Products

Velure S9

VELURE S9 APPLICATIONS in IMPLANTOLOGY

The system has several unique applications pertaining to implant dentistry, and most of these procedures can be performed without local anesthesia. Five distinct applications will be discussed in detail:

1.Second stage surgery applications

2.Thinning and contouring flaps during initial implant surgery

3.Removal of necrotic and granulation tissue

4.Soft tissue surgery around implants

5.Improvement of the prognosis for endodontic stabilizers


FIRST STAGE SURGERY APPLICATION

The laser can be used to thin and contour flaps during surgery. With the laser, precise areas can be removed or thinned without significant heat build-up and no danger of transmitting damaging heat via the implant. You can hold the implant in your hands with the laser at full power for about a minute before burning occurs. An electro-surge unit takes about a second. Any necrotic or granulation tissue can be easily removed from bone crevices and defects around the osteotomy site without overheating the bone.

SECOND STAGE SURGERY APPLICATIONS

Probably the most important function the laser can do for the implant dentist is to help the dentist rapidly find and uncover the healing screws without using local anesthesia. Simply by using a power setting of 20 Hz and 2.5 - 3 watt, the laser can vaporize biological tissue with exacting precision to expose healing collars. The non-metallic collars can be detected easily and the metallic collars will give off a distinct spark when touched with the laser. Only a slight pitting of the surface occurs and no significant heat is transferred if the laser accidentally touches the implant and not the healing collar.

By angling the laser beam away from the implant to the soft tissue, the implant dentist can completely uncover and aesthetically contour the tissue around the implant abutment.

Using a setting of 30 Hz and 2.5 - 3 watt to control bleeding around teeth makes impressions easy and more accurate. Aesthetic contouring of adjacent gingiva can also be performed without local anesthesia. Previous ly, many implant patients had to be temporized for at least a week before accurate impressions could be taken because of bleeding, tissue distension due to local anesthetic injection, and inflammation from the trauma of cutting away the gingival tissue over the healing collars.

These problems can be eliminated with the laser. Many implant patients are apprehensive, and the first stage of surgery may be performed under general anesthesia or IN. sedation. These procedures are not necessary for the second stage recovery, which can be done without local anesthetic. Patients who have had previous implants done cannot believe how much easier the second stage recovery is with the dental laser.

SOFT TISSUE MAINTENANCE AROUND IMPLANTS


1.Gingivectomy is probably the most effective method of dealing with soft tissue problems resulting from bone resorption around dental implants. These procedures can be performed with a Velure S9 set at 20 Hz 1 - 1.5 Watt without anesthesia. Angling the laser tip away from the implant will prevent any pitting of the implant surface. After the tissue is removed, the pitting of the implant surfaced can be smoothed with either sandpaper discs or high-speed stones.

2.In many instances the heads can be changed to allow a more desirable crown or prosthesis implant ratio, such as in magnetic over-dentures. Aesthetic recontouring of tissue around the implant prosthesis and adjacent teeth can be easily accomplished with the Velure S9. By having the same tissue height and thickness, a more aesthetic result can be achieved. Peri­implant ligament curettage is another procedure that can be done with the Velure S9 without anesthesia. In many instances, the gingival cuff is an unhealthy red and bleeds easily. The tissue can be treated with the laser, preventing more serious problems from developing.

3.Tissue pulls and frenulum attachments can be removed around perio- implant junctions and subperiosteal posts, without anesthesia; also, lasing over the incision sites and flaps at 30 Hz and 1 – 1.5 watt reduces post-operative pain and reduces healing time. Lasing donor sites of perio-grafting procedures eliminates most of the post-operative pain. Sutures can be easily and painlessly removed with the Velure S9. In large cases and especially with subperiosteal implants, this can be a real time saver.

4.The suture can be cut without pulling the tissue; buried sutures can be uncovered and cut with no pain or bleeding; the knot can be uncovered and grasped by a cotton plier or laser tip and removed by flicking the suture out. Any surface irregularities can be contoured, and soft tissue welding is possible in areas where the incision sites and flaps have pulled away. Using the laser, the outer layer of keratinized tissue can be removed on both sides and then pressed together; with only finger pressure the tissue can be spot welded together with the laser. In the most difficult cases, asutureora perio pakcan be placed to hold the tissue together.

5.Velure S9 can improve the prognosis of endodontic stabilizers by making the root structure more enamel- like, thus strengthening the implant root interface seal. After lasing with laser the harder recrystallized glazed canal wall dentin appeared to be continuous and nonporous in nature and demonstrated reduced permeability to fluids. By using the laser at a setting of 20 Hz, 1.4 watt, the canals can be effectively sterilized and any root fractures or accessory canals can be fused.

6.The laser can completely obliterate the pulp and soft tissue in the canal and control hemorrhage. Any endodontic fistulas can be removed, and the apical region where the stabilizer is to be inserted can be sterilized and lesions can be removed without damaging the bone. In old root canals that require stabilizers, the laser can vaporize old gutta percha and uncover old posts so that they can be removed with less difficulty.

7.Velure S9 is a significant tool, with multiple uses in implantology as well as general dentistry.

8.The concept of doing these procedures without anesthesia is almost unbelievable. One problem occurring in implantology includes sensitive teeth that are attached to the implant via a bridge. These teeth can be easily desensitized with the Velure S9, and gum line decay arrested. Velure S9 is one of the most important pieces of equipment in the implantologist's office.



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