9
Clinical Application
Overview
The Waterlase iPlus laser is designed to cut and remove hard and soft tissues. Cutting is achieved in
a contact or non-contact mode by application of direct laser energy either with water for cooling and
hydration, or without water for coagulation. To efficiently remove tissues it helps to understand the unique
nature of the Waterlase iPlus laser. Waterlase iPlus operates unlike traditional medical instruments or
devices, and a proper technique must be practiced and perfected to ensure efficient operation.
BIOLASE recommends anyone using Waterlase iPlus to study this section carefully, practice on tissue
models, and attend a company-sponsored training seminar before using this laser in a clinical situation.
HARD-TISSUE CUTTING
Hard-tissue cutting is achieved through the removal of tissue with laser-energized water.
1. Select the desired procedure from the Home (Procedures Main) screen (Section 8).
2. Begin the procedure with Step 1; the optimum settings for each step of each procedure have been
preset at the factory.
3. Point the Tip away from the patient and Laser Console, and step on the Footswitch. The user will
see water spray flow from the Handpiece and hear a gentle “popping” sound.
4. If the water flow and “popping” sound are both present, stop firing the laser and move the
Handpiece Tip to the targeted tissue site. Press on the Footswitch to fire the laser and begin
cutting tissue.
5. Use high speed suction as necessary to keep the field clear. There is a pronounced difference in
cutting techniques between a traditional dental drill and Waterlase iPlus; it is very important to
have the exact treatment location visually identified before and during the procedure.
CAUTION:
If no water spray or distinct popping sound is present,
stop the laser immediately. Refer to the Troubleshooting section of
this User Manual for instructions, or call the local representative for
assistance.
6. Maintain a distance of 0.1 to 1.5 mm between the Fiber Tip and the tissue being treated while
moving the Handpiece over the tissue surface as required.
7. Cutting speed is determined primarily by parameter settings and distance from tissue, not by rapid
hand movement as with the high-speed drill.
8. Gently and slowly move the Handpiece in a circular, brushing, or in-and-out motion, as required, to
remove desired tissues or materials. Unlike with traditional dental instruments, with the Waterlase
iPlus, the slower the user moves the Handpiece Tip the quicker they will remove tissue.
9. Once treatment is completed, release the Footswitch and remove the Handpiece from the patient’s
mouth. Be careful not to hit the Handpiece Tip against teeth or other instruments, or the Tip may break.
40
Waterlase iPlus User Manual
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