Friday, September 18, 2009
INTRODUCTION: Both chronic periodontal disease (CPD) and erectile dysfunction (ED) are associated with cardiovascular disease and its risk factors, including smoking and diabetes mellitus. However, the association between ED and CPD has never been studied. AIM: To study the association between ED and CPD. MAIN OUTCOME MEASURES. Prevalence of ED, prevalence of CPD, ED severity. METHODS: The study population consisted of 305 men who filled the Sexual Health Inventory for Men (SHIM) questionnaire in order to detect ED and assess its severity, and underwent a pair of standardized posterior dental bitewing radiographs in order to detect CPD. SHIM questionnaire scores 21 or less represented ED. Alveolar bone loss of >or=6 mm represented CPD. RESULTS: The mean age of included men was 39.5 +/- 6.7 years. Overall, 70 (22.9%) men had ED and 13 (4.3%) had CPD. CPD was significantly more prevalent among men with mild ED (P = 0.004) and moderate to severe ED (P = 0.007) in comparison to men without ED. CONCLUSIONS: ED might be associated with CPD. These preliminary findings are consistent with theories that associate these conditions with systemic inflammation, endothelial dysfunction, and atherosclerosis.
J. S. MED 2009 Apr;6(4):1111-6. Epub 2008 Dec 15.
Tuesday, September 15, 2009
Friday, September 4, 2009
Thursday, September 3, 2009
I have been honored with an Associate membership in the Prestigous AAP American Academy of Periodontics.
MILLENNIUM DENTAL TECHNOLOGIES
Outstanding Clinical and Human Histologic
Outcomes with the PerioLase® Nd:YAG Laser
Speaker: Raymond A. Yukna
The Laser-Assisted New Attachment Procedure
(LANAP™) using the Nd:YAG laser in a specific
patented protocol has been evaluated as a single
visit treatment of periodontal pockets with the goal
of obtaining new attachment. Clinical success is
supported by human histology showing new
cementum and new connective tissue attachment.
Then Monday at 10:15.
CTS1: LASER APPLICATIONS: AN EVIDENCEBASED
APPROACH TO CLINICAL PRACTICE
10:15 - 11:45 am
Program Track: Treatment of Inflammatory
Moderator: Timothy P. Walsh
Speakers: Bobby L. Butler, Henry Greenwell,
George E. Romanos, Raymond A. Yukna
Lasers have been used in dentistry for many years.
Historically, lasers have been shown to be used primarily
for soft tissue procedures. The clinical benefits of lasers
have led to FDA clearance for numerous uses of such in
periodontics and implant dentistry.
• Understand different laser wavelengths and their interactions with hard and soft tissue, including the applications of varying wavelengths and treatment protocols to treat periodontitis.
interactions with hard and soft tissue, including the
applications of varying wavelengths and treatment
protocols to treat periodontitis.
• Discuss tissue biotypes and case selections for open and closed crown lengthening.
and closed crown lengthening.
• Demonstrate long-term success for treating failing implants with lasers.
implants with lasers.
Laser Gum Surgery
Monday, August 31, 2009
lloyd Tilt will be speaking on Sunday he will show his 10 year data.
I guess in Perio 10 years is considered innovative?
IP2: INNOVATIONS IN PERIODONTICS SESSION 2
10:15 - 11:45 am
Interesting thing about periodontists is all available accounts seem to suggest that Dr. Grace Rogers may have been the first practicing Periodontist in 1914.
You would think 10 years of data would be allot considering periodontics has been existence less than 100 years.
Though, it is still considered INOVATIVE?
Tuesday, August 11, 2009
Many people have wondered, who was the first periodontist? Upon hearing this question, many have wondered, what is a periodontist? Well, we are going to discuss those questions and many more throughout the course of this article, to the best of our abilities concerning the documented evidence.
We know that periodontal disease has been a problem for people all throughout history. You see, as a specialty, periodontics – the study of periodontal disease, periodontitis, et cetera – has a very long and very full history. That history covers the whole of civilization.
There is evidence that even back in prehistoric times, our ancestors had some problems with their teeth. For example, people in the early Egyptian and Middle Eastern cultures had oral health problems. How do we know this? Well, for one thing, there is written evidence and skeletal remains which show the existence of periodontal disease.
In histories pertaining to ancient Chinese and Indian cultures, there exists evidence of periodontal diseases like scurvy. Within those same histories, there were actually pieces of advice pertaining to the importance of cleaning one’s teeth! The evidence piles up through history, from ancient Greek and Roman to Renaissance Europe. The diseases themselves were well described in the records available, as well treatments and methods of prevention.
However, the first periodontist came quite a bit later – not until the early twentieth century, in fact. Now, it stands to reason that periodontists likely existed before this; they simply were not documented. They may have gone by a different title. Around about 1914, however, all available accounts seem to suggest that Dr. Grace Rogers may have been the first practicing periodontist.
Given the long history of documented periodontal diseases and care, however, it only stands to reason that, in the equally long history of dentistry, other people must have practiced periodontology. We simply do not have the records of those possible forebears.
Disclaimer: If you have or think you might have gum disease or any other health problem, please visit your dentist or periodontist for advice, diagnosis and treatment. This article is for information purposes only and does not intend to provide advice, diagnosis or treatment for any health condition.
Tuesday, August 4, 2009
Men with a history of bone loss due to periodontitis run a higher risk of having a stroke, according to a study in the Annals of Neurology (May 28, 2009).
The potential role of periodontitis in the risk of cardiovascular disease has received much attention in the past decade, and evidence of an association between periodontitis and cerebrovascular disease, especially ischemic stroke, has been stronger compared to other types of cardiovascular disease, the study authors noted.
Although the link has been reported before, their research examined the clinical measures of periodontitis as opposed to self-reports or other assessments not involving periodontal probing, lead study author Thomas Dietrich, D.M.D., of the University of Birmingham School of Dentistry said.
The researchers analyzed data from 1,137 men in the Veterans Affairs Normative Aging Study, an ongoing study that began in the 1960s with healthy volunteers from the greater Boston area. Participants underwent medical and dental exams every three years for an average of 24 years.
A trained periodontist conducted the dental exams, including full mouth radiographs and periodontal probing at each tooth. Cerebrovascular disease was defined as a stroke or transient ischemic attack.
Dr. Dietrich and his colleagues evaluated the incidence of cerebrovascular events in relation to mean radiographic alveolar bone loss (a measure of periodontitis history) and cumulative periodontal probing depth (a measure of current periodontal inflammation).
Bone loss key
Overall, 80 incident cases of cerebrovascular disease occurred during a combined 27,506 person-years, and periodontal bone loss was "significantly associated" with an increased hazard rate of cerebrovascular disease, according to the researchers. They found a stronger effect among men younger than 65 compared to older men.
In comparison, periodontal probing depth was not associated with a significantly increased rate of cerebrovascular disease.
The exact mechanism of the association is unclear, said Dr. Dietrich, noting that both causal and noncausal factors may explain it.
There could be direct or indirect effects of the periodontal infection and inflammatory response, or some people may have an increased proinflammatory susceptibility that could contribute to both cerebrovascular disease and periodontal disease, the authors wrote. Current epidemiologic studies are not able to differentiate between these causal and noncausal pathways, even with perfect control of all established cardiovascular risk factors.
And why was periodontal bone loss significantly associated with an increased hazard rate of cerebrovascular disease, while periodontal probing depth was not?
"This is more consistent with a noncausal mechanism, since treatment of periodontitis or tooth loss would not affect the underlying susceptibility to inflammatory disease," Dr. Dietrich said.
A significant link was found between history of periodontitis as measured by alveolar bone loss and incidence of cerebrovascular disease in men, independent of established cardiovascular risk factors, the authors noted. Furthermore, they found evidence for a stronger association between periodontal bone loss and incidence of cerebrovascular disease among younger men.
"Even if this association was predominantly noncausal, periodontitis could be an important marker of risk for cerebrovascular disease, given its relatively high prevalence and the strength of the association," they concluded.
Large epidemiologic studies using molecular and genetic approaches in various populations are necessary to determine the strength of the association between periodontitis and cerebrovascular disease and to elucidate its biologic basis, they added.
Saturday, August 1, 2009
NEW YORK (Reuters Health) - Our modern dental woes have a lot do to with modern whole-body ills like heart disease and diabetes, according to the author of a review of decades' worth of studies on diet and health.
The culprit in both cases? The so-called fermentable carbohydrates forming the foundation of the modern diet, says Dr. Philippe P. Hujoel of the University of Washington School of Dentistry in Seattle. These include sugars and starchy foods that break down into sugars in the mouth, as well as tropical fruits and dried fruits.
Hujoel argues in the Journal of Dental Research that gum disease and tooth decay should be seen as "alarm bells" that signal a person is at risk of heart disease, diabetes and other chronic health problems.
In recent years, Hujoel argues, fat has replaced fermentable carbohydrates as the enemy, which has led to the promotion of heavy carbohydrate consumption-and in turn the need for dental interventions like sealant and fluoride to prevent tooth decay.
Studies have shown development of gum disease within days of a person upping their sugar intake, which then improves within weeks of a person cutting out carbs. If such high-fermentable carbohydrate diets continue, Hujoel argues, their associated chronic illnesses take hold.
"Clearly, the dental alarm bell has an extremely low threshold for activation; the response occurs in days, weeks or, at most, years, as opposed to the decades it takes for systemic (diseases) to become clinically apparent," he writes.
Hujoel calls for research to investigate the question of whether diets that are good for our teeth are also good for our overall health. If the answer is yes, he adds, "dental diseases could become increasingly regarded as the early marker of adverse lifestyle choices," and could also offer clues to understanding other systemic illnesses such as Alzheimer's disease.
SOURCE: Journal of Dental Research, July 1, 2009.
Sunday, July 19, 2009
Investigators at the Forsyth Institute are focusing on the possible role of oral bacteria as a potential direct contributor to obesity. It seems likely that certain bacterial species could serve as biological indicators of a developing overweight condition.
Researchers J.M. Goodson, D. Groppo, S. Halem and E. Carpino measured salivary bacterial populations of overweight women. Saliva was collected from 313 women with a body mass index between 27 and 32, and bacterial populations were measured by DNA probe analysis. Levels in this group were compared with data from a population of 232 healthy individuals from periodontal disease studies. The median percentage difference of seven of the 40 bacterial species measured was greater than 2 percent in the saliva of overweight women. Classification tree analysis of salivary microbiological composition revealed that 98.4 percent of the overweight women could be identified by the presence of a single bacterial species (Selenomonas noxia) at levels greater than 1.05 percent of the total salivary bacteria. Analysis of these data suggests that the composition of salivary bacteria changes in overweight women.
Of even greater interest, and the subject of future research, is the possibility that oral bacteria may participate in the pathology that leads to obesity. The complete research study is published in the June issue of the International and American Associations for Dental Research's Journal of Dental Research.
Source: Journal of Dental Research
Los Angeles Gum Surgery
History Of Periodontitis Linked To Cerebrovascular Disease In MenScienceDaily (July 3, 2009) — The potential role of periodontitis, an inflammatory disease of the gums, in the risk of cardiovascular disease, particularly ischemic stroke, has received growing attention during the last decade. A new study is the first prospective cohort study to use clinical measures of periodontitis to evaluate the association between this disease and the risk of cerebrovascular disease.Led by Thomas Dietrich of the University of Birmingham School of Dentistry, and Elizabeth Krall of the Boston VA and the Boston University School of Dental Medicine, the study analyzed data from 1,137 men in the VA Normative Aging and Dental Longitudinal Study, an ongoing study begun in the 1960s with healthy male volunteers from the greater Boston area. A trained periodontist conducted dental exams every three years that included full mouth X-rays and periodontal probing at each tooth. Cerebrovascular disease was defined as a stroke or transient ischemic attack (TIA) and follow-up lasted an average of 24 years.The results showed a significant association between periodontal bone loss and the incidence of stroke or TIA, independent of cardiovascular risk factors. This association was much stronger among men younger than 65 years old.There are several possible pathways that could explain the association found in the study. There could be direct or indirect effects of the periodontal infection and the inflammatory response, or some people may have an increased pro-inflammatory susceptibility that could contribute to both cerebrovascular disease and periodontal disease.The study found that only periodontal bone loss, which would indicate a history of periodontal disease, not probing depth, which would indicate current inflammation, was associated with the incidence of cerebrovascular disease. Also, the stronger association in younger men seen in this and other studies may indicate a pro-inflammatory susceptibility in some men that is reflected in periodontal destruction at a younger age.The authors note that if periodontitis caused cerebrovascular disease, it could be an important risk factor, given its relatively high prevalence and the strength of the association in younger men. It is also possible that people with periodontitis may pay less attention to health in general (e.g., they may not take medications as regularly). The authors conclude: "Large epidemiologic studies using molecular and genetic approaches in various populations are necessary to determine the strength of the association between periodontitis and cerebrovascular disease and to elucidate its biologic basis."This study is published in Annals of Neurology.
Monday, July 13, 2009
The connection between periodontal disease and cardiovascular disease will be the topic of a panel discussion on the growing need for dentists and physicians to collaborate at this week's Academy of General Dentistry (AGD) annual meeting.
Marvin Slepian, M.D., and Neil Gottehrer, D.D.S., will lead an "Oral/Body Inflammation Connection" discussion during the meeting in Baltimore.
"It is critical for all dentists and physicians to collaborate in helping patients reduce inflammation, which can become a target factor for cardiovascular disease," Dr. Slepian stated in a press release.
Information presented during this session will provide dentists with hands-on knowledge regarding how to communicate with physicians to collaborate and create more proactive management periodontal disease treatment plans (including nonsurgical options), which can then improve periodontal and associated physical health by reducing cardiovascular disease.
"This is a landmark course being presented, and I am honored to be holding the discussion with my colleague, Dr. Slepian," Dr. Gottehrer stated in the release. "We hope to provide groundbreaking and useful information to attendees to help them improve the overall health of their patients and to build an increased awareness about the connection between periodontal disease and cardiovascular disease that many, if not most, patients are unaware of."
Along with a panel of seven other doctors, Drs. Gottehrer and Slepian will identify the categories by grade of periodontal disease and the risks of disease to the patient, describe uniform treatment for all stages of both periodontal disease and cardiovascular disease, and suggest a successful hygiene program to improve dental care given to patients.LANAP Dentist
Friday, July 10, 2009
Thursday, July 9, 2009
The National Institutes of Health (NIH) has awarded a $1.3 million grant to a group of researchers who have found a link between gum disease and memory loss.
The research team includes Richard Crout, D.M.D., Ph.D., an expert on gum disease and the associate dean for research at West Virginia University (WVU) School of Dentistry; gerontologist Bei Wu, Ph.D., a researcher at the University of North Carolina; Brenda Plassman, Ph.D., a specialist in memory research at Duke University; and Jersey Liang, Ph.D., a professor at the University of Michigan.
The team will look at health records of several thousand Americans over many years, according to WVU.
"This could have great implications for health of our aging populations," Dr. Crout stated in a press release. "With rates of Alzheimer's skyrocketing, imagine the benefits of knowing that keeping the mouth free of infection could cut down on cases of dementia."
The research builds on an ongoing study of West Virginians age 70 and older. Working with the WVU School of Medicine, School of Dentistry researchers have given oral exams and memory tests to 270 elderly people in more than a dozen West Virginia counties.
Funded by a $419,000 two-year grant, they've discovered that about 23% of the group suffers from mild to moderate memory loss.
"If you have a gum infection, you'll have an increased level of inflammatory by-products," Dr. Crout noted. "We're looking for markers in the blood that show inflammation to see if there is a link to memory problems. We'd like to go full circle and do an intervention -- to clean up some of the problems in the mouth and then see if the inflammatory markers go down."Los Angeles Periodontist
Laser periodontal therapy is an effective alternative to scalpel/suture surgery for treating gum disease, according to a new study in the International Journal of Periodontics & Restorative Dentistry.
Led by Raymond A. Yukna, D.M.D., M.S., the histological split mouth design study looked at twelve single-rooted teeth with moderate to advanced chronic periodontitis. Six teeth were given Laser Assisted New Attachment Procedure (LANAP) using the PerioLase MVP-7 by Millennium Dental Technologies, while the other six received scaling and root planing only.
After three months, all LANAP-treated teeth showed regeneration of root surface (cementum) and new connective tissue attachment (CTA), whereas none of the control teeth effectively showed new attachment or regeneration.
"These positive results support the concept that LANAP can be associated with cementum-mediated new connective tissue attachment and apparent periodontal regeneration of diseased root surfaces in humans,” said Dr. Yukna in a press release. "Recent years have seen major advancements in periodontal technology, and this study is a successful demonstration of using a free-running pulsed Nd:YAG laser applying the specific LANAP protocol."
"The publication of this study addresses many of the concerns held by the dental community," said Michael Minailo, president and CEO of Millennium Dental Technologies. "With growing demand and continued scientific support, we expect to see significant momentum in 2009."http://www.drbicuspid.com/index.aspx?sec=nws&sub=rad&pag=dis&ItemId=300317
Monday, July 6, 2009
Tuesday, June 30, 2009
Families and Periodontal Disease
Periodontal (gum) disease may be passed from parents to children and between a couple
Several recent studies support the association between periodontal (gum) disease and family members:
Periodontal (gum) disease may be passed from parents to children and between a couple, according to an article in the September 1997 issue of the Journal of the American Dental Association. Researchers suggest bacteria that cause periodontal disease pass though saliva. This means that the common contact of saliva in families puts children and couples at risk for contracting the periodontal disease of another family member. Periodontal disease can lead to tooth loss.M
Up to 30% of the population may be genetically susceptible to developing severe periodontal disease, according to a study published in the Journal of Clinical Periodontology. These findings could result in the early identification and treatment of at-risk patients.
Based on this research, The American Academy of Periodontology (AAP) recognizes that treatment of gum disease may involve entire families. If one family member has periodontal disease, the AAP recommends that all family members see a dental professional for a periodontal disease screening.
Sunday, June 28, 2009
Saturday, June 27, 2009
Brushing your teeth twice a day can boost your sperm count. That's according to the British Dental Health Foundation (BDHF) who have advised reaching for a toothbrush after research found that infertile men are far more likely to suffer from gum disease. A study of 56 men aged between 23-52 by the Bikur Holim Hospital, Jerusalem, and the Hebrew University Hadassah School of Dental Medicine found that more than half the men with low sperm counts or no sperm at all displayed developed gum disease.
The BDHF will begin its annual National Smile Month campaign on 17 May 2009, highlighting gum disease's links to overall health under the slogan: ‘Look after yourself, brush for health'.Gum disease has been linked to heart disease, diabetes and strokes and now infertility.
Chief executive of the Foundation Dr Nigel Carter said: ‘Brushing your teeth may not sound sexy, but this study shows its importance to male fertility. Factor in the benefits of good oral health for an attractive smile and to stop bad breath and it's time men picked up their toothbrush.' The Israeli study showed that half the men suffered from gingivitis, and two thirds of these men had low sperm counts. Gingivitis causes inflammation characterised by bleeding gums and soreness.One third of the men suffered periodontal disease, which affects the tissues supporting the teeth and can lead to tooth loss. Half of the men with no sperm count had chronic periodontal disease.
Friday, June 26, 2009
Wednesday, June 24, 2009
In an ongoing study, researchers at West Virginia University in Morgantown gave oral exams, memory tests and, if subjects agreed, a blood test to 270 people age 70 or older in more than a dozen West Virginia counties.
The researchers found about 23 percent of the group suffers from mild to moderate memory loss".
We're looking for markers in the blood that show inflammation to see if there is a link to memory problems," one study researcher, Dr. Richard Crout, said in a statement.
It is not yet understood whether mouth microorganisms create health problems or whether the body's inflammatory response is to blame. Crout said it may be a combination.
However, the connection between severe dementia and gum disease is already well-known, although clinicians often do not realize gum disease affects memory, Crout said.
"Older people might want to know there's more reason to keep their mouths clean -- to brush and floss -- than ever," Crout said in a statement. "You'll not only be more likely to keep your teeth, but you'll also reduce your risk of heart attack, stroke and memory loss."
Gum disease treatment in Los Angeles
Diabetic patients are at greater risk for tooth decay due to the presence of higher bacteria levels found in saliva when diabetes is not under control. As diabetes can lower resistance to infection, periodontal disease can develop.
Tuesday, June 23, 2009
LANAP DENTIST LOS ANGELES
Monday, June 22, 2009
Rheumatoid Arthritis and Periodontal disease
Monday, May 18, 2009
Whoopi Goldberg invitation
Here is a link
Laser Surgery article
If you go on the link below you will find videos of the patients that were in the article.
Laser Dental Surgery
Wednesday, May 13, 2009
Periodontal Osseous Surgery
Friday, May 8, 2009
Here is a video of a patient that had Traditional Osseous Surgery on his top teeth then Laser Assisted New Attachment Procedure on the bottom teeth. He compares the difference.
Thursday, May 7, 2009
Link to laser article
The take home is "The dfference in therapeudic index between Nd:YAG and diode indicates that the pulsed Nd:YAG has a 16 times greater selectivity for destruction of pigmented oral
pathogens than the diode laser"
Laser Gum Surgery
Tuesday, April 28, 2009
I would like to encourage all LANAP dentists to contact the ADA and express your disappointment in their statement.
John S. Findley, D.D.S., president
American Dental Association
211 East Chicago Ave.
Chicago, IL 60611-2678
1410 East 14th Street
Plano, Texas 75074-6359
I am writing about the recent ADA Laser Position Statement now published on the ADA website. I find the ADA’s position to be inaccurate and misleading, especially with regards to LANAP. [As an ADA member] I am disappointed in this final statement that was released without review by the clinicians who developed the LANAP protocol,
Specifically is in not accurate to say, “…the therapy included ‘intrasulcular applications’ to remove ‘sulcular epithelium’.” This study reviewed “moderate to advanced” periodontal disease, and as such periodontal pocket applications of the Nd:YAG were investigated.
The second paragraph on the LANAP protocol appears to be conjecture, opinion, and speculation, and is hardly worthy of an official position statement from the ADA. This paragraph and therefore the ADA’s position statement are seriously flawed. Specifically,
1. This study was, at the time, the 4th largest human histology – with a control group – in the prestigious, peer-reviewed periodontal scientific literature. To call it a “pilot validation” or a small sample size is an attempt to minimize the significance of the findings.
2. It is a completely false representation to state that the “study was not blinded”. The study was blinded to the patient (proximate teeth were treated in all but one case), blinded to the calibrated clinical examiner, and blinded to the histologist.
3. It is disingenuous to state the sample size was small. This was a human histological study that involved the block sectioning of the study along with bone. Human Investigation Review Boards (“IRBs) regard human experimentation very seriously. IRBs regard block section removal of teeth even more rigorously. Consequently, (IRBs) bone block sections of human tooth/bone histology is not performed on the same numbers of patients and teeth, as a clinical study comparing established treatment method and that does not involve intention creation of bony defects
4. The placement of the pre-treatment notches were fully explained in the peer-reviewed manuscript in the December 2007 issue of the International Journal of Periodontics and Restorative Dentistry (IJPRD). Yukna, RA; Carr RL; Evans, GH: Histologic Evaluation of an Nd: YAG Laser-Assisted New Attachment Procedure in Humans. Int J Perio Rest Dent 27(6):577-587, 2007
5. It is absolutely baffling what the Council can possibly mean in the statement regarding extrapolation to early and moderate chronic periodontitis, when considering the beneficial outcomes from advanced periodontitis. This statement is more argumentative than enlightening.
6. Similarly argumentative is the Council’s comments on the creation of a stable fibrin clot (referred to as a “seal” by the Council). If the authors do not understand the benefits of creating a stable fibrin (1st connective tissue) clot, then one must question the expertise of the Council and its members in wound healing 101.
ADA American Dental Association
The Periolase is a Free Running Pulsed Laser. What that means is that it is pulsed at microseconds.
A microsecond (abbreviated as μs) is one millionth of a second
The Perioslase pulses at 100 microseconds with a repetition rate (Hz) of 20.
When the laser is pulsing at 100us 20hz it stays off for 49,000+us, the equivalent of the pulse being on for 1 second and off for 8 minutes -- plenty of time for the tissues to cool and not cause collateral coagulation and necrosis. The flashlamp gives the ability to have a duty cycle of 0.2% (the time the laser is on, compared to the time it is off). Each pulse at 100ms and 20hz is around 2000 watts which kills any p. gingivalis (pigmented or not) and lots of other species. Most diodes have a functional duty cycle of about 25% due to the low wattage and don't kill the bacteria for the same reason.
This is why a pulsed laser is needed for soft tissue treatment of periodontal disease -- wattages need to be high, duty cycles need to be low.
LASER PERIODONTAL SURGERY
Wednesday, April 22, 2009
Nd represents the Periolase the only laser able to do LANAP you can see the depth of penetration can be up to 4 mm. This allows the laser to penetrate into privileged sites deep in the tissue.
Notice the Er being the Erbium (the Syneron, waterlase, Fotana, or Hoya) the CO2 (Deka) have a very shallow depth of penetration.
Monday, April 13, 2009
This image shows the different dental lasers on the bottom each in their respective wavelength. The Periolase is an ND:Yag with a wavelength of 1064 nm. The lines on the graph show the absorption in each of the different tissues. Notice that Melanin, Hb (Hemoglobin), and HbO2 (Oxigenated hemoglobin) completely disappear at about 1100 nm. This correlates to the increase in absorption in water once the wavelength is absorbed in water the rest of the tissues stop absorbing the energy. Therefore the ND:Yag is highly absorbed in Melanin. Dark pigmented anaerobic bacteria are full of Melanin. Dark pigmented bacteria have been postulated as being the primary bacteria responsible for Periodontitis.
Saturday, April 11, 2009
Laser phisics 101
A mplification by
E mission of
The Electromagnetic spectrum shows the different wavelengths on a graph.
Notice the visible spectrum between 400 and 700 nm the periolase is the ND;Yag that is 1064 nm.
If a laser dentist says that their laser can do LANAP it kind of like saying Blue is Red or Green is Yellow.
Each of these colors has a diferent wavelength and are absorbed diferently in diferent tissues.
LASER DENTAL SURGERY
Friday, April 10, 2009
I first looked at the Periolase. You might even have called me a doubting Thomas.
I referred a patient to my periodontist (one of the best in LA, teaches at USC) I knew this patient needed his teeth removed it was confirmed by the perio that he needed implants, and for all the training I had it was a good recommendation.
But the patient didn’t agree he searched for an alternative and found the creator of the LANAP procedure, & had the LANAP done. That was 10 years ago; those loose teeth that I knew needed to be removed are still there and firm. So every 3 months this guy would come into the office I couldn’t deny it had worked for him.
So I started to look into it, because as you know Periodontitis is the #1 cause of tooth loss in adult Americans. And I being a dentist, by definition a dentist doesn’t exist without a patient, and after asking my patients what they wanted from me, the usual response over and over again was “I WANT TO KEEP MY TEETH”, “I WANT TO KEEP MY TEETH”, “I WANT TO KEEP MY TEETH”, so for me it was a patient driven search.
So my journey took me to Dentaltown an online community where 40,000 dentists are signed up and discuss things like perio. Being a doubting Thomas I searched out “The Guy” you know the one “The guy” who always has something negative to say about every procedure or dental product you know “the guy” who always says “it didn’t work for me”. Well after many years of looking for “The Guy” I still haven’t found him. Still looking.
Fortunately the two knuckleheaded Gp’s that developed the LANAP protocol practice nearby so I would refer my hopeless cases to them every time it got harder and harder to refer, they would always try and sell me a laser, but I DIDN’T WANT A LASER!, I wanted to help my patients keep their teeth.
Then after seeing and understanding Ray Yuknas HUMAN histology, the FDA clearance that says “NEW CEMENTUM MEDIATED ATTACHMENT IN THE ABSENCE OF LONG JUNCTIONAL EPITHELIUM” the CRA 9.7 out of 10, never finding “THE Guy” on DT to say anything negative about the procedure or the laser, not being able to refer to anyone who had the laser, seeing my anecdotal case walk in the door every 3 months, I decided, I too wanted to help people keep their teeth. The rest is history you can go on this site to see my x-rays you would be shocked at what my perio readings are 12mm bleeding suppurating pockets going to 2mm healthy sulci, again INCREDIBLE RESULTS time after time. This is why I have NO problem recommending to my colleges this procedure.
LASER GUM SURGERY
He and I both agreed that my patient should have his teeth removed and Implants placed. For everything I knew that was a good recomendation.
His teeth were loose and he had lost most of the bone around his teeth.
But the patient did not want to get screwed with Titanium and searched out an alternative.
Fortunatly he found the creator of the LANAP procedure and had it done in 1997.
This patient has been coming into my practice faithfully every 3 months to have his teeth cleaned.
To this day over 12 years later he still has all his teeth.
In other words it reverses gum disease! The # 1 cause of tooth loss!
I have been a dentist for over 20 years and I have asked my patients
"What can I do for you?" "How can I help you?" "When you and I sit down here in 20 years what do you want?" "What are your dental goals?"
The constant response has been ...
I want to keep my teeth.
I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. I want to keep my teeth. etc...