite significant advancements in the treatment of head and neck cancers in the past 30 years, 5-year survival remains static, and treatment carries significant morbidity. Photodynamic therapy (PDT) is a minimally invasive treatment that utilizes laser light and a photosensitizing drug to treat cancer. This course will describe the use of PDT in the treatment of oral and oropharyngeal cancers. A brief history of the development of this technology, its mechanism of action, and the need for careful patient selection will be described.

Educational Objectives

  • Review the current incidence rates and standard treatment therapies for oral cancer.
  • Review the current treatment-related long-term sequelae associated with curing oral cancer with standard therapies.
  • Review the science behind using PDT in the treatment of oral cancer.
  • Summarize case studies that utilized PDT in the treatment of oral cancer.
Speaker(s)
Dr. Maureen Sullivan
Dr. Maureen Sullivan

The Use of the Er:YAG (2940 nm) in a Laser-Assisted Peri-implantitis Treatment: How Far Can We Push the Envelope? (0092)

Dr. Avi Reyhanian View Details Thursday, April 14 9:15am-10:00am Download Handout
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Overview

Coming Soon!

Speaker(s)
Dr. Avi Reyhanian
Dr. Avi Reyhanian

Friday - Hard Tissue Applications

Session Speaker(s) Details Date Time Handouts

Setting the Stage for the Future (0088)

Dr. John Featherstone View Details Friday, April 15 8:00am-8:40am Download Handout
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Overview

Most early studies on laser interactions with hard tissues in the 1960s and 1970s showed little potential for safe clinical use. However, basic laser-tissue interaction studies in the 1980s and 1990s set the stage for efficient and safe future clinical applications. This presentation will show how methodical science in the past has set the stage for the future of lasers in dentistry and the development of technology that exceeds even the wildest dreams of early investigators and clinicians.

Speaker(s)
Dr. John Featherstone
Dr. John Featherstone

The Future of Clinical Laser Applications (0101)

Dr. Peter Rechmann View Details Friday, April 15 8:40am-9:20am Download Handout
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Overview

The presentation will illustrate the pathway from the basic laboratory studies in laser caries prevention to successful clinical applications for preventing caries in humans. The first clinical study that showed caries prevention using a specific short-pulsed laser wavelength in vital teeth, followed first by a pilot and then by a major randomized, prospective, blinded clinical trial, will be presented. Efficient cutting of hard tissue and the latest caries prevention data using the short-pulsed 9.3-µm laser will also be highlighted.

Speaker(s)
Dr. Peter Rechmann
Dr. Peter Rechmann

Prevent Tooth Extraction by Endodontic Treatment with Er:YAG Laser - Is It Possible? (0087)

Dr. Sharonit Sahar-Helft View Details Friday, April 15 9:20am-10:00am Download Handout
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Overview

Introduction: The success of endodontic treatment depends on complete removal smear layer and bacteria from root canal system. Enterococcus faecalis can grow as biofilm inside dentin tubules.

Objective: The aim of current research was to compare the removal of smear layer and biofilm from the root canal system by syringe, ultrasonics, and laser.

Materials and Methods: Human teeth were endodontically prepared and infected for 21 days by Enteroccocus faecalis. Teeth were separated into subgroups according to methods of removing biofilm: Endodontic treatment-negative control (NCG) group; ethylenediaminetetraacetic acid (EDTA) with syringe group; ultrasonic with EDTA inserted at the 1/3 coronal part and at the apical area; Er:YAG laser (LiteTouch™, Syneron Dental Laser, Yokneam, Israel) with EDTA inserted at the 1/3 coronal part and at the apical area. Colony forming unit (CFU) values and high-resolution scanning electron microscopy (SEM) were used for testing the effects on the root canal surface.

Results: The CFU value of NGC was significantly more than all other treatment groups. The EDTA solution group showed that the efficiency of bacteria removal was clearly lower than other groups. Laser irradiation at 1/3 length of the canal was significantly the most efficient in the root canal treatments with EDTA. Application of ultrasonic all along the main canal was significantly more effective than applying just the 1/3 coronal portion of the root canal.

Conclusion: Laser-activated technique is capable of disinfecting root canals. The added importance of proper working length in achieving better disinfection of the root canal was underscored.

Educational Objectives

  • Change the attitude and approach of the learner to the solution of dental problems.
  • Provide new knowledge in specific areas.
Speaker(s)
Dr. Sharonit Sahar-Helft
Dr. Sharonit Sahar-Helft

Saturday - Photobiomodulation

Session Speaker(s) Details Date Time Handouts

Light Years Ahead: Use of Low Level Laser Therapy for Oral Mucositis (0106)

Annette Quinn, RN View Details Saturday, April 16 8:00am-9:00am Download Handout
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Overview

Introduction and Objective: Oral mucositis (OM) Is one of the most debilitating toxicities of cancer therapy. Nearly all patients with head and neck tumors treated with chemoradiotherapy and 75% of patients undergoing stem cell transplantation with total body irradiation experience some degree of OM. There are essentially no effective treatments that focus on this toxicity. The goal of this pilot project was to implement a low-level laser therapy program at the University of Pittsburgh Cancer Institute to aid in the prevention and/or treatment of oral mucositis (OM) in patients receiving chemoradiotherapy for head and neck carcinoma or undergoing stem cell transplantation.

Methods: Patients that were deemed to be high risk for developing OM were submitted to receiving low-level laser therapy (LLLT) with an 830-nm laser three times a week beginning the first week of treatment and continuing throughout their radiation therapy course or for stem cell transplant patients until their absolute neutrophil count (ANC) was greater than 1000 cell/nm3. Patients were treated extraorally to 5 sites and intraorally to the tongue and soft palate. National Cancer Institute’s Common Toxicity Criteria (NCI-CTC) was used to evaluate OM in each patient.

Results: To date more than 58 patients have received low-level laser therapy for the prevention and/or reduction of their oral mucositis. In radiation therapy, 0/35 patient experienced a treatment break related to OM and in stem cell transplant only 2/23 patients developed a grade 3 oral mucositis.

Conclusion: Low-level laser therapy is an exciting new tool that significantly reduces the incidence and severity of OM in patients undergoing chemoradiotherapy for head and neck cancer or stem cell transplantation.

Educational Objectives

  • Describe the radiobiology behind the mechanism of action of low-level laser therapy (LLLT) for oral mucositis (OM) and its impact on preventing treatment interruptions.
  • Discuss the current recommendations for the use of LLLT in both the radiation and medical oncology setting.
  • Name the key steps to incorporating LLLT into practice for the prevention and treatment of OM.
Speaker(s)
Photo Coming Soon
Annette Quinn, RN

Saturday - Practice Management

Session Speaker(s) Details Date Time Handouts

Dentistry ROCKS: Mastering the Art of a Thriving Practice in 2016 and Beyond (0109)

Gary Takacs View Details Saturday, April 16 9:15am-10:00am Download Handout
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Overview

The dental universe is quickly dividing into dentists that are thriving and those that are struggling. In this fast-paced course, find out what you need to do to not only survive, but to THRIVE in the current economic conditions. This course will provide you with real-world solutions designed to be very practical, teaching concepts that can be immediately applied to your practice. This ‘must attend’ event will guide your practice to success now and in the years to come. An emphasis will be placed on the role of technology in a thriving dental practice with a specific discussion of how lasers are an important element of a successful practice. The focus on this course is a practice model that helps your patients take a greater interest in their oral health. You will learn how to guide your patients to accept your treatment recommendations and to become ‘champions’ of your practice in your community. The result is a practice that provides personal, professional, and financial satisfaction.

Educational Objectives

  • Develop a comprehensive marketing plan using internal, external, and digital marketing activities.
  • Identify the 6 most effective digital marketing activities and determine which of these activities are a good fit for one's practice.
  • Develop a simple system for using digital photos for patient education.
  • Understand how to position the laser as a practice-building tool.
Speaker(s)
Gary Takacs
Gary Takacs

PEDIATRIC TRACK (Expanded 2-day Program)

Pediatric Dentistry and Lasers
Academy of Laser Dentistry - Two Days of Pediatric Learning Lasers
Friday April 15 and Saturday April 16, 2016
Clinical Applications of Lasers for Infants, Tots, and Teens

This year the ALD presents a meeting within a meeting. 2016 presents something for the new pediatric laser dentist and something for the experienced pediatric dentist. ALD is pleased to welcome many new pediatric dentists to our organization. We are now introducing a new concept and an updated two-day pediatric program. Over two days we will cover topics from soft and hard tissue procedures on children, Photobiomodulation uses in a pediatric practice, protecting your reputation and practice management topics. Friday's schedule addresses the needs of the novice laser user. Saturday offers a more comprehensive day for infants and what dentists need to know to do post surgically for these infant patients. We have invited speakers in the areas of myofunctional therapy, International Board of Lactation Consultants (IBCLCs) and others. It is recommended that everyone attend the entire ALD meeting and learn how laser dentistry has changed pediatric dental care forever.


Friday, April 15

Session Speaker(s) Details Date Time Handouts

Soft Tissue Surgery Using 1064-nm Diode, Er:YAG and 9300-nm and 10600-nm CO2 Lasers (0119)

Dr. Larry Kotlow View Details Friday, April 15 9:15am-10:45am Download Handout
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Overview

Lasers are quite effective in ablating soft tissue. This presentation will compare and show a variety of soft tissue procedures, using a 1064-nm diode, Er,Cr:YSGG (2780 nm), Er:YAG (2940 nm), and 9300-nm and 10,600-nm CO2 dental lasers, that historically have been referred out or left untreated. The presentation will include frenectomies, excisional biopsies, tooth exposures, postorthodontic gingival treatment, gingivectomies, operculectomies, and many other common pediatric soft tissue treatments.

Educational Objectives

  • Increase understanding of tissue interaction and ablation using different laser wavelengths.
Speaker(s)
Dr. Fred Margolis
Dr. Larry Kotlow

Using Photobiomodulating Lasers in Children (0120)

Dr. Larry Kotlow View Details Friday, April 15 11:00am-11:30am Download Handout
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Overview

Photobiomodulation (PBM) lasers have been around for many years, however these devices only recently have been seen to be beneficial in dentistry. Using a PBM laser to emulate the art of acupunture in treating traumatic wounds, managing postsurgical wounds, and achieving tooth analgesia are a few of the benefits. These lasers do not generate heat and are safe and effective when used properly and can be found to be extremely beneficial in pediatric practices. A variety of PBM lasers, smaller probes, and clusters will be discussed.

Educational Objectives

  • Learn a variety of PBM procedures which are beneficial to the pediatric dentist, including how to reduce or eliminate the gagging reflex of the child, and how to reduce the swelling and pain of soft tissue surgery or traumatic wounds.
  • Summarize PBM treatment of certain patients presenting with temporomandibular joint (TMJ) discomfort.
  • Discuss the use of PBM to reduce the need for mandibular blocks to anesthetize lower permanent molars and help save teeth which have been traumatized.
Speaker(s)
Dr. Larry Kotlow
Dr. Larry Kotlow

Airway Management in Children and Adults Using Non- Surgical Laser Technology (0031)

Dr. Harvey Shiffman View Details Friday, April 15 11:30am-12:15pm Download Handout
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Overview

Nonsurgical Er:YAG laser snoring and sleep apnea reduction therapy is another tool in our dental toolbox for treating adults and children with sleep-disordered breathing.

Educational Objectives

  • Summarize sleep-disordered breathing conditions in adults and children.
  • Specify treatment alternatives for these conditions.
  • Describe how pediatric attention disorders can be linked to sleep-disordered breathing.
  • Enumerate co-therapy options.
Speaker(s)
Dr. Harvey Shiffman
Dr. Harvey Shiffman

Practice Management: Reputation Management for Today AND Tomorrow (0083)

Bryan Edelstein View Details Friday, April 15 1:15pm-2:15pm Download Handout
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Overview

According to a survey in June 2014 by the American Medical Association, 1 in 4 people now read online reviews of doctors before making an appointment. A few years ago, this number was more like 1 in 10, and this time next year it is likely to be 1 in 2. In short, being rated, reviewed, discussed, and compared online is a new fact of life for doctors. As with any disruptive change in an industry, this will be great for those who are quick to adapt and painful for those who wait too long.

This session will empower participants with immediate actionable takeaways that can be put to work the day they return from the event.

Topics include:

  • Why the first dollars you spend online should be on your reputation.
  • Getting slanderous and damaging content removed from top social sites.
  • Optimizing online reputation for employers and partners (not just patients).
  • Quantifying online reputation – understanding the true cost of ignoring online reputation.
  • Common scams, time-sinks, and rip-offs in the "online reputation" space that should be avoided at all costs.

Educational Objectives

  • Determine which online venues are most critical when it comes to maintaining a reputation.
  • Identify proven techniques to push negative reviews and damaging content off the first page of Google search results.
  • Define simple tactics to reliably capture GOOD reviews from happy patients.
  • Determine how to respond to negative reviews; know when to engage and when to ignore.
Speaker(s)
Bryan Edelstein
Bryan Edelstein

Oral Soft Tissue Laser Ablation and Coagulation Depths Spectra (0026)

Peter Vitruk, PhD View Details Friday, April 15 2:15pm-3:00pm Download Handout
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Overview

Modern-day laser-tissue interaction education is limited largely to discussing the laser-tissue absorption spectra and stops short of what is of ultimate practical importance: the depth of ablation (cutting, incision, excision) and the depth of coagulation for the soft tissue.

This presentation addresses the wavelength-dependent and laser fluence-dependent depth of laser ablation that is measured and is also derived from the soft tissue absorption spectra and soft tissue thermodynamic properties. The depth of ablation and the depth of coagulation are discussed with respect to laser pulsing, power, spot size, and hand speed.

Educational Objectives

  • Identify the wavelength-dependent and laser fluence-dependent depth of laser ablation that is measured and is also derived from the soft tissue absorption spectra and soft tissue thermodynamic properties.
  • Discuss the depth of ablation and the depth of coagulation as a function of laser pulsing, power, spot size, and hand speed.
Speaker(s)
Peter Vitruk, PhD
Peter Vitruk, PhD

Pediatric Dentistry Applications Workshop - Rotation 1

Dr. Rishita Jaju; Dr. Larry Kotlow View Details Friday, April 15 3:15pm-4:00pm Download Handout
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Overview

Session overview/abstract coming soon!

Speaker(s)
Dr. Rishita Jaju
Dr. Rishita Jaju
Dr. Larry Kotlow
Dr. Larry Kotlow

Pediatric Dentistry Applications Workshop - Rotation 2

Dr. Rishita Jaju; Dr. Larry Kotlow View Details Friday, April 15 4:15pm-5:00pm Download Handout
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Overview

Session overview/abstract coming soon!

Speaker(s)
Dr. Rishita Jaju
Dr. Rishita Jaju
Dr. Larry Kotlow
Dr. Larry Kotlow

Saturday, April 16

Session Speaker(s) Details Date Time Handouts

Breastfeeding, Lasers and Tethered Oral Tissues (0121)

Dr. Larry Kotlow View Details Saturday, April 16 8:00am-10:00am Download Handout
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Overview

This presentation discusses the initial and additional diagnostic criteria for determining lingual and maxillary ties. Included are photographs and live video to show the need for follow-up care to prevent reattachment as well as a second or third surgery. The diagnostic criteria for examining newborns for anterior and posterior ties will be presented.

Educational Objectives

  • Achieve a clearer understanding of the issues related to properly assessing and treating lingual and maxillary tongue-ties in newborns and infants.
  • Fully appreciate the importance of proper follow-up care to prevent reattachment.
Speaker(s)
Dr. Larry Kotlow
Dr. Larry Kotlow

Babies in the Dental Office, Oh My! Untie the Schedule and Your Staff When Deciding to Perform Laser Revisions of Oral Restrictions (0009)

Dr. Annette Skowronski View Details Saturday, April 16 10:15am-11:00am Download Handout
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Overview

This presentation provides an overview of current positions regarding awareness, diagnosis, and treatment of lingual and labial frenal restrictions in infants and toddlers. Current methodologies for treatment (including laser revisions) are summarized. The improvement of treatment integration within pediatric and general dental practices is emphasized, and communication modes, intake, medical consult and referral forms, exam protocols, and audioisual documentation are discussed. Optimizing patient outcomes through the involvement of other health professionals is also described.

Educational Objectives

  • Update the positions in current literature with respect to awareness, diagnosis, and treatment of lingual and labial frenal restrictions.
  • Relate current methodology and indications for correction of oral restrictions with emphasis on laser revisions.
  • Present ideas to improve integration of treatment of infants and toddlers into a pediatric or general dental practice setting.
  • Facilitate communication with other allied health professionals such as International Board-Certified Lactation Consultants® (IBCLCs), pediatricians, craniosacral therapists, otolaryngologists, and oromyologists for best patient outcome. Provide suggestions for documentation and post-treatment follow-up.
Speaker(s)
Dr. Annette Skowronski
Dr. Annette Skowronski

Breastfeeding: Defining the Physiologic Norm for Oral Function (0059)

Jennifer Tow, BFA, MA, IBCLC, RLC, OMT View Details Saturday, April 16 11:00am-12:00pm Download Handout
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Overview

Breastfeeding is the physiologically normal way to feed the human infant, and as such, acts as the primary architect of the human airway. The functional goal of breastfeeding is the development of the infant’s oral anatomy toward a structure that supports nose breathing and airway competency. Form meets function through the mechanics of infant feeding, with breastfeeding optimizing systemic competency while artificial feeding designs a system built on compensations. When infants cannot breastfeed due to lack of structural integrity, such as may result from tethered oral tissue, competency is lost and the intended function is compromised. This session presents an overview of the physiology of infant feeding and its significance to oral and airway function and long-term systemic competency.

Educational Objectives

  • Develop an appreciation for the imperative of physiologically normal infant feeding as it relates to oral function.
  • Describe the anatomical impact of artificial feeding on the infant.
  • Relate the importance in establishing competent vs. compensatory infant feeding.
  • Recognize the significance of oral restrictions such as tongue, lip, and buccal ties on infant physiology.
Speaker(s)
Photo Coming Soon
Jennifer Tow, BFA, MA, IBCLC, RLC, OMT

The Development of the Mid-face in Infancy and the Toddler Years: The Impact of Function on Structure. (0005)

Michale Fetzik, RN, BSN, OMT View Details Saturday, April 16 1:00pm-2:00pm Download Handout
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Overview

This lecture will cover the growth and development of the mid-face in infancy and the toddler years and how suboptimal development impacts oral system function over the lifetime.

  1. Introduction to theories of Facial Growth and Development
  2. Epigenetic influences on Structure and Function
  3. Systemic and Physiologic impact of Oral Dysfunction
  4. Treatment Paradigms to recover lost opportunity

Educational Objectives

  • Review theories of facial growth and development.
  • Name at least 3 types of epigenetic influences on facial structure and function.
  • Relate oral dysfunction with at least 3 types of systemic and physiologic sequelae.
  • Define at least 2 treatment paradigms to recover lost oral function.
Speaker(s)
Michale Fetzik, RN, BSN, OMT
Michale Fetzik, RN, BSN, OMT

Airway Crossroads: Where Sleep Medicine, Dentistry and Myofunctional Therapy Meet (0045)

Paula Fabbie, RDH, BS, COM View Details Saturday, April 16 2:00pm-3:00pm Download Handout
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Overview

Healthcare professionals need to enhance their ethical compass by assessing orofacial myofunctional disorders (OMDs) in their patients that could lead to improved oral and overall health. Sleep medicine is asking dental professionals to consider how a certain habit that looks cute in a small child could assist with improper jaw and airway development. Sleep-disordered breathing can also negatively impact learning and behavior. Dental and medical teams, along with other healthcare professionals, are screening for orofacial myofunctional disorders and referring patients for myofunctional therapy.

No parent or young adult wants to hear the words "too late" or that "facial growth has stopped and that surgery to correct the problem" may need to be considered. This course will review OMDs, and demonstrate a team approach in treating complex cases. Case studies covering ages from infancy to geriatrics will be presented and participants will learn how to utilize dentists, physicians, otolaryngologists, and sleep specialists. Many of these patients have tethered oral tissues and require laser revision of the frenums to ensure optimal oral functions and compliance with functional ortho and mandibular advancement sleep devices.

Educational Objectives

  • Learn to identify potential roadblocks to proper case selection and help ensure successful outcomes: Essential operative requirements include securing cooperative child and parents, eliminating maxillary constrictions, revising tethered oral tissues, and identifying and managing issues specified during a careful review of medical and dental history.
  • Understand that collaborative work is productive and often essential for long-lasting positive outcomes: All team members have common goals and clear communication and interaction. Learn who may be on your team and how you can best work together.
  • Determine the proper timing of orofacial myofunctional therapy: Active therapy may need to postponed or started and resumed or re-treated when significant life or health events interfere.
Speaker(s)
Paula Fabbie, RDH, BS, COM
Paula Fabbie, RDH, BS, COM

Pediatric Track Speaker Panel Discussion

Dr. Rishita Jaju; Dr. Larry Kotlow View Details Saturday, April 16 3:15pm-4:15pm Download Handout
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Overview

Session overview/abstract coming soon!

Speaker(s)
Dr. Rishita Jaju
Dr. Rishita Jaju
Dr. Larry Kotlow
Dr. Larry Kotlow

Parallel Sessions

Lasers in Soft Tissue Applications

Session Speaker(s) Details Date Time Handouts

Er:YAG Laser in Periodontics (0094)

Dr. Akira Aoki View Details Thursday, April 14 10:45am-11:30am Download Handout
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Overview

Various lasers have been used for a wide range of oral procedures. Lasers have numerous advantageous physical properties such as ablation, hemostasis, bactericidal effect, as well as photobiomodulation, making them suitable for treating inflammatory and infectious conditions. Therefore, the application of lasers is considered useful for treating oral diseases including periodontitis. Animal studies revealed efficient and safe soft and bone tissue ablation with minimal thermal damage and faster tissue healing following Er:YAG laser ablation, compared to electrosurgery or bur cutting. Also, surgical treatment of periodontitis using am Er:YAG laser in dogs resulted in significantly enhanced new bone formation, compared to mechanical instrumentation. These positive results are considered to be due to the minimal thermal effects, high decontamination and detoxification effects on the diseased site, the pronounced bleeding from the irradiated bone surface, as well as the potential photobiomodulation effects of the Er:YAG laser. Thus, the Er:YAG laser would be a suitable tool for nonsurgical and surgical periodontal pocket therapy, in particular, in regenerative therapy. Based on these observations and evidences, the erbium laser has recently been established as one of the most promising laser systems for periodontal therapy. In this presentation, the current clinical applications of Er:YAG laser for soft tissue management with aesthetic treatment, periodontal nonsurgical and surgical therapy, and osseous surgery will be discussed, based on scientific evidence from currently available basic and clinical studies as well as case reports. In particular, Er:YAG laser-assisted comprehensive pocket treatment (Er-LCPT) will be introduced.

Educational Objectives

  • Describe the basic effects of Er:YAG laser on hard and soft tissues.
  • Enumerate the advantageous characteristics of Er:YAG laser in periodontal therapy.
  • Explain the various clinical applications and methods of treatment including the irradiation parameters and manners.
  • Understand the concept, procedure, and effects of the Er-LCPT technique.
Speaker(s)
Dr. Akira Aoki
Dr. Akira Aoki

Use of Fiber Lasers for Soft Tissue Surgery and Regeneration of Gingiva and Mucusa Through Fractional Photothermolysis (0072)

Dr. Georgios Romanos View Details Thursday, April 14 11:30am-12:15pm Download Handout
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Overview

A novel laser system combining Er and Tm fiber lasers was evaluated for soft tissue surgery and regeneration of gingiva and mucosa.

Objective: Investigate the feasibility of using Er- and Tm-doped fiber lasers for noncontact soft tissue cutting and regeneration of gingiva and mucosa by means of fractional photothermolysis.

Method: A new dental laser system combining Tm-doped fiber laser (power up to 12 W, wavelength 1940 nm) and Er-doped fiber laser (power up to 18 W, wavelength 1550 nm) was used in an in vitro test. The Tm laser was tested for soft tissue cutting, whereas the Er laser was used to create nonablative fractional microzones (islands) of thermal damage. Photography and histological evaluation (NBTC staining) was used to assess resulting tissue damage.

Results: The Tm laser produced clean cuts with low charring and minimal residual thermal damage. The Er laser was capable of producing micro-columns of damage with depth up to ~1 mm and column diameter 0.15 to 0.5 mm.

Conclusions: Fiber lasers provide highly efficient tools for noncontact cutting and can be used for regeneration of gingiva and mucosa through fractional photothermolysis.

Educational Objective

  • Elucidate mechanisms of interaction of light emitted by fiber lasers with soft oral tissues.
Speaker(s)
Dr. Georgios Romanos
Dr. Georgios Romanos

One-stage, Full Mouth Sulcular Debridement with FRP 1064 Nd:YAG as Adjunctive to a Full Mouth Initial Periodontal Therapy: A Clinical Case Series Retrospective Study (0010)

Dr. Beatrijs Deruyter View Details Thursday, April 14 1:30pm-2:30pm Download Handout
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Overview

Introduction and Objective: In an attempt to enhance the treatment outcomes of anti-infective periodontal therapy, the one-stage, full-mouth therapy has been considered the most effective way of treating chronic adult periodontitis. Almost all studies performed until the present differ in treatment protocol. As such, statistics have to be evaluated with caution.

One-stage, full-mouth debridement with a free-running pulsed (FRP) 1064-nm Nd:YAG laser in conjunction with ultrasonic scaling provides a cost-effective procedure for gain in clinical attachment to meet patients’ and clinicians’ expectations.

Besides the one-stage, full-mouth procedure to eliminate cross-contamination, thermal confinement might play an important role in the significant difference in results. Simplification of the protocol with a 1064-nm FRP Nd:YAG laser leads to a cost-effective procedure with more predictable results.

This retrospective study evaluates a series of clinical cases.

Material and Methods: Fifty-three patients with a severe periodontal screening index were all treated with the same periodontal treatment protocol of one-stage, full-mouth disinfection by a combination of scaling, laser attachment procedure (LAP) with a FRP 1064-nm Nd:YAG laser using 1 W / 10 Hz / 100 mJ per pulse / 125-µsec pulse width, and a spot size of 300 µm. If indicated by biological assessment, antibiotic therapy was used. Clinical attachment gain was compared to the results of other one-stage, full-mouth procedures and quadrant treatment.

Results: Similar to other studies, two groups were created: the first group with medium pockets (up to 5 mm pocket depth) and a second group with deep pockets (over 5 mm pocket depth). Bacteriological assessment was repeated only when symptoms indicated that the patient was out of balance. During the test, only the initial treatment was taken into consideration to be able to compare with other studies.

Conclusion: The combination of a one-stage, full-mouth scaling, laser attachment procedure for debridement of the pocket, disinfection of the exposed dentine, and specific indicated antibiotics provides a predictable outcome of statistically significant gain in attachment level. Because of its simplicity, the treatment protocol can be provided for most patients, even those with serious medical antecedents.

Educational Objective

  • Update knowledge of the approach to to the solution periodontal problems.
Speaker(s)
Photo Coming Soon
Dr. Beatrijs Deruyter

Orofacial Herpes Simplex - Laser Versus Conventional Treatment (0042)

Dr. Claus Neckel View Details Thursday, April 14 2:30pm-3:30pm Download Handout
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Overview

Introduction: Herpes simplex is a viral disease caused by the herpes simplex virus. Infections are categorized based on the part of the body infected. Oral herpes involves the face or mouth. It may result in small blisters in groups often called cold sores or fever blisters or may just cause a sore throat. These conditions typically heal over two to four weeks. Tingling or shooting pains may occur before the blisters appear. Herpes cycles between periods of active disease followed by periods without symptoms. There are two types of herpes simplex virus, type 1 (HSV-1) and type 2 (HSV-2). HSV-1 more commonly causes oral infections while HSV-2 more commonly causes genital infections. After infection, the viruses are transported along sensory nerves to the nerve cell bodies, where they reside lifelong. Oral and genital herpes is usually diagnosed based on the presenting of clinical symptoms.

Objective: The aim of this study was to evaluate the efficiency of laser treatment of orofacial herpes simplex in comparison to conventional treatment with antiviral ointments and no active treatment.

Methods: One hundred and twenty patients with active herpes simplex infection were randomly selected in three groups:

  • Laser group: Diode laser (Claros®, Elexxion AG, Radolfzell, Germany), Biostimulation handpiece, spot size 8 mm; 40 mW, 4000 Hz, 10 microsec pulse duration, 1:30 min irradiation time, daily application
  • Conventional medication: acyclovir daily application every 8 hours
  • Control group: no therapy

Evaluated were extent and duration of clinical symptoms, pain level, eventual recurrence, and repetition rate.

Results: The results are discussed and a clinical protocol for the practice is presented. The laser therapy showed the best results in duration and extent of the infection. The conventional therapy could control the process sufficently where as the control showed an unpredictable outcome.

Conclusion: Laser therapy of herpes simplex infections is the first treatment of choice.

Educational Objective

  • Present a protocol for the effective use of laser therapy in herpes simplex patients.
  • Evaluate the efficacy of laser biostimulation in herpes simplex patients.
Speaker(s)
Dr. Claus Neckel
Dr. Claus Neckel

Lasers in Oral Surgery

Session Speaker(s) Details Date Time Handouts

Introductions to Pediatric Dentistry & Lasers, Soft Tissue Surgery Using 1064-nm Diode, Er:YAG, and 9300-nm and 10600-nm CO2 Lasers (0019)

Dr. Robert Levine View Details Friday, April 15 9:30am-10:45am Download Handout
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Overview

Reduced wound contraction combined with decreased lateral tissue damage, less traumatic surgery, more precise control of the depth of tissue damage, and excellent hemostatic ability make the 10,600-nm CO2 laser (when compared with conventional techniques) a safe and efficient soft tissue handpiece that provides spatially accurate and predictable depth of photothermal ablation. Its excellent coagulation efficiency is due to the close match between coagulation depth and oral soft-tissue blood capillary diameters. The highly precise cutting with minimal collateral damage to the adjacent healthy tissue, good visibility of the operating field, and, reportedly, relatively minimal postoperative pain makes the CO2 laser an optimal surgical solution to the oral soft-tissue surgery. In combination with the laser's ability to cut in a noncontact mode, the risks of complications typically associated with outpatient treatment are reduced. Laser power, pulsing, spot size, and hand speed were assessed for a wide range of oral soft tissue surgeries. Six clinical cases with speedy and noneventful healing of the soft tissue will be presented and analyzed.

Educational Objectives

  • Demonstrate the enhanced healing and controlled hemostasis in soft tissue CO2 laser surgeries, including fibroma removals, operculectomies, frenectomies, hemangioma removals, vestibular extensions, and implant uncoverings.
  • Demonstrate the predictability of high-speed, char-free soft tissue removal and coagulation that that can be obtained with properly set pulse parameters of the SuperPulse 10,600-nm CO2 laser.
Speaker(s)
Dr. Robert Levine
Dr. Robert Levine

Laser in Soft Oral Tissue Surgery (0095)

Dr. Antoni Espana View Details Friday, April 15 11:00am-11:45am Download Handout
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Overview

All high-power lasers can be used over soft oral tissues. Not all the high-power lasers have the same absorption by chromophores present in the soft tissue, which implies different penetration depths according their wavelengths.

The action of these visible or infrared lasers is based on a photothermal effect. The thermal effect can damage the samples obtained for biopsy. Depending on the laser wavelength utilized, several degrees of thermal damage can be evident.

The Er,Cr:YSGG laser (λ = 2780 nm) has certain properties which differentiate it from the Er:YAG laser (λ = 2940 nm). Despite the wavelength difference, the two devices are quite close; still, the wavelength of the Er:YAG laser has a maximum absorption by water at three times more absorption than the Er,Cr:YSGG laser.

The difference in water absorption provides the Er,Cr:YSGG laser with a better penetration into tissues, and as well with a higher thermal effect. So, in small surgeries, less bleeding can be observed intraoperatively while working with an Er,Cr:YSGG laser, compared to the Er:YAG laser.

Other lasers can also be used for oral soft tissue surgery. During the presentation, different clinical cases using the Er,Cr:YSGG, Er:YAG, diode, and CO2 lasers will be reported and discussed.

Educational Objective

  • Describe the use of the Er,Cr:YSGG, Er:YAG, diode, and CO2 lasers in oral soft tissue surgery.
Speaker(s)
Dr. Antoni Espana
Dr. Antoni Espana

New CO2 Laser Modified Technique Protocol for Solar Cheilitis with Assisted Toluidine Blue Biopsy and Velscope Mapping (0079)

Dr. Claudia Cotca View Details Friday, April 15 11:45am-12:30pm Download Handout
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Overview

Solar cheilitis has been deemed a predysplastic condition with rising incidence and prevalence. Conventional invasive surgical treatment protocols, aesthetic considerations, and possible complications have increased the risk of nontreatment. Alternative minimally invasive options with optimal healing and precise identification via 3-axis tissue coordinate distribution mapping prove highly beneficial.

The CO2 laser wavelength presents as the most attractive and accurate treatment of choice, particularly when supplemented by other visual and tissue histologic markers such as toluidine blue and cross-tissue fluorescence visualization (VELscope®, LED Dental, Atlanta, Georgia, USA). The toxicity mechanism, laser settings, clinical tissue model parameters, and additional tissue distribution mapping with clinical case studies are presented and discussed.

Educational Objectives

  • Characterize the inflammatory response of solar cheilitis and respective laser protocol parameter settings.
  • Identify tissue clinical toxicity of solar cheilitis, and describe how the use of supplemental visualization techniques aid in complete lesion removal and optimal tissue healing by promoting tissue cell turnover.
Speaker(s)
Dr. Claudia Cotca
Dr. Claudia Cotca

Super-Pulsed Diode Laser for Soft Tissue Surgery (0069)

Dr. Georgios Romanos View Details Friday, April 15 1:30pm-2:00pm Download Handout
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Overview

Objective:Investigate differences in contact soft tissue cutting regimens between CW diode laser and super-pulsed diode laser.

Method: Super-pulsed mode was realized on a 975-nm diode laser system with the output pulse peak power more than 100 W. Performance of the system was compared with that of a continuous-wave (CW) diode laser of equivalent wavelength and average power levels (3 and 10 W). Performance was evaluated in terms of (1) Cutting speed; (2) Degree of charring; (3) Residual thermal damage.

Results: The systems were compared on soft tissues with low and high blood content. For both types of tissue, the super pulsed system demonstrated higher cutting speed, lower degree of charring, and smaller residual thermal damage.

Conclusion:  Use of super-pulsed laser diode may be advantageous for operations requiring fast, precise, and minimally damaging contact cutting of soft tissue.

Educational Objective

  • Understand specifics of interaction of super-pulsed diode laser emission with soft tissue.
Speaker(s)
Dr. Georgios Romanos
Dr. Georgios Romanos

Thermal Changes of Irradiated Implants Using and Er,Cr:YSGG-Laser (0097)

Dr. Nicholas Montanaro View Details Friday, April 15 2:00pm-2:15pm Download Handout
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Overview

With the increasing prevalence of dental implants in today's treatment plans, occurrences of peri-implantitis have risen. Despite past successes using invasive mechanical antibacterial debridement as treatment of the implant surfaces, incidences of relapse still remain common. In an effort to reduce the need for invasive surgery and to find a more reliable flapless option for peri-implantitis treatment, thermal safety during the utilization of an Er,Cr:YSGG (erbium, chromium-doped:yttrium, scandium, gallium, and garnet) laser for implant surface decontamination was investigated. For two independent tips, various pulse modes and air-water cooling conditions were implemented with a common power setting. Under nearly all conditions, localized thermal increase was found to be within acceptable and safe levels for associated living tissue. The thermal environment along and around the implant surfaces during irradiation was found to be most optimally managed with greater proportions of air than water. Clinical studies and parameters are required to determine the efficiency and benefit of laser treatment of peri-implantitis over pre-established methods.

Introduction and Objectives: Progressive crestal bone loss around implants in conjunction with inflammation is a relatively common complication in implant dentistry. Various techniques have been used to manage this complication, including mechanical antibacterial debridement of the implant surface, implant decontamination, and bone grafting in more severe cases. Lasers have been used to accomplish these tasks, but there is no definitive evidence supporting predictable outcomes. The aim of this study was to evaluate thermal effects and safety of an Er,Cr:YSGG laser for implant surface decontamination.

Methods: Thermal changes along the coronal and apical surfaces of dental implants (Ankylos®, Dentsply Implants, Waltham, Mass., USA) were observed via thermocouple over 1-minute irradiation periods by an Er,Cr:YSGG laser (Waterlase® iPlus, Biolase, Irvine, Calif., USA) using MZ5 and MC3 tips. Power settings were held at 2 W for all irradiation periods. Implant surface types were irradiated with different pulsed mode frequencies. For each condition, varying air-to-water ratios were implemented to evaluate for optimal thermal controlling conditions.

Results: For most conditions, localized thermal increase was found to be within safe levels for living tissue (ΔT < 10°C). Trials that involved no addition of air or water presented the most substantial thermal increase during irradiation periods. Temperature increase became reduced and more controllable with increasing use of air-cooling.

Conclusions: Within study limitations, Er,Cr:YSGG irradiation for implant decontamination may be a safe technique. Higher ratios of air-to-water seem to be more efficient in thermal control. Clinical studies and parameters are required to determine the benefits of this laser treatment in the management of peri-implantitis.

Educational Objectives

  • Evaluate the thermal effects of Er,Cr:YSGG laser irradiation on implant surfaces.
  • Assess the safety of sustained Er,Cr:YSGG laser irradiation in regard to temperature increase in adjacent tissues.
Speaker(s)
Dr. Nicholas Montanaro
Dr. Nicholas Montanaro

10,600 nm SuperPulse CO2 Laser-assisted Implant Placement Surgeries in Medically Compromised Patients (0046)

Dr. Grant Selig View Details Friday, April 15 2:50pm-3:15pm Download Handout
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Overview

A 10,600-nm CO2 dental laser (LS-1005, LightScalpel, Woodinville, Wash., USA) with wide dynamic range of SuperPulse and repeat pulse settings has been evaluated for and utilized in numerous laser-assisted implant placement procedures, including: flapless entry surgery; full flap dissection for implant placement; implant uncovering; implant socket preservation; and tooth extraction site soft tissue ablation/coagulation before the placement of the graft material. Coagulative settings are explored in clinical cases involving medically compromised patients with regard to bleeding and positive reduction of local anaesthetic. An additional range of soft tissue laser procedures (biopsies, aphthous ulcers, mucoceles, fibromas, etc.) is also administered to implant placement patients on a case-by-case basis.

Laser power, laser energy, handspeed, spot size, and pulsing parameters were analyzed and tested in order to determine the parameter space applicable for flap dissections, extraction site treatment, and othe procedures. Results are presented in graphs and illustrated by clinical cases. The SuperPulse dental CO2 laser allows for fast and predictable (depth and width) soft tissue ablation and coagulation.

Educational Objectives

  • Demonstrate the predictability of high-speed, char-free soft tissue ablation/coagulation rates that that can be obtained with properly set pulse parameters of the SuperPulse 10,600-nm CO2 laser, and that is applicable for implant placement soft tissue surgeries.
  • Evaluate the safety of SuperPulse 10,600-nm CO2 laser beam parameters around titanium implants.
Speaker(s)
Dr. Grant Selig
Dr. Grant Selig

10,600 nm SuperPulse CO2 Laser Frenectomies and Gingivenctomies in Adolescent Orthodontic and Adult Patients (0025)

Dr. Martin Kaplan View Details Friday, April 15 3:30pm-4:00pm Download Handout
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Overview

Excessive frena and gingiva can be corrected by laser with numerous benefits, such as elimination of sutures, no bleeding, no sedation, and reduced need for anesthetics. Understanding the laser-tissue interaction is critical to efficient and expedient treatment with uneventful healing.

In this study, the frenectomy and gingivectomy with a SuperPulse 10,600-nm CO2 laser is analyzed from the perspective of ablation and coagulation depth control. The technique is shown to be safe and efficient when utilizing the SuperPulse CO2 laser technology. Benefits include: (1) char-free ablation and coagulation, (2) predictable depth and width of tissue removal and coagulation, (3) high speed of soft tissue removal and coagulation.

Educational Objectives

  • Identify pulsed and average fluence for char-free ablation and coagulation of frena and gingiva, with predictable and repeatable depth of ablation, and with high rate of tissue removal and coagulation.
Speaker(s)
Dr. Martin Kaplan
Dr. Martin Kaplan

Laser Surgery for GP's: from Routine to Complex Soft Tissue Surgical Procedures (0044)

Dr. Andre Chartrand View Details Friday, April 15 4:00pm-4:30pm Download Handout
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Overview

Innovative technologies such as laser have provided considerable benefit to dental patients and professionals. Facilitating efficient cutting of tissue and subsequent coagulation, dental lasers such as the Er,Cr:YSGG enhance tissue healing and can lead to the regeneration of the dentogingival or dentomucosal complex.

Dental laser energy has an affinity for different tissue components. The Er,Cr:YSGG laser, for example, has energy and wavelength characteristics that specifically target the water molecules of the soft tissue, which is located at the surface of the tissue. With the specific design of its energy delivery system (energy, air, and water), this laser provides adequate hemostasis and allows improved control of heat transfer to the adjacent tissues. By improving the control of heat transfer, a cascade of events occurs, causing the activation of a certain protein that modifies the inflammatory reaction and leads to tissue regeneration.

In contrast, the diode laser will be absorbed more by particles with higher chromaticity, giving it significant advantages over any other laser when it comes to treating some specific lesions such as hemangioma. The diode laser seems to be ideal for this type of lesion, targeting the hemoglobin without affecting the surrounding tissue, which is especially important when the lip is involved.

Educational Objectives

  • Relate the biophysics principles of oral tissues when laser energy is applied.
  • Understand the surgical technique while using simple methods.
  • Overcome one’s fear of not having the right surgical skills.
  • Explain why laser dentistry is such a value-added service to the patient’s well-being.
Speaker(s)
Dr. Andre Chartrand
Dr. Andre Chartrand

Maximizing Patient Referrals with Treatment of the Medically Compromised Patient (0033)

Dr. Robert Convissar View Details Saturday, April 16 10:30am-12:30pm Download Handout
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Overview

When treating medically compromised patients, lasers have unparalleled advantages over scalpels. Due to their hemostatic ability, lasers can be used on patients suffering from a variety of bleeding diatheses. Due to their ability to incise/excise large amounts of tissue quickly, lasers can be used on patients suffering from drug-induced gingival hyperplasias. This presentation will discuss the types of medically compromised patients who would benefit from laser treatment over more conventional treatment, how to best treat them, and how to market to this ever-growing population. Presentation format includes 45 minutes of oral lecture, 1 hour for hands-on, and 15 minutes in a wrap-up session.

Educational Objectives

  • Identify which types of medically compromised patients would benefit from laser treatment.
  • Learn how to treat medically compromised patients with laser technology.
  • Know how to market to this group of patients.
Speaker(s)
Dr. Robert Convissar
Dr. Robert Convissar

Lasers in Restorative & Prosthetics

Session Speaker(s) Details Date Time Handouts

Laser Assisted Cosmetic Dentistry (0007)

Dr. Grace Sun View Details Thursday, April 14 1:30pm-2:30pm Download Handout
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Overview

The main principles behind laser-assisted cosmetic dentistry are to incorporate proper technique of laser dentistry, follow the principles of cosmetic dentistry, and provide dental patients with the benefits of both disciplines of dentistry.

Laser-assisted smile design requires an important emphasis on proper diagnosis and treatment planning. Essential elements of dental, periodontal, and prosthodontic aspects include tooth anatomy, gingival architecture, periodontal health, and pontic design, while elements of smile design include incisal edges, midline, embrasures, axial inclination, golden proportion, and symmetry in harmony with facial features.

Utilization of laser energy can achieve instant gratification for teeth whitening, better control of the smile design of the dental tissues, detail-revealed crown impressions, less postoperative discomfort, and a shorter wound healing process. Various clinical applications of laser-assisted cosmetic dentistry also include gingivoplasty, crown lengthening, sulcular and ovate pontic development, biopsy, frenectomy, implant treatment and depigmentation. Proper wavelength affects the absorption efficiency of the laser-tissue interaction.

In order to obtain the ultimate result on a laser-assisted procedure, one has to comprehend the principle of the smile design, understand the laser-tissue interaction, and understand the actual clinical situation.

Educational Objectives

  • Understand proper diagnosis of smile design and establish the treatment goal.
  • Discuss various laser-tissue interactions for proper selection of wavelength.
  • Describe various clinical applications to provide better patient service.
Speaker(s)
Dr. Grace Sun
Dr. Grace Sun

Esthetic Tissue Management with the Usage of the Dental Laser (0130)

Dr. Shigeuki Nagai View Details Thursday, April 14 2:30pm-3:30pm Download Handout
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Overview

Dental lasers have been used to correct the shape and color of the dental hard and soft tissue for the esthetic purpose which are vital tooth whitening, removal of melanin pigmentation of the soft tissue, removal of amalgam tattoo, crown lengthening and shaping of the gingival margin. The clinical cases will be presented and discussed to achieve the better result of the treatment for the esthetic dentistry.

Educational Objectives

  • Learn the advantage of the usage of the laser for the esthetic treatment.
  • Understand the differences of each wavelength for the tissue treatment.
  • Understand the various clinical applications and the method of the treatment including the irradiation parameters and manners.
Speaker(s)
Dr. Shigeuki Nagai
Dr. Shigeuki Nagai

The Use of the Er:YAG (2940 nm) in a Laser-Assisted Periiimplantitis Treatment: How Far Can We Push the Envelope? (0092)

Dr. Avi Reyhanian View Details Thursday, April 14 3:00pm-3:45pm Download Handout
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Overview

Osseointegration of dental implants has become a routinely recommended procedure in the clinical practice of dentistry. Although orodental rehabilitation, through the use of implants, offers very high success, there are some complications involved with this technique, such as peri-implant disease and, within this category, peri-implantitis, an inflammatory reaction that is associated with the presence of a submarginal biofilm. The advanced breakdown of soft and hard tissue surrounding endosseous implants is evidence with the following clinical signs: bleeding on probing, probing depth, suppuration, and bone loss around the implant.

Peri-implantitis and periodontitis are two presentations of the same problem: They have several common characteristics and may look alike. Inflammatory disease causes the destruction of the tooth/implant-supporting apparatus and potentially leads to tooth/implant loss. Currently, the methods to reconstitute lost periodontal structures (i.e., alveolar bone, periodontal ligament, and root cementum) have relied on conventional mechanical, anti-infective modalities followed by a range of regenerative procedures such as guided bone regeneration.

The treatment of peri-implantitis is surgical treatment – open debridement combined with surface decontamination and regenerative methods. Treatment of the contaminated implant surface by mechanical and chemotherapeutic means (air powder, citric acid, plastic curettes, and antiseptic therapy) has met with mixed success. In addition to conventional treatment modalities, the use of the Er:YAG laser has been increasingly proposed for the treatment of peri-implantitis.

Educational Objective

  • Emphasize the ability of the 2940-nm Er:YAG laser in detoxification of implant surfaces by removing cytotoxic bacterial components from the implant surface.
Speaker(s)
Dr. Avi Reyhanian
Dr. Avi Reyhanian

Laser Therapy in Full Mouth Reconstruction (0122)

Dr. Mario Guiang View Details Friday, April 15 3:30pm-4:00pm Download Handout
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Overview

The management of patients with temporomandibular disorder (TMD) / temporomandibular joint (TMJ) dysfunction is a multiphasic therapy. It involves procedures intended to address not only the symptoms directly resulting from risk factors or progression of the desease but also esthetics. This case report will present a full-mouth reconstruction case which utilized tanscutaneous electrical nerve stimulation (TENS) and orthotic to recapture the occlusion of the patient with posterior open bite. Laser therapy played an important role in establishing occlusal harmony as well as the relationship of the periodontium in creating excellent esthetics. The focal point of this case report is utilizing a laser in frenectomy, gingivoplasty, and soft tissue crown lengthening.The case presents the importance of restoring a balanced occlusal relationship and utilizing laser therapy in treatment planning.

Educational Objectives

  • Utilize a laser in procedures like gingivectomy/gingivoplasty, frenectomy, and soft tissue crown lengthening without violating the biologic with in full-mouth reconstruction.
  • Utilize a laser as an adjunct therapy to lessen discomfort to the patient and increase ease of manipulation for the clinician, thereby providing a well-controlled procedure.
  • Emphazize the importance of laser therapy in treatment planning to preserve the esthetic value.
Speaker(s)
Dr. Mario Guiang
Dr. Mario Guiang

The CO2 Laser at 9.3 Multiple Techniques and Procedures (0066)

Dr. Jeff Rohde View Details Friday, April 15 4:00pm-4:30pm Download Handout
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Overview

The CO2 laser at 9.3 µm has been available for a little over a year and as a result more is being learned about it every day. This presentation will introduce the various 30+ procedures, with case examples, you can perform with this wavelength, making it the best multitool in your operatory.

Educational Objectives

  • Delineate the breadth of procedures that can be performed with a 9.3-µm CO2 laser.
  • Gain a general understanding of the specific techniques required for each procedure.
  • Summarize the impact of adding new procedures to your practice.
Speaker(s)
Dr. Jeff Rohde
Dr. Jeff Rohde

Lasers in Implantology

Session Speaker(s) Details Date Time Handouts

Laser-assisted Decontamination of Dental Implant Surface in Peri-implantitis Treatment: Four Important Issues to Consider (0073)

Dr. Qian Li View Details Friday, April 15 11:00am-11:45am Download Handout
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Overview

Dental implant restoration has become an indispensable, well-accepted, and reliable therapy in dentistry for decades. In the meantime, peri-implantitis, as one of the most frequent complications, could severely affect the outcome of the treatment, even lead to failure. Many treatment methods including non-surgery and surgery procedures are available, among which lasers have shown promising therapeutic effect. Nevertheless, controversial results exist.

Laser-assisted decontamination of dental implant surfaces varies according to the characteristics of the laser. But there are four important issues to consider for the best applications:

  1. Temperature increase during laser irradiation of implant surfaces
  2. Morphological change on implant surfaces after laser irradiation
  3. Efficiency of laser irradiation on the reduction of bacteria on implant surfaces
  4. Cell differentiation and function on laser-treated dental implant surfaces.

Based on literature searches and our research, this presentation focuses on the effect of various types of lasers (neodymium-doped yttrium-aluminum-garnet [Nd:YAG], diode, carbon dioxide [CO2], erbium,chromium-doped yttrium-scandium-gallium-garnet [Er,Cr:YSGG], and erbium-doped yttrium-aluminum-garnet [Er:YAG]) in these four important aspects, from which we could find evidence when choosing different laser and procedures.

Educational Objectives

  • Change one's attitude and approach toward the solution of dental problems.
  • Correct outdated knowledge.
Speaker(s)
Dr. Qian Li
Dr. Qian Li

Lasers in Implantology: Wavelength-specific or "All-You-Can-Use"? (0099)

Dr. Georgios Romanos View Details Friday, April 15 11:45am-12:30am Download Handout
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Overview

Various clinical reports demonstrate the use of lasers in the decontamination of failing implants. However, recent studies show lack of evidence that lasers can be effective in the treatment of peri-implantitis. Based on the literature, animal and clinical studies, we attempt to demonstrate the efficacy of specific laser wavelengths and the challenges in the complex topic of peri-implantitis therapy.

How to avoid overheating using diode lasers, what laser wavelengths can be used, and why and how to selectively decontaminate the implant surfaces will be discussed during this lecture. New developments and challenges are presented to better control the problem of peri-implantitis and improve the clinical outcomes.

Educational Objectives

  • Demonstrate the opportunities of laser use in the treatment of peri-implantitis.
  • Illustrate how to avoid problems from the use of lasers in the decontamination of failing implants.
  • Explain the laser-tissue interactions especially in the field of implant dentistry.

Specify new developments in laser dentistry and how to better control peri-implant diseases.

Speaker(s)
Dr. Georgios Romanos
Dr. Georgios Romanos

Implant Poker, Learning How to Hold 'Em and When to Fold 'Em (0015)

Dr. Laura Braswell View Details Friday, April 15 1:30pm-2:15pm Download Handout
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Overview

The number of implants that are being placed has increased along with the number of complications. Problems can occur in the planning, placement, restorative, and maintenance phases of treatment. This presentation will look at the causes, prevention, and treatment of implant problems. A brief literature review will evaluate different techniques used in the attempt to salvage problematic implants and compare research outcomes. It is important to determine whether an implant is "failing" or merely "ailing." A failing implant may require removal, but once the decision is made by the dental team and patient to try to keep an implant, treatment options must be discussed. Both traditional surgeries with bone grafting and laser therapy should be part of the informed consent options. Cases will be presented utilizing both treatment modalities with three different laser wavelengths (diode, Nd:YAG, and Er,Cr:YSGG) and profiling both good and bad outcomes. Treating peri-implantitis is challenging but can be enhanced through the addition of laser therapy.

Educational Objectives

  • Determine how to prevent implant complications through good treatment planning, surgical placement and restoration.
  • Learn how to identify implant complications and determine a realistic prognosis.
  • Compare different treatment options for the appropriate care of a problematic implant.
  • Specify the advantages of laser therapy in the treatment and maintenance of dental implants.
Speaker(s)
Dr. Laura Braswell
Dr. Laura Braswell

Light Energy and Other Adjuncts to Aid in Implant Dentistry (0070) - A Workshop

Dr. Edward Kusek View Details Friday, April 15 1:30pm-4:30pm Download Handout
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Overview

This hands-on course will utilize two CO2 and two erbium lasers to demonstrate how to treat patients with the different devices. The course will also use biologics to aid in the healing and regeneration process. The course will start with a lecture to explain the stations for using the lasers and how to gain use of venous blood for treatment of implant patients.

Educational Objectives

  • Learn how to use each laser for specific needs for implant treatment: Implant uncovering, detoxification, decortification, flap reflection.
  • Define how to use photobiomodulation for implant dentistry to aid in the healing of the surgical site.
  • Discover how to draw blood to spin in a centrifuge to gain the use of biologics (platelet-rich fibrin) for different uses in implant dentistry.
  • Utilize pig jaws for laser treatment to gain hands-on experience with techniques.
Speaker(s)
Dr. Edward Kusek
Dr. Edward Kusek

Laser Applications in Oral Implantology (0098)

Dr. Joseph Arnabat View Details Friday, April 15 2:15pm-3:00pm Download Handout
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Overview

The different laser systems available have been shown to offer an effective alternative to the traditional cold scalpel technique in oral soft tissue surgery. Simplicity of manipulation (absence of bleeding, a reduced need for local anesthesia, and the obviation of sutures) and increased intra- and postoperative comfort for the patient are the main advantages of laser application. Lasers such as the Er:YAG and Er,Cr:YSGG systems are able to section both hard and soft tissues as a result of the interaction between the laser energy and water spray.

These characteristics could constitute a clear advantage in second-stage implant surgery. However, in oral implantology, an uncontrolled increase in peri-implant bone temperature could have deleterious effects and alter implant osseointegration with irreversible bone damage. The Er,Cr:YSGG laser also has been proposed for use in second-stage oral implant surgery. This pulsed laser has a negligible thermal effect, and allows precise sectioning of both hard and soft tissues around the implant sealing plug – without altering its structure or affecting osseointegration.

We will show different studies conducted by the University of Barcelona about the possibility to use erbium lasesr in implantology. Temperature rise and the effects of the laser irradiation on the surface of different implant surfaces will be discussed.

Clinical studies in the second stage of implant surgery and more than 8 years of follow-up will be presented. Also discussed will be the different lasers used for peri-implantitis treatment and state-of-the-art techniques and tools.

Educational Objectives

  • Specify the laser applications in oral implantology with different lasers.
Speaker(s)
Dr. Joseph Arnabat
Dr. Joseph Arnabat

How I use Lasers with Dental Implants for Soft and Hard Tissue Management, Making the Whole Process Easier (0052)

Dr. Robin Horton View Details Friday, April 15 3:30pm-4:00pm Download Handout
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Overview

This presentation will show various clinical cases, demonstrating soft tissue management and sculpting in the aesthetic zone in a failed ortho case which required implants; bone recovering enough after laser currettage to enable implant placement in a previously impossible area without augmentation; a trauma case showing how well an immediate placement and load can work with help of a laser.

Educational Objectives

  • Examine an easy method of tissue sculpting (by numbers!) in a difficult area, the aesthetic zone, to allow the emergence profile of a crown coming from a narrow implant to look natural next to a natural tooth.
  • Characterize new bony healing after use of laser curettage in a socket.
  • Discuss the minimal trauma caused when using a laser to help extract a tooth, and then how to use a laser to help the healing in the area.
Speaker(s)
Dr. Robin Horton
Dr. Robin Horton

Avoid Tension: The 10,600 nm Superpulse CO2 Laser May Alleviate the Late Implant Failure linked to Tissue Tension (0024)

Dr. Jack Krauser View Details Friday, April 15 4:00pm-4:30pm Download Handout
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Overview

Implant therapy is now mainstream and continues to gain popularity. That said, we now have an abundant number of cases that are exhibiting tissue recession and possibly "late loss failure". This presentation will identify the issue and demonstrate a quick, effective and relatively painless concept to prophylactically address this issue with the adjunctive use of a 10,600 nm CO2 laser. The depth of incision and the depth of coagulation will be discussed, as well as specific laser handpieces and treatment protocol.

Educational Objectives

  • Identify the tissue tension issue and outline the CO2 laser assisted treatment.
  • Identify CO2 laser settings to best perform the treatment: pulsing, power, depth of ablation and depth of coagulation.
Speaker(s)
Dr. Jack Krauser
Dr. Jack Krauser

Lasers in Endodontics

Session Speaker(s) Details Date Time Handouts

Laser in Endodontics: Where Are The Limits? (0089)

Dr. Giovanni Olivi View Details Friday, April 15 11:00am-11:45am Download Handout
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Overview

Lasers were introduced in endodontics with the purpose of improving the cleaning and decontaminating ability of conventional endodontic techniques. Although there is heterogeneity in data which makes interpretation difficult, the presented information helps one to better understand the mechanism of action of different lasers, their efficiency, the different protocols used, and possible related problems.

Method: A review of the literature on laser applications for debriding and disinfecting the root canal will be presented. Studies from the author will be also shown.

Results: Thermal damage, incomplete debriding, and inefficient decontamination are evident in many studies from the literature on conventional laser endodontics and antimicrobial photodynamic therapy (aPDT). Laser-activated irrigation (LAI) and Photon-Induced Photoacoustic Streaming (PIPS™) have been shown to be superior to conventional techniques in both cleaning and disinfecting the root canals.

Conclusion: The complex macro-and micro-anatomy of the teeth, combined with the limit of different devices or laser fibers to easily negotiate the root canals, suggest the need for a less invasive technique that does not involve the position of any device within the canal. Studies from the literature show PIPS™ as an efficient method for debriding and disinfecting the root canals.

Educational Objective

  • Clarify advantages and disadvantages of different techniques used in endodontics.
Speaker(s)
Dr. Giovanni Olivi
Dr. Giovanni Olivi

The Contribution of the Er,Cr:YSGG Laser to Successful and Predictable Endodontic Practice (0021)

Dr. Justin Kolnick View Details Friday, April 15 11:45am-12:30pm Download Handout
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Overview

With the introduction of cone beam computed tomography (CBCT) in endodontics, it has become evident that many cases that appear healed on conventional dental radiography present with evidence of periapical pathology when viewed with CBCT. This lecture will redefine endodontic treatment expectations based on 3-D evaluation and will present a treatment philosophy that incorporates laser therapy to achieve optimal outcomes.

The lecture will uncover the reality of persistent and recurrent endodontic infection and will take a critical look at the inadequacies of current root canal instrumentation and irrigating techniques. Emphasis will be placed on laser disinfection of root canal systems as well as other applications of the Er,Cr:YSGG laser in endodontic practice.

Educational Objectives

  • Highlight the significant difference between 2-D and 3-D success in endodontics.
  • Learn how to significantly reduce the bacterial load in infected root canal systems through the use of laser energy.
  • Specify how lasers can predictably re-establish canal patency.
  • Observe the importance of lasers in apical surgery and the role they play in specific surgical situations.
Speaker(s)
Dr. Justin Kolnick
Dr. Justin Kolnick

Acoustic Field Characterization of the Er,Cr:YSGG Laser and Its Clinical Applications (0081)

Alina Sivriver, MS View Details Friday, April 15 1:30pm-2:30pm Download Handout
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Overview

Er,Cr:YSGG lasers (Waterlase, Biolase, Irvine, Calif., USA) are successfully applied to endodontic, periodontic, and implant procedures where the laser tip is submerged in a fluid-filled pocket. This presentation aims to explore how the laser energy interacts with this environment and to use scientific findings to optimize the application settings. We will investigate the possibility of laser-generated shock waves, resulting cavitation bubbles, and their effect on osteogenic potential, neovascularization, and the breakup of bacterial cellular matrix. Shock waves are characterized by high positive pressure, a short rise time (< 10 ns), and a tensile wave (negative pressure). In a recent study, peak positive and negative pressures were recorded and bubble dynamics were quantified. At maximum settings, submillisecond heat deposition events cause large vapor bubbles, followed by high-energy rebound bubbles. Predictions from the model suggest that a shock wave could be obtained at the collapse location. We apply these scientific measurements to root canal clearing and implant cleaning in bench-top tests.

Objective: The overall objective was to quantify the acoustic waves generated by various laser settings.

Method: Parameters tested included pulse duration, tip size,tip shape, and output energy level. Pulses were isolated by a software-controlled shutter for measurements. Accoustic signals were recorded with a hydrophone and were digitized by an oscilloscope.

Results: Peak positive and negative pressures were recorded and bubble dynamics were quantified. At maximum settings, submillisecond heat deposition events caused large vapor bubbles, followed by high-energy rebound bubbles. Predictions from the model suggest that a shock wave could be obtained at the collapse location.

Conclusion: Applications in root canal and implant cleaning will be presented.

Educational Objective

  • Explore how the laser energy interacts with the fluid environment and to use scientific findings to optimize the application settings.
Speaker(s)
Alina Sivriver, MS
Alina Sivriver, MS

The Contribution of the Er,Cr:YSGG Laser to Successful and Predictable Endodontic Practice (0021)

Dr. Justin Kolnick View Details Friday, April 15 3:15pm-5:00pm Download Handout
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Overview

With the introduction of cone beam computed tomography (CBCT) in endodontics, it has become evident that many cases that appear healed on conventional dental radiography present with evidence of periapical pathology when viewed with CBCT. This lecture will redefine endodontic treatment expectations based on 3-D evaluation and will present a treatment philosophy that incorporates laser therapy to achieve optimal outcomes.

The lecture will uncover the reality of persistent and recurrent endodontic infection and will take a critical look at the inadequacies of current root canal instrumentation and irrigating techniques. Emphasis will be placed on laser disinfection of root canal systems as well as other applications of the Er,Cr:YSGG laser in endodontic practice.

Educational Objectives

  • Highlight the significant difference between 2-D and 3-D success in endodontics.
  • Learn how to significantly reduce the bacterial load in infected root canal systems through the use of laser energy.
  • Specify how lasers can predictably re-establish canal patency.
  • Observe the importance of lasers in apical surgery and the role they play in specific surgical situations.
Speaker(s)
Dr. Justin Kolnick
Dr. Justin Kolnick

Lasers in Advanced Clinical Applications

Session Speaker(s) Details Date Time Handouts

The Use of the Er:YAG (2940 nm) in a Laser-Assisted Implant Therapy - Where Are We Headed? (0093)

Dr. Avi Reyhanian View Details Saturday, April 16 10:30am-11:00am Download Handout
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Overview

This presentation will demonstrate the use of the Er:YAG laser in the world of implantology and its advantages vs. conventional treatment methods. Today we can observe an inordinate lack of clarity concerning the clinical uses of the lasers in the field of implantology. The purpose of this presentation is to put some order into the chaotic information surrounding the subject and to provide some answers to the most common and frequent questions we often hear: How far we can go with this technology? Is it just a marketing tool or proven therapy? Where is the line between reality and fantasy? Does the new technology completely replace the conventional methods and if not, at which point do we lay the laser handpiece down and re-employ the "old" tools and conventional ways?

The presentation will exhibit, beyond any doubts, that an Er:YAG laser (LiteTouch™, Syneron Dental Lasers, Yokneam, Israel) is a very valuable tool and shows promise as a safe and effective new technical modality for implant therapy.

The topics that will be discussed during this presentation include:

  • Incisions
  • Removal of granulation tissue.
  • Marking the location and direction of the implant – Only lase at the cortical bone.
  • Decortication and guided bone regeneration (GBR) technique.
  • Reshaping of the soft tissue (flap) around the implants.
  • Uncovering of submerged implants.
  • Flapless implants.
  • Open sinus lift – Opening the window.
  • Periimplantitis treatment.
  • Implant failure treatment.
  • Immediate implants in infected sites.

These topics will be followed by a video and case report.

Educational Objectives

  • Exhibit, beyond any doubts, that an Er:YAG laser is a very valuable tool and shows promise as a safe and effective new technical modality for implant therapy.
  • Apply some order into the chaotic information surrounding the subject of laser-assisted implant therapy and provide some answers to the most common and frequent questions we often meet: How far we can go with this technology?
Speaker(s)
Dr. Avi Reyhanian
Dr. Avi Reyhanian

Using a 9.3 µm CO2 Dental Laser for Periodontal Procedures (0068)

Dr. Don Wilson View Details Saturday, April 16 11:00am-11:45am Download Handout
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Overview

The 9.3-µm CO2 dental laser was recently cleared for osseous tissue and many dentists are finding it extremely effective at cutting this tissue type. This presentation will present various case examples of how this wavelength is able to easily cut osseous tissue.

Educational Objectives:

  • Identify the advantages of a 9.3-µm CO2 dental laser for osseous tissue.
  • Observe cases in which a 9.3-µm CO2 laser was effectively used for osseous tissue.
  • Review basic techniques for using this wavelength to cut osseous tissue.
Speaker(s)
Photo Coming Soon
Dr. Don Wilson

New Technologies in Dentistry (0090)

Dr. Giovanni Olivi View Details Saturday, April 16 11:45am-12:15pm Download Handout
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Overview

The aim of this presentation is to focus on the advantages of using new technologies in the dental practice, including lasers, microscopes and CAD-CAM technology. Loops and an operative microscope help with diagnostic examination for better control of surgical and nonsurgical interventions. The laser interaction with the target tissue is improved, allowing control of the direction, angulation, and focus of the laser beam. This helps avoid thermal damage and minimize tissue removal. CAD-CAM technology allows for one-session intervention, very useful in cases of aesthetics restorations and endodontic reconstructions.

Method: Different laser wavelengths were used and will be presented for general dentistry (445 nm, 660 nm, 810 nm, 970 nm, 1064 nm, 2780 nm, 2940 nm) with optical microscope (Leica M655) and binocular microscope (Zeiss). A camera (Canon) and video camera were used to acquire images and record videos.

Conclusion: Laser, magnification, and CAD-CAM technology play a fundamental role in the dental practice, where precision, a microinvasive approach, esthetics, and time make the difference in improving clinical results and patient satisfaction.

Speaker(s)
Dr. Giovanni Olivi
Dr. Giovanni Olivi

Analysis of Composite Shear Bond Strength using a Hydroxyapatite-Specific Wavelength Dental Laser (0057)

Alex Kusek View Details Saturday, April 16 12:15pm-12:30pm Download Handout
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Overview

The shear bond strength of both enamel restorations and dentinal restorations prepared by a Solea carbon dioxide laser was examined and compared to traditional methods.

Non-decayed, extracted, human teeth were used for the testing samples. Teeth were sectioned, placed in rubber polymer and trimmed until flat and into enamel or dentin. 80 dentinal and 80 enamel surfaces were used and each was divided into 2 groups of 40 for the laser-treated and control sample series. The groups of 40 were then divided again into four groups of ten, related to the four different acid etch and adhesive systems used. All teeth were then filled with a similar composite material and light cured. The Ultradent notch shear method was used to compare bond strength differences.

Laser treated teeth showed a general decrease in shear bond strength compared to the control samples (53.8%-10.36% decrease in MPa). The Total Etch and Peak adhesive samples were the only to show an increase in bond strength compared to the control (7.9% increase).

Teeth prepared using exclusively the Solea laser are likely to experience a decrease in composite shear bond strength. The samples that exhibited the greatest bond strength were those in which the adhesive contained filler particles (Peak). Analyzing SEM images of the enamel and dentin surfaces after being laser treated revealed a unique surface. The surface appeared to be melted and relatively uniform. In order to achieve a higher bond strength it would be advisable to mechanically debride the melted surface.

Educational Objectives

  • Determine efficacy of lasers in dental operative procedures.
  • Examine status of current dental laser technology.
  • Review procedures and dental materials for obtaining maximum composite bond strength.
Speaker(s)
Alex Kusek
Alex Kusek

Lasers in Hygiene

Session Speaker(s) Details Date Time Handouts

Research for the Busy Clinician: Part I How to Find the Research (0112)

Mary Lynn Smith, RDH View Details Thursday, April 14 1:30pm-2:15pm Download Handout
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Overview

Research is a systematic investigation into study of materials. It is important to treat patients from evidence-based practice, using both clinical expertise as well as the best evidence from scientific research. However, a clinician is often limited in accessing, organizing, and applying what is available. Be empowered to find answers in research to pose questions of clinical practices. Use specific strategies to navigate various sources for locating desired information. Once the information is found, use organizational tools to keep it accessible. Finally, determine the validity of the source using specific criteria. These steps will assist the research process, making you to make better decisions easier in daily practice.

Educational Objectives

  • Navigate various sources to find information.
  • Use tools to organize the information gathered.
  • Determine the validity and reliability of the informational source.
Speaker(s)
Mary Lynn Smith, RDH
Mary Lynn Smith, RDH

How to Transition into a Dental Medicine Model (0037)

Ms. Leona Meditz View Details Thursday, April 14 2:15pm-3:15pm Download Handout
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Overview

Since periodontal disease is a chronic bacterial infection that can cause chronic inflammation which leads to chronic disease, it would seem that clinically successful noninvasive therapies such as laser, ozone, and periodontal trays would be widely implemented in dental offices. Yet my dental practice code analysis of hundreds of practices nationwide shows more than 50% of the 100 patients seen per month have gum disease. The average practice billed only $2,500 per month in periodontal therapies (4000-4999.99 codes). In 2012, 117 million people, half of all adults, have at least one chronic disease and 48% of deaths are caused by heart disease and cancer alone, costing $717 billion. Add in the total estimated cost of diagnosed diabetes ($245 billion in 2012) for a total of $962 billion just for the top three chronic illnesses.

Today, my vision of physicians and dentists cross-referring, using a combination of therapies to eliminate gum disease as a chronic disease risk factor, has not changed. My understanding of the difficulty of changing the existing dental model has. To change a system, current thinking and paradigms need shifting. Often the new system is not only "out of the box" but is the opposite of what is assumed to be true. I pinpoint specific changes in thinking and protocol to create a dental medicine practice. Understanding these changes may help dentists become more health-centered and rightfully claim their role as health care providers resolving our current health care crises.

Educational Objectives

  • Define the dental medicine role via periodontal health, sleep disorders, and temporomandibular disorder (TMD). Learn how changing periodontal protocols make entry into sleep disorders and TMD easier.
  • Understand Dental Medicine Protocol Change Factors regarding diagnosis; treatment planning, presentation and treatment delivery. Learn how to get the team and patients on your "health mission."
  • Specify how to translate health research into a call to action for dentists, team, patients, and physicians to actually change how patients are diagnosed, treatment-planned, presented, and treated even though insurance does not cover all procedures.
  • Describe how to get the physician involved to co-manage patient care that leads to referrals with the use of real client testimonies.
Speaker(s)
Ms. Leona Meditz
Ms. Leona Meditz

Measuring Efficacy of Periodontal Therapies: A Scientific Approach (0035)

Ms. Leona Meditz View Details Thursday, April 14 3:15pm-4:15pm Download Handout
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Overview

Thirty-one states now allow hygienists to use lasers for laser-assisted periodontal therapy (LAPT). Typically, hygienists see 128 patients each month. They measure, diagnose, and co-develop a treatment plan for each of those patients. Many incorporate LAPT.

But how effective is LAPT? How do you measure efficacy of LAPT or any other hygiene therapy or combination of therapies? When and how should LAPT be incorporated into treatment planning? How do outcomes determine what to do next?

A step-by-step approach to measuring hygiene therapy outcomes will be outlined and how to use that information to determine next steps for the patient.

Attendees will see that when they scientifically measure outcomes, a "one-size-fits-all" soft tissue management approach and perhaps their current diagnostic protocols may be challenged.

As clinicians understand their new role in health management, they will know when to involve the patient's physician and how to manage that relationship. The ultimate outcome is to alter the habits of the learner to improve patient health.

This lecture is a must for anyone practicing temporomandibular disorder (TMD) or Sleep Medicine, as the protocol presented integrates with both modalities. Dentists are encouraged to attend with or without their hygienist.

Educational Objectives

  • Change attitude and approach by scientifically evaluating treatment outcomes by answering: Is perio active, in remission, or in a holding pattern? What is "healthy"? How does one baseline tissue damage, active disease, Inflammatory levels, A1c levels, health and family health histories, genomes?
  • Learn about treatment efficacy when "after" therapy tests compare to baseline. Determine when to retest for comparison and how tests are evaluated, determine whether results show short- or long-term improvements, and communicate these results with patients.
  • Correct outdated knowledge and see what is necessary for treatment success and what to do if partial treatment was done. Determine how to choose which combination of treatment modalities to use. Indicate what to do moving forward.
Speaker(s)
Ms. Leona Meditz
Ms. Leona Meditz

Hygiene Forum - Lunch n' Learn (0078) - Participants may bring lunch into room for the discussion.

Angie Mott, RDH; Jeanette Miranda, RDH; Mary Lynn Smith, RDH; Gwen Smukowski,RDH; Shannon Richkowski, RDH; Heather Angers View Details Friday, April 15 12:30pm-1:30pm Download Handout
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Overview

The Hygiene Forum will bring together a panel of hygiene experts who will discuss the four most popular questions asked during laser training for the dental hygienist. Various laser devices, protocols, treatment expectations and State Regulatory issues will be discussed. All four panellists are clinical hygienists and laser educators with a passion for laser dentistry.

Educational Objectives

  • Discuss the most frequently asked questions for laser training.
  • Relate regulatory issues facing hygienist use of laser devices.
  • Summarize protocols for laser-assisted periodontal therapy.
  • Review photobiomodulation for the dental hygienist.
Speaker(s)
Angie Mott, RDH
Angie Mott, RDH
Jeanette Miranda, RDH
Jeanette Miranda, RDH
Mary Lynn Smith, RDH
Mary Lynn Smith, RDH
Gwen Smukowski, RDH
Gwen Smukowski,RDH
Shannon Richkowski, RDH
Shannon Richkowski, RDH
Heather Angers
Heather Angers

Hygiene Applications for Photobiomodulation (0125)

Angie Mott, RDH; Jeanette Miranda, RDH View Details Saturday, April 16 10:00am-10:30am Download Handout
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Overview

This course is designed to introduce photobiomodulation (PBM) to the dental hygiene operatory. Join in for a fast-paced hands-on program. Learn how to use a laser in your hygiene chair to aid in desensitizing and in treating gag reflexes, joint tenderness, and carpal tunnel syndrome.

Educational Objectives

  • Identify dental hygiene procedures for PBM.
  • Summarize protocols and laser settings for procedures.
  • Demonstrate laser safety knowledge for using PBM.
  • Demonstrate competency for hands-on knowledge.
Speaker(s)
Angie Mott, RDH
Angie Mott, RDH
Jeanette Miranda, RDH
Jeanette Miranda, RDH

Give 'Em A Hand! Hands-On Hygiene (0080)

Angie Mott, RDH; Jeanette Miranda, RDH; Mary Lynn Smith, RDH; Gloria Monzon, RDH; Heather Angers View Details Saturday, April 16 11:00am-1:00pm Download Handout
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Overview

This hands-on workshop will allow hygienists the opportunity to try a variety of soft-tissue lasers (diodes, CO2, erbiums), spend time working on techniques (Laser Perio Therapy, Laser Bacterial Reduction, Photobiomodulation), and be able to get answers to their questions from other experienced laser hygienists.

Educational Objectives

  • Utilize a variety of soft tissue lasers on tissue specimens in a laboratory setting under controlled supervision for procedures typically performed in the hygiene department.
  • Compare clinical techniques and tips with fellow hygienists.
Speaker(s)
Angie Mott, RDH
Angie Mott, RDH
Jeanette Miranda, RDH
Jeanette Miranda, RDH
Mary Lynn Smith, RDH
Mary Lynn Smith, RDH
Gloria Monzon, RDH
Gloria Monzon, RDH
Heather Angers
Heather Angers

Lasers in Periodontics

Session Speaker(s) Details Date Time Handouts

New Directions in Periodontitis and Peri-implantitis Treatment with Nd:YAG Laser (0056)

Dr. Raymond Yukna View Details Friday, April 15 11:00am-11:45am Download Handout
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Overview

Lasers are an exciting new addition to the dental armamentarium and are increasingly being used for / applied to various dental procedures by general dentists, periodontists, and other specialists. When used appropriately, lasers offer certain advantages over a conventional armamentarium. Knowledge and understanding of basic laser principles are important for every dentist to better deal with various marketing claims.

The use of lasers for periodontal therapy is becoming more common in clinical practice today. Periodontal procedures utilizing lasers that will be highlighted in this presentation will include treatment of periodontitis and peri-implantitis with a free-running pulsed Nd:YAG laser (3.6-4.0 W, 20 Hz, 100 - 650 µsec) pulse duration. Scientific evidence will be presented which includes human histologic results demonstrating cementum-mediated new attachment in the treatment of periodontitis and bone regeneration around implants.

Educational Objectives

  • Describe laser-tissue interactions and how different lasers affect different tissues.
  • List the advantages and disadvantages of laser use in periodontics and implant dentistry.
  • Specify potential limitations for laser use in periodontal and implant therapy.
  • Discuss the protocols used for Laser-Assisted New Attachment Procedure (LANAP) and LAPIP treatments.
Speaker(s)
Dr. Raymond Yukna
Dr. Raymond Yukna

Laser Assisted Crown Lengthening in the Aesthetic Zone: Redefining the Standard of Care (0039)

Dr. Ali Obeidi View Details Friday, April 15 11:45am-12:30pm Download Handout
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Overview

In the upper anterior region, the position of the gingival labial margin is an important factor in the achievement of an ideal smile. To design the optimal aesthetic result for a patient, one must seek to create a harmonious and symmetrical correlation between the gingival zenith, position and length of natural anterior teeth, and the lip line position in relaxed and high smile. The relationship between the periodontium and the margin of the future restoration is also critical in designing the final position of the aesthetic restorations.

Periodontal surgical procedures are indicated for crown lengthening of several contiguous teeth in the aesthetic zone, both in cases where restorations are required and in cases where no restorations are planned, such as in patients with excessive gingival display due to altered passive eruption.

Crown-lengthening surgery involves various techniques, including gingivectomy, gingivoplasty, or apically positioned flaps, which may include osseous resection. Using laser technology to perform those techniques compared to conventional techniques with scalpel and bur exhibits numerous advantages in planning and performing the procedure for the practitioner as well as for the patient. If lasers are used with correct settings and techniques, a general dentist can perform these periodontal procedures with diode lasers and/or erbium family lasers with ease of use, less bleeding, less pain and postoperative discomfort for the patient. In this lecture, the associated biological and surgical principles will be highlighted and clinical techniques will be demonstrated for the application of diode and/or erbium lasers in predictable crown lengthening procedures.

Educational Objectives

  • Describe restorative-driven cosmetic crown lengthening for the general/restorative dentist including proper planning, case selection, importance of diagnostic wax-up, and fabrication of surgical and restorative stents.
  • Summarize basic surgical principles/approaches when performing laser gingivectomy, gingivoplasty, or osseous reduction to develop a biologically stable free gingival margin.
  • Outline step-by-step clinical procedures demonstrated during two case presentations.
Speaker(s)
Photo Coming Soon
Dr. Ali Obeidi

Comparison of a New Minimally Invasive Laser-Assisted Periodontal Surgical Protocol to the LANAP Protocol Description of a New Protocol and its Effectiveness in Reducing Periodontal Disease Parameters (0022)

Dr. Alan Terry View Details Friday, April 15 1:45pm-2:15pm Download Handout
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Overview

There are differing laser-assisted periodontal surgical procedures to treat moderate-to-advanced periodontal disease. However, the current laser protocols can be unpredictable in areas where deep vertical bone defects and furcations are present due to a lack of direct access to the root surface. This presentation will introduce a new protocol, incorporating the Er:YAG and Nd:YAG laser wavelengths as well as traditional surgical techniques. The technique, using a "best practices, evidence-based" guideline, has been developed to maximize the best attributes of each treatment modality while attempting to minimize their shortcomings. Preliminary data will also be presented comparing the new protocol to the LANAP protocol in terms of reduction in probing depth (PD) and bleeing on probing (BOP). This new minimally invasive surgical technique will hopefully give the practitioner a more effective method for treating difficult periodontal defects while still maintaining a minimally invasive surgical protocol.

Educational Objectives

  • Introduce a new minimally invasive laser-assisted surgical protocol designed to give the practitioner greater surgical access while maintaining a minimally invasive surgical protocol.
  • Illustrate the effectiveness of the technique in reducing PD and BOP in moderate-to-severe periodontal disease.
  • Compare the effectiveness of the new technique to the LANAP protocol in cases of moderate-to-severe periodontal disease.
  • Show step-by-step how the procedure is performed and provide the proper laser settings in each step to give practitioners the ability to provide the treatment in their office.
Speaker(s)
Photo Coming Soon
Dr. Alan Terry

The Art and Science of Erbium Lasers in the 21st Century Periodontal Practice (0029)

Dr. Preety Desai View Details Friday, April 15 2:15pm-2:40pm Download Handout
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Overview

Laser technology has completely changed the methods of delivery of all facets of dentistry. The periodontal specialty is no different. Dental literature is now replete with the advantages of using diode lasers, Nd:YAG lasers, and erbium lasers in periodontics resulting in improved aesthetics, faster healing, and longevity of surgical results in: gingival grafting, flap surgery, osseous surgery, crown lengthening, extractions, bone grafting, sinus lifts, placement of implants, and treatment of peri-implantitis.

Whereas the history of periodontal flap surgery for pocket elimination has led to some anxiety and stress among the patients referred for this valuable treatment, laser minimally invasive surgery (LMIS) now offers an alternative to the patient with attendant advantages (no surgical blades, no sutures, and no pain or side effects of exposed roots and sensitivity). Strict protocol and case selection is essential for treatment success. Research studies and literature will be presented supporting this new treatment option for patients. Parameters and settings will be discussed along with limitations of treatment.

Educational Objectives

  • Provide alternate viewpoints to achieve traditional results.
  • Show benefits of erbium lasers in perio surgery.
  • Identify benefits of hard tissue treatment.
  • Specify benefits of soft tissue treatment.
Speaker(s)
Dr. Preety Desai
Dr. Preety Desai

SuperPulse 10.6 µm CO2 Laser Assisted, Closed Flap Treatment of Peri-implantitis (0006)

Dr. Eric Linden View Details Friday, April 15 2:40pm-3:00pm Download Handout
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Overview

Clinically efficient CO2 laser-assisted, closed flap peri-implantitis treatment protocol is detailed together with the physics of the laser wavelength and laser pulsing effects on laser-tissue and implant-tissue interaction. Such a protocol, together with its nonlaser stages, features: (1) CO2 laser 10.6-µm wavelength characterized by high reflectivity from titanium and by strong absorption by water-rich epithelium and bacterial matter; (2) SuperPulse laser settings with low average power to minimize heat effects; (3) high-fluence, high-divergence, high-strength hollow ceramic perio tip with continuous air jet to facilitate the maximum reach of laser energy within the pocket; (4) multiple sideways circumferential movement of the perio tip for efficient pocket debridement throughout its volume. A single-session treatment resulted in reduced pocket depth, reduced bleeding, and improved tissue health.

Educational Objective

  • Determine and discuss the applicability and effectiveness of a 10,600-nm SuperPulse laser with novel perio laser tips for closed flap treatment of peri-implantitis.
Speaker(s)
Dr. Eric Linden
Dr. Eric Linden

The Benefits of Er,Cr:YSGG Lasers in Periodontology: Long-Term Stability and Bone Regeneration (0027)

Dr. Rana Al-Falaki View Details Friday, April 15 3:30pm-4:30pm Download Handout
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Overview

Controversy exists in the literature about the advantages of using lasers in periodontology compared to scaling and root planing alone. While the Er,Cr:YSGG laser has shown promising results, very few randomized clinical controlled trials have been carried out to suggest it should be the gold standard. This presentation will show cases and scientific research outlining the advantages in terms of greater pocket depth resolution in molars and deeper pockets, longer-term stability, and bone regeneration in infrabony defects, all without the need for flap surgery.

Introduction and Objective: The current periodontal literature has been inconsistent in finding an added advantage to using lasers in nonsurgical periodontal therapy. Some, on the other hand, have found it to be both an effective monotherapy and an advantageous adjunct to root surface debridement. The aim of this study was to compare treatment outcomes following root surface instrumentation alone (NL group), or with adjunctive use of Erbium, Chromium:Yttrium Scandium Gallium Garnet (Er,Cr:YSGG) laser (L group).

Method: Consecutive patients were selected for inclusion in the study, those who had a diagnosis of generalized chronic periodontitis, and had been treated to the point of stability (no further active treatment other than supportive periodontal therapy – maintenance) with up to a minimum of one year follow-up. Probing depths (PD) of all sites > 4 mm were analyzed and full-mouth bleeding scores recorded. Further analysis was carried out on the treatment outcomes of only the molar teeth, and of deeper pockets (≥ 7 mm).

Results: 53 patients were included (25 NL, 28 L). Mean PD was 6.19 mm (range 5-10 mm - NL), and 6.27 mm (range 5-11 mm - L). Mean PD after one year was 2.83 mm (NL), 2.45 mm (L), with mean PD reductions of 3.35 mm (NL) and 3.82 mm (L) (p < 0.002). Mean PD reduction in molars were 3.32 mm (NL) and 3.86 mm (L) (p < 0.007). Mean PD reduction for 7 mm+ were 4.75 mm (NL) and 5.14 mm (L) (p < 0.009). 157/1092 sites (14.3%) were still > 4 mm in NL, compared to 15/924 (1.6%) in L (p < 0.001). In the molar group, 119/537 (22.1%) sites > 4 mm in NL and 14/503 (2.8%) in L. In 7 mm+, 75/347 (21.5%) of sites > 4 mm were present in NL compared to 11/334 (3.3%) in L. L had significantly less bleeding on probing after 1 year (p < 0.001).

Conclusions: After two months, there was significant reduction in probing depths, number of pockets > 4 mm, and percentage bleeding on probing in both groups. However, longer-term follow-up demonstrated a greater tendency for relapse in the group not treated with laser at the outset (NL), which seems to start after 6 months, and this is seen in all parameters and subgroups. Both treatment modalities were effective in treating chronic periodontitis, but the added use of laser may have advantages, particularly in deeper pockets and molar teeth. Further research with randomized controlled trials (RCTs) are needed.

Educational Objectives

  • Understand the tissue interactions achievable through the use of an Er,Cr:YSGG laser in periodontal pockets, and how this translates to clinical protocols.
  • Explain the concept of periodontal regeneration, predictability markers to achieve it, and how the Er,Cr:YSGG laser may be able to improve predictability through minimally invasive surgery.
  • Outline the current literature and where it stands on the effective use of Er,Cr:YSGG lasers in periodontal therapy.
  • Demonstrate how to use Er,Cr:YSGG lasers in periodontal pockets and infrabony defects to achieve complete pocket resolution in a one-visit treatment.
Speaker(s)
Dr. Rana Al-Falaki
Dr. Rana Al-Falaki

Lasers in Educational Settings

Session Speaker(s) Details Date Time Handouts
Session Details Coming Soon!

Photobiomodulation (Low Level Laser Therapy)

Session Speaker(s) Details Date Time Handouts

Light Years Ahead: Use of Low Level Laser Therapy for Oral Mucositis (0106)

Annette Quinn, RN View Details Saturday, April 16 8:00am-9:00am Download Handout
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Overview

Introduction and Objective: Oral mucositis (OM) Is one of the most debilitating toxicities of cancer therapy. Nearly all patients with head and neck tumors treated with chemoradiotherapy and 75% of patients undergoing stem cell transplantation with total body irradiation experience some degree of OM. There are essentially no effective treatments that focus on this toxicity. The goal of this pilot project was to implement a low-level laser therapy program at the University of Pittsburgh Cancer Institute to aid in the prevention and/or treatment of oral mucositis (OM) in patients receiving chemoradiotherapy for head and neck carcinoma or undergoing stem cell transplantation.

Methods: Patients that were deemed to be high risk for developing OM were submitted to receiving low-level laser therapy (LLLT) with an 830-nm laser three times a week beginning the first week of treatment and continuing throughout their radiation therapy course or for stem cell transplant patients until their absolute neutrophil count (ANC) was greater than 1000 cell/nm3. Patients were treated extraorally to 5 sites and intraorally to the tongue and soft palate. National Cancer Institute’s Common Toxicity Criteria (NCI-CTC) was used to evaluate OM in each patient.

Results: To date more than 58 patients have received low-level laser therapy for the prevention and/or reduction of their oral mucositis. In radiation therapy, 0/35 patient experienced a treatment break related to OM and in stem cell transplant only 2/23 patients developed a grade 3 oral mucositis.

Conclusion: Low-level laser therapy is an exciting new tool that significantly reduces the incidence and severity of OM in patients undergoing chemoradiotherapy for head and neck cancer or stem cell transplantation.

Educational Objectives

  • Describe the radiobiology behind the mechanism of action of low-level laser therapy (LLLT) for oral mucositis (OM) and its impact on preventing treatment interruptions.
  • Discuss the current recommendations for the use of LLLT in both the radiation and medical oncology setting.
  • Name the key steps to incorporating LLLT into practice for the prevention and treatment of OM.
Speaker(s)
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Annette Quinn, RN (General Session Speaker Saturday)

Photobiomodulation in Dentistry Workshop (0017)

Dr. Gerry Ross; Dr. Arun Darbar View Details Saturday, April 16 9:00am-10:30am Download Handout
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Overview

In this workshop clinicians will work with the attendees to give a hands-on experience on utilizing low-level laser photobiomodulation. There will be a short 10-minute introduction and the hands-on will immediately follow.

There will be a wide assortment of devices available to view so that the attendees can understand that it is the science and not just the device that gives good clinical results.

This workshop will be valuable to both new clinicians to photobiomodulation as well as those with considerable experience in the field.

Educational Objectives

  • Recognize that it is the science and not a particular device that gives results.
  • Explain how photomodulation can benefit dental practices.
  • Gain the tools to be able to apply these principles in practice.
  • Identify places where attendees can continue to obtain more knowledge.
Speaker(s)
Dr. Gerry Ross
Dr. Gerry Ross
Dr. Arun Darbar
Dr. Arun Darbar

Photobiomodulation Primary Mechanisms (0123)

James Carroll View Details Saturday, April 16 11:00am-11:15am Download Handout
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Overview

It has been consistently shown in laboratory and clinical studies that photobiomodulation (PBM) is regenerative for skin, mucosa, bone, and nerves; it is a potent anti-inflammatory, at least equal to nonsteroidal anti-inflammatory drugs (NSAIDs) (with no side effects); it is anti-edematous and can induce analgesia.

The primary mechanism of action is through light absorption by cytochrome c oxidase in mitochondria. This leads to increased adenosine triphosphate (ATP), reduced oxidative stress (ROS), and release of mitochondrial nitric oxide (NO). The downstream effects of these events is faster and better tissue repair, less inflammation, and less edema.

Analgesia is by a different mechanism: Overtreatment of C fiber and A delta nerves inhibits fast axonal flow and reduces amplitude in superficial C fibers and Ad fibres (reducing hyperalgesia).

Recently, PBM has also been shown to activate stem cells resident in tooth pulp leading to odontoblast differentiation, and preconditioning of tissues prior to surgery, exercise, or gamma radiation reduces pain, inflammation, and other symptoms of trauma. These are downstream effects of light-induced ROS.

These seemingly complex mechanisms will be presented in simple terms with cartoons, so all will understand and remember.

Educational Objectives

  • Understand light absorption.
  • Delineate initial reactions.
  • Explain the cascade of intracellular responses.
  • Explore extracellular effects and physiological effects.
Speaker(s)
James Carroll
James Carroll

Photobiomodulation - Clinical Applications (0104)

Dr. Gerry Ross; Dr. Arun Darbar View Details Saturday, April 16 11:15am-11:30am Download Handout
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Overview

This presentation will serve as an introduction to clinical applications of photobiomodulation. An outline of the different applications of photobiomodulation in dental practice will be presented.

Educational Objective

  • Review how photobiomodulation can be used in a dental practice.
Speaker(s)
Dr. Gerry Ross
Dr. Gerry Ross
Dr. Arun Darbar
Dr. Arun Darbar

Effectiveness of Single and Dual Infrared Wavelength Lasers for Treating Neuropathic Pain (0105)

Dr. Juanita Anders View Details Saturday, April 16 11:30am-11:50am Download Handout
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Overview

Previously, we reported that 980-nm wavelength light significantly improved sensory alterations in a neuropathic pain model. Using the same model, the effectiveness of 980, 810 or dual 810/980 nm wavelengths was investigated. Rats underwent spared nerve injury and were randomized into 3 light treatment (LT) groups: 980 nm, 80% 980 nm/20% 810 nm, and 810 nm, and a control group (injured without LT). For the LT groups, output power ranged from 1 to 4.5 W and power density from 30 to 82 mW/cm2 based on wavelength and treatment area (spinal cord, dorsal root, or foot). Treatment time was 20 sec. LT was delivered transcutaneously every other day starting from 7 days post-surgery until day 38. The Von-Frey test for mechanical allodynia was done before surgery (Baseline), pre-LT (Day 7) and once after every 2 treatments. Two-way ANOVA was used for statistical analysis. Based on the Von-Frey Test, on Day 7 post-surgery, the threshold significantly decreased in all injured rats (22-28% of the Baseline). After 31 days of treatment, the control group maintained a low threshold while the LT-groups had significantly higher thresholds (65-70% of the Baseline measurement). The 980/810 nm wavelength group had a significant decrease in mechanical allodynia after 4 treatments (28% to 56% of Baseline). The 810 nm and 980 nm groups had a significant improvement after 8 treatments and 10 treatments, respectively. After Day 26 post-injury, there was no significant difference between the three LT groups. These data indicate that dual infrared wavelengths cause an accelerated improvement in pain perception.

Educational Objectives

  • Review the latest research findings for treatment of neuropathic pain.
Speaker(s)
Dr. Juanita Anders
Dr. Juanita Anders

Antimicrobial Concept with Photodynamic Therapy (0115)

Dr. Arun Darbar View Details Saturday, April 16 11:50am-12:10pm Download Handout
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Overview

With the continued resistance to systemic antibiotics and the need for localized treatment for infections, photodynamic therapy (PDT) can offer an alternative and effective treatment modality. It has been demonstrated that laser light at given wavelengths, in conjunction with specific dyes, can target cells for destruction without affecting the healthy cells in the treatment of cancer. The use of the same modality for destruction of pathogens is an invaluable adjunct for the success of some dental procedures. In nonsurgical periodontal treatment, can this be an important role as an adjunct, can this be implemented easily, and how effective is it? What are the tissue and microbiological effects? This presentation will explore the principles and mechanisms of PDT.

Educational Objectives

  • Review emerging treatment modalities.
  • Explain the science to support clinical findings for this modality.
  • Apply this modality as an adjunct in everyday dental practice.
Speaker(s)
Dr. Arun Darbar
Dr. Arun Darbar

LLLT Dose for Dummies (0074)

James Carroll View Details Saturday, April 16 12:10pm-12:30pm Download Handout
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Overview

Low-Level Laser Therapy (LLLT)/Photobiomodulation (PBM) dose is a critical part of successful treatment and yet dose information is frequently misreported. A recent systematic review of 74 LLLT articles (Hadis et al. 2015) found the majority of papers contained no information in terms of how light was measured (73%) and that they relied on manufacturer-stated values. A review of LLLT/PBM product reliability and performance found that lasers were, on average, delivering only 60% of the manufacturers' claimed specification and that LED systems were delivering only 30% (Nussbaum 1999). This presentation will show how you can verify your laser performance and achieve a reasonable approximation as to the power, irradiance, and dose for successful LLLT/PBM treatments.

Educational Objectives

  • Define the key parameters for successful LLLT.
  • Indicate how to measure power.
  • Learn how to measure power density.
  • Determine how to calculate dose.
Speaker(s)
James Carroll
James Carroll

Laser Photobiomodulation in Dentistry - New Trends and Clinical Cases (0110)

Dr. Aldo Brugnera View Details Saturday, April 16 1:30pm-2:20pm Download Handout
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Overview

The term Laser Phototherapy (LPT) has recently been adopted because the use of light-emitting diodes (LEDs) and other light sources showed positive results in the treatment of several pathologies. There are a considerable number of different types of laser or LED systems used for this purpose. For therapeutic proposes, applied radiation intensities are so low that it is thought that any biological effects that occur are due to the direct effects of radiation rather than the result of heating. Light is absorbed in irradiated tissue by a variety of chromophores that absorb photons and light is transformed into biochemical energy by multiple secondary reactions resulting on the restoration of cellular function, reduction in pain and inflammation, and enhancement of wound healing processes. Our laser research is in clinical use of laser therapy, LEDs, dental pain, photodynamic therapy (PDT), laser fluorescence, bone regeneration, implants, dental bleaching, and Raman spectroscopy. This lecture will present LPT research and clinical use in different pathologies, with emphasis on dentinal hypersensitivity with several ethiologies: Implantology, mucositis, odontalgia, tissue healing.

Lasers should never be used without a precise diagnosis of the pathology to be treated, which demands profound knowledge of dental specialties, laser and LED properties, and irradiation parameters, such as wavelength (nm), power (W) input and output, power density or irradiance (W/cm2), energy density or fluence (J/cm2), duration of each session (seconds), frequency of treatment (weekly) and number of sessions, energy per point (J) and total energy (J).

Educational Objectives

  • Summarize clinical applications of laser therapy based on translational preclinical dental research.
Speaker(s)
Dr. Aldo Brugnera
Dr. Aldo Brugnera

Successful Re-implantation of an Avulsed Tooth with LLLT As An Aid in the Treatment (0124)

Dr. Martin Kaplan View Details Saturday, April 16 2:20pm-2:40pm Download Handout
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Overview

The is a case presentation of reimplantaion of an open apex #8 central incisor after total avulsion and a crushed socket. There were additional traumatized teeth and a partial avulsed #9. The case will discuss immediate medical management, dental management, and behavior management to successfully reimplant the traumatized tooth. Utilization of splinting and low-level laser therapy (LLLT) to stimulate wound healing and assist tissue trauma healing with a series of LLLT treatments will be reviewed. Long-term 3-year results will be presented and a discussionof potential stem cell and cellular metabolisms will be reviewed. This case should tie together the research that is occuring throughout the world and present the dental benefit potential in real clinical terms. This is the first case ever presented with this successful healing.

Educational Objectives

  • Demonstrate the significant healing potential of a damaged pulp.
  • Provide clinical evidence of a case where tissue edema was assisted to a great resolution.
  • Provide a guide for how to treat a case with a series of planned LLLT interventions.
  • Discuss the potential of stem cells as a possible means of pulpal repair.
Speaker(s)
Dr. Martin Kaplan
Dr. Martin Kaplan

Photobiomodulation Panel Discussion (0111)

Dr. Juanita Anders; James Carroll; Dr. Arun Darbar; Dr. Martin Kaplan; Dr. Gerry Ross; Annette Quinn, RN View Details Saturday, April 16 2:40pm-3:30pm Download Handout
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Overview

Attendees will have the opportunity to ask questions that may have occurred to them as they listened to the presentations. Attendees are also invited to share novel techniques.

Educational Objectives

  • Receive answers to questions about photobiomodulation to enable more successful treatment of patients.
  • Share knowledge with other participants.
  • Better understand photobiomodulation mechanisms.
Speaker(s)
Dr. Juanita Anders
Dr. Juanita Anders
James Carroll
James Carroll
Dr. Arun Darbar
Dr. Arun Darbar
Dr. Martin Kaplan
Dr. Martin Kaplan
Dr. Gerry Ross
Dr. Gerry Ross
Photo Coming Soon
Annette Quinn, RN

Practice Management

Session Speaker(s) Details Date Time Handouts

How To Create The Ultimate Internet Marketing Program For Your Practice - From Dominating Search Engines to Generating Positive Reviews! (0084)

Bryan Edelstein View Details Thursday, April 14 12:45pm-1:30pm Download Handout
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Overview

Discover how to get your Web site to the top of the search engines, protect and enhance your reputation online, have the most popular and "liked" social media presence in your town, and track your return on all of your Internet marketing investments to spend less and generate more patients online.

Learn how to build a better online presence to dramatically increase your ability to be found online, differentiate yourself from the competition, and generate more revenue from the Internet than ever before.

Topics include:

  • Attract more prospective patients to your Web site by being found on top of the major search engines.
  • Outrank competitors in every area of search - organic, paid, and local.
  • Save money by "Marketing Smarter" instead of just "spending more."

Educational Objectives

  • Generate more positive reviews and improve your online reputation.
  • Manage your listings effortlessly on every Web site that matters.
  • Design your Web site so patients will choose you FIRST out of every other specialist Web site they visit.
  • Showcase your practice on Web and mobile devices.
Speaker(s)
Bryan Edelstein
Bryan Edelstein

Dentistry ROCKS: Mastering the Art of a Thriving Practice in 2016 and Beyond - General Session (0109)

Gary Takacs View Details Saturday, April 16 9:15am-10:00am Download Handout
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Overview

The dental universe is quickly dividing into dentists that are thriving and those that are struggling. In this fast-paced course, find out what you need to do to not only survive, but to THRIVE in the current economic conditions. This course will provide you with real-world solutions designed to be very practical, teaching concepts that can be immediately applied to your practice. This ‘must attend’ event will guide your practice to success now and in the years to come. An emphasis will be placed on the role of technology in a thriving dental practice with a specific discussion of how lasers are an important element of a successful practice. The focus on this course is a practice model that helps your patients take a greater interest in their oral health. You will learn how to guide your patients to accept your treatment recommendations and to become ‘champions’ of your practice in your community. The result is a practice that provides personal, professional, and financial satisfaction.

Educational Objectives

  • Develop a comprehensive marketing plan using internal, external, and digital marketing activities.
  • Identify the 6 most effective digital marketing activities and determine which of these activities are a good fit for one's practice.
  • Develop a simple system for using digital photos for patient education.
  • Understand how to position the laser as a practice-building tool.
Speaker(s)
Gary Takacs
Gary Takacs

Front Desk as Sales Force - Creating a Magical New Patient Experience (0085)

Bryan Edelstein View Details Saturday, April 16 10:30am-11:00am Download Handout
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Overview

Most people agree that in business (and in life) first impressions are critical. Yet surprisingly few practices truly invest in creating a "magical" first impression for patients. And those that do, rarely share their secrets...they are too busy making money. In this riveting and controversial session, your speaker will challenge you to completely re-imagine the experience you provide to your patient. You will leave with tactics that you can immediately put into action to unlock the true potential of your existing staff, turn your patients into evangelists, and make this your most profitable year yet.

Topics include:

  • Five must-buy items for your office that will immediately impress patients and get them talking.
  • How to find out what your patients really think about your practice for less than $100.

Educational Objectives

  • Demonstrate how small incentives for your staff can have outsize returns for your practice.
  • Use gamification to get previously unimagined levels of engagement and productivity from your front desk.
  • Identify cost-effective tools and systems to support your newly empowered team.
  • Specify 8 easy things you can do TOMORROW that will wow your patients and dramatically increase word-of-mouth referrals.
Speaker(s)
Bryan Edelstein
Bryan Edelstein

Help on Yelp and Other Ways to Market Your Reputation (0038)

Dr. Leonard Tau View Details Saturday, April 16 11:00am-11:45am Download Handout
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Overview

Word-of-mouth has always been the foundation for the acquisition of new patients by a dental practice, but in the Internet age, word-of-mouth is transformed because of review sites like Yelp, Google, Facebook, Healthgrades, and dozens of others.

Practices must have a plan in place to establish, promote, manage, and monitor a positive reputation online. Positive reviews will drive business to your practice while negative reviews will turn potential patients away.

A bad customer experience which goes unresolved can lead to a bad reputation and thus lost revenue. Many dentists do not know how to manage their reputation online. In this interactive, energized seminar, Dr. Tau shares numerous tips and best practices, as well as the system that has been tried and tested in his own office, enabling him to take his practice to the next level simply by marketing his reputation.

Educational Objectives

  • Know how social media fits into online reputation management.
  • Learn software programs that help manage your reputation.
  • Develop strategies for garnering positive patient reviews.
  • Recognize why responding to negative reviews is not a good idea.
Speaker(s)
Dr. Leonard Tau
Dr. Leonard Tau

Building a Dental Practice That You Can Be Proud Of (0047)

Dr. Charles Hoopingarner; Dr. Mel Burchman View Details Saturday, April 16 11:45am-12:30pm Download Handout
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Overview

The ability to successfully use a laser to benefit our patients depends on our ability to communicate with them and establish a relationship that allows us to serve our patients well and be compensated to a degree that we can maintain financial stability in our business and our personal lives. Only when we have the ability to attract new patients and serve these patients in a manner that encourages them to refer others to our practice can we be financially secure enough to give our very best. This presentation will present a combined 40 years of personal experience that will benefit dentists trying to grow their practice to a level of financial success.

Educational Objectives

  • Learn to treat the patient, not the insurance company.
  • Attract raving fans and not price shoppers. Develop a sense of pride in what you do.
  • Determine how to correctly market your practice: Who is the target market for purchasing dentistry? How can you develop a cable ad for way less than you imagine

Apply the art and lessons of Zen and the Art of Motorcycle Maintenance. Learn how to manage your pension/stock account so that you can have time to ride your bike.

Speaker(s)
Dr. Charles Hoopingarner
Dr. Charles Hoopingarner
Dr. Mel Burchman
Dr. Mel Burchman

5 Specific Ways to Use Your Laser to Build Your Practice - A Workshop

Gary Takacs View Details Saturday, April 16 1:30pm-3:00pm Download Handout
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Overview

In this content-packed workshop, Gary will share 5 specific ways to use your laser as a practice builder. Emphasis will be placed on getting your entire Team on board so they understand their role in helping patients embrace the technology you have available in your practice and how this technology can help them enjoy the benefits of great oral health. The workshop will provide the Dentist and Team members with effective verbal skills and non-verbal communication techniques. The workshop will be interactive and may just be the most fun you've ever had at a dental course!

Educational Objectives

  • Identify 5 specific ways to use your laser as a practice builder.
  • Communicate how laser technology benefits the patient.
  • Use verbal and non-verbal communication techniques to help your patients understand the benefits of clinical technology.
  • Identify the patients who are your best ambassadors and learn ways to engage with them to tell others about the benefits of your practice.
Speaker(s)
Gary Takacs
Gary Takacs

Risk Prevention Tips for the Digital Age: E-mail, Texting, and Social Media (0063)

David Hester View Details Saturday, April 16 3:30pm-4:00pm Download Handout
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Overview

Some in the healthcare community have viewed social media and electronic communication as disruptive and have been reluctant to adopt the technology. But electronic communication is not a trend or a fad – it is a revolution that is changing the world. This session will address the evolving risks and benefits associated with social media and electronic communication and will provide risk tips to mitigate potential liability.

Educational Objectives

  • Describe three benefits and potential risk exposures associated with social media/Web 2.0.
  • Identify three Health Insurance Portability and Accountability Act (HIPAA) privacy issues related specifically to electronic media.
  • Apply risk management strategies for reducing liability associated with electronic media.
Speaker(s)
David Hester
David Hester

Special Programs - Conference Orientation

Session Speaker(s) Details Date Time Handouts

How to Get the Most Knowledge and Enjoyment as a First-Time Attendee

John Sulewski, MA; Gabi Kesler, DMD, Conference Chair View Details Wednesday, April 13 7:00pm-7:30pm Download Handout
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Overview

This presentation provides a guide to help attendees maximize their experience over the course of the conference and exhibition. What are the new attractions for 2016? What are the types of educational programs available on-site? Which ones offer an interactive, hands-on experience? Which ones present experimental usage, scientific findings, practice integration issues? What questions should you ask about instruments before purchasing? What opportunities are available for more casual and individualized interaction? What exactly does laser certification involve? For an objective view of these and other questions, plan to attend this informal session. It is designed for all participants, whether you are attending the conference for the first time, a new Academy of Laser Dentistry (ALD) member, considering purchasing your first laser, or a veteran user wishing to keep up with the latest developments. No previous knowledge of lasers is necessary. It is designed for all participants, whether you are attending the conference for the first time, a new Academy of Laser Dentistry (ALD) member, considering the purchase of your first laser, or a veteran user wishing to keep up with the latest developments. No previous knowledge of lasers is necessary.

Educational Objectives

  • Maximize your experience during the annual conference and exhibition by targeting your attendance and participation in programs that meet your specific needs.
Speaker(s)
John Sulewski, MA
John Sulewski, MA
Gabi Kesler, DMD
Gabi Kesler, DMD, Conference Chair

Special Programs - Laser Certification

Session Speaker(s) Details Date Time Handouts

Standard Proficiency Clinical Simulation Exams

Certification Committee View Details Thursday, April 14 1:30pm-5:00pm Download Handout
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Overview

Session overview/abstract coming soon!

Speaker(s)
Photo Coming Soon
Certification Committee

Advanced Proficiency Certification Program Overview (0116)

Dr. Arun Darbar View Details Saturday, April 16 1:30pm-3:00pm Download Handout
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Overview

Dr. Darbar and Dr. Mastis will lead a discussion on the preparation for Advanced Proficiency Certification. Several candidates will present their clinical cases to demonstrate successful methodology in obtaining this advanced level of certification from the Academy of Laser Dentistry.

Educational Objectives

  • Learn the proper documentation and planning for compiling advanced proficiency clinical case studies for presentation.
  • Address questions about the advanced proficiency certification level.
Speaker(s)
Dr. Arun Darbar
Dr. Arun Darbar

Special Programs - Laser Safety Officer Training

Session Speaker(s) Details Date Time Handouts

Laser Safety Training Module 1 of 2 - Laser Fundamentals and Why They Matter (0113)

Dr. Keith Brewster; Jan LeBeau, RDH View Details Thursday, April 14 1:30pm-4:00pm Download Handout
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Overview

A good understanding of the scientific fundamentals of lasers provides a fresh appreciation of the technological advancements in this field and how this affects applications. Laser technology is expanding: new wavelengths are being introduced to the marketplace, a wider range of parameters are available than ever before, and photobiomodulation (PBM) is becoming more prevalent. A solid understanding of the physics is central to knowing what is happening on and inside the tissue being treated, how to manipulate parameters for various conditions and results, and why pre-set parameters are not always the best option.

This is a crash course in laser physics focused on filling a need for a basic understanding of laser-tissue interactions, but it also presents more advanced topics in the key principles of the physical and biophysical part of laser dentistry.

This course will cover how a laser is constructed (and we are light years ahead of Maiman's first ruby laser) and what determines the laser's power, intensity, energy, wavelength, spot size, laser pulses, beam divergence, and efficiency. Topics include the transmission of light, its effect on tissues, and unique characteristics of various lasers.

NOTE: This course serves as a prerequisite for those attending the Laser Safety Officer training course. A basic understanding of how a laser operates helps in understanding the hazards when using a laser device.

Educational Objectives

  • Convey sufficient fundamental knowledge in order to more appropriately assess a laser's usefulness for a specific purpose and to understand its limitations.
  • Provide some basic information on many of the latest types of lasers.
  • Lead the attendee, logically, from the basics of laser action to advanced topics in laser physics.
  • Illuminate the minds of attendees with the science of illumination.
Speaker(s)
Dr. Keith Brewster
Dr. Keith Brewster
Jan LeBeau, RDH
Jan LeBeau, RDH

Laser Safety Training Module 2 of 2 - Laser Safety in the Dental Office (0114)

Dr. Keith Brewster; Jan LeBeau, RDH View Details Friday, April 15 8:00am-10:30am Download Handout
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Overview

This course will address the specific duties of a Laser Safety Officer (LSO) as described in the ANSI Z136.1 American National Standard for Safe Use of Lasers and Z136.3 American National Standard for Safe Use of Lasers in Health Care as they relate to dentistry. The course is designed specifically for dental care settings and will help guide participants in developing and implementing a laser safety program. It emphasizes hazard identification and safe work practices that apply to all laser operators, and includes the changes in the latest revision of the standards. This type of educational program must be completed by the practice's laser safety officer (LSO) to enable the mandated registration of their Class 4 laser devices with various state regulatory agencies that may require specific laser safety officer training.

NOTE: "Laser Safety Training Module 1 – Laser Fundamentals and Why They Matter" is a required prerequisite for this course.

Educational Objectives

  • Summarize the responsibilities of the Laser Safety Officer and provide specific guidelines for developing a laser safety program.
  • Provide the required knowledge and understanding of laser systems, nominal hazard zones (NHZ), maximum permissible exposure (MPE), and the optical density (OD) of protective eyewear.
  • Examine laser hazard class details and discuss laser hazard evaluations.
  • Provide guidance for appropriate audit and record keeping requirements, including training.
Speaker(s)
Dr. Keith Brewster
Dr. Keith Brewster
Jan LeBeau, RDH
Jan LeBeau, RDH

Special Programs - Seidner Scholarship

Session Speaker(s) Details Date Time Handouts

Dental Hard Tissue Ablation Using a Newly-developed Wavelength-tunable Nanosecond Pulsed Cr:CdSe Laser in the Spectral Range of 2.76-3.00 µm (0014)

Dr. Taichen Lin; Dr. Akira Aoki; Dr. Norihito Saito; Dr. Yuichi Izumi View Details Friday, April 15 4:00pm-4:15pm Download Handout
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Overview

Introduction and Objective: Mid-infrared erbium lasers are effectively utilized for dental hard tissue treatment. We intend to develop a new all-solid-state laser for dental treatment. Recently, a wavelength-tunable, nanosecond-pulsed Cr:CdSe laser was developed by RIKEN (Wako, Japan), which enables laser oscillation around 2.9 µm. The aim of the present study was to evaluate the effects of Cr:CdSe laser on dental hard tissues.

Method:  We used wavelengths of 2.76-3.00 µm and an energy output of 0.28-2.0 mJ (fluency: 1.6-11.2 J/cm2/pulse; pulse duration: approximately 250 ns; beam diameter: approximately 150 µm). Enamel, dentin, and cementum plates were irradiated with the Cr:CdSe laser at 10 Hz without water irrigation. After irradiation, morphological changes, ablation depth, and thickness of the thermally affected layer of the irradiated surfaces were analyzed using stereomicroscopy, scanning electron microscopy (SEM), and light microscopy of nondecalcified histological sections.

Results:  The nanosecond-pulsed Cr:CdSe laser irradiation effectively ablated dental hard tissues with no visible thermal damage such as carbonization and major melting and cracks; the width of the thermally affected layer was approximately 20 µm. The efficacy of ablation gradually increased from 3.00 µm toward 2.76 µm, with 2.76 µm revealing the highest ablation efficacy on dentin.

Conclusions: The nanosecond-pulsed Cr:CdSe laser demonstrated excellent ablation effects on dental hard tissue, and the wavelength dependence of its ablation effect on dentin in the range of 2.76-3.00 µm was remarkable. These results indicate the potential of the wavelength-tunable Cr:CdSe laser as a novel laser system for dental treatment.

Educational Objectives

  • Describe the effects of the nanosecond-pulsed Cr:CdSe laser on dental hard tissues.
  • Specify the wavelength dependence of the ablation effect of Cr:CdSe laser in the range of 2.76-3.00 µm on dentin.
Speaker(s)
Dr. Taichen Lin
Dr. Taichen Lin
Dr. Akira Aoki
Dr. Akira Aoki
Dr. Norihito Saito
Dr. Norihito Saito
Dr. Yuichi Izumi
Dr. Yuichi Izumi

Effect of 810nm Diode Laser on the Proliferation of Osteoblasts and Formation of Bone in Osteotomy Site (0058)

Dr. Shrikar R. Desai; Dr. Jayashree A. Mudda View Details Friday, April 15 4:15pm-4:30pm Download Handout
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Overview

Introduction and Objective:  The use of a single session of low-level laser irradiation on healing of bone is not explored thoroughly. The aim of this study is to determine the optimal dosage for formation of bone using a single irradiation of an 810-nm diode laser.

Materials and Methods:  Fifteen New Zealand male rabbits were used for the study. The center of the femur was drilled using implant osteotomy drills to the size of 2.8 mm in width and 6 mm in depth. An 810-nm GaAlAs diode laser (Picasso™ Lite, AMD Lasers, Indianapolis, Ind., USA) was used in this study. Laser parameters were: wavelength of 810 nm, power of 90 mW, time of (Group I) 30 sec (energy of 2.7 J), (Group II) 120 sec (energy of 10.8 J), (Group III) 180 sec (energy of 16.2 J) and (Group IV) 300 sec (energy of 27 J) in continuous mode using the disposable fiber of 300 µm diameter in contact, in uninitiated mode. The contralateral femur (Group V) was used as a control and the laser was sham-treated. At the end of 4 weeks samples were collected from the surgical area and slides were prepared. The density of osteocyte, osteoblast, and amount of bone formation was evaluated using histomorphometry analysis.

Results :  At the end of 4 weeks, there was increase in the osteoblasts and amount of bone formation in the Group IV compared to other groups. The results were significant at P < 0.05.

Conclusions:  The 810-nm diode laser at 27 J energy effectively showed an increase in the proliferation of osteoblasts and faster deposition of bone in an osteotomy site in 4 weeks.

Educational Objectives

  • Determine the effect of a single session of 810-nm diode laser irradiation on regeneration of bone in an animal osteotomy study.
Speaker(s)
Dr. Shrikar R. Desai
Dr. Shrikar R. Desai
Dr. Jayashree A. Mudda
Dr. Jayashree A. Mudda

Effect of Initiators on Thermal Changes in Soft Tissues Using Diode Laser (0096)

Dr. Danielle Sacks; Dr. Nicholas Montanaro; Dr. Rafael Delgado-Ruiz; Dr. Georgios Romanos View Details Friday, April 15 4:30pm-4:45pm Download Handout
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Overview

Introduction and Objective: The initiation of a diode laser tip increases the efficiency of the incisions produced by the laser. Different types of initiators can be used. The aim of this study was to determine the effect of various initiators on the thermal changes that occur during incisions performed in soft tissues.

Methods: Thermal changes were observed during incisions in chicken breast (without skin) via thermo-elements over a 5-second irradiation period by a 975-nm diode laser. The laser fiber had a 320-micron diameter. Incisions (five in each group) were performed with and without an initiator (control group). Red/blue articulating paper and cork were the initiators used in this study. The tissue was irradiated in a continuous wave mode at 3 and 6 W.

Results: At a power of 3 and 6 W without any initiator, the thermal increase was the greatest, reaching a mean temperature of 27.5°C vs. 29.8°C, respectively. Cork initiator at 3 and 6 W resulted in temperature increase, reaching a mean temperature rise of 26.6°C vs. 27.3°C, respectively. Incisions made using the blue/red articulating paper-initiated tip reached mean temperatures of 23.1/24.8°C vs. 27.2/29.2°C at 3 and 6 W power settings, respectively.

Conclusion: Within the limitations of this study, all of the initiators are safe to use. The power settings of the diode laser and type of initiator used both affect the degree to which the temperature of the soft tissue increases during incisions.

Educational Objectives

  • Demonstrate the effects of initiators on soft tissues.
  • Illustrate diode laser-tissue interactions.
  • Present scientific information regarding thermal damage in order to minimize potential damage complications from diode laser-assisted dental surgery.
Speaker(s)
Dr. Danielle Sacks
Dr. Danielle Sacks
Dr. Nicholas Montanaro
Dr. Nicholas Montanaro
Dr. Rafael Delgado-Ruiz
Dr. Rafael Delgado-Ruiz
Dr. Georgios Romanos
Dr. Georgios Romanos

Special Programs - Education for Lasers in Dentistry

Session Speaker(s) Details Date Time Handouts

Collaborative Initiatives Between ADEA and ALD: ALD University and Academia Relations Committee and ADEA SIG on Lasers - Joint Session

Dr. Brad Smith; Dr. Christine Halket; Dr. Scott Benjamin View Details Saturday, April 16 3:30pm-5:00pm Download Handout
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Overview

Coming Soon!

Speaker(s)
Dr. Brad Smith
Dr. Brad Smith
Dr. Christine Halket
Dr. Christine Halket
Dr. Scott Benjamin
Dr. Scott Benjamin

Workshops

Hard and Soft Tissue - Workshop

Session Speaker(s) Details Date Time Handouts

An In-Depth, Hands-On Opportunity To See How a 9.3 µm CO2 Dental Laser Cuts Both Hard and Soft Tissue; Taught by an Every Day User (0071)

Dr. David Fantarella; Dr. Tony Hewlett View Details Thursday, April 14 1:30pm-2:45pm Download Handout
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Overview

This presentation will introduce how to leverage the newest laser wavelength in a typical general dentistry practice, to quote Dr. Fantarella, "every patient, every day." Dr. Fantarella will explain how he uses a 9.3-µm CO2 laser (Solea, Convergent Dental, Natick, Mass., USA) in his practice from a clinical perspective. He will also discuss how it has affected his efficiency and has driven significant growth in new patient referrals.

Educational Objectives

  • Gain experience using a 9.3-µm CO2 laser.
  • Learn proper techniques for use of a 9.3-µm CO2 laser.
  • Indicate various applications for this new wavelength.
  • Relate the advantages of using a 9.3-µm CO2 laser in the practice.
Speaker(s)
Photo Coming Soon
Dr. David Fantarella
Dr. Tony Hewlett
Dr. Tony Hewlett

9.3 µm and Everyday Dentistry 12 Months After the Switch from Erbium (0082)

Dr. David Fantarella; Dr. Tony Hewlett View Details Thursday, April 14 2:45pm-4:00pm Download Handout
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Overview

This is a follow on to Dr. Hewlett’s lecture last year. Now, with more than a year of use behind him, Dr. Hewlett will talk in more detail about how he has used this new laser wavelength effectively in the practice of everyday dentistry. He will begin by comparing his experience with CO2 lasers to erbium lasers. He will then provide examples of the routine cases for which he uses the 9.3-µm CO2 laser along with the clinical outcomes. Finally, he will discuss the impact this new laser has had on his daily workflow and practice as a whole.

Educational Objectives

  • Explain the main differences between erbium lasers and the 9.3-µm CO2 laser.
  • Specify the various, everyday procedures that can be performed with 9.3-µm CO2 laser.
  • Review the impact of adding a 9.3-um CO2 dental laser to one’s clinical practice.
Speaker(s)
Photo Coming Soon
Dr. David Fantarella
Dr. Tony Hewlett
Dr. Tony Hewlett

Implantology - Workshop

Session Speaker(s) Details Date Time Handouts

Light Energy and Other Adjuncts to Aid in Implant Dentistry (0070) - A workshop

Dr. Edward Kusek View Details Friday, April 15 1:30pm-4:30pm Download Handout
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Overview

This hands-on course will utilize two CO2 and two erbium lasers to demonstrate how to treat patients with the different devices. The course will also use biologics to aid in the healing and regeneration process. The course will start with a lecture to explain the stations for using the lasers and how to gain use of venous blood for treatment of implant patients.

Educational Objectives

  • Learn how to use each laser for specific needs for implant treatment: Implant uncovering, detoxification, decortification, flap reflection.
  • Define how to use photobiomodulation for implant dentistry to aid in the healing of the surgical site.
  • Discover how to draw blood to spin in a centrifuge to gain the use of biologics (platelet-rich fibrin) for different uses in implant dentistry.
  • Utilize pig jaws for laser treatment to gain hands-on experience with techniques.
Speaker(s)
Dr. Edward Kusek
Dr. Edward Kusek

Endodontics - Workshop

Session Speaker(s) Details Date Time Handouts

The Contribution of the Er,Cr:YSGG Laser to Successful and Predictable Endodontic Practice (0127)

Dr. Justin Kolnick View Details Friday, April 15 3:15pm-5:00pm Download Handout
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Overview

Learn a simple, efficient, and effective minimally invasive technique for modern root canal therapy. Each participant must bring 2 or 3 pre-accessed teeth that have been cleaned and shaped to a minimum apical size of ISO #35.

Educational Objectives

  • Develop a clear understanding of the mechanism of action of the Er,Cr:YSGG laser in endodontic therapy.
  • Experience firsthand the power of the laser in root canal systems of extracted teeth.
  • Recognize the nuances of laser applications in specific clinical situations and how slight modifications to standard endodontic protocols can enhance laser effectiveness.
Speaker(s)
Dr. Justin Kolnick
Dr. Justin Kolnick

Pediatric Dentistry - Workshop

Session Speaker(s) Details Date Time Handouts

Pediatric Dentistry Applications Workshop - Rotation 1

Dr. Rishita Jaju; Dr. Larry Kotlow; Dr. Fred Margolis View Details Friday, April 15 3:15pm-4:00pm Download Handout
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Overview

Session overview/abstract coming soon!

Speaker(s)
Dr. Rishita Jaju
Dr. Rishita Jaju
Dr. Larry Kotlow
Dr. Larry Kotlow
Dr. Fred Margolis
Dr. Fred Margolis

Pediatric Dentistry Applications Workshop - Rotation 2

Dr. Rishita Jaju; Dr. Larry Kotlow; Dr. Fred Margolis View Details Friday, April 15 4:15pm-5:00pm Download Handout
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Overview

Session overview/abstract coming soon!

Speaker(s)
Dr. Rishita Jaju
Dr. Rishita Jaju
Dr. Larry Kotlow
Dr. Larry Kotlow
Dr. Fred Margolis
Dr. Fred Margolis

Periodontology - Workshop

Session Speaker(s) Details Date Time Handouts

Maximizing the Management of Periodontitis with a Dual Wavelength Laser Approach (0129)

Dr. Sam Low View Details Friday, April 15 1:30pm-3:00pm Download Handout
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Overview

While there exists several laser periodontal protocols, adherence to the core steps in reducing inflammation and enhancing wound healing with the resulting regeneration is essential. These steps will be reviewed with a hands on workshop approach. The unique advantages of both erbium and diode lasers will be considered with a possible synergistic effect. These steps will range from de-epithelialization to photobiomodulation. Pre- and postsurgical management will also be explored to maximize results.

Educational Objectives

  • Relate the objectives of periodontal disease management.
  • Provide the essential characteristics of a dental laser in controlling chronic inflammatory periodontitis.
  • Develop step-wise protocols in managing the etiology and enhancing regeneration.
  • Create pre- and post-techniques for ensuring best results with laser therapy.
Speaker(s)
Dr. Sam Low
Dr. Sam Low

Photobiomodulation - Workshop

Session Speaker(s) Details Date Time Handouts

Photobiomodulation in Dentistry (0017)

Dr. Gerry Ross; Dr. Arun Darbar View Details Saturday, April 16 9:15am-10:30am Download Handout
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Overview

In this workshop clinicians will work with the attendees to give a hands-on experience on utilizing low-level laser photobiomodulation. There will be a short 10-minute introduction and the hands-on will immediately follow.

There will be a wide assortment of devices available to view so that the attendees can understand that it is the science and not just the device that gives good clinical results.

This workshop will be valuable to both new clinicians to photobiomodulation as well as those with considerable experience in the field.

Educational Objectives

  • Recognize that it is the science and not a particular device that gives results.
  • Explain how photomodulation can benefit dental practices.
  • Gain the tools to be able to apply these principles in practice.
  • Identify places where attendees can continue to obtain more knowledge.
Speaker(s)
Dr. Gerry Ross
Dr. Gerry Ross
Dr. Arun Darbar
Dr. Arun Darbar

Oral Surgery - Workshop

Session Speaker(s) Details Date Time Handouts

Maximizing Patient Referrals with Treatment of the Medically Compromised Patient (0033)

Dr. Robert Convissar View Details Saturday, April 16 10:30am-12:30pm Download Handout
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Overview

When treating medically compromised patients, lasers have unparalleled advantages over scalpels. Due to their hemostatic ability, lasers can be used on patients suffering from a variety of bleeding diatheses. Due to their ability to incise/excise large amounts of tissue quickly, lasers can be used on patients suffering from drug-induced gingival hyperplasias. This presentation will discuss the types of medically compromised patients who would benefit from laser treatment over more conventional treatment, how to best treat them, and how to market to this ever-growing population. Presentation format includes 45 minutes of oral lecture, 1 hour for hands-on, and 15 minutes in a wrap-up session.

Educational Objectives

  • Identify which types of medically compromised patients would benefit from laser treatment.
  • Learn how to treat medically compromised patients with laser technology.
  • Know how to market to this group of patients.
Speaker(s)
Dr. Robert Convissar
Dr. Robert Convissar

Hygiene Applications - Workshop

Session Speaker(s) Details Date Time Handouts

Give 'Em A Hand! Hands-On Hygeine (0080)

Angie Mott, RDH; Jeanette Miranda, RDH; Mary Lynn Smith, RDH; Gloria Monzon, RDH View Details Saturday, April 16 11:00am-1:00pm Download Handout
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Overview

Session overview/abstract coming soon!

Speaker(s)
Angie Mott, RDH
Angie Mott, RDH
Jeanette Miranda, RDH
Jeanette Miranda, RDH
Mary Lynn Smith, RDH
Mary Lynn Smith, RDH
Gloria Monzon, RDH
Gloria Monzon, RDH

Practice Management - Workshop

Session Speaker(s) Details Date Time Handouts

5 Specific Ways to Use Your Laser to Build Your Practice - A Workshop

Gary Takacs View Details Saturday, April 16 1:30pm-3:00pm Download Handout
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Overview

In this content-packed workshop, Gary will share 5 specific ways to use your laser as a practice builder. Emphasis will be placed on getting your entire Team on board so they understand their role in helping patients embrace the technology you have available in your practice and how this technology can help them enjoy the benefits of great oral health. The workshop will provide the Dentist and Team members with effective verbal skills and non-verbal communication techniques. The workshop will be interactive and may just be the most fun you've ever had at a dental course!

Educational Objectives

  • Identify 5 specific ways to use your laser as a practice builder.
  • Communicate how laser technology benefits the patient.
  • Use verbal and non-verbal communication techniques to help your patients understand the benefits of clinical technology.
  • Identify the patients who are your best ambassadors and learn ways to engage with them to tell others about the benefits of your practice.
Speaker(s)
Gary Takacs
Gary Takacs


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ALD 2017  Dentistry's Laser Meeting |  April 6-8, 2017 |  Hilton Tucson El Conquistador Golf and Tennis Resort, Tucson, AZ