399 East 72nd Street Suite 1A
Between First and York Avenues
New York, NY 10021
(212) 988-8822
(212) 988-8858 Fax

   Simon W Rosenberg, DMD

Prosthodontics and Cosmetic Dentistry
The Center for High Tech Dentistry
"Improving Smiles One Patient at a Time
Using High Tech with a Gentle Touch
"

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Waterlase iPlus & MD Dental Lasers

Biolase Waterlase MD Dentistry 

PATIENT COMFORT

Heat, vibration and pressure are the primary causes of pain associated with the use of the traditional dental drill. Since cutting both hard and soft tissues (teeth and gums) with the Waterlase® does not generate heat, vibration or pressure, many dental procedures can be performed with fewer shots, less need for anesthesia, less use of the drill and fewer numb lips! Additionally, using the Waterlase® for gum procedures reduces bleeding, post-operative pain, swelling and the need for pain medication in many cases.

ACCURACY AND PRECISION
Waterlase Handpiece Doesn't Touch the Tooth and so there is no vibrationUsing our WaterlaseMD® we are able to remove tooth enamel decay (the hardest substance in the body), bone and gum tissue precisely while leaving surrounding areas unaffected. This conserves and allows you to keep more of the healthy tooth structure.

REDUCED TRAUMA
High speed drills can cause hairline cracks and fractures in the teeth that eventually lead to future dental problems. Waterlase® reduces damage to healthy portions of the tooth and minimizes trauma.

IMPROVED CAVITY FILLINGS
Waterlase® cavity preparations can increase bond strength of tooth-colored restoration resulting in longer lasting fillings.

LESS BLEEDING AND SWELLING
Due to its conservative, gentle cutting action and coagulating capabilities, the Waterlase® performs many soft tissue (gum) procedures with little or no bleeding and less post-op swelling.

FEWER DENTAL VISITS

Since you often do not need shots or anesthesia, with WaterlaseMD® we can perform cavity preps in all areas of the mouth in just one visit. This technology also gives trained Waterlase® dentists the ability to perform many procedures that were previously referred to specialists.

VERSATILITY

The Waterlase® is extremely versatile. It can be used for a wide range of hard and soft tissue procedures. From decay removal, cavity preparation, root canals, smile design, gum and bone surgical procedures and many others.

What is Hydrokinetic technology?

HydroKinetic Effects of the Laser-to-Water-Spray does the tooth and soft tissue sulpturingThe Hydrokinetic process is the removal of tissues with YSGG laser-energized water droplets. Hydrokinetic energy is produced by combining a spray of atomized water with laser energy. The resulting Hydrokinetic energy gently and precisely removes a wide range of human tissue including tooth enamel (the hardest substance in the body), and soft tissue (gum tissue) with no heat and no pain in most cases.

What are the benefits of the Hydrokinetic laser?

  • Heat and vibration are the causes of most of the pain associated with the drill. Since Hydrokinetic cutting does not transmit heat or vibration, MOST DENTAL PROCEDURES CAN BE PERFORMED WITH NO PAIN, VIRTUALLY ELIMINATING THE NEED FOR ANESTHESIA IN MOST CASES.
  • The laser's pinpoint accuracy is precise enough that your dentist can leave behind as much healthy tooth structure as possible, allowing you to keep your own teeth longer.
  • Effectively performs numerous soft tissue (gums) procedures with little or no bleeding. The laser gives your dentist a new high-tech tool for many procedures that previously required referral to a specialist. Now you can have them performed during your scheduled appointment.
  • Avoids many common problems of the high speed drill, including cracks in the teeth from the vibration and rapid turning of the drill burs which can weaken your teeth, creating future problems. The laser sterilizes as it cuts, leaving less chance for bacterial contamination.
  • The WaterlaseMD™ prepares your teeth in a way that maximizes the bonding of tooth colored fillings, allowing them to last longer.

Waterlase™ vs. Drill

The high speed dental drill may cause a smear layer, a layer of dead organic material. The Waterlase™ creates cuts with NO smear layer, providing a better surface for bonding, and allowing your filling to last longer.

Is the Laser Safe?

In the hands of Dr. Rosenberg, the WaterlaseMD™ is as safe as other medical devices. With it's 2 mm active range from the tip, the laser provides pinpoint accuracy, reducing the chance of causing damage to healthy tissues. The primary safety measure necessary during laser treatment is proper protective glasses.

What are the uses of Waterlase iPlus & MD™?

  • Decay Removal
  • Cavity Preparation
  • Reshape "gummy" smiles
  • General soft tissue procedures
  • General dentistry for enamel and dentin
  • Avoid being "numbed"
  • Avoid the shot and pain
  • Treat Aphthous Ulcers (AKA "Canker Sores")
  • Treat Herpes "Cold Sores" on the Lips and Gums

Periodontal Therapy 

Deep Pocket Therapy with New Attachment using the Waterlase iPlus or MD and Radial Firing Perio Tip

 

 

The Radial Firing Tip
Radial Firing Tip and its Use with Deep Pocket Therapy with New Attachment

The Root, Gingiva and Radial Firing Tip   Radial Firing Tip Action Enlarged

Background: 

 In areas of periodontal pocketing deeper than 4 or 5 mm, we understand that the bacterial mix shifts toward more anaerobic bacteria since less oxygen can get into the deeper pocket between the gingiva (gum) and the tooth root. The epithelium attachment to the tooth has also migrated down and the root surface is contaminated with bacteria, their waste products and hardened calculus that strongly adhere to the root surface and prevent the gum from attaching to the root. This inflammation of the gingiva leads to less healing and more resorbtion of the bone that supports the tooth with the results that the pockets get deeper with time, along with more bone loss, tooth mobility and ultimately loss of the tooth from periodontal disease.

The Protocol used:

  1. Measure the pockets with a periodontal probe and review xray images of the area.
  2. Use conventional hand scalers and ultrasonic scalers to remove as much calculus (hard tartar) from the tooth and roots as possible.
  3. The radial firing periodontal tips with the Waterlase MD is introduced into the periodontal pocket and, with a sweeping motion, the base of the pocket is sterilized (the laser activates and vaporizes tiny areas of water and since the bacteria are mostly water they individually explode) and the waste products are flushed out at the same time by the gentle flow of water and air.  
  4. As the sweeping motion is continued and the tip is slowly withdrawn the infected epithelium lining is dissolved on the tissue side of the pocket and the root is cleansed of calculus, bacteria and their toxins.
  5. In order to prevent re-epithelialization of the pocket wall, the surface epithelium of the gingiva is laser de-epithelialized for 3-4 mm.
  6. This procedure is sometimes combined with Localized Antibiotic Therapy in the form of placing Arestin (minocycline 1 mg of microspheres) into the treated periodontal pocket to ensure prolonged anti-bacterial effect and induce soft tissue adherence to the cleansed tooth root and filling of the periodontal defect with bone. 

    The bite is evaluated to reduce any local trauma from the occlusion (bite).

The use the Biolase Waterlase MD laser combined with Arestin placement with more advanced periodontal pockets in this combined approach:

  • is minimally invasive,
  • removes the diseased tissue,
  • gives less trauma to the healthy tissue,
  • maintains the height of the tissue around teeth,
  • minimizes pain and discomfort to the patient,
  • gets a closure of the periodontal pocket wound and,
  • allows more rapid healing to take place than with open flap periodontal surgery.


Deep Pocket Therapy (DPT) with New Attachment™ using the Waterlase iPlus or 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.

    Office Hours   

Mon 8am-6pm
Tue 8am-6pm
Thur 8am-6pm
Wed 8am-5pm
Fri: 8am-3pm
Sat: Closed
Sun: Closed

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