Examples Of Treatment Risk; Contraindications - Sirona SIROLaser Xtend Operating Instructions Manual

6 Indications, contraindications and medical precautions

6.4 Examples of treatment risk

60
Examples of treatment risk
6.4
Surgery area
Risk: Soft and hard tissue necrosis or overheating of the tooth.
Countermeasure: Use the laser beam like a scalpel, holding it
perpendicular to the surface under treatment, and never aim it at a
single point for an excessive period of time. Do not select excessively
high power levels for the laser.
WARNING
Never treat perpendicular to any bone surface.
Endodontics area
Risk: Contractions in the apical region, small fusions and
microfractures.
Countermeasure: Measure the depth and stop 1 mm above the root
apex. Never aim the optical fiber at a single point in the root apex for a
longer period of time. The optical fiber must be moved constantly during
treatment. Start in the apical region and work your way up to the crown.
Periodontics area
Risk: Minor necrosis or scarring of the radicular area.
Countermeasure: When working in periodontal pockets, always aim the
laser parallel to, i.e. never perpendicular to, the roots. Run the distal
end of the optical fiber over the entire inner surface of the periodontal
pocket.

Contraindications

6.5
All clinical procedures performed with the SIROLaser Xtend 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. Exercise
caution for general medical conditions that might contraindicate a local
procedure. Such conditions may include allergy to local or topical
anesthetics, cancer, pregnancy, heart disease, lung disease, bleeding
disorders, sleep apnea, and immune system deficiency, or any medical
conditions or medications that may contraindicate use of certain light/
laser type sources associated with this device. Medical clearance from
patient's physician is advisable when doubt exists regarding treatment.
Moreover, patients suffering from photodermatoses must not be treated
as well as photosensitized patients (Photoallergy).
Sirona Dental Systems GmbH
Operating Instructions SIROLaser Xtend
63 18 351 D3576
D3576.201.01.05.02 11.2018