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Aquamarine
6.4
Examples of treatment risk
Surgery area
Risk: Soft and hard tissue necrosis or overheating of the tooth.
Countermeasure: Use the laser beam like a scalpel, holding it
perpendicular to the surface under treatment, and never aim it at a single
point for an excessive period of time. Do not select excessively high
power levels for the laser.
When the gingiva is hyperemic and inflamed, less power is needed
because of the high amount of chromophore (hemoglobin) in the tissue.
More power is needed to incise fibrotic tissue with less chromophore
(hemoglobin) present. The same holds true for patients with higher
melanin content of tissues. Adapt the power settings according to these
special circumstances.
Endodontics area
Risk: Contractions in the apical region, small fusions and microfractures.
Countermeasure: Measure the depth and stop 1 mm above the root apex.
Never aim the optical fiber at a single point in the root apex for a longer
period of time. The optical fiber must be moved constantly during
treatment. Start in the apical region and work your way up to the crown.
Periodontics area
Risk: Minor necrosis or scarring of the radicular area.
Countermeasure: When working in periodontal pockets, always aim the
laser parallel to, i.e. never perpendicular to, the roots. Run the distal end
of the optical fiber over the entire inner surface of the periodontal pocket.
6.5
Contraindications
All clinical procedures performed with the Aquamarine must be subjected
to the same clinical judgment and care as with traditional techniques.
Patient risk must always be considered and fully understood before
clinical treatment. The clinician must completely understand the patient’s
medical history prior to treatment. Exercise caution for general medical
conditions that might contraindicate a local procedure. Such conditions
may include allergy to local or topical anesthetics, cancer, pregnancy,
heart disease, lung disease, bleeding disorders, sleep apnea, and
immune system deficiency, or any medical conditions or medications that
may contraindicate use of certain light/laser type sources associated with
this device. Medical clearance from patient’s physician is advisable when
doubt exists regarding treatment.
Moreover, patients suffering from photodermatoses must not be treated
as well as photosensitized patients (Photoallergy).
WARNING
Never treat perpendicular to any bone surface.
Содержание Aquamarine
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