Deep Pocket Therapy with New Attachment™ using the Waterlase ...

Deep Pocket Therapy with New Attachment using
the Waterlase MD and Radial Firing Perio Tip
For minimally invasive
removal of subgingival
inflamed tissue and
calculus deposits.
Number One in Dental Lasers | Biolase.com

“Deep Pocket Therapy is a highly effective, more
aesthetic and more comfortable alternative to
traditional surgical procedures for my patients.”
Bret Dyer, Periodontist
Sugar Land, TX
Deep Pocket Therapy (DPT) with New Attachment using the
Waterlase MD laser and patented Radial Firing Perio Tip (RFPT) is
a minimally invasive, FDA-cleared, therapy for moderate to advanced
gum disease that promotes cementum-mediated periodontal
ligament new-attachment to the root surface in the absence of long
junctional epithelium.
The YSGG laser energy of the Waterlase MD is especially effective
for minimally invasive removal of both subgingival inflamed tissue
and calculus deposits, to prepare the pocket and surface of the
tooth for healing and new attachment. The Waterlase MD has FDA
clearance for both of these indications.
The Waterlase MD will enhance your practice, distinguish you as a
practitioner at the forefront, and give patients and referring dentists a
minimally invasive option for many procedures. For enhanced clinical
results, unmatched versatility, and technological superiority, the
Waterlase MD Turbo YSGG laser is the proven treatment choice.

Periodontists Using the YSGG Waterlase are Achieving
Marked Success in all the Periodontal Indices.
New Literature Supports
the Effectiveness of the
2,780 nm YSGG Wavelength
in the Treatment of
Periodontal Disease.
Published and soon-to-be published data
indicate that Er,Cr:YSGG minimally invasive
surgical periodontal laser therapy using the
Waterlase MD “led to significant improvements”
in bleeding on probing, probing depth, and
“appeared to be advantageous when compared
to SRP alone, due to more efficient attachment
level restoration.” 6
CASE 1
Example of Minimally Invasive Deep Pocket Therapy
utilizing the Waterlase MD
Courtesy of Bret Dyer, DDS, MS, Private Periodontal Practice,
Sugar Land, TX
PRE-OP
1 YEAR
2 YEARS
3 YEARS
4 YEARS
PRE-OP
4 YEARS
PRE-OP
1 YEAR
2 YEARS
3 YEARS
4 YEARS
8 9 10 11 12 13
6 3 8
3 2 3
3 2 3
3 2 3
3 2 3
8
7 6 6
3 2 3
3 2 3
3 2 3
3 2 3
8 4 8
3 2 3
3 2 3
3 2 3
3 2 3
5 4 6
3 2 3
4 2 3
3 2 3
3 2 3
6 4 4
3 2 3
3 2 3
3 2 3
3 2 3
6 6 5
3 2 3
3 2 3
3 2 3
3 2 3
6 4 3
3 2 3
3 2 3
3 2 3
3 2 3
6 6 5
3 2 3
3 2 3
3 2 3
3 2 3
8 6 5
3 2 3
3 2 3
3 2 3
3 2 3
5 7 5
3 2 3
3 2 3
3 2 3
3 2 3
5 4 4
3 2 3
3 2 3
3 2 3
3 2 3
9 10 11 12 13
7 7 5
3 2 3
3 2 3
3 2 3
3 2 3
8 9 10 11 12 13
CASE 2
Post-op Histology of a Site-specific Perio (SSP) Treatment
utilizing the Er,Cr:YSGG Waterlase MD laser
Courtesy of Andreas Moritz, MD, DDS, PhD,
Dental School, Medical University of Vienna
A Root Surface
B Cementum
C Periodontal Ligament
D Old Bone
E New Bone

Comprehensive
Periodontal Waterlase MD
Training Included
At Biolase, our goal is to help maximize the benefits of laser
ownership for you, your patients and practice. We include
training specially designed for Waterlase DPT and other
applications with your Waterlase MD Turbo laser.
A two-day course in Waterlase MD periodontal applications,
conducted by periodontists, is provided with your purchase of
the laser.
• Case selection, diagnosis
and treatment planning
• Step-by-step treatment
protocols, including laser
settings and laser tip
selection
• Debridement and
removal of subgingival
inflamed tissue and
calculus deposits in the
periodontal pockets to
promote new attachment
• Open flap periodontal
surgery, including flap
designs
• Gingivectomy and
gingivoplasty
• Removal of granulation
tissue from bony defects
(furcation)
• Frenectomy
• Soft-tissue ablation
(de-epithelialization)
• Root amputation
• Reverse vestibuloplasty
• Bone resection
• Osseous cutting and
contouring
• Osseous periodontal
surgery, including bone
resection
The Total Periodontal
Laser Solution
Unlike most lasers historically used in periodontal therapy, the
Waterlase MD Turbo YSGG laser is a true all-tissue laser. It is
indicated for use on soft tissue, bone and tooth structures,
making it extremely versatile.*
Surgery
Most periodontal lasers cut tissue using heat. The Waterlase
MD combines YSGG laser energy and a patented spray of
water (HydroPhotonics) to cut soft tissue and bone without
heat, with benefits reported such as less swelling and patient
post-op sensitivity, for a better patient experience and greater
case acceptance.
In soft tissue mode, the 2,780 nm Er,Cr:YSGG Waterlase MD
laser energy penetrates into tissues to seal blood vessels as
it cuts, providing excellent hemostasis, which in turn provides
you with a better field of vision during surgery.
Implants
If you place implants, the Waterlase MD can improve your
productivity through a range of related applications:
• Creating ideal emergence profile
• Bone resection
• Osteotomy
• Implant recovery
Osseous Crown Lengthening for
Same Day Referrals
The minimally invasive nature of the Waterlase MD YSGG laser
can help minimize tissue displacement and flap preparation
in osseous crown lengthening. It assists in performing an
externally beveled gingivectomy, shaping the free gingival
margin, troughing, and recontouring and smoothing bone. 4
*FDA 510(k) Clearances K011041, K013908, K030523, K083927
(new attachment) and K091746 (calculus removal)
View a recorded online seminar on Lasers in Periodontics with Bret Dyer, DDS, MS,
Private Periodontal Practice, Sugar Land, TX; and on Lasers in Oral Surgery with
Michael Block, DMD, Private Oral Surgery Practice, Metarie LA at www.biolase.com.

Clinically and Technically Superior by Design • • • • • • • • •
Industry Leading Technology
The 2,780 nm Er,Cr:YSGG wavelength of the Waterlase MD was
developed exclusively by Biolase for its superior effectiveness
on all tissues you encounter. For ease of use, ergonomics,
and performance it is the most technologically advanced laser
system in periodontics:
• Soft tissue mode for cutting soft tissue with excellent
hemostasis
• Hard tissue mode for cutting bone without thermal damage
• Contra-angle, 360° rotatable handpiece for superior comfort
and access to all areas of the oral cavity
• MD Gold handpiece for accurate micro-surgical procedures
and the MD Turbo handpiece for increased efficiency when
cutting hard and soft tissues
• Ultra-bright, shadow-free illumination and red aiming beam
enhance visibility and tractability in the surgical field
Waterlase MD
Gold Handpiece
The Radial Firing Perio Tip
Our patented Radial Firing Perio Tip (RFPT) is superior
to tips traditionally used by laser systems for periodontal
therapy. The 14-mm long RFPT is based on BIOLASE’s
patented Endolase tips but features a unique design
that precisely tapers the end of the 500µm diameter tip.
The result is primary radial emission of laser energy with
a portion of straight emission, and better access to the
narrow part of the periodontal pocket since the tip has no
side edges.
Compared to most tips (and fibers) that only emit straight
laser energy, the RFPT’s radial energy provides more
efficient irradiation of diseased or inflamed soft tissue
as well as calculus deposits and is advantageous in
treating moderate to advanced periodontal disease. And
by decreasing the amount of straight energy emission,
potential damage to the periodontal ligament is reduced
when the tip is used vertically.
Additionally, we also offer the most comprehensive
selection of traditional straight firing tips for periodontal
surgery, implant recovery, and osseous crown lengthening,
to help you treat all of your patients’ needs.

1. Arnabat-Dominquez J, Bragado-Novel M, et al. Advantages and esthetic results
of erbium, chromium:yttrium-scandium-gallium-garnet laser application in
second-stage implant surgery in patients with insufficient gingival attachment:
A report of three cases. Lasers Med Sci, 2009 Sept 11.
2. Arnabat J, Escribano C, et al. Bactericidal activity of erbium, chromium:yttriumscandium-gallium-garnet
laser in root canals. Lasers Med Sci, 2009 Jun 23.
3. Azzeh MM. Er,CR:YSGG laser-assisted surgical treatment of peri-implantitis with
1-year reentry and 18-month follow-up. J Periodontol 2008 Oct; 79(10):
2000-5.
4. Dyer B, Minimally invasive osseous crown-lengthening procedure using an
erbium laser: clinical case and procedure report. J Cos Dent 2008; 23(4):72-78
5. Hakki SS, Berk G, Dundar N, Saglam M, Berk N. Effects of root planning
procedures with hand instrument or erbium, chromium:yttrium-scandiumgallium-garnet
laser irradiation on the root surfaces: a comparative scanning
electron microscope study. Lasers Med Sci, 2009 Feb.
6. Kelbauskiene S, Maciulskiene V, A pilot study of Er,Cr:YSGG laser therapy used
as an adjunct to scaling and root planing in patients with early and moderate
periodontitis; Stomatologija 2007; 9(1):21-6.
7. Kimura Y, Yu DG, et al., Effects of erbium,chromium:YSGG laser irradiation on
canine mandibular bone. J Periodontol 2001 Sep;72(9):1178-82.
Industry
Leading
Technology
Clinical
Research and
Development
waterlasedentistry.com Toll-free 888-424-6527
biolase.com
NASDAQ: BLTI
Product Specific
Training and
Certification
TOTAL
SOLUTION
Service
and
Support
Practice
Integration
Support
USA
Biolase Technology, Inc.
4 Cromwell
Irvine, CA 92618
T 949 361 1200
8. Lee C, Procurement of Autogenous Bone from the Mandibular Ramus with
Simultaneous Third-Molar Removal for Bone Grafting Using the Er,Cr:YSGG
Laser: A Preliminary Report; J Oral Implantol 2005 Feb; 31(1):32-38.
9. Miller R, Treatment of the contaminated implant surface using the Er,Cr:YSGG
laser. Implant Dentistry 2004 Jun; 13(2):165-70.
10. Rizoiu I, Eversole L, et al., Effects of an Erbium, chromium: yitrium, scandium,
gallium, garnet laser on mucocutaneous soft tissues. Oral Surg Oral Med Oral
Pathol Oral Radiol Endod 1996;82:386-95.
11. Schoop U, Kluger W, et al., Bactericidal effect of different laser systems in the
deep layers of dentin., Lasers Surg Med 2004;35(2):111-6.
12. Soares F, et al Gingival overgrowth in a child with arthrogryposis treated with a
Er;Cr: YSGG Laser: A Case Report. Pediatr Dent 2009;31:8-13.
13. Sun SP, Pan YP, Zhang DM, Zou B. Morphological study and Ca/P ration
analysis of Er,Cr:YSGG laser irradiation on periodontal diseased root surfaces.
Hua XI Kou Qiang Yi Xue Za Zhi 2006 Oct; 24(5):444-6.
14. Ting CC, Fukuda M, et al., Effects of Er,Cr:YSGG laser irradiation on the root
surface: morphologic analysis and efficiency of calculus removal; J Periodontol.;
78(11):2156-64.
15.Wang X, Ishizaki NT, et al., Morphological changes of bovine mandibular bone
irradiated by Er,Cr:YSGG laser: an in vitro study. J Clin Laser Med Surg 2002
Oct;20(5):245-50.
The Total Periodontal Laser Solution
Only Biolase combines the leading dental laser
technology – continuously improved through ongoing
clinical R&D – with unmatched training, practice
integration support, and service.
Europe
EC REP MT Promedt
Altenhofstrasse 80
D-66386 St. Ingbert
Germany
T +49 6894 581020
www.mt-procons.com
An Exclusive
Partner of
© Biolase Technology, Inc. 2010. All rights reserved. Waterlase Dentistry, Waterlase , Deep Pocket Therapy with New Attachment, and Biolase are trademarks of Biolase Technology, Inc.
From
5201030 Rev A
0482