Laser Cavity Preparation

Even if we are not afraid of the dentist, leaving the office without the unpleasant sensation, after local anaesthesia is much more comfortable. And, drilling holes with the laser, will shorten your visit time. Treatments go faster and several teeth in different areas in the mouth can be treated at the same time. A conventional drill destroys a lot of healthy tooth structures. Lasers only remove the infected parts and leave the healthy part unaffected.

In this age of infection-control, the laser acts in a very sterile way. There are no burs, there is no contact. Everything proceeds without the risk of cross-contamination. Furthermore, the laser-beam is a very powerful sterilization agent. Even the bacteria, present in the decay, are killed immediately. Laser energy is less harmful for the dental nerve than classical drills. Tooth sensitivity after treatment is very much reduced or non existing. Surrounding tooth structures are protected against future decay.
And no need for acid etching. The white tooth filling can be applied immediately after drilling the hole.

There are also some restrictions in the use of this new technique. When there is a need for Amalgam fillings, or crowns and bridges, in- and onlays, thus a need for big restorations, the laser dentist still needs his classical instrumentation: the drills. Also the removal of old metal restorations require the burs.

But let's look at some examples of what a laser can do.

A severe root caries...

...is treated with a laser beam. There is no contact with the tooth. The red light you see is an aiming beam, like in a laser pointer.

Cavity completed without anaes-thesia and without any damage to the soft tissue, although decay was present below the gingival margin.

The completed restoration with an aesthetic result. The whole proce-dure only takes a few minutes.

A lot of cavities can be treated at the same time. There was no need for anaesthesia...

... in a short period of time, the pa-tient could walk out with finished restorations.

Even very deep preparations, mostly require no anaesthetic injections.

Also this one. The nerve remained intact, no need for devitalization, post or pins.

Finished restoration.

Classical treatment damages in 90% of the cases the adjacent tooth, while preparing an inter-proximal cavity. A simple aluminum foil gives 100% protection when treated with a laser beam.

Highly aesthetically result with uninfluenced and healthy adjacent teeth.

Lajos Gáspár DDS PhD
Ecto Derma Polyclinic

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