pioon

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Is there a future for intravenous ablation devices?

Varicose veins refer to varicose veins and dilation caused by blood stasis, weak wall of venous canal and other factors. Varicose veins can occur in many parts of the body. For example, ulcer is actually a varicose vein. Clinically, esophageal and gastric floor varicose veins, varicocele and abdominal wall varicose veins can be seen clinically. The most common part of varicose veins is in the lower limbs. Varicose veins are tortuous, enlarged veins that typically occur in the lower extremities.

Endovenous laser ablation therapy (EVLT) is the most popular new minimally invasive treatment for varicose veins, a minimally invasive procedure that uses catheters, lasers and ultrasound to treat varicose veins.Its advantages: 1. The risk of intravenous laser treatment is small. Less bleeding.2. The efficacy is complete, and the operation is performed under direct vision.3 .The operation is simple, and the treatment time cycle is short.4 .Less severe patients can be performed in the outpatient operating room.5. Less secondary infection, less pain, and faster recovery.6 .Almost no scars after the operation.After Pioon research showed that,The 1940nm laser has been proved to be very safe and effective in using parameters, that is, the average power of GSV and SSV is 4.0 W, and the LEED is greater than 30 J/cm (average about 50 J/cm). As the ideal wavelength, 1940nm will produce the maximum possible selective damage with the greatest margin of safety and the lowest procedure-related complication rate. It achieves the best balance.

Endovenous laser ablation therapy (EVLT) has been used for the treatment of varicose veins with significant success, especially in adult populations with saphenous insufficiency. Varicose veins are a common condition in adult populations of several industrialized nations, increasingly affecting their quality of life. The global endovenous laser therapy market has made considerable strides, driven by continuous advances in techniques used in the procedures.

There are three type of endovenous ablation devices available in the market: endovenous laser ablation therapy (EVLT) devices, radiofrequency ablation (RFA) devices, and non-thermal non-tumescent (NTNT) devices. The intravenous ablation devices market is expected to gain market growth during the forecast period of 2020 to 2027. Data Bridge Market Research analyzes that the market will account for USD 2.22 billion by 2027 with a CAGR of 4.20% during the aforementioned forecast period.Rising prevalence of CVI is rapidly driving the intravenous ablation devices market.So the future market for venous ablation equipment is very vast and the benefits of investing in venous ablation equipment are substantial.

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LASER works in ENT Surgery

Thanks to the constant technological evolution, the medical laser who is still the object of ceaseless improvements continuously has been applied in ENT surgery more and more up to now.

Laser benefits in the surgical therapy of otosclerosis are the better control on bleeding and the risk reduction of “floating platina” and acoustic vibratory trauma. These advantages allow it to optimize the functional result and to reduce risks of cochlear damage connected with surgical treatment. The ideal property of tissue interaction of the laser radiation in the otosclerosis surgery is the laser’s energy absorption of the platina, that allows the vaporization and avoids the perilymph thermal dispersion. The modality of supply of the pulsate energy enables the tissue cooling between the pauses and reduces the risk of thermal damage of the surrounding structures. And the possibility of using different optical , both in “contact” and “no contact” modality, allows a very effective use in endoscopy also.

During there, Diode LASER makes great contribution with its big profit, such as more selection and less invasion in surgery procedure, which minimizes the risk and post-operative period in hospital and especially do a good job in the treatment of the nose pathology as well as the chronic tonsillitis which by diode laser should be utilized in the in contact method.

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The most advanced multiwave lengths Diode laser just arrived... Blue laser  included...

Many thank indeed Pioon company for your generous support and offer.... Many thanks Dr Walid Altayeb for your recommendation and collaboration

https://www.pioon.com/

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(LLLT)Low-level laser therapy in acclerating orthodontic tooth

Orthodontic treatment is a way of straightening or moving teeth to improve the way they look and work. By distributing the pressure of the bite to all the teeth through orthodontic treatment, it also helps to maintain the long-term health of the teeth, gums and jaw joints. The length of treatment varies depending on the severity of the problem, with some taking a few months and others two and a half years. Most people can be cured in a year or two. It is therefore of great clinical importance to explore safe and effective adjunctive interventions to accelerate orthodontic tooth movement, achieve treatment goals in as short a time as possible and achieve a healthy, functional, stable and aesthetically pleasing bite, which is a common pursuit for orthodontists and patients alike. In recent years, low-level lasers have gradually gained the attention of orthodontists due to their safety and lack of side effects as well as their simplicity, convenience and comfort.

Low-level lasers are lasers that do not cause irreversible damage to biological tissues and do not cause a significant increase in local temperature, and have a spectral range of 600-1000 nm (infrared and near-infrared light), a power density of 5 mW/cm 2 -5W/cm 2 , an energy of 1mW-10W, an action time of 30s-60s per site and a number of sites of 1-15. 1-15. The low-level laser has a range of biomodulatory or biostimulatory effects on cells and tissues, including reducing inflammation, oedema and chronic joint disorders; accelerating soft tissue and bone tissue repair to promote wound and nerve healing; promoting hair growth; relieving pain and much more.

PIOON S3 dental diode laser 650nm can be adjusted to 0.1-0.5 watts and irradiated evenly over the surface of the lesion for 15-20 seconds, repeating the procedure 2 to 3 times until the patient is pain-free. Large lesions are treated continuously at intervals of 24 to 48 hours. This method is called LLLT (low-level laser therapy).

In addition, LLLT has a pain-relieving effect by reducing the release of arachidonic acid, which reduces prostaglandin E2 levels in the body; by inducing the release of the endogenous opioid neuropeptide beta-endorphin, which exerts a potent analgesic effect; and by stabilising the cell membrane potential, which blocks the activation and transmission of pain-related signals. This shows that LLLT is a promising non-invasive adjunctive intervention for accelerating orthodontic tooth movement.

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The 8 Worst Foods for Your Teeth

No matter what age you are, the reasons for tooth decay are the same. Tooth decay occurs when you have plaque with bacteria that feeds on the sugar you’re adding to your diet, which can cause cavities. Cavities are due to the bacteria metabolizing sugar and turning it into acid dissolving your tooth structure.

They say you are what you eat. And in no better place can that be seen than in your teeth. That’s because many foods and beverages can cause plaque, which does serious damage your teeth. Plaque is a bacteria-filled sticky film that contributes to gum disease and tooth decay. After you eat a sugary snack or meal, the sugars cause the bacteria to release acids that attack tooth’s enamel. When the enamel breaks down, cavities can develop.

Eating foods that are bad for your teeth can contribute to plaque and tooth decay. Below, you’ll learn which foods you should stay away from, or at least limit, to keep your teeth as healthy as possible.

1. Ice

All it contains is water, so it’s fine to chew ice, right? Not so, according to the American Dental Association. Chewing on a hard substance can damage enamel and make you susceptible to dental emergencies such as chipped, cracked, or broken teeth, or loosened crowns. You can use your ice to chill beverages, but don’t chew on it. To resist the urge, opt for chilled water or drinks without ice.

2. Citrus

Oranges, grapefruits, and lemons are tasty as both fruits and juices, and are packed with vitamin C. But their acid content can erode enamel, making teeth more vulnerable to decay. Even squeezing a lemon or lime into water adds acid to a drink. Plus, acid from citrus can be bothersome to mouth sores. If you want to get a dose of their antioxidants and vitamins, eat and drink them in moderation at mealtime and rinse with water afterward.

3. Potato Chips

The crunch of a potato chip is eternally satisfying to many of us. Unfortunately, they’re loaded with starch, which becomes sugar that can get trapped in and between the teeth and feed the bacteria in the plaque. Since we rarely have just one, the acid production from the chips lingers and lasts awhile. After you’ve gorged on a bag, floss to remove the trapped particles.

4. Dried Fruits

You likely assume that dried fruits are a healthy snack. That may be true, but many dried fruits — apricots, prunes, figs, and raisins, to name a few — are sticky. They get stuck and cling in the teeth and their crevices, leaving behind lots of sugar. If you do like to eat dried fruits, make sure you rinse your mouth with water, and then brush and floss after. And because they’re less concentrated with sugar, it is a better choice to eat the fresh versions instead!

5. Sour Candies

It’s not surprising that candy is bad for your mouth. But sour candy contains more and different kinds of acids that are tougher on your teeth. Plus, because they’re chewy, they stick to your teeth for a longer time, so they’re more likely to cause decay. If you’re craving sweets, grab a square of chocolate instead, which you can chew quickly and wash away easily.

6. Bread

Think twice as you walk down the supermarket bread aisle. When you chew bread, your saliva breaks down the starches into sugar. Now transformed into a gummy paste-like substance, the bread sticks to the crevices between teeth. And that can cause cavities. When you’re craving some carbs, aim for less-refined varieties like whole wheat. These contain less added sugars and aren’t as easily broken down.

7. Alcohol

We all know that drinking alcohol isn’t exactly healthy. But did you realize that when you drink, you dry out your mouth? A dry mouth lacks saliva, which we need to keep our teeth healthy. Saliva prevents food from sticking to your teeth and washes away food particles. It even helps repair early signs of tooth decay, gum disease, and other oral infections. To help keep your mouth hydrated, drink plenty of water and use fluoride rinses and oral hydration solutions.

8. Carbonated Drinks

We all know that little, if any, good comes from soda or pop, even if it’s got the word “diet” on the can. A recent studyTrusted Source even found that drinking large quantities of carbonated soda could be as damaging to your teeth as using methamphetamine and crack cocaine. Carbonated sodas enable plaque to produce more acid to attack tooth enamel. So if you sip soda all day, you’re essentially coating your teeth in acid. Plus it dries out your mouth, meaning you have less saliva. And last but not least, dark-colored sodas can discolor or stain your teeth. A note: don’t brush your teeth immediately after drinking a soda; this could actually hasten decay.

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LASER ASSISTED EXCISION OF A GINGIVAL POLYP

INTRODUCTION: Gingival polyps, are focal fibrous hyperplastic lesions, also known as, localized gingival enlargement or “epulis”. The primary reason for the occurrence of a gingival polyp or epulis is attributed to local factors such as caries, calculus and tooth malposition.

TREATMENT MODALITY: A surgical excision can be performed using a periodontal knife/scalpel/rotary coarse diamond burs/ electrocautery etc. But these techniques are prone to side effects and complications like surgical trauma, postoperative pain, swelling, bleeding after excision and poor patient acceptance.

After evolution of LASERS, these conventional techniques are replaced by LASER, owing to the various advantages associated with it, such as minimal use of anesthesia, provision of hemostasis and enabling a bloodless surgical field with a laser bandage of the wound.

Literature is replete with numerous studies1,2,3, wherein diode lasers were highly successful in the excision of localized reactive lesions of the gingiva.

PIOON Laser offers different wavelengths like 450nm/810nm or 980nm. Out of which 810nm/980nm are used in contact mode in order to perform the polyp excision.

SURGICAL PROCEDURE: The presented case shows a carious tooth with a painless reddish-pink soft gingival overgrowth of 5x3 mm size, localized to interproximal area with a pedunculated base.  Followed by scaling, a laser excision of the gingival polyp was done. The gingival overgrowth (polyp) was removed with small strokes in contact mode progressing from the palatal aspect towards the interproximal area. The entire gingival polyp was excised as per the outline marked by the laser prior to the procedure.

CONCLUSION: Diode lasers have emerged as a promising and effective tool in modern minimally invasive dentistry and have been proved successful for the treatment of reactive lesions of the gingiva such as the gingival polyp.

REFERENCES:

1. Iyer V, Sarkar S, Kailasam S. Use of the ER, CR; YSGG laser in the treatment of peripheral ossifying fibroma. Int J Laser Dent. 2012; 2: 51-5.

2. Alam T, Dawasaz AA, Thukral N, Jangam D. Surgical diode laser excision for peripheral cemento-Ossifying fibroma: A case report and literature review. J Oral Laser Appl. 2008; 8: 43-9.

3. Farista S, Butchi Babu, Farista S, Gopinath V and Agrawal V. Laser assisted excision of a gingival polyp in a pediatric patient: report of a case. EJBPS, 2015; 2(4): ,600-607.

PREOPERATIVE VIEW

POSTOPERATIVE VIEW

By- Dr. Aditi Chaudhary

MDS Periodontist

Divas In Laser

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FRENOTOMY USING DIODE LASER

Frenum is an anatomic structure formed by a fold of mucous membrane and connective tissue fibers that attach the lip and cheeks to the alveolar mucosa, the gingiva and the underlying periosteum. Placek et al. have classified frenum depending on the extension of attachment of fibers, (1) Mucosal: when the frenal fibers are attached up to mucogingival junction, (2) Gingival: when fibers are inserted within attached gingiva, (3) Papillary: when fibers are extending into interdental papilla, and (4) Papilla penetrating: when the frenal fibers cross the alveolar process and extend up to palatine papilla.

Frenum with mucosal attachment is the usual and is considered to be the correct level of attachment but if the frenum that encroaches on the margin of the gingiva (Class 2 and above) may interfere with plaque removal, and the tension on the frenum may tend to open the sulcus eventually leading to gingival recession, midline diastema, root dentine hypersensitivity and unaesthetic looks. Nowadays aesthetic concerns have led to an increasing importance in seeking dental treatment, with the purpose of achieving perfect smile.  

Treatment Modalities The aberrant frena can be treated by frenectomy or by frenotomy procedures. Frenectomy is the complete removal of the frenum, including its attachment to the underlying bone, while frenotomy is the incision and the relocation of the frenal attachment. These can be accomplished either by the routine scalpel technique, electrosurgery or by using lasers. The conventional technique involves excision of the frenum by using a scalpel. However, it carries the routine risks of surgery like bleeding due to which visibility is impaired, risk of post-operative infection and edema.

After evolution of LASERS, conventional techniques are replaced by LASER. PIOON Laser offers different wavelengths like 450nm/810nm or 980nm.  In this case before the frenotomy procedure tension test was performed to detect the abnormal frena visually by applying tension over the frenum. This procedure was carried out under topical anesthesia by using wavelength of 980nm in contact mode and it started from ablating superficial layer towards the deeper layer till the muscle pull was released. Laser safety glasses were worn by the clinician and the patient and proper precautions were taken.

Patil P et al in 2019 used 980nm wavelength and revealed that it provided an excellent alternative to conventional scalpel surgery because of patient comfort, bloodless field, and reduced pain and healing time. Patel R M et al in 2015 also used 980 wavelength and concluded that diode lasers provide better patient perception and an efficient and satisfactory option for procedures.

Rationale behind Use of Lasers Lasers are becoming popular over conventional techniques because they are less invasive, which result in reduced postoperative edema. The sealing of nerve endings result in reduced inflammatory response and the formation of a protein layer over the surgical wound protects the wound from external irritation, causing less post-operative pain.

Conclusion-. Lasers prove to be a viable, safe option and has become an excellent choice for frenotomy.

Preoperative View (Courtesy- Dr. Sana Farista)

Immediate Postoperative view (Courtesy- Dr. Sana Farista)

Reference - Patil P, Kabbur KJ, Madaiah H, Satyanarayana S. Diode laser frenectomy: A case report with review of literature. J Dent Lasers 2019;13:19-22 and Patel R M, Varma S, Suragimath G, Abbayya K, Zope S A, Kale V. Comparison of labial frenectomy procedure with conventional surgical technique and diode laser. J Dent Lasers 2015;9:94-9

url：https://www.pioon.com/clinical_dental_articals/116.html

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Orthopaedics (PLDD)

Compared with surgery, percutaneous laser decompression surgery is the least aggressive treatment (suitable for nucleus pulposus without prolapse of the outer layer). Pulsed laser vaporizes the protruding disc nucleus pulposus, reducing or eliminating nerve compression and stimulation.

The 1470nm with larger water absorption properties appears to have an effect on the entire nucleus pulposus and not only in surrounding tissue of laser fiber (carbonization zone). During PLDD, disc volume is minimally decreased, however, disc pressure can be significantly lowered. When using laser for disc decompression, a small amount of nucleus pulposus evaporates.

From the background information of PLDD and the results of 19 years of research, for patients with herniated disc pain and those who do not respond to traditional medical treatment, it strongly shows that PLDD is the successful and safe first choice for minimally invasive treatment.

How to complete the PLDD surgery with laser?

Use a spinal puncture needle to enter the diseased intervertebral disc (nucleus pulposus) through the skin, introduce a thin optical fiber through the puncture needle, and then activate the laser to vaporize part of the intervertebral disc nucleus pulposus.

The energy of the laser makes the diseased nucleus pulposus hollow, reduces the pressure in the intervertebral disc, relieves and eliminates the compression on the sciatic nerve or vertebral artery nerve, and will not cause damage to the peripheral nerve tissue.

After laser irradiation, the pressure in the intervertebral disc is reduced, and the nucleus pulposus will gradually be replaced by cartilage fibers.

According to experimental studies, it has been determined that the temperature of the laser vaporized intervertebral disc will not have a scorching effect on the intervertebral foramen (nerve foramen) or spinal canal.

The clinical advantages of PLDD Laser Treatment

The success rate is 70-89%.

The complication rate is mainly intervertebral discitis, which is 0.3-1.0%

The average time to resume normal activities is 1 week.

After 23 years of long-term follow-up, the recurrence rate is only 4-5%

url：https://www.pioon.com/applications_pldd.html

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The New Generation Surgical Laser Platform

Unique Customized medical Laser module achieve controllability—Technology and Cost.

Patented intelligent hardware control system.

The liquid cooling system ensures stable and continuous power delivery.

World's First to combine the medical laser with intelligent operation system.

International standard laser connector meets the connection of all mainstream accessories.

Simple Operation, Sustainable Value

The 1470nm and 980nm can be selected individually or blended together.

Treatment data storage, patient data storage.

Nature-touched LCD contributes to easy and rapid set-up.

Hardly maintenance required.

Clinical tutorial videos and training provided.

https://www.pioon.com/products_surgical_lasers.html

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Mercury Dental Laser System

Portable unit design

·2kg Ultra-compact body

·Ergonomic appearance

Intelligent software

·Wifi access -- Quick feedback and more clinical videos in our website

·Capability to continuously upgrade -- Always get our updated clinical protocols

Easy to use

·Just 3-4 clicks to start the operation

·Intuitive interface and specific guidance

·High-definition touch screen

Quick and Expert modes

·Quick mode: 45+ preset procedures -- Ready to use. Suitable for less-experienced doctors

·Expert mode: Set and save your parameters at anytime. Suitable for laser masters

Safe and precise treatment

·Each parameter in our procedures is demonstrated in our practice

·Continuous and Pulsed emission mode allows for more precise operation

url：https://www.pioon.com/

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M2 from Pioon, a TV interview in Egypt with a leading proctologist

Dr. Ibrahim Al-Ghazlani has shared in full the application of M2 medical laser in proctology surgery and he had high praise for the results of the 1470nm during procedure!!

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Laser photobiomodulation in dentistry

Next up in our online webinar series, we are coming up with yet another enthralling session.

Dr. Jason Pang will talk about Photobiomodulation myths and facts. How to use lasers to improve healing, reduce inflammation and pain for general dentistry and orofacial pain conditions. The art and the science of this under-utilised treatment and how to avoid the pitfalls of over-treatment.

Join us live with our very own expert Dr. Jason Pang.

Date: 2nd February 2021 Tuesday, 5-6pm Australia time, 7-8am UTC.