Laser technology has revolutionized many aspects of dentistry, One of the essential elements in the successful treatment of periodontal disease is the use of a low-energy, soft tissue laser. Dr. Svetlana Yampolsky uses a highly specialized CO2 dental laser to perform laser gum therapies for men and women in Midtown West, NoMad, Kips Bay, Murray Hill, and throughout New York City. This procedure enhances the health of your gums and teeth as well as your overall health. If you’re suffering from untreated gum disease, or simply have bleeding gums and you want to cure this condition but have not found a successful treatment schedule an appointment today to cure it now. Online scheduling is available, or you can call the office.
A Healthy Smile
Means A Healthy YOU
CO2 Lasers have been used in dentistry since 1964. Of all types of lasers being used in medicine, CO2lasers deliver the lowest energy. This laser is applied only to the soft tissue (gums - in case of periodontal treatment). Because of its low power, the energy penetrates the tissue only a few cell-layers deep (0.1 mm). While the emitted amount of energy does not cause damage to the human matter, it is lethal to bacteria and other microorganisms.
The 10,600 nm wavelength energy used by the CO2 laser is too weak to cause a destructive effect on the bone tissue (as well as teeth) or produce thermal damage by overheating metal implants in the patient’s mouth, which is a common problem with other dental lasers.
Here are the benefits of using the CO2 laser in treating periodontal disease:
The traditional Periodontal (Soft Tissue) Maintenance” consisting of SRP (Scaling and Root Planing) alone, even with application of local antibiotics, have proven to be an ineffective, archaic and misleading attempt to reduce oral pathogens, rejuvenate the gum tissue and eradicate bacteria seeded deep within patient’s internal organs, tissues and blood vessels.
The new approach, which is implemented in my office to treat periodontal disease, is based on thorough analysis of each patient’s specific presentation, history, saliva test results and combines traditional Scaling and Root Planning with the new Soft tissue Laser Therapy
There are two procedures being applied in the treatment of periodontitis: Laser Bacterial Reduction and Laser Tissue Regeneration. The combination and timing of procedures throughout the continuation of your customized treatment are extremely important. Laser procedures during each treatment appointment are essential to the success of your therapy.
Laser bacterial reduction uses the energy of 30 Hz frequency with 350 μsec pulse. This is a sterilization procedure applied to the crest and inner linings of the infected gum pockets. This energy does not affect the tissue but is lethal to any form of living microorganisms contaminating the area.
It is important to eradicate harmful bacteria before performing any mechanical oral procedure that disturbs the tissue and may cause even minimal bleeding within the infected area (SRP - Scaling and Root Planing, Debridement, etc.). Without prior laser bacterial reduction, bacteria are introduced directly into the patient’s circulation during SRP through the broken blood vessels. Preforming Laser Bacterial Reduction prior to Scaling and Root Planing procedure prevents the dissemination of harmful bacteria throughout the patient’s body, therefore protects the patient’s health.
Laser tissue Rejuvenation is done at 40 Hz - 450 μsec. With this higher energy, after the Scaling and Root Planning (or other mechanical/surgical procedures) is performed, the affected (damaged) layers of soft tissue, as well as all biological broken down and evaporated by laser, leaving the gum pockets clean and ready for regeneration. It is important to mention here that bacteria, which invaded the tissue cells, are destroyed during the Laser Tissue Rejuvenation together with those damaged cells. In addition, the delivered laser energy stimulates and promotes the growth of deeper layers of gingival cells. This process increases the rate of tissue regeneration and reduces the depth of gum pockets.
The infected (damaged and inflamed), necrotic top layers of gum (mucosal) cells, and blood by-products are removed, leaving the healthy gum tissues of the periodontal pocket wall intact and ready for the regenerative process. It speeds up the rate of tissue healing and regeneration. As a result, reduces the pocket depth and develops a new healthy layer of gum tissue. You gums begin to look and feel healthy without bleeding, swelling or pain.
In its healthy state, the gums are firm, pink and attached tightly to teeth. The normal anatomical grooves between teeth and gums (called “pockets”) are usually 2-3 millimeters deep. When gums get infected, they swell, become read (or reddish), soft and “floppy”. The attachment between teeth and gums gets loose, creating deeper gingival “pockets”. The gum tissue starts to bleed, either spontaneously or while brushing. This is because harmful bacteria, which form the plaque (a thick layer of bacterial colonies) below the gum line, invade and destroy human cells. The gum tissue becomes inflamed.
As gum pockets get deeper more bacteria, together with food particles accumulate at the bottom, causing more inflammation and further tissue destruction. This process once started, will not stop on its own. This is the main problem of a progressive gum disease. Hidden deep in the pockets, away from the toothbrush, mouth rinse and/or floss, bacteria grows rapidly, continuously invading more tissue. The gums are gradually destroyed and the underlining bone literally melts away as the result of chronic inflammation. Without supporting bone, the roots of teeth become exposed). In time teeth become loose, and fall out altogether
As the gum tissue becomes more and more inflamed, live bacteria starts to continuously penetrate our natural, but broken, protective barriers (bleeding gums)and, by entering the blood stream, disseminate throughout the entire body, invading many organs. This process is called “bacteremia”
In response to the disseminated bacteria, our natural defense mechanism activates different responses, including increased production of white blood cells and the release of special inflammatory proteins and other biological substances to fight the infection. This is known as the systemic immune response. While such response is very effective initially, in a prolonged situation the continuous release of defensive substances by the immune system causes damage to our own body.
Chronic periodontitis, and thus chronic inflammation within our body, eventually takes its toll. Gradually, as the result of a persistent immune response, many affected internal organs begin to fail. This process is silent and painless. It progresses slowly in afflicted individuals, leading to developing diabetes, cardiovascular problems (heart attacks and strokes), infertility and other systemic complications.