Laser treatment

KaVo Dental GmbH
Bismarckring 39
88400 Biberach/Riß
Fon: +49 73 51 / 56-0
Fax: +49 73 51 / 56-14 88
info@kavo.com
Excellent operating comfort and precision The GENTLEray 980 diode laser is the perfect first step into soft tissue surgery. It can be used for a wide variety of applications, and offers superior hemostasis. The easy access of indication parameters ensures smooth treatment and increases the number of indications that can be quickly and easily treated with the laser in your dental practice. And, since it is easy to carry, outside your practices well. World's first contact handpiece Remove enamel and dentin in a contact procedure. The spray outlet in the application tip enables superior cooling and visibility of the treatment site, and allows you use the feedback system in caries therapy.   The spray outlet in the application tip enables superior cooling and visibility of the treatment site, and allows you use the feedback system in caries therapy. If you already have a KEY Laser 3, you can upgrade it for the new handpiece. Features Very easy to operate Touchscreen: large display intuitive user interface 30 pre-programmed, individually changeable indication settingsEasy surface disinfection small, handy and easily transported easy to set up patented handpiece with variable fibre length Average output up to 6 Watts at the fibre tip, laser wavelength of 980 nm Help functions for procedures for every indication Precision for expanded spectrum of therapy The KaVo Diode laser is suitable for numerous indications in oral surgery, endodontics, for treating bacterial infections, and for support in periodontology (after a conventional scaling and root-planing). All of the indications listed here are preprogrammed in the device and can be individually adapted:Abscess/drainage Adenoma Aphthae Biopsy Bleaching (laser activation of bleaching substances) Desensitisation Drainage Epulis Extirpation Fibroma Fistula Frenectomy (lip frenulum) Frenotomy (tongue frenulum) Gingivectomy Gingivoplasty Hemangioma removal Hemostasis Herpes Hyperplasia Implant exposure Incisions//excisions Canal sterilisation Canal sterilisation for periapical defects Coagulation of the pulp Leukoplakias Lichen planus Mucoceles/ranula Mycoses Operculectomy Papilloma Periimplantitis Decontamination Pulpotomy Sulcus expansion Sulcus sterilisation in laser-supported periodontology Vestibulum plasty Vitrification Ease-of-use The intuitive menu structure of the GENTLEray 980 sets new benchmarks and is easy to integrate in the dental practice workday. he easy access to indication parameters ensures smooth treatment and increases the number of indications. The Premium version has numerous advantages over the Classic Complete scaling - with no damage to root cement Laser coupling for mounting the laser handpieces. The coupling and all handpieces are sterilisable at 135°. The KaVo laser With an adjustable frequency range between 1 Hz and 25 Hz, plus an adjustable energy range between 10 mJ and 600 mJ, the light 70 kg high-tech product sparkles in a modern, well rounded design and provides user-friendly menu control through a touch screen. The multifunction foot control ensures absolute freedom for treatment: no replacement of instruments during the preparation. General operation In KEY Laser, the laser beam is not directed by a rigid articulated mirror arm system, but is passed via a flexible instrument tube with internal fibre to the treatment site. The fibre instrument tube, slim handpiece dimensions, variable laser parameters and the integrated spray supply, enable the user to handle the KaVo KEY Laser in an ergonomic way. Bibliography More than 230 scientific studies confirm the indications for the KaVo KEY Laser (pdf, 58 kB) General information on the diode LASER The diode LASER is minimally invasive and has a series of advantages over conventional treatments (such as electrosurgery):Reduced bleeding during surgery  Fewer sutures  Less postoperative swelling  Less scarring  Bactericidal effect of the LASER  Less need for antibiotics and antiphlogistics  Less pain and controlled wound healing Would you like to learn more about the KEY Laser 3 + ? Or set up an appointment with us? Or participate in a laser seminar? The new KEY Pulse technology The new KEY Pulse technology was developed especially for perfect removal in all indications. Through the short pulses (S-pulses, SP), you achieve double the performance with the same pulse energy. As a result, you can remove hard tissue at very high speeds. When optimising the system, great efforts were made to find the ideal balance of peak pulse performance and therapeutic success. An additional advantage: The lifespan of optical components is significantly increased through KEY Pulse technology. Optimised high performance for all indications. New range of indications in laser treatment A leader in LASER safety as well. With the new, light safety glasses, KaVo sets standards in Laser safety as well Ergonomically shape very light polycarbonate glasses combining high wearing comfort with sporty design optimum fit maximum eye protection   For reduced fatigue and concentrated treatment, even at the end of a long day. All the possibilities of a diode laser High precision surgery and soft tissue managementMinimum bleeding enabling a better view in the surgical fieldMinimised scar formationMinimised postoperative wound pain, scarcely any swelling Decontamination of the irradiated tissueEffective protection from infections Periodontics - closed curettage Removal of subgingival concrement Removal of junctional epithelium Germ reduction Handpiece P2261 Applicators Green wedge Black wedge Blue wedge Blue wedge, short Green cone Yellow periimplantitis - cylinder Yellow periimplantitis cylinder, short Red surgery cylinder The high-speed effect With shortened pulses (S-pulses, SP), you can remove hard tissue very quickly at the same pulse energy. Wavelengths All of the diode LASER’s on the market with wavelengths in the near infrared spectrum (810 to 980 nm) are strongly absorbed by melanin and haemoglobin (oxyhaemoglobin HBO2). They are absorbed to a lesser degree by water. These lasers are therefore absorbed in particular by blood itself. Of all of these specific wavelengths, the wavelength of 980 nm is absorbed the most by water. Its effect is therefore not as dependent on the availability of blood vessels in the irradiated area as with other diode LASER’s. Series of articles by Dr. Thomas Nessler It should be an Erbium:YAG laser DZW 38/05 (pdf, 1,8 MB) Periodontology with the laser – a causal, antibacterial therapy with a high level of acceptance DZW 39/05 (pdf, 2,9 MB) Non-invasive gingiva management in therapy of dental restorations using the Erbium:YAG laser DZW 40/05 (pdf, 3 MB) Microinvasive processing of hard tooth substance using the Erbium:YAG laser DZW 41/05 (pdf, 1,3 MB) More success with endodontic treatments DZW 42/05 (pdf, 1,6 MB) Laser periodontology using the KaVo KEY Laser 3 ZWR 09/2005 (pdf, 95 kB) Feedback system for concrement removal The feedback system permits complete concrement removal with absolute protection of the root support tissues and almost 100% destruction of bacteria. The built-in autopilot provides continuous feedback about the concrement still present, indicated both visually in the display and by an acoustic signal. The LASER is used only as much as necessary and as little as possible. Features Low-pain treatment The pulse duration of the KaVo KEY Laser 3 + is so short that the reaction threshold of the nerves is not reached. There is generally no need for anaesthetics. No vibrations. No shrill drilling noise. Germ-destroying effect KaVo KEY Laser 3 + kills all germs. Owing to the high energy absorption in water of this laser wavelength, the moisture content of the germ cells is evaporated. The cell membrane bursts and the cells thus die. Faster wound healing Operations with KaVo KEY Laser 3 + are automatic, contactless and necrosis-free. So the result is faster wound healing without postoperative symptoms. Laser handpiece 2061 for periodontics Fibre tip rotatable through 360° Moistening with water Exchangeable optical prisms in different sizes for periodontics, surgery or periimplantitis Mountable on laser tube coupling, freely rotatable through 360°     Positive feedback: Gentle treatment thanks to auto-detection Relaxed patients are happy patients. The intelligent approach of KEY Laser 3 + guarantees patient satisfaction. During treatment for periodontitis, even the smallest concretion is detected and removed - reliably and without residue. With selective auto detection, laser activity is focused on affected areas only. Healthy root cement remains untouched by this extremely gentle treatment, which is in the interests of the patient; and also in the interests of maximum efficiency. Greater performance Greater irradiation efficiency accelerates procedures with shorter irradiation timesOptional pulsed application can reduce the thermal side-effects taking into account tissue-specific relaxation time (cooling phase) Greater efficiency Faster healing Understandable menu structure 1. From the start menu … 2. … to the easy selection of the desired parameters from the indication list -- alphabetically or by the most frequently used indications.3. The preset values correspond to current studies on diode laser use>4. A short description of the indications can be retrieved by pressing a button, enabling optimum therapy a glance. Technical Data 980 nm 6 Watt cw 1 handpiece 300 µm fibers 3 protective laser goggles Monochromatic touchscreen Foot switch Fibre trimmer Optional: 200 µm fibers Bleaching handpiece Premium upgrade-kit Upgrading set from Classic to Premium With the optional upgrade kit, the GENTLEray 980 "Classic" can be easily upgraded to the GENTLEray 980 "Premium": New software Greater performance (diode array) Peristaltic pump Second handpiece with water cooling Second fibre with 200 µm Colour display With a laser is upgraded by suppliers authorised by KaVo Features The world’s first contact handpiece for hard tissue lasers that allows you to directly contact the tooth surface during treatment Feedback-supported caries removal Easy updating of an existing KEY Laser III and KEY Laser II – value is retained over decades. Handpiece with perfect touch & feel KaVo’s unique, patented handpiece supports your treatment with a perfect touch and feel:Direct fibre guidance provides efficient transmission of laser energy with no coupling loss Easy adaptation of the fibre length to therapeutic needs Classic, balanced handpiece designed for regular easy handling Handpiece tips with different angles With water cooling Reduction of thermal side-effects decreases pain during and after treatmentReduced carbonisation and coagulation zonesAfter SRP, residual blood is rinsed from the periodontal pocket making laser-supported sulcus sterilisation and de-epithelisation more effectiveReduction of odour during treatmentImproved patient comfortFaster healing Concretion detected and removed; patient completely relaxed Laser technology was a quantum leap for dental science. The KaVo KEY Laser 3 + feedback system is a quantum leap for dental laser technology. It means that dental science now, for the first time, has an instrument with which critical procedures can be completed more quickly, more reliably and more thoroughly, with the maximum of comfort and no impact on healthy substance. Thanks to the feedback system, concretion can be detected and de-scaled - completely and selectively, even in hard-to-reach areas. (1) Concretion (2) Root cement (3) Dentine Laser handpiece 2060 for caries therapy and surgery Fine spray coolingExchangable exit windowMountable on laser tube coupling, freely rotatable through 360° Concrement removal by means of feedback system Discrete and complete concrement removal with absolute protection of the root support tissues and also almost 100% destruction of bacteria - by means of the feedback system. No need for scalers, Tomkins file and special instruments in periodontal treatment. Working "blind" in gingival pockets may now be confidently accomplished. The built-in autopilot provides continuous feedback about the concrement still present, indicated in the display and by an acoustic signal. The LASER is used only as much as necessary and as little as possible. So " flying blind " in the treatment of dental pockets becomes a precisely controlled process: safe, convenient and effective. Studies Comparison of ER:YAG and ER:YSGG Laser ablation of dental hard tissues(only in English, pdf, 304 kB) Study Split-Mouth Follow-Up 2-Year A Planing. Root and Scaling or Laser YAG ER: with Periodontal Treatment (only in English, pdf, 151 KB) And here's how the feedback system functions The 655 nm excitation light is passed into the inflamed pocket by the periodontics handpiece. The pathological substances there send a fluorescent signal to a receiver. This then sends a control signal to the therapy laser and triggers the removal mechanism. When the receiver no longer receives any fluorescence signals, the laser beam is switched off. Safety regulations In general, the LASER safety guidelines in IEC 60825-1 should be observed. Protective LASER goggles should therefore be worn by everybody near the LASER (such as the dentist, assistant and patient). The LASER safety goggles are delivered with the GENTLEray 980. KaVo offers regular LASER courses that enable you to use the LASER with confidence and skill.   The effect For delicate procedures, longer pulses (LP) are available to optimally protect the remaining or native tissue in conjunction with the feedback system. (Image with kind permission from Prof. Dr. Dr. S. Jepsen, Rheinische Friedrich-Wilhelms-Universität Bonn, Germany.) Conservative therapy Caries preparation Conditioning of enamel and dentine Sealing of fissures Densensitization of hypersensitive tooth necks Handpiece 2060, E2062, K2063 Applicators Free beam Contact tip Surgery tip 50/10   "Lambda One" model The sporty design of the "Lambda One" model offers excellent eye protection for everyone who does not wear prescription glasses. With a profile adapted to the shape of the face, they securely protect the eye region from scattered Laser radiation. The light plastic temples render the low weight of the glasses (approx. 24 g) hardly noticeable, relieving your temple and neck regions all day long. "Dyna Guard" model The "Dyna Guard" model was developed especially for those who wear prescription glasses. With their innovative design, these glasses fit over all customary shapes and sizes of corrective glasses. Again, very low weight (approx. 39 g) was a design requirement for these glasses. The novel temple shape ensures that the protective glasses do not push on the arms of the corrective glasses, thereby preventing tensions and headaches, even when used for a long periods. KEY Laser 3 with feedback system - the state-of-the-art answer to successful treatment A large number of clinical trials have proved that KaVo KEY Laser 3 is a highly effective periodontological treatment, serving to compound the fact that this KaVo technology is unique. For a detailed Bibliography plus other trial material, see the Download section. Endodontie Sterilization of the root canal Drying of the root canal Vital amputation Handpiece E2062 Applicators Fibre tip 30/28 Fibre tip 40/28 Fibre tip 50/28   Display You can activate short pulses (S-pulses) by simply depressing a button. Comparison with the Key LASER The focus of the GENTLEray 980 diode LASER is on treating oral soft tissue with a positive haemostatic effect, and decontaminating irradiated areas as in endodontics, for example. In contrast, the KEY III is suitable for the treatment of soft tissue and hard tissue (enamel and bone), and in periodontology for gentle calculus removal. It therefore has a wider indication spectrum. Immediately ready for use The KaVo KEY Laser 3 + is a self-contained device and requires neither a water connection nor a compressed air connection - immediately ready for use. Laser handpiece 2062 for endodontics, surgery and caries therapy Flexible tips to enable curved root canals to be followed Nonwearing fibre tipsFibre plug rotatable through 360° Easy changing of the corresponding tip: Size 50, 28 mm long (3 rings) Size 50, 10 mm long (3 rings) Size 40, 28 mm long (2 rings) Size 30, 28 mm long (1 ring) Mountable on laser tube coupling, freely rotatable through 360° Clinically proven therapeutic benefits More precise and safe tooth contact without destruction of the sapphire applicators while removing enamel. Bleaching handpiece Available in November 2007 for the Premium and Classic: Optional bleaching handpiece for laser-supported in-office bleaching. You benefit Therapeutic reliability thanks to the feedback system No risk to patient through over-instrumentation Energy-saving treatment (no need for manual scaling) High patient loyalty as a result of the advanced treatment concept Further features of the KaVo KEY Laser Compact, mobile, reliable Problem-free integration in existing treatment room Very easy handling Very easy changing of the laser handpieces for relaxed work without troublesome tension in the wrist Greater patient loyalty, especially among "dental patients" and children Informative events, laser seminars, loan units Comprehensive services Equipment Touchscreen display for program selection of the indications, laser parameters, detection function, feedback control Multifunction foot switch Changing of the energy, pulse frequency, spray preselection, ready mode, peak reading reset for detection function Optical fibre protected by flexible steel sheath with protective outer tubing, guided by swivel arm with safety cut-out Laser contra-angle handpiece 2060, for processing of hard dental substance and surgery Laser handpiece 2061, for periodontics and periimplantitis therapy: With tapered optical prism 1.1 mm, tapered optical prism 1.65 mm, cylindrical optical prism 1.1 mm and truncated conical optical prism 1.1 mm x 0.5 mm Laser handpiece 2062 for endodontics and surgery: With fibre plug size 30/28, 40/28, 50/28 and size 50/10 Laser protection devices according to VBG 93: 3 laser safety goggle Illuminated warning device Laser warning signs 1 User Manual for KEY Laser 3 1 application manual Contact Handpiece 2063 Spray cooling sterilizable Contact Tips ISO quick coupling, rotatable 360° Surgery Apicectomy Frenectomy Exposure and drying of sulcus and stemming of blood flow Exposure of implant Removal of herpes and aphthae Fibromectomy Lancing of abscesses Removal of extensive pathological oral mucous membranes Vestibuloplasty Incisions and excisions Impacted wisdom teeth Removal of exostoses Modelling of the gingiva Handpiece 2060, P2261, E2062 Applicators Free beam Surgery tip 50/10 Green cone Red surgery cylinder Technical data Solid-state laser: ER:YAG solid-state laser, laser class 4 Wavelength: 2.94 µm Pulse energy: 10-600 mJ Pulse frequency: 2-30 Hz Pilot beam: 655 nm /1 mw Power consumption: max. 2.3 kW Connection: 230 V, 50/60 Hz, 12 A Dimensions (HxWxD) without swing arm: 950 x 360 x 660 mm Weight: 70 kg Your patients benefit Treatment is significantly gentler than conventional treatments Reduction in post-operative ailments Less bleeding Faster healing Complete treatment in a single session A therapaeutic advantage Less gingival recession No damage to root cement Improved fibroblast adhesion More clinical attachment More effective reduction of microorganisms Facilitates systematic periodontitis treatment The only universal laser with feedback system Broad indication spectrum: surgery, periodontics and endodontics, conservative treatment. Autopilot for concrement removal by means of feedback system. Sterile procedure. Gentle, effective and low-pain preparation. Maximum possible germ reduction. Faster wound healling . No vibrations. No drilling noise. No need for anaesthetics. Shorter treatment time. Very good cost/benefit ratio. 24 programmes stored in the internal memory for easier operation. Technical Data Tissue cooled with sterile water supply 980 nm 7 Watt cw, 12 Watt peak Pulse frequency at 20,000 Hz, micro-pulses Sterile water supply with peristaltic pump 2 handpieces: 1x standard, 1x with water cooling 2 fibers: 200µm / 300µm 3 protective laser goggles Touchscreen, colour Foot switch Fibre trimmer Optional: Bleaching handpiece