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Laser dentistry is the most exciting area of dentistry today and we have just invested in the very latest laser: Waterlase iPlus 2.0. This laser could very well be the best innovation in dentistry yet. Progressive Dentistry is one of a few practices in the UK to offer laser dental treatment using the Waterlase iPlus 2.0, allowing us to perform routine, complex, restorative, surgical and implant procedures without having to use the dreaded drill or even anaesthetic in many cases.


The Waterlase iPlus 2.0 laser is a very gentle, accurate and precise tool that uses a combination of laser technology and water-spray.  The laser beam energizes a spray of air and water. The water droplets absorb the laser energy and become laser-energized water particles that, when directed at the tooth, soft or hard tissue has incredible precision and efficiency. It is able to cut through all types of tissue including tooth, gum tissue and bone so that dental procedures can be performed more comfortably and with vastly improved outcomes.

Progressive Dentistry - Waterlase-square


Aside from the ability to do more procedures without the drill there are many remarkable advantages to both dentist and patient.


One of the greatest advantages for us is that the laser has the ability to disinfect whilst working. In fact, it can clean the interior of a root canal ten times more effectively than any other device, drastically improving outcomes. When used during gum (periodontal treatment) the laser can reach areas where other dental instruments cannot and also initiate regeneration of the tissue.


When used in surgery the benefits of the laser are incredible due to the greatly reduced trauma to the tissues. The laser sterilises the affected area as well as sealing off blood vessels which minimizes the chance of infection and bleeding after surgery. The outcomes are therefore vastly improved where patients are far more comfortable both during and after treatment.


Lasers of this type actually promote healing. Patients with advanced gum and bone disease (periodontal disease) find the laser can stop the further progression of the condition and actually initiate regeneration of the surrounding tissues. In the past, this could only be considered with invasive surgical procedures.


You may ask what it cannot do. Well, it cannot remove metal fillings or certain base fillings and it cannot prepare teeth for crowns and bridges. For this, more traditional techniques will be required.


For many people, fear and anxiety can be a barrier to seeking dental treatment. The majority of those who are apprehensive about visits to the dentist list the dentist drill as the main reason for their fear. Waterlase iPlus 2.0 laser dentistry makes no contact with your tooth and does not transmit heat or vibration. We all know the noise from a dental drill can send shivers down one’s spine. All you hear from this laser are quiet, little "pops", reminiscent of popcorn popping.


Waterlase iPlus 2.0 offers a precision that far surpasses that of a drill without generating heat or using pressure. Conventional drills can sometimes overheat teeth during procedures, inducing discomfort and irreversibly damaging the soft tissue or pulp underneath. Because of the pin point accuracy of the laser, it can be more conservatively used and thereby requiring less invasive tissue removal to perform the various procedures. Patients experience little or no discomfort, less bleeding during treatments and a shorter recovery time.


In many cases the need for injections is vastly reduced and in some instances eliminated, as well as the associated side effects. This enables us to combine procedures hence completing more procedures in less time, fewer visits and less trauma. What could be better!


Hard Tissue Applications

  • Class I, II, III, IV and V cavity preparation
  • Caries removal
  • Hard tissue surface roughening or etching
  • Enameloplasty, excavation of pits and fissures for placement of sealants

Soft Tissue Applications

  • Soft Tissue Procedures Including Pulpal Tissues
  • Excisional and incisional biopsies
  • Exposure of unerupted teeth
  • Fibroma removal
  • Flap preparation - incision of soft tissue to prepare a flap and expose the bone
  • Flap preparation - incision of soft tissue to prepare a flap and expose unerupted teeth (hard and soft tissue impactions)
  • Frenectomy and frenotomy
  • Gingival troughing for crown impressions
  • Gingivectomy
  • Gingivoplasty
  • Gingival incision and excision
  • Hemostasis
  • Implant recovery
  • Incision and drainage of abscesses
  • Laser soft tissue curettage of the post-extraction tooth sockets and the periapical are during apical surgery
  • Leukoplakia
  • Operculectomy
  • Oral papillectomies
  • Pulpotomy
  • Pulp extirpation
  • Pulpotomy as an adjunct to root canal therapy
  • Root canal debridement and cleaning
  • Reduction of gingival hypertrophy
  • Removal of pathological tissues (i.e., cysts, neoplasm or abscess) and hyperplastic tissues (i.e., granulation tissue) from around the apex
  • Soft tissue crown lengthening
  • Sulcular debridement (removal of diseased and inflamed soft tissue)
  • Treatment of canker sores, herpetic and aphthous ulcers of the oral Mucosa
  • Vestibuloplasty

Bone Surgical Procedures

  • Cutting, shaving, contouring and resection of oral osseous tissues (bone)
  • Osteotomy

Root Canal/Endodontic Procedures

  • Laser root canal disinfection after endodontic treatment
  • Tooth preparation to obtain access to root canal
  • Root canal preparation including enlargement
  • Root canal debridement and cleaning
  • Flap preparation - incision of soft tissue to prepare a flap and expose the bone
  • Cutting bone to prepare a window access to the apex (apices) of the roots
  • Apicoectomy
  • Root end preparation for retrofill amalgam or composite
  • Removal of pathological tissues (i.e., cysts, neoplasm or abscess) and hyperplastic tissue (i.e, granulation tissue) from around the apex

Laser Periodontal Procedures

  • Waterlase iPlus 2.0 assisted new attachment procedure (cementum-mediated periodontal ligament new attachment to the root surface in the absence of long junctional epithelium).
  • Full thickness flap
  • Partial thickness flap
  • Split thickness flap
  • Laser soft tissue curettage
  • Laser removal of diseased, infected, inflamed and necrosed soft tissue within the periodontal pocket
  • Removal of highly inflamed edematous tissue affected by bacteria penetration of the pocket lining and junctional epithelium
  • Removal of granulation tissue from bony defects
  • Sulcular debridement (removal of diseased or inflamed soft tissue in the periodontal pocket to improve clinical indices including gingival index, gingival bleeding index, probe depth, attachment loss and tooth mobility)
  • Osteoplasty and osseous recontouring (removal of bone to correct osseous defects and create physiologic osseous contours)
  • Ostectomy (resection of bone to restore bony architecture, resection of bone for grafting, etc.)
  • Osseous crown lengthening
  • Removal of subgingival calculi in periodontal pockets with periodontitis by closed or open curettage
©2018 Progressive Dentistry is the trading name of Orviol Ltd, a registered company in England and Wales 8973656
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