{"id":5208,"date":"2018-07-27T20:08:05","date_gmt":"2018-07-27T20:08:05","guid":{"rendered":"https:\/\/myholisticdentist.com\/?page_id=5208"},"modified":"2024-04-19T18:10:28","modified_gmt":"2024-04-19T18:10:28","slug":"advanced-laser-endodontic-therapy-alet","status":"publish","type":"page","link":"https:\/\/myholisticdentist.com\/advanced-laser-endodontic-therapy-alet\/","title":{"rendered":"Advanced Laser Endodontic Therapy (ALET)"},"content":{"rendered":"

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Advanced Laser Endodontic Therapy – What is it?<\/strong><\/h2>\n

In the vast majority of cases, root canals are caused by infections, and the bacteria that cause\u00a0root canal infections are difficult to remove completely once they get into the tooth and the bone around the tooth.<\/p>\n

When teeth get infected the tubules get filled with bacteria and traditional root canal therapy\u00a0doesn\u2019t have an effective way of dealing with the bacteria in the tubules of the root.<\/p>\n

Advanced Laser Endodontic Therapy<\/strong>\u00a0(ALET) successfully addresses the two major disadvantages of traditional root canal therapy: the inability to clean and sanitize anatomically complex root-canal systems and to deeply disinfect dentinal walls and tubules.<\/p>\n

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Why is ALET Superior to Classical Root Canal Therapy?<\/strong><\/h2>\n

\"Root<\/a>There is no way classical root canal therapy can completely clean all the infection present in the root canals of a tooth.\u00a0 Dentists usually think that it is enough to fill the main canal of the tooth and their job is done.\u00a0 They can get a really good result for the main canal and miss the sometimes myriad of lateral, accessory and anastomoses (connectors) within the canal system of teeth.<\/p>\n

The problem is the tools dentists have had available to them are not efficient and don’t remove all of the bacteria and infected, necrotic tissue inside the tooth.\u00a0 You have all heard of the adage, ‘Use the right tool for the job.’\u00a0 Root canals traditionally have been done with small hand files (pictured below).\u00a0 Up till now, these have been the primary instruments available to do root canals and try to remove the necrotic tissue inside the tooth.\u00a0 Now there is another way, more on this later.<\/p>\n

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How the Procedure is Usually Done<\/strong><\/p>\n

\"FilesHere is a picture of the files dentists use during root canal therapy.\u00a0 While hand files do a pretty good job of removing bacteria and infection from the main canal of the tooth, they do a poor job of removing the infected tissue in the other canals present in the root canal system.\u00a0 The simple reason for this is that these files cannot reach these canals.<\/p>\n

Ima<\/g>gine for a moment using one of the files to the left and trying to clean out the curved canals and channels in the tooth imaged above.\u00a0 First of all, it is anatomically impossible for these files to reach all the canals present.\u00a0 Secondly, the shape of the file does not match the shape of the canals present in teeth.\u00a0 Rarely if ever does a tooth canal present as a relatively perfect cylinder, oval or circle.\u00a0 Most canals turn and curve like a river, making it virtually impossible to navigate with these files.\u00a0 It’s the way of nature.<\/p>\n

\"Dentinal<\/a>The third reason classical endodontics (root canal treatment) doesn’t always work is the microtubules of the roots.\u00a0 Here is an electron microscope image of the root surface of a tooth.\u00a0 See all the tiny holes?\u00a0 These are microtubules which usually carry micronutrients into the tooth and house immune cells and odontoblasts that can lay down more tooth structure when necessary.\u00a0 \u00a0When laid down side by side, the microtubules will span a distance of 1-2 miles.\u00a0 That is a lot of tubules!<\/p>\n

In Weston Price’s groundbreaking research done a century ago and George Meinig’s book, ‘The Root Canal Cover-Up,’ it was postulated that the microtubules were actually filled with bacteria and contributing to the body\u00a0burden of toxicity in your body.<\/p>\n

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\"\"<\/a>Here is another image of microtubules, now filled with bacteria after a tooth becomes infected.\u00a0 The reason this is important is that the metabolic byproducts of bacteria (essentially ‘bacteria poop’) is toxic to our bodies.\u00a0 Some people with immune compromised conditions shouldn’t have root canal procedures done because of the additional stress it will put on an already taxed and stressed immune condition.\u00a0 I have seen many patients with auto Immune conditions, fibromyalgia or Lyme disease who could not tolerate root canals.\u00a0 For more information on systemic inflammation and root canals go to this article I wrote on the importance of checking certain blood markers before major dental work:\u00a0Inflammation May Cause Failure in Extractions, Root Canals and Implants: A Case Study<\/a><\/em><\/p>\n

To highlight the above points, I am going to quote what the Journal of Endodontics (printed by the American Association of Endodontists) has stated about root canals performed with four different nickel \/titanium file systems.\u00a0 \u00a0To quote the article’s\u00a0conclusion, ‘All instrumentation techniques left 35% or more of the canals’ surface area unchanged. Whilst there were significant differences between the three canal types investigated, very few differences were found with respect to instrument types.’ (1)<\/em><\/p>\n

Possibly leaving 35% of the tooth surface untouched after root canal therapy is a staggering thought.\u00a0 Imagine doing a root canal at your local dentist because you have an infected tooth and being told you’re good to go even though that the dentist was only able to clean 65% of your tooth.\u00a0 Would you consider that a success?\u00a0 I wouldn’t.\u00a0 No wonder root canals fail as often as they do.\u00a0 It’s because there is still bacteria left behind to fester in your tooth!<\/p>\n

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Introducing Advanced Laser Endodontic Therapy<\/strong><\/p>\n

\"\"<\/a>Thankfully, a treatment protocol has recently been developed that solves the two deficiencies of traditional endodontics mentioned above.\u00a0Using the PIPS and SWEEPS modes of the Foto<\/g>na Erbium laser, virtually all the bacteria present in infected teeth is\u00a0eliminated.\u00a0 Let’s see how it works:<\/p>\n

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Fast, effective and minimally invasive treatments<\/strong><\/p>\n

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  • During Advanced Laser Endodontic Therapy (ALET for short) an Erbium laser uses a unique photoacoustic streaming method to create non-heat producing photoacoustic waves.\u00a0 Following this, the canals and sub-canals are left clean and the dentinal tubules are free of contamination and debris.<\/li>\n
  • In the second step, the antibacterial and oxygenating properties of ozone flush out and penetrate into the microtubules of the tooth.\u00a0 Research has shown that ozone is more effective at killing bacteria than even bleach, which is the traditional solution dentists use to kill bacteria during root canal therapy.<\/li>\n
  • At the end of treatment, an Nd:YAG<\/g>\u00a0laser wavelength is utilized to create bio-stimulation that helps to heal the gums and bone around the tooth.<\/li>\n<\/ul>\n
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      A game changer in root canal therapy<\/strong><\/h2>\n

      \"tubules<\/a>Take a look at the electron microscope images in this graphic.\u00a0 On the image to the left, you see the bacteria that usually gets embedded into the microtubules of the tooth root after a tooth gets infected and needs a root canal.\u00a0 On the second image, you see the microtubules after treatment with the Fotona laser in PIPS mode.\u00a0 There are NO MORE BACTERIA in the tubules of the root!<\/p>\n

      Before now, we couldn’t be sure how much bacteria we were leaving behind when we did a root canal on a tooth.\u00a0 How would you know, as you can’t see them on x-rays?\u00a0 However, with the use of electron microscopy, we can actually show the microtubules and the fact that they are devoid of bacteria after using PIPS during root canal therapy.<\/p>\n

      This is absolutely a game changer and a paradigm shift in dentistry, in my opinion.\u00a0 In my 33 years as a practicing dentist, I don’t think I have seen a more important development to resolve infections in the mouth.\u00a0 This is why I am so excited about this laser and specifically the PIPS and SWEEPS modes to remove bacteria from infected teeth.\u00a0\u00a0I think that Weston Price as well as George Meinig,<\/g> if they were alive today, would be as excited about this technology as I am.<\/p>\n

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      Why PIPS and SWEEPS are perfect for healing root canals infections<\/strong><\/p>\n

      OK, for the geeks out there like me who want to hear more about the technical stuff here goes:\u00a0 In PIPS and SWEEPS mode, the laser operates on a super-short 50-microsecond pulse duration.\u00a0 This combined with the specific design of the Erbium tip allows for the lowest possible energy per pulse and repetition rate.\u00a0 This minimizes thermal effects and maximizes the propagation of the photon-induced photoacoustic shock waves on a microscopic level.<\/p>\n

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