Dental Sales Flyer - November 2022 - 73

Time does not typically need to be added to the appointment since it only takes an average of 8 minutes to treat the whole
mouth. Your protocol for recommending LBR can be as simple as noting an increase in pocket depth or bleeding upon
probing during a periodontal charting. Maybe you choose to treat every adult once per year with LBR as a preventative
measure, or just those with a systemic or periodontal history. These are just options, and a fee for a procedure can vary from
$15-$50 per visit. Because the laser helps with coagulation and post-op healing, it can be used just to help those patients
who complain of soreness following a hygiene procedure. That, by itself, will earn your patientʼs trust and loyalty if he/she
can leave your office smiling and not reaching for the Ibuprofen!
Sulcular debridement is similar to LBR but is utilized at the end of an initial therapy appointment. You use the same laser,
the same tip, but maybe the tip is initiated and necrotic tissue is being removed from the diseased pocket. Some practices
choose to keep the fee per session the same as LBR, or increase this to $60-$200 per quadrant. It can also be incorporated
into your SRP fee if you so choose.
Aside from periodontal uses, laser-assisted hygiene can include treating hypersensitive tooth surfaces, as well as reduction
of healing time for oral lesions including aphthous ulcers, herpetic lesions and even painful tongue bites. The fee range for
these procedures can be in the $30-50 range and it would be at your discretion if multiple sites are included for this cost. In
my experience, treating a brand new herpetic lesion is especially magical, because the lesion wonʼt continue on its path to
an unsightly crusty lesion, and your patient will love you for it!
The bottom line for office production is that these hygiene procedures only cost you, the provider, about $6 per tip, not much
in additional chair time, and patients are thrilled you have a pain-free method of improving the result of virtually any dental
hygiene appointment you can offer.
CONCLUSION:
The NV PRO3 microlaser is an excellent investment that can be used for many dental procedures. Uncovering buried dental
implants, without the need for local anesthetic infiltration, troughing around a crown preparation, thus eliminating the need
for retraction cord, for outstanding traditional polyvinyl siloxane impressions, creating hemostasis around subgingival class
V restoration preparations, allowing for immediate composite placement are just a few of the daily clinical applications.
Bacterial reduction and laser assisted periodontal therapy are used to manage challenging intraoral issues. Finally, painful
herpetic lesions and aphthous ulcerations are reduced and eliminated quickly. The responses from our patients are positive
and certainly reinforces our other treatment plans. Workflow is maximized, patient satisfaction is increased, the procedures
become minimally invasive and production increases.
Article first printed in TPDMAG - The Profitable Dentist (https://theprofitabledentist.com/)
REFERENCES:
1- Yeh, S, Jain, K, Andreana S. Using a Diode Laser to Uncover Dental Implants in Second Stage Surgery. Gen.Dent. 2005, Nov-Dec; 53(6). 414-417.
2- Andreana, S. The Use of Diode Lasers in Periodontal Therapy: Literature Review and Suggested Technique. Dent.Today. 2005, Nov;24(11). 132-135.
3- Eduardo, C. et al. Laser Treatment of Recurrent Herpes Labialis: A Literature Review. Lasers in Medical Science. 2013, 29(4).
4- Stomatol, A. Effectiveness of a Diode Laser in Addition to Non-Surgical Periodontal Therapy: Study of Intervention. Annali Di Stomatologia. 2015,
Jan-Mar; 6(1). 15-20.
Dr. Timothy Kosinski is an Affiliated Adjunct Clinical Professor at the University of Detroit Mercy School of Dentistry
and serves on the editorial review board of REALITY, the information source for esthetic dentistry, the Michigan Dental
Association Journal, and is the past editor of the Michigan Academy of General Dentistry and currently Associate Editor
of the AGD JOURNAL. He is a Past-President of the Michigan Academy of General Dentistry. Dr. Kosinski received his
DDS from the University of Detroit Mercy Dental School and his Mastership in Biochemistry from Wayne State University
School of Medicine. He is a Diplomate of the American Board of Oral Implantology/Implant Dentistry, the International
Congress of Oral Implantologists and the American Society of Osseointegration. He is a Fellow of the American Academy of
Implant Dentistry and received his Mastership in the Academy of General Dentistry. Dr. Kosinski has received many honors
including Fellowship in the American and International Colleges of Dentists and the Academy of Dentistry International. In
2017 he received the Academy of Dentistry International's Humanitarian Award " in recognition of significant contributions
to the enhancement of the quality of life and the human condition. " He is a member of OKU and the Pierre Fauchard
Academy. Dr. Kosinski was the University of Detroit Mercy School of Dentistry Alumni Association's " Alumnus of the Year, "
and in 2009 and 2014 received the Academy of General Dentistry's " Lifelong Learning and Service Recognition. " Dr.
Kosinski has placed over 14,000 dental implants and published over 190 articles on the surgical and prosthetic phases of
implant dentistry and was a contributor to the textbooks, " Principles and Practices of Implant Dentistry, " and 2010's " Dental
Implantation and Technology. " He was featured on Nobel Biocare's NobelVision and lectures extensively. Dr. Timothy
Kosinski can be reached at drkosin@aol.com or 248 646-8651.
Stephanie Pajot, RDH, BS has been practicing dental hygiene for 17 years with 7 years of clinical experience in soft tissue
lasers. She has assisted in numerous continuing education courses involving periodontics, laser, and implant dentistry.
Stephanie currently works in an elite general practice in Bingham Farms, Michigan. She was an Adjunct Clinical Instructor
for the University of Detroit Mercy School of Dentistry. Pajot is a 2002 graduate of UDM. She can be contacted at
stephaniepajot_rdh@yahoo.com
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Dental Sales Flyer - November 2022

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