Biolase Waterlase iPlus, Руководство пользователя

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Contraindications, Warnings, and Precautions
HARD-TISSUE PROCEDURES
All hard-tissue (i.e. enamel, dentin, cementum and bone) procedures must be performed using air and
water spray at appropriate settings. Failure to use the spray will result in tissue thermal damage. The
long pulse settings (700 µs) are indicated only for soft-tissue applications. Do not use long pulse settings
to perform hard-tissue procedures.
SOFT-TISSUE PROCEDURES
Soft-tissue procedures can be performed using two pulse duration settings: (H) short pulse (60 µs) and
(S) long pulse (700 µs). However, the long pulse (S) range is indicated ONLY for soft-tissue applications.
CURETTAGE PROCEDURES
Exercise extreme caution when using this device in areas where critical structures (i.e., nerves and
vessels) could be damaged, such as in the apical third of the 3rd molar socket. Do not proceed with
using the laser if visibility is limited in these areas.
FLUID ENTRAPMENT AND AIR EMBOLISM
Do not direct air or spray toward tissues that may trap air or water. For example, when performing
surgical procedures, the clinician should be aware of adjacent soft-tissue pockets, cavities, or channels
that may collect or entrap air. Always use high-speed suction to remove any excess fluid and avoid
directing the spray into deep pockets, cavities or channels such as the crevice resulting from the
extraction of a molar. Also, for example, avoid working through soft-tissues adjacent to the roots
of molars, especially the third inferior molars, which communicate directly with the sublingual and
submandibular spaces. Do not use the
Waterlase iPlus if it is not possible to access the treatment
site without directing air into an area that may collect or entrap air. In general, the same care and
precautions should be taken when using the
Waterlase iPlus as are taken when using any air and water
emitting cutting device, including the high speed drill.
ROOT CANAL PROCEDURES
The
Waterlase
iPlus is better suited for straight and slightly curved canals. Great care should be taken
during instrumentation of curved canals as the endodontic Fiber Tip may break or perforate through the
wall of these types of canals. If during insertion the Fiber Tip does not advance easily into the canal, do
not force the Fiber Tip inside. If necessary, pull the Fiber Tip out and use an endodontic hand file or a
broach to open the path. Do not force the Fiber Tip and/or activate the laser while moving the Fiber Tip
inside a narrow or curved canal, or through the apex. Place the end of the Fiber Tip ~2mm from the
apex or from being in contact with the wall of a curved canal. Activate the laser and spray only during
the outward stroke when the Fiber Tip is pulled towards the coronal portion of the canal.
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Waterlase iPlus User Manual