Laser Use in Dentistry

Lasers have been used in dentistry since 1994 to treat a number of dental problems. But, despite FDA approval, no laser system has received the American Dental Association's (ADA) Seal of Acceptance. That seal assures dentists that the product or device meets ADA standards of safety and efficacy, among other things. The ADA, however, states that it is cautiously optimistic about the role of laser technology in the field of dentistry. These lasers are different from the cold lasers used in phototherapy for the relief of headaches, pain, and inflammation.

Still, some dentists are using lasers to treat:

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Tooth decay. Lasers are used to remove decay within a tooth and prepare the surrounding enamel for receipt of the filling. Lasers are also used to "cure" or harden a filling.

Gum disease. Lasers are used to reshape gums and remove bacteria during root canal procedures.

Biopsy or lesion removal. Lasers can be used to remove a small piece of tissue (called a biopsy) so that it can be examined for cancer. Laser are also used to remove lesions in the mouth; and relieve the pain of canker sores.

Teeth whitening. Lasers are used to speed up the in-office teeth whitening procedures. A peroxide bleaching solution, applied to the tooth surface, is "activated" by laser energy, which speeds up of the whitening process.

How Do Lasers Work in Dentistry?

All lasers work by delivering energy in the form of light. When used for surgical and dental procedures, the laser acts as a cutting instrument or a vaporizer of tissue that it comes in contact with. When used for "curing" a filling, the laser helps to strengthen the bond between the filling and the tooth. When used in teeth whitening procedures, the laser acts as a heat source and enhances the effect of tooth beaching agents.

What Are the Pros and Cons of Using a Laser in Dentistry?

Pros
Compared to the traditional dental drill, lasers:

May cause less pain in some instances, therefore, reducing the need for anesthesia

May reduce anxiety in patients uncomfortable with the use of the dental drill

Minimize bleeding and swelling during soft tissue treatments

May preserve more healthy tooth during cavity removal

Cons
The disadvantages of lasers are that:

Lasers can't be used on teeth with fillings already in place.

Lasers can't be used in many commonly performed dental procedures. For example, lasers can't be used to fill cavities located between teeth, around old fillings, and large cavities that need to be prepared for a crown. In addition, lasers cannot be used to remove defective crowns or silver fillings, or prepare teeth for bridges.

Traditional drills may still be needed to shape the filling, adjust the bite, and polish the filling even when a laser is used.

Lasers do not eliminate the need for anesthesia.

Laser treatment tends to be more expensive since the cost of the laser is much higher than a dental drill. Lasers can cost between $39,000 and $45,000 compared to about $600 for a standard drill.

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You are one of 31% of Americans who don't floss daily, but you're well on your way to making a positive impact on your teeth and gums. Regardless of how well you brush, plaque still forms between your teeth and along your gums. Toothbrush bristles alone cannot clean effectively between these tight spaces. Flossing removes up to 80% of the film that hardens to plaque, which can cause inflamed gums (gingivitis), cavities, and tooth loss. Aim for all 7 days!

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SOURCES:

American Dental Association, Healthy People 2010

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