Basic laser procedures in orthodontic practice

Abstract

Adding a soft tissue laser to an orthodontist's technology toolbox permits performance of numerous procedures that reduce time in treatment, saves valuable chair time and improves results. It is critical to know both the abilities and limitations of the device in order to maximize benefits to both patient and practice, and realize an acceptable return on investment. Important considerations to understand when treatment planning for a laser procedure include the type of laser to use, levels of keratinized tissue, an understanding of biologic width and measurement of pocket depth. It is also critical to use the proper settings on the laser to reduce tissue charring, which could potentially result in delayed healing and postoperative discomfort. The most critical criterion when purchasing a laser may well be the amount and type of training that comes with the device. Within these parameters, a number of procedures may be safely and easily performed by orthodontists including gingivectomies, tooth exposures, frenotomies (labial and lingual), crestal fiberotomies and treatment of aphthous ulcers.