of 117
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Oral surgery and perioral laser
applications
Seville, March 2008
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Curriculum Vitae Geb.: 1963 in Erlangen
1982-87: study
1988/89: oral surgery Prof.
Weiss
1990 : clinic near Nuremberg
1991: Nd:YAG Laserd Lase 300
1992 : first laser assisted
implant
1993-2002 worldwideworkshops on all wavelengths
2001/2 lsds development
March 2002 diplomateICOI
2002 Prof. Seville
2003 Prof.a.c. Padova
2004-06 MSc Lasers inDentistry
2006/07 Msc
Implantology 2008 lcdl transmission
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Why laser in oral surgery?
Less bleeding Better overview
More safety for patient and surgeon Less pain
Better result
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Advances in oral surgery mean: Reaching more value for the patient
Goal of our doing is:
the goal of the patient
People do not value big surgery
They do not want pain, long treatment time(Cooper 2001)
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Actual laser systems in our clinic
Nd- YAG- Laser 1064nm
CO 2- Laser 10600 nm
Argon Laser480/510nm
Er- YAG Laser 2780
nm Diode Laser 980nm
Diode Laser 810 nm
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Implant exposure
Diode laser
980 nm2w cw
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Ball attached lower jaw denture at a 74 year oldheart patient Quick 26 at exposure
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Locating and marking the implants Friday2:15 pm
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Implant exposure and ball attachmentFriday 2:35 pm
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Fixation of the attachmentFriday 3:10 pm
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Finished denture after polishmentFriday 3:45 pm
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Dalbo attachmentsFriday 3:50 pm
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Monday 8:00 am
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OPG 05/2006alio loco
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Implant exposure
75 year old female patient
CO 2 Laser
3w cw
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OPG 10/2003
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Situation, Implant Locator,UDS forte 0.1ml/ Implantat
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CO2 Laser
mirror beam,
3 w cw, non kontakt
20 sec pro Implantat
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Magnetic attachments
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4 days after exposure
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Situation 3 years later
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OPG 05/2006
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Esthetic case
Female patient
27 years old
Insertion 2 Implantats 11/21(jeweils Hi-Tec 16mm SR 4,2mm) after traumatic
loss of the teeth
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RntgenausgangsbefundFremd OPG vom 14.11.2005
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Planning models
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Situation
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Surgery
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After Implant surgery 13.04.2006
I l E YAG l 30 h
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Implant exposure, Er-YAG laser 30 hz
100mj pulsewidth 300 s
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Crowns
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Try in,18th july 2006
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12th October 2006
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3rd January 2007
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3rd January 2007
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Er:YAG 600s pw 15 hz 300 mj
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Er:YAG 1000s pw 15 hz 300 mj
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Periimplantitis 24,25
55 year female patient
ER:YAG Laser
300s pulse width
300 m contact handpiece
I
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Extraction24,25, immediate implant,30 th January,2005
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x-ray 23th July 2005
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23 th July 2005
pocket 5mm 26, pocket 4 mm 5, bleeding, tension ofthe cheek
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Cut and flap:ER:YAG 30 hz 100 mj/ Puls
Vaporisation of the infected tissue Cleaning of the implant
surface
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Nano Bone after refreshment of the bone
ER:YAG 25 hz 250 mj
Nano Bone Naht Vicryl rapid 4.0
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VestibuloplastyER:YAG 30 hz 100 mj/Puls
Fixierung Vicryl rapid Naht 4.0
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7 days after
Fibrin on the surface
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X-ray 29 th of May 2006
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29 th of May 2006
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Missing attached gingiva
15 year old girl
Vestibuloplasty
Lower frontER:YAG no spray pw 1000 s
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15 th July 2003
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Vestibuloplasty
Er- YAG 15 Hz 400 mJ 1000s,
very small bleding,
gain of attachment 10 mm, peri pac
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16th July 2003ugly photo, but painless
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21st of JulyFibrin covers the wound
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28th August 20037mm vestibulum
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31st May 2006
5mm attached gingiva
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OPG 03/2006
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Mesiodens
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Oral Situation
Protruded 21
frenulum
Palatinal 11
mesiodens
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Soft tissue
ER:YAG Laser 300 s
30 hz 100 mj/Pulse
Saphir Tip 300 m
Spray 15ml/min
Luft 3 bar
Bone surgery
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Bone surgery
ER:YAG 300s SaphirTip 300 m
25 hz 300 mJ/Puls
Spray
2 min
Extraction
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Mesiodens/ seam 2-0
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1 day after
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Fibroma under denture
ER:YAG 300 s
30hz 100 mj/ Pulse
Spray 15 ml/min
Air pressure 4 bar
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Clinical Situation(1)
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Clinical Situiation(2)
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Contact hand piece 300 m
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After removal
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1 week after
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OPG 2002
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Set of instruments
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Laser applications
Substitition for Scalpel ?!
- better overview
- higher precision
- less pain and scar
Excision of benign tumors
Frenectomy and vestibuloplasty
Leukoplakia
Patients with anticoagulant therapy
Vascular lesions
Biostimulation
Incision with Nd-YAG laser
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Excision of fibroma of the tongue
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Ad f h l
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Adenoma of the palate
P ill i f h h d l
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Papillomatosis of the hard palate
Large fibroms upper jaw
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Epulis granulomatosa
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H d ti d h l i
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Hydantion caused hyperplasia
E li l t
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Epulis granulomatosa
M l
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Mucocele
R l
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Ranula
Vestibuloplasty upper jaw
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Vestibuloplasty upper jaw
Vestibuloplasty Edlan Mejchar
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Vestibuloplasty Edlan-Mejchar
Fibroma CO laser
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Excision of fibroma spray cooled
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Excision of fibroma spray cooled
Steps for excision of fibroma with fiber
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Recovery of impacted canine
Cool pro 980 nm
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Cool pro 980 nm
Spray cooled recovery
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Spray cooled recovery
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Frenulum of the tongue
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Frenulum of the tongue
Frenulum of the tongue
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Frenectomy CO laser
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Frenectomy diode laser
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Vestuloplasty cool pro 980 nm
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3 months after
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Leukoplakia 1
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p
Leukoplakia 2
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p
Leukoplakia 2
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p
Vascular lesions 1
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Vascular lesions 2
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Salivary calculus
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y
