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Low Level Laser Therapy, LLLT, Low Density Energy Therapy. Laser light, within the so-called "Optical Window", which includes the 600nm and reaches 1100 (visible and invisible field), has proven analgesic, anti-inflammatory, biostimulant and decontaminating capabilities. In addition, these wavelengths coupled with particular substances called "sensitizing photos" act with the "power plant" of the cells (PDT photodynamic therapy) by increasing the energy for synthesis processes, and favoring the healing of tissues. All this results in less use of drugs, decreasing the invasiveness of the procedures and speeding up tissue repair times.
Photodynamic Therapy is to activate with the laser light of photosensitizers which, once irradiated, produce cytotoxic substances such as ROS and Oxygen single, allowing a deep decontamination wherever it is required (in periodontal, perimplant, endodontic, infections). Among the most used photosensitizers we have for example the Blue of Methylene, which selectively absorbs the red wavelength available on Raffaello BIO. Conventional antimicrobial photodynamic therapy is performed by diluting the photo sensitizer and applying it to the target area. With DWE technology, the chromophore is activated by the secondary wavelength (645 nm), in order to release the single-cell oxygen that destroys the cell membrane of the bacteria. In addition, chromophore photoactivation is amplified with the main wavelength (980 nm), utilizing its decontaminating capacity for thermal effect.
The wavelengths included in the "Optical Window" have the greatest penetration capacity. The ability to use two different, individually or mixed (DWE technology) allows you to selectively act on more superficial (645 nm) or deeper targets (810-980 nm). The parameters in the game are Fluency (energy density, measured in J per cm2) and Intensity (Power density, measured in W per cm2). The dosage can be calibrated according to the target that you want to reach, even with the variables found in the literature, within a range generally ranging from a minimum of 0.1J / cm2 to 10J / cm2 for biostimulating effects. Once the case has been identified and the therapeutic protocol is established, exactly as with any drug the wavelength (the active ingredient) will be the mode of administration (pharmaceutical form, posology). BIO Raffle, thanks to DWE technology and the software guided, offers the ability to easily and replicate the clinic for which the Low Level Laser Therapy is indicated. The Laser Raffaello BIO proposes already rumors of use. In case of localized lesions, you can use the "point-to-point" mode. For wider injuries, you can use the "scanning" mode.
Periodontal pathogens do not distinguish between tissue and nests in the root of the tooth or ligament, as well as in adjacent soft tissue. Good dental hygiene, and a conventional treatment for removing the tartar, are essential before taking the laser. But it is imperative to use a wavelength that selectively hits the nested bacteria in both hard tissue and soft tissue, the ND: YAG laser is the only one to have these proper physical characteristics. The Nd: YAG laser has the wavelength to interact with all the biological components present in the tissue and the periodontal pocket. In fact, in addition to interacting with the soft tissue part as would a diode laser, with Nd: YAG laser we have a strong biological interaction also on the root, amplified by the superior absorption of the laser ND: YAG The Nd: YAG Masterlight laser thanks to VSP (very short pulse) technology manages to distribute the necessary energy in a minimal amount of time by decontaminating the periodontal tissue penetrating deep within dentinal tubules. (1000 Micron) In just 50 microseconds it reaches a power over 3.000 watts of peak. The decontaminated effect combined with the thermal relaxation of the tissue guarantees resolving treatments (98.97% bacterial destruction) in the absence of anesthesia.
The NanoYag laser, thanks to the pulses in nanoseconds iand the large amount of energy delivered, becomes an irreplaceable tool of choice for the resolution of periimplantitis. In addition to leveraging the decontaminated effect of 1064 nm. the output is gentle to the rise of the implant surface temperature. With the diode laser and the laser Nd:YAG conventional you need to work with great caution, as the surface temperature increases by 12 ° (Nd:YAG) to 19 ° (diode) with NanoYag you contains the increment to 5 ° and is also contain the structural modification effects or burnishing on surface of the other wavelengths. Fig. 1 Diode - Fig. 2 Nd: YAG - Fig. 3 NanoYag.
Thanks to NanoYag technology, the NanoYAG laser is ble of delivering high energy flows in a very short time. Taking advantage of the intrinsic capacity of the wavelength 1064 nm. universally recognized as the most suitable for the deep decontamination (see figure 1b). The Nanoyag laser also leverages the energy efficiency connected to a short pulse high peak power. In this way contains the thermal effect of the laser (energy dispersed) converting it into clinical efficacy (figure 1a). Thanks to the high peak power is exceeded ablation threshold, making the effect decontamination of highly effective laser. It follows that the application times are reduced in favor of greater clinical efficacy.