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Jun 2023

Waterlase i Plus Tooth Filling

No Drill Dentistry

Our case of the month is one which involves our amazing Waterlase i Plus laser. This laser has a multitude of benefits and one of those is removing composite restorations and tooth decay without having to use a drill. For some patients, the dental drill is a dreaded object which fills them with dread and fear. For others, there may a medical issue at hand such as tinnitus which may be made worse by the vibrations of the drill. In these cases, the Waterlase i Plus laser could be the answer.

Waterlase i Plus Laser

The Waterlase i Plus laser is an erbium laser with a wavelength of 2780nm Er,Cr;YSGGwhich is absorbed by enamel, dentine, bone and soft tissue. This is why it is called an all tissue laser. There are many different types of laser such as the Er;YAG which has a wavelength of 2940nm. However, when analysing absorption patterns , it is apparent that the Er,Cr;YSGG has a 300% greater penetration into tissues containing water than the Er;YAG with a far greater cutting efficiency, haemostasis and healing times. This is one of the reasons shy we chose the Waterlase i Plus laser over competitor products. Studies have also shown that the Waterlase i Plus has anti bacterial effects within root canals , reducing E Faecelis by over 99.71%. This is one of the reasons why the success and healing rates of root canal treatments using Waterlase i Plus laser energy has been shown to be greater than conventional treatments alone.

Removing Composite Restorations

Over time, composite restorations ( white fillings) can degrade, stain, shrink and develop secondary decay or caries. Using a drill is an efficient way of removing old composites but there can be biological damage by removing greater levels of tooth causing cracks within the dentine. If this is a concern, Waterlase removal is indicated. The method of action is that the laser energises water which in turn causes rapid micro expansion and explosions in the water containing tissues and this term is called Hydrophotonics. The net result is a neat, precise and sterile removal of the tissue or material with less heat damage, less fractures and removal of a smear layer which can all be created with a conventional drill. Often, this can be done with no or very little anaesthesia. If you hate needles, another huge advantage for this technology.

The Waterlase i Plus In Action

Here, Dr Nissit Patel is removing a failing composite restoration using the Waterlase i Plus laser without ANY anaesthesia at all.


Before And After Photos Of The Waterlase Treatment

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Before treatment, a failing composite filling which was sensitive

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After Waterlase i Plus removal of the composite filling. NO anaesthetic needed.

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Final restoration. The tooth is now symptom free and our patient is able to eat and chew normally.

Do You Want To Know More About The Amazing Waterlase i Plus Laser?

Please contact us to learn more and discuss your needs with us. One of the team would be happy to help in any way we can.


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