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Sulcular Debridement with the Sapphire Portable Diode Laser:
(Including removal of sulcular tissue and granulation tissue)
Tip: Initiated
Mode: Pulsed
Power: 0.8 W
Anesthesia: Topical or Local, as required
Technique: Contact
Time: 30 seconds
Technique: Contact
1. After conventional instrumentation has been completed, insert
the Fiber Optic Tip to the full pocket depth.
2. Gently probe the pocket to get a sense of its geometry.
3. Begin lasing onto the diseased epithelial lining.
4. If necessary to achieve desired results, increase power level
but always use the lowest amount of power necessary to reach
the treatment objectives and avoid charring tissue.
5. Keep the Fiber Optic Tip parallel to the root surface or tilted
slightly toward the gingival tissue during treatment in order to
maximize ablation of the inflamed tissue.
6. While keeping the Fiber Optic Tip in contact with the epithelium,
move the Fiber Optic Tip in both horizontal and vertical directions,
covering the epithelium and adjacent inflammatory connective
tissue. Move the Tip smoothly and at a moderate speed.
Debride all granulation tissue.
• You may use a fine water spray during laser treatment
for rinsing.
• Remove plume and debris with high volume evacuation.
• The total amount of time for this procedure is a function of
the extent of the diseased soft tissue. In general, treat pockets
6 millimeters or less for approximately 30 seconds and pockets
greater than 6 millimeters for 45 seconds.
• If the patient experiences noticeable discomfort, lower the
power setting.
Anesthetic may be administrated as required.
