Is
it true? Can I really get a dental filling without
anesthesia?
Yes. Laser dentistry has made this dream a reality.
Clinical studies showed over 95% of all patients,
both adults and children, required no anesthesia
when the dental laser was used to treat decay.
Lasers are letting dentists give patients what
they want - or should we say what they "don't"
want; patients don't want a shot, they don't want
a drill, and they don't want a numb lip. So we're
"not" giving it to them.
Do lasers totally eliminate the use of
anesthesia in dentistry?
Of course the use of anesthesia is still necessary
in dental procedures other than fillings, such
as root canals, crowns, and the like. So unfortunately,
anesthesia cannot be totally eliminated from dentistry.
Anesthesia still has its place for assuring patient
comfort in those procedures. With the new hard-tissue
lasers, however, the use of anesthesia can be
eliminated for dental fillings
in most cases.
Are there any special precautions taken
during the laser procedure?
In the same way you would wear sunglasses to protect
your eyes from prolonged exposure, you will need
to wear special eyeglasses during a laser treatment
to protect your eyes from the laser.
Can the dental laser be used on children?
The FDA has approved treatment of both adults
and children with dental lasers. The treatment
has proven to be quick and safe in over tens of
thousands of applications throughout the world,
especially for young children. Children are particularly
receptive to the idea of replacing a shot and
drill with something more pleasant. Plus, they
like wearing the "cool glasses" which are used
during laser treatments. We certainly enjoy seeing
how adding hard-tissue lasers to our practice
helps us make our younger patients happier, and
how that makes their parents happier too.
How does the dental laser work?
Hard-tissue lasers use light to scan for water
in the tooth, the excess of which indicates disease
in the structure. The laser works by emitting
a specialized light that targets and destroys
the tooth decay, leaving a healthier tooth. Lasers
are truly revolutionizing the way we treat
dental caries (decay).
I thought dentists were already using
lasers. So what's all the recent excitement about?
Soft-tissue lasers have actually been used in
dentistry for over ten years. But those soft-tissue
lasers, which are used to trim gums and growth
around the mouth, didn't replace the use of needles
and drills for fillings. Then, about six years
ago, hard-tissue lasers emerged from Japan. These
are the lasers you may be hearing more about recently
because of their revolutionary effects on the
dental industry, allowing dentists to replace
the needles and drills used for fillings in most
cases. Today's lasers are being used to offer
patients a safe and friendly alternative to the
shot and drill. Our practice uses the DELight™dental
laser, letting us provide this exciting no-anesthesia
option to our patients.
If the no-anesthesia, hard-tissue lasers
have been around for more than five years, why
don't more dentists use them?
Good question. Perhaps it's simply a matter of
public education and demand. If the public isn't
informed about laser dentistry, how can they demand
its benefits? That's why we've begun trying to
help inform our community about the no-anesthesia
option that hard-tissue lasers make possible.
We believe patient comfort is an important element
of successful dentistry, and that's why we chose
to add it to our practice. Other dentists can
continue to complete a filling with conventional
means other than lasers, so they may feel they
don't have enough incentive to change the way
they work. However, as the public becomes more
educated about the no-anesthesia option of laser
dentistry, we believe you'll find more and more
dentists offering laser services. Our practice
wanted to be a leader in this area and decided
to offer the benefits now, rather than wait until
you demanded them.
How does a dental laser compare to a dental
drill?
Drills are very powerful, and the vibration and
large hole produced can cause discomfort, making
some type of anesthesia almost always necessary.
With the DELight™ laser, the light works to destroy
and remove the decay with no uncomfortable tooth
vibration and resulting discomfort. Additionally,
because the laser is so precise, only the decayed
part of the tooth is removed leaving more of the
healthy part of the tooth. And the etched surface
from the laser also allows for a stronger bond
between the tooth and the tooth-colored filling
matrerial.
Does the laser sound like the drill?
Rather than the loud, high-pitched whine of the
drill, you hear only a gentle tapping. People
sometimes mistakenly think this is the sound of
their tooth structure being contacted by the laser.
But it is actually the sound of the laser popping
tiny water droplets in the air. The laser basically
vaporizes tooth decay, so there are no harsh noises
from the light of the laser on the tooth itself.
What happens if the laser misses a tooth?
If it points toward my cheek or gum
will it burn me?
There's no need to worry. The beam of light emitted
by the laser destroys only tooth decay. The laser's
wavelength is set for hard-tissue use to only
affect the tooth structure, leaving other parts
of the mouth unaffected. The laser cannot accidentally
harm nor "burn" you as many people fear. Those
are common misconceptions. In fact, the laser
can even be moved back and forth across a hand
at close range to demonstrate there are no adverse
affects. Dental lasers are very safe.
Does it take longer to get a laser filling?
Quite the opposite actually. With the no-anesthesia
benefit of the laser no time is spent waiting
for Novocain to take effect. We can perform the
procedure as soon as the patient is settled into
the chair. This lets us get them back to their
daily schedule in much less time, and all without
having to wait for Novocain to wear off. In fact,
without the numb lip, our patients can chew, eat
lunch, give a speech, or do other activities immediately
after leaving our office. Also in contrast to
non-laser fillings, multiple teeth and parts of
your mouth (quadrants) can be worked on in ONE
sitting instead of having to return multiple times
to have each cavity filled. With regular fillings,
multiple quadrant work would be avoided to prevent
having multiple parts of the patient's mouth numbed
at one time. The laser lets us work wherever necessary
in the mouth in ONE visit, since there is no need
for anesthesia in any area. So again it saves
time by meaning fewer trips to the dental office.
Will my insurance cover laser fillings?
Yes, laser fillings are covered by most dental
insurance carriers. But if you have questions
about your particular insurance carrier's coverage
you should contact your agent, or call our office.
Our staff can help you determine if your carrier
will do as most other insurance companies and
cover the laser procedure.
Will it cost more to get a laser filling?
Our office does not charge a premium for doing
laser fillings vs. drill-type fillings. The only
difference in cost is the tooth-colored filling
material (composite) which we use with the laser
costs slightly more than the silver-colored filling
material. But since most people would opt for
the tooth-colored restoration regardless of the
method we used to do the filling, comparatively
laser fillings are no more expensive than non-laser
fillings.
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