ALSC Inaugural Symposium, April 6–8, 2018 in Orlando, FL

Laser Dentistry and Laser Surgery Session

The ALSC Inaugural Symposium hosts comprehensive laser dentistry / laser surgery programs, ideal for new and experienced laser physicians, dentists, and veterinarians. Join us for this rare opportunity to learn from laser surgery pioneers and leading laser surgeons and earn up to 14 CDE credits. Coming in at a fraction of the cost of other laser education programs.

Below are just SOME of the presentations scheduled:

Warren Seiler MD

Warren B. Seiler, III, MD, DABLS, Executive Director of Education, Development & Accreditation at the ABLS

Review of Laser Wavelengths Utilized in Modern Day Cosmetic Surgery Practice

Abstract

Over the last 10 years there have been many new wavelengths that have been discovered to be usable to treat different medical and cosmetic concerns in a cosmetic laser surgery practice. This presentation will discuss some of those different laser/light wavelengths, what conditions they treat, how they can be utilized in a cosmetic practice, what training and regulations are necessary, and why one would use one wavelength over another depending on the patient skin type condition funds available and downtime allowance.  This presentation will also show some before and after pictures (with patient permission) and give some clinical guidelines and pearls for application and treatment.  The importance of pre- and post-treatment skincare and preparation will also be discussed.  Time for questions will be allowed.

American Board of Laser Surgery Certification Process

Abstract

American Board of Laser Surgery was founded in 1984 to promote the safe and efficacious use of lasers in medicine and surgery by establishing standards of acceptable levels of knowledge and competence through a certifying examination for medical professionals. It is currently the only true board for laser medicine and surgery in the world and has national and international diplomates that have taken the time and effort to study the extensive study guide and textbook and pass the written and oral examination. This presentation will discuss the American Board of laser surgery, it’s materials and certifying process, and the benefits of being a diplomat of the American Board of laser surgery both in improving a practitioners clinical practice and as a source for greater learning networking and research.

Richard B. Winter D.D.S

Richard B. Winter DDS, DABLS

LightScalpel 10,600 nm Laser Use in and Advanced Reconstructive Implant Dental Practice

Abstract

In a general dental practice the procedures we encounter are varied and complex. Having the best armamentarium and tools to efficiently and comprehensively treat our patients is of the utmost importance. This no-nonsense lecture will highlight several cases that this clinician sees in everyday practice and how he incorporates the LightScalpel CO2 10,600 nm laser to efficiently treat his patients. Some of the procedures that will be discussed range from MMCL (Modified Minimal Crown Lengthening), frenectomy, abscess removal and decontamination of extraction sites as well as areas being prepared for guided tissue regeneration.

Martin A. Kaplan, DMD

Martin A. Kaplan, DMD, DABLS

Review of Laser Techniques for Biopsy of Infant and Pediatric Mucoceles and Fibromas

Abstract

Review of biopsy technique with LightScalpel CO2 laser on infant and pediatric patients who present with more difficult management than the adult population.

Noel Berger, DVM, DABLS

Noel Berger, DVM, MS, DABLS

Veterinary oral laser surgery: Feline stomatitis, canine tonsillectomy, Laser epulis removal and gingival hyperplasia remodeling

Abstract

Elongated soft palate correction, Tonsillectomy, Epulectomy / Gingivectomy, Stomatitis treatment in cats, Tongue tumor surgery, Marsupialization of salivary mucocele / ranula, and Oral cancer surgery will be reviewed. The oral cavity has an excellent blood supply and the soft tissues are generally very well hydrated.  These features make traditional surgery challenging due to the inherent vigorous bleeding that is expected during surgical procedures. The use of surgical lasers provides an effective method to reduce or prevent excessive bleeding, thus reducing the time spent in surgery, and thereby reducing post-surgical complications.

Veterinary laser surgery of the skin: ears to rears and anything in between

Abstract

Single Pass Full Thickness Skin Incisions in Veterinary Patients, Laser Surgery of the Ear Pinna, Laser Surgery of the Ear Canal, Laser Surgery of the Skin, Orthopedic Applications for Laser Surgery, Laser Surgery in Aqueous Environments, Veterinary Laser Surgery of the Perineum will be reviewed. Living tissue has an excellent blood supply and these soft tissues are generally very well hydrated and heavily innervated.  These features make traditional surgery challenging due to the inherent bleeding and pain that is expected during surgical procedures. The use of surgical lasers provides an effective method to reduce or prevent excessive bleeding and pain, thus reducing the time spent in surgery, and thereby reducing post-surgical complications.  Some procedures are so laser-dependent that it would be considered difficult or impossible for a general practitioner to perform it without the use of a surgical laser.

Robert Convissar, DDS, FAGD

Robert Convissar, DDS, FAGD

Periodontitis and Periimplantitis – State of the Art Laser-Assisted Tissue Regeneration 2018

Abstract

Soft and hard tissue regeneration has always been an ideal, yet elusive goal when treating periodontal and peri-implant disease.  This course will provide the attendee with a 12 step program to achieve laser-assisted periodontal tissue regeneration.  This technique is also applicable to peri-implantitis treatment. Though lasers have been used in dentistry for over 25 years, and many laser companies have made many claims about regeneration of tissue, these techniques will be proven to work via case reviews and supported by a critical review of the peer-reviewed literature.

Ethical and Legal Ramifications of Using Diode Lasers for Closed Periodontal Pocket Therapy

Abstract

Since their introduction to dentistry, diode lasers have been advertised as magic wands to cure periodontal disease; however, the peer-reviewed literature does not confirm any positive effects resulting from diode use in pockets.  The American Dental Association published Clinical Practice Guidelines advising dentists to not perform this procedure. This talk will discuss the ethical and legal ramifications of performing therapy in violation of Clinical Practice Guidelines.

Jack Krauser, DMD

Jack Krauser, DMD

The 10,600 nm SuperPulse CO2 Laser May Alleviate the Late Implant Failure Linked to Tissue Tension

Abstract

Implant therapy is now mainstream and continues to gain popularity. That said, we now have an abundant number of cases that are exhibiting tissue recession and possibly “late loss failure”. This presentation will identify the issue and demonstrate a quick, effective and relatively painless concept to prophylactically address this issue with the adjunctive use of a 10,600 nm CO2 laser. The depth of incision and the depth of coagulation will be discussed, as well as specific laser handpieces and treatment protocol.

Robert Levine, DDS

Robert Levine, DDS

The State of the Art of Dental Lasers

Abstract

Controversy exists regarding which wavelength is best suited for treating peri-implantitis. We know that CO2 lasers offer the lowest absorption by titanium when energy is applied to the surface. Laser-assisted periodontics is becoming a very popular application. No conclusive research exists demonstrating the relative effectiveness when compared with conventional periodontal therapies. When performing laser-assisted periodontics, practitioners should be aware that FDA has never approved the use of a hot tip inside the pocket. Diode lasers have a very poor coefficient of absorption of color when they are utilized in a non-cutting mode. Cutting with a diode laser requires activating the tip to generate enough heat for cutting in the contact mode. Unlike diode lasers, CO2 lasers utilize ablation and vaporization to cut out-of-contact instead of being placed in direct contact with the tissue that requires treatment.

William E. Schultz, DVM

William E. Schultz, DVM

Veterinary Soft Palate Laser Resection, and Laser Repair of Nares, Lip and Palate Deformity

Abstract

Elongate soft palates in bulldogs cause breathing problems. Prior to the use of a surgical laser the palate was clamped with hemostats, trimmed and then over sewn with absorbable suture material. The advent of the CO2 laser changes the dynamics of the surgery making the procedure rapid, fully hemostatic and suture free. Cleft palates, cleft lips and Nasal deformities are rare problems in dogs. When encountered by the general practitioner the usual outcome is euthanasia. Repair of extensive defects using conventional sharp surgical technique is very difficult due to the inability to control hemostasis. CO2 laser utilizing different diameter beam and power settings allows the surgeon to complete the surgery with excellent visibility and less tissue damage.

Christopher J. Winkler DVM, VMLSO, DABLS

Christopher J. Winkler, DVM, VMLSO, DABLS

CO2 Surgical Laser in Veterinary Procedures:  A Case Review

Abstract

Certain procedures in veterinary surgery are conducted in vascular areas known for profuse bleeding and their sensitivity to pain and post-operative discomfort, making recovery difficult for the client and patient.  This presentation will show in an animal model how conducting these procedures with a CO2 surgical laser can mitigate these effects, assisting the surgeon by providing an unobstructed surgical field while reducing pain, thus reducing anesthetic consumption, which in turn increase intra-operative safety for the patient and improve the pet’s post-operative comfort and recovery.  Laser surgical case studies of a urinary bladder mass, an interdigital mass, an aural hematoma, an aural mass, and a perianal mass in an animal model will be presented for the edification of the symposium audience.  The urinary bladder case will also demonstrate the extreme importance of obtaining biopsy results for definitive diagnosis of transitional cell carcinoma.

David D. Duclos, DVM, DACVD

David D. Duclos, DVM, DACVD

Ablation of Various Dermatologic Lesions in the Dog and Cat

Abstract

This presentation will focus on ablation of veterinary dermatologic lesions using larger spot size and fluence required to ablate the lesions.  It will include demonstrations using higher watts and power density needed in the more dense part of theses lesions and then when the procedure approaches the normal tissue demonstrations of how easy it is for the surgeon to decrease the power density, and pulse rate using the newer VetScalpel by Aesculight.  Dermatologic cases will include Bowenoid in-situ carcinoma and actinic lesions in the cat and follicular cysts and pigmented viral plaques in the dog.

Excision of Follicular Tumors, Nail Carcinoma in the Dog and Eyelid Melanoma in the Horse Using CO2 Laser Excisional Techniques

Abstract

This presentation with show the precision that is made possible by use of good incisional laser technique in removal of dermatologic tumors in the dog and horse.  Follicular tumors arise from mutations in hair follicles and gradually form firm dermal tumors that have cystic centers filled with keratin and hair.  The wall of these tumors is not very stable so when they get to a certain size they tend to rupture through the skin and cause severe pain, swelling, infection and drainage of the cystic contents.  Removal before they rupture is important.  Traditional scalpel excision requires a large incision around these tumors.  Excision with the CO2 laser allows the surgeon to make very small incisions and remove the cystic tumor thru this small incision.  This result in less surgical time, less tissue damage and less sutures.  Dogs tend to develop squamous cell cancer in the nail bed of the claws and treatment needs to have the claw removed.  Removal of the claw with the CO2 laser is much simpler than with the traditional scalpel method.  Finally melanoma in the horse is not malignant when they first occur but over time they continue to grow and become malignant so early removal is important.  In this presentation the CO2 laser is used to excise a melanoma from the conjunctival side of the eyelid in a horse.

Praveen Arany, DDS, PhD

Praveen Arany, BDS, MDS, MMSc, PhD

Non-surgical applications of Lasers in Dentistry – Photodynamic versus Photobiomodulation Therapy

Abstract

The use of low dose lasers for non-surgical applications includes selective destruction of cells or microbes termed Photodynamic therapy. Advances in dyes and laser devices is enabling wide spread use of this technique in clinical dentistry. A key advantage of this technique is a lack of antimicrobial resistance that allows targeting of difficult to treat microbial strains. Another use of low dose laser treatments involves alleviation of pain and inflammation as well as promotion of tissue healing and regeneration termed Photobiomodulation Therapy. A more thorough understanding of its mechanisms is enabling the use of this innovative treatment for broad spectrum of dental diseases including TMD, accelerated tooth movement, periodontal and peri-implant therapy and regeneration with dental stem cells, among others.  This presentation will provide an overview of these laser applications in clinical dentistry.

Juliya Cherepinskaya

Juliya Cherepinskaya, PhD

Evaluation of Clinical Efficiency of Er.Cr: YSGG (2,780 nm) Laser for Gingivectomy

Abstract

The literature data shows that erbium laser for the  treatment of gingival hyperplasia is one of the promising directions in modern periodontics; and it allows achieving good clinical results due to several clinical advantages of laser impact, such as: the laser cut is more accurate and precise than the scalpel one, it allows to achieve hemostasis and coagulation of small blood vessels that create a dry operating area and provide a good visual control, minimal invasive intervention, thus improving healing, and reduced damage to surrounding tissue; the laser also disinfects the wound surface due to heat generation. Formation of coagulant layer and destruction of bacteria is leading to the reduction of the risk of diseases transmitted through the blood and prevention of a secondary infection. Coagulation of small lymphatic vessels and, as a consequence, the reduction in postoperative edema contribute to the reduction in the recovery time, pain reduction, minimal wound contraction with minimal scarring, etc. Laser surgery may be less painful and, therefore, requires less use of anesthesia than conventional scalpel surgery in oral soft tissue procedures, less prescription drugs for pain relief and possibly no prescription anti-inflammatory medications.

Charles Cobb, DDS, MS, PhD

Charles Cobb, DDS, MS, PhD

Lasers and the Treatment of Periodontitis: 25 Years of Evidence?

Embassy Suites by Hilton Orlando International Drive Convention Center

Embassy Suites by Hilton Orlando International Drive Convention Center

CDE credits will be provided through partnership with ADA CERP CDE Providers

 

The American Laser Study Club (ALSC) promotes Science-Based Laser Surgery, Dentistry and Safety Education. The ALSC fills the void in current Laser Surgery and Laser Dentistry education (i.e., the physics of laser tissue interaction, such as absorption, scattering, ablation, coagulation and hemostasis, soft and hard tissue ablation, laser safety, etc.) and helps Physicians, Dentists, Veterinarians, and Practice Staff Members to excel at efficient and safe application of laser energy in everyday practice. The ALSC also provides help for those preparing for the Certification Exam with The American Board of Laser Surgery (est. 1984).

ALSC Inaugural Symposium, April 6–8, 2018 in Orlando, FL

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