Tissue Response To Laser Energy; Installing And Replacing Single-Use Fiber Optic Tips; Initiating The Fiber; Cleaning Instructions - DenMat SOL Instrucciones De Uso

TIssue resPonse To laser energy

Maximum results will be achieved by regulating the power
and the speed that the operator moves the Fiber Optic Tip.
Tissue charring is an undesirable after-effect of too much
power, or of the tip moving too slowly.
least amount of power that is required to complete
your procedure.
The ideal tissue response will show little
or no discoloration after treatment and will result in less
residual damage and faster healing. Avoid penetrating or
damaging the periosteum, and do not attempt to use the
laser on alveolar bone. Because the 808 nm laser energy
is attracted to melanin and hemoglobin, power must be
reduced when treating patients with darker soft tissue.
Always begin with the lowest power you can use to
remove or modify target tissue.
InsTallIng and rePlaCIng
sIngle use fIber oPTIC TIPs
The Fiber Optic Tips conduct laser energy from the laser
diodes to the tissues. These fibers are made of silica with
a polymer cladding. Note that there are potential hazards
when inserting, steeply bending, or improperly securing
the Fiber Optics to the hand piece. Failure to follow these
recommendations may lead to damage to the Fiber or
delivery system and/or harm to the patient, staff, or laser
operator.
The Fiber is relatively flexible, but can be broken if bent
at an angle that is too sharp or a radius that is too small.
Protein debris from gingival tissue accumulates on the
fiber during surgery and the extreme heat that develops
will deteriorate the Tip. Fibers can fracture if a blackened
area greater than 3 - 4 mm develops. This is especially
important when using the LASER for periodontal pocket
debridement. Stop lasing and regularly wipe off the tip
with a 2 x 2 gauze sponge that has been wet with water
to avoid the accumulation of protein debris. Do not use
flammable solvents such as alcohol when cleaning a
hot tip. The Fiber Optic Tips are designed so that they
typically won't need to be stripped or cleaved. Replace
the disposable, single-use tip as necessary and for each
new patient. The disposable, single-use Fiber Optic Tips
are provided in a sealed package. Each Fiber Optic Tip
contains a pre-cleaved, pre-stripped piece of Fiber. They
are designed for single-use only and must be discarded
after use. Confirm the integrity of the package before
use; if damaged, do not use. Special care should be taken
not to break or snap the fiber when removing tips from
packaging. Do not touch the ends of the Fiber. Re-using
Fiber Optic Tips will greatly increase the chance of patient-
8 8
to-patient infection. Dispose of used FiberOptic Tips in a
Sharps Container. Confirm that the unit's Key Switch is
turned to 'OFF' when changing Fiber Optic Tips. To install
a new tip, hold the collar of the tip between your thumb
and forefinger, align the metal end of the fiber with the
Always use the
handpiece receptacle and firmly press the Tip onto the
handpiece. To remove a worn Fiber Optic Tip, gently grip
the tip body between forefinger and thumb and pull it
directly out of the handpiece.

InITIaTIng THe fIber

Some procedures call for the Fiber tip to be 'initiated. '
'Initiation' prepares the tip of the Fiber to retain heat by
fusing a thin layer of pigment on the end. The easiest way
to initiate a tip is by lightly moving the end of the Fiber
across a piece of articulating paper with the unit set to 1W
CW (see below). The tip will retain pigment from the paper
(Fig. 5.0)
and will glow. Do not exceed contact time of 1 second.

CleanIng InsTruCTIons

The SOL Diode Laser handpiece and fiber cord should
be cleaned using a liquid disinfectant similar to BIREX or
CIDEX. Do not spray disinfectant directly onto the handpiece
as ingress of liquids may damage internal components. Apply
with a damp gauze sponge or wipe. Wear gloves and observe
all other safety precautions and infection control procedures.
i PROCEDURAl
RECOmmEnDATiOns FOR
Using ThE sOl lAsER
Following procedure guidelines are provided as a guide
only and have been developed based on information
provided by experienced laser users and educators.
Always review the patient's history to evaluate possible
contra-indication for use of local anesthesia or other
complications. All clinical procedures performed with the
SOL Diode Laser 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.

ConTraIndICaTIons

Exercise caution for general medical conditions that might
contraindicate a local procedure. Such conditions may
include allergy to local or topical anesthetics, heart disease,
lung disease, bleeding disorders, and immune system
(Fig. 6.0)