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Owasso,  OKSioux  Falls,  SD

Angie  Wallace,  RDH

Jeanette  K  Miranda,  RDH  BSDH

Hygiene  Applications   for  Photobiomodulation Therapy

Disclosure:

Both  Mrs.  Wallace  and  Ms Miranda  use  the  Thor  laser.

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HYGIENE APPLICATIONS FORPHOTOBIOMODULATION THERAPY

Angie Wallace, RDHJeanette K Miranda, RDH BSDHSaturday, April 16, 2016ALD-Orlando, FL

COURSE OBJECTIVE

vIdentify dental hygiene procedures for PBM Therapy

vUnderstand protocols and settings for procedures

vDemonstrate laser safety knowledge for using PBM Therapy

vDemonstrate competency for hands-on knowledge

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WHAT CAN THE RDH DO WITH PBM THERAPY?

vGag reflex

vTMJ

vAphthous Ulcers

vPeriodontal Disease

vDentin Hypersensitivity

vOral Lichen Planus

vXerostomia and Hyposalivation

vHerpetic lesions

OTHER PBM THERAPY PROCEDURES vRecurrent Aphthous Ulcers (RAU)

vOral Lichen Planus

vHerpes Simplex infections

vXerostomia

vBurning Mouth Syndrome (BMS)

vMucositis

vParesthesia

vImplants

vPain from Orthodontic Treatment

vPeriodontology

vTemporomandibular Joint Disorders (TMJ)

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GAG REFLEX

C

M

Y

CM

MY

CY

CMY

K

THOR logo 450 WIDE.pdf 26/9/07 22:55:23

Gag Reflex

Keywords Gag Reflex

Treatment Plan

Immediately prior to oral procedure 600 mW/cm2

IntentionTreat Acupuncture

Points

Probe

810nm 200mW laser

Pulse Continuous

Tx Time 30 sec

Tx Targets

Acupuncture point CP6BilateralCV 24

The colours represent which probe to use and where to place it - illustrated for right side of face

NEVER USE LASER on or near the eye (you can use LED THROUGH CLOSED EYES)

PC 6

CV24

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GAG REFLEX

NEVER USE LASER on or near the eye(You can use LED THROUGH CLOSED EYES)

TMJ

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TMJ

AphthousUlcers

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APHTHOUS ULCER

PERIODONTAL DISEASE

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PERIODONTAL DISEASE

DENTINHYPERSENTIVITY

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DENTIN HYPERSENSITIVITY

ORALLICHENPLANUS

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ORAL LICHEN PLANUS

XEROSTOMIAAND

HYPOSALIVATION

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XEROSTOMIA AND HYPOTSALIVATION

HERPETIC LESIONS

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HERPETIC LESIONS

PBM THERAPY SAFETY

vDetermine if probe used is a diode laser or an LED light

vLED Probe is a Class 3B laservPresently, there are no safety requirements for LED probes.vSafety glasses are recommended

vDiode Laser is a Class 4 laservEveryone in operatory must wear approved safety glassesvNever leave key in equipment when not in use

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ASEPSIS

vUse disposable sheath when direct contact to tissue is expected

vWipe with a non-corrosive, non-abrasive antiseptic solution

LET’S PLAY

vThree Thor lasers are available

vDetermine if you are using LED or Diode to determine if safety glasses are required

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REFERNCES

vCarroll JD, et al. Developments in low level light therapy (LLLT) for dentistry. Dent Mater (2014), http://dx.doi.org/10.1016/j.dental.2014.02.006

vBoras VV, et al. Applications of low level laser therapy. Intech. 2013. A textbook of Advanced Oral and Maxillofacial Surgery (p.327-339)

vLow Level Laser Therapy 101https://www.djoglobal.com/.../Low%20Level%20Laser%20Therapy%20...