The FDA has issued clearance for the use
of diode lasers for tooth whitening -- an in-office
process that may be faster than some technologies, and more accessible
than others.
The number one elective procedure chosen
by dentistry patients is teeth whitening, and the number of people doing
it is growing rapidly. For years, dentists have performed either at-home
bleaching procedures or in-office techniques. In the at-home procedures,
a patient typically wears a peroxide-containing mouthguard either twice
a day or overnight for 2 weeks.
For in-office procedures, the dentist applies a bleaching agent to teeth
and exposes the teeth to a high-intensity (sometimes laser) light to restore
whiteness.
Biolase's tooth whitening system is based on the use of an 810 nanometer
(nm) diode laser in combination with a whitening gel. Other types of lasers
that operate on different wavelength frequencies -- such as the 488 and
514 nm wavelength argon laser -- have been available in the US for bleaching
treatments for some time.
The diode laser offers both patients and dentists advantages over other
lasers -- lower cost and increased
availability. And it is more convenient than at-home procedures.
If you have a take-home bleaching tray kit you have to go a couple of
weeks with a lot of discipline, and it's not user-friendly. The system
may be superior to some in-office procedures, including ones that use
light to speed the process. According to the American Dental Association,
these techniques can take more than one office visit lasting 30 minutes
to an hour per visit.
That procedure works quite well but ties up 2 hours of a patient's time.
This system will treat the whole mouth in a few minutes.
We can do a whole arch of teeth in
15 seconds.
The diode laser's ability to completely bleach an entire mouth in under
2 minutes -- repeating the process approximately once every 2 to 3 years -- will
go a long way to satisfy the hunger of what is estimated to be an almost
$1 billion demand for tooth whitening annually.
Many dentists across the US have already acquired the device -- making
its use for tooth whitening both cheaper
and more accessible for patients.
Lasers, and the diode laser in particular, do have many advantages over
other tooth bleaching methods. A laser is a wonderful way to pinpoint
the problem. One tooth may be yellower than another, for example, and
a laser can deal with each tooth differently.
Also, a diode laser, specifically, is extremely convenient for dentists
since it's about the size of an answering machine.
Laser light is generally a much faster way to activate the bleaching
process and that it is much less sensitizing, resulting in significantly
less stress on the nerve and the pulp of the tooth.
But yellow-toothed yuppies may want to think twice before stampeding
their local dentist demanding a lasered return to their gleaming glory
days.
There is a concern though as most people don't really know if they have
large fillings or caps -- they might not know that they have those in their
front teeth, and if you start the bleaching procedure on teeth like the
laser you lighten the teeth but the caps
and the fillings stay the same shade.
So many people are not really good candidates for this procedure.