laser , Surgery-Free periodontal therapy
paul plascyk, d.d.s.
charlotte, nc dentist


I am a minimally invasive dentist in Charlotte, NC. Like all concerned dentists, I want to remove as little natural oral tissue as possible. Although traditional gum surgery is necessary at times, I do everything possible to avoid periodontal surgical therapy for my patients. When patients have periodontal disease, we first educate them on proper home care. Then we always start therapy with nonsurgical ultrasonic cleanings and antimicrobial therapy. Like all effective antimicrobial programs, this program, along with our patient's improved home care, can eliminate the need for most surgical procedures. When more treatment is required after the initial antimicrobial program, I can usually do less invasive laser therapy on the gums. 


Laser handpiece 


Laser about to be placed in gum pocket.


Activated laser under gum tissue.


Steps for laser treatment: Gum pocket is measured (A), laser removes inner layer of gum pocket (B), root surface of tooth is cleaned (C), laser is used to minimize remaining bacteria in pocket (D), gum tissue is pushed back onto tooth (E), The bite on the tooth is adjusted to minimize stress on the tooth (F), healed gum pocket (G) 


More info on lasers: 

The following information is from:  howstuffworks.com


Star Wars," "Star Trek," "Battlestar Galactica" -- laser technology plays a pivotal role in science fiction movies and books. It's no doubt thanks to these sorts of stories that we now associate lasers with futuristic warfare and sleek spaceships. ¬But lasers play a pivotal role in our everyday lives, too. The fact is, they show up in an amazing range of products and technologies. You'll find them in everything from CD players to dental drills to high-speed metal cutting mac¬hines to measuring systems. Tattoo removal, hair replacement, eye surgery -- they all use lasers. But what is a laser? What makes a laser beam different from the beam of a flashlight? Specifically, what makes a laser light different from other kinds of light? How are lasers classified? In this article, you'll learn all about the different types of lasers, their different wavelengths and the uses to which we put them. But first, let's start with the fundament¬als of laser technology: go to the next page to find out the basics of an atom. An atom, in the simplest model, consists of a nucleus and orbiting electrons. There are only about 100 different kinds of atoms in the entire universe. Everything we see is made up of these 100 atoms in an unlimited number of combinations. How these atoms are arranged and bonded together determines whether the atoms make up a cup of water, a piece of metal, or the fizz that comes out of your soda can! Atoms are constantly in motion. They continuously vibrate, move and rotate. Even the atoms that make up the chairs that we sit in are moving around. Solids are actually in motion! Atoms can be in different states of excitation. In other words, they can have different energies. If we apply a lot of energy to an atom, it can leave what is called the ground-state energy level and go to an excited level. The level of excitation depends on the amount of energy that is applied to the atom via heat, light, or electricity.

This simple atom consists of a nucleus (containing the protons and neutrons) and an electron cloud. It's helpful to think of the electrons in this cloud circling the nucleus in many different orbits. Although more modern views of the atom do not depict discrete orbits for the electrons, it can be useful to think of these orbits as the different energy levels of the atom. In other words, if we apply some heat to an atom, we might expect that some of the electrons in the lower-energy orbitals would transition to higher-energy orbitals farther away from the nucleus. This is a highly simplified view of things, but it actually reflects the core idea of how atoms work in terms of lasers. Once an electron moves to a higher-energy orbit, it eventually wants to return to the ground state. When it does, it releases its energy as a photon -- a particle of light. You see atoms releasing energy as photons all the time. For example, when the heating element in a toaster turns bright red, the red color is caused by atoms, excited by heat, releasing red photons. When you see a picture on a TV screen, what you are seeing is phosphor atoms, excited by high-speed electrons, emitting different colors of light. Anything that produces light -- fluorescent lights, gas lanterns, incandescent bulbs -- does it through the action of electrons changing orbits and releasing photons.

A laser is a device that controls the way that energized atoms release photons. "Laser" is an acronym for light amplification by stimulated emission of radiation, which describes very succinctly how a laser works. Although there are many types of lasers, all have certain essential features. In a laser, the lasing medium is “pumped” to get the atoms into an excited state. Typically, very intense flashes of light or electrical discharges pump the lasing medium and create a large collection of excited-state atoms (atoms with higher-energy electrons). It is necessary to have a large collection of atoms in the excited state for the laser to work efficiently. In general, the atoms are excited to a level that is two or three levels above the ground state. This increases the degree of population inversion. The population inversion is the number of atoms in the excited state versus the number in ground state.

Once the lasing medium is pumped, it contains a collection of atoms with some electrons sitting in excited levels. The excited electrons have energies greater than the more relaxed electrons. Just as the electron absorbed some amount of energy to reach this excited level, it can also release this energy. The electron can simply relax, and in turn rid itself of some energy. This emitted energy comes in the form of photons (light energy). The photon emitted has a very specific wavelength (color) that depends on the state of the electron's energy when the photon is released. Two identical atoms with electrons in identical states will release photons with identical wavelengths.

Laser light is very different from normal light. Laser light has the following properties: • The light released is monochromatic. It contains one specific wavelength of light (one specific color). The wavelength of light is determined by the amount of energy released when the electron drops to a lower orbit. 

• The light released is coherent. It is “organized” -- each photon moves in step with the others. This means that all of the photons have wave fronts that launch in unison. 

• The light is very directional. A laser light has a very tight beam and is very strong and concentrated. A flashlight, on the other hand, releases light in many directions, and the light is very weak and diffuse. 

To make these three properties occur takes something called stimulated emission. This does not occur in your ordinary flashlight -- in a flashlight, all of the atoms release their photons randomly. In stimulated emission, photon emission is organized. The photon that any atom releases has a certain wavelength that is dependent on the energy difference between the excited state and the ground state. If this photon (possessing a certain energy and phase) should encounter another atom that has an electron in the same excited state, stimulated emission can occur. The first photon can stimulate or induce atomic emission such that the subsequent emitted photon (from the second atom) vibrates with the same frequency and direction as the incoming photon. The other key to a laser is a pair of mirrors, one at each end of the lasing medium. Photons, with a very specific wavelength and phase, reflect off the mirrors to travel back and forth through the lasing medium. In the process, they stimulate other electrons to make the downward energy jump and can cause the emission of more photons of the same wavelength and phase. A cascade effect occurs, and soon we have propagated many, many photons of the same wavelength and phase. The mirror at one end of the laser is "half-silvered," meaning it reflects some light and lets some light through. The light that makes it through is the laser light.

Lasing mediums can be selected based on the desired emission wavelength (see table below), power needed, and pulse duration. Some lasers are very powerful, such as the CO2 laser, which can cut through steel. The reason that the CO2 laser is so dangerous is because it emits laser light in the infrared and microwave region of the spectrum. Infrared radiation is heat, and this laser basically melts through whatever it is focused upon. Other lasers, such as diode lasers, are very weak and are used in today’s pocket laser pointers. These lasers typically emit a red beam of light that has a wavelength between 630 nm and 680 nm. Lasers are utilized in industry and research to do many things, including using intense laser light to excite other molecules to observe what happens to them.