Soft Laser for Powerful Relief

Full text

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Soft Laser for Powerful Relief

Exclusively for

Dental Professionals

LASER

DENTAL PRO

of coherent therapy

Increased laser emission Fast pain relief,

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B-Cure Laser Dental Pro, the Innovative,

Effective Treatment for Post-Dental Procedures

B-Cure Laser Pro is a new solution that puts a simple, safe and mobile device in the hands of the dentist thus helping patients during the post-treatment recuperation process by reducing pain and swelling and getting them back to their normal lives quicker.

The B-Cure Laser Dental Pro provides improved clinical efficacy, significantly reduced treatment duration, shortened healing and rehabilitation period and increased peace of mind with regards to patients’ recuperation.

What is Low Level Laser Therapy (LLLT)?

Low level laser therapy (LLLT) involves the transmission of coherent red and near-infrared light energy at wavelengths able to pass into and through the body at depths of up to 40 mm. 1

It is referred to as ‘low level’ because the energy or power density is low compared to other forms of laser therapy used for ablation, cutting and thermally coagulating tissue. LLLT is also known as ‘soft’ or ‘cold’ therapy because the density does not produce heat. 2

Soft laser treatment biostimulates the body’s natural healing mechanism on a cellular and systemic level. As a result, cells receive the energy required for activating and enabling optimal functioning in the body, thus allowing them to self-heal and overcome specific problems naturally.

Exclusively for Dental Professionals

Improved clinical efficacy

Reduces intensity and duration of pain

Shortens healing and rehabilitation period

Increases peace of mind with regards patient’s recuperation

of coherent therapy

Increased laser emission Fast pain relief,

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Soft Laser for Powerful Relief

in a Light, Portable and Rechargeable Device

B Cure Laser Dental Pro uses the power of an exceptional electro-optical mechanism that is responsible for the emission of a fully coherent 4.5 cm2 beam not known in other portable devices. By utilizing this proprietary, patent-pending technology, B-Cure Laser delivers an exceptional combination:

The power and full coherence of a clinic’s soft-laser machine, utilizing the selection of the highly effective 808 nM wavelength, emitting 5 joules per minute over a large area of 4.5 cm2.

With a portable,rechargeable, safe and easy to use device.

The 250 mW power and full coherence of the 808 nM B-Cure Laser Light enables effective penetration of the laser beam deep into the tissues at levels only previously feasible in expensive, full-sized soft-laser devices.

The effective penetration into tissues allows many dental conditions to be treated externally and thus causing less discomfort, higher sanity levels and far more convenience for patients.

Combining this effective therapy with the ability to provide immediate and continuous treatment, initially in the clinic and later at home enables faster, high-quality recovery.

As a result, total healing time is lower than that of any other

portable soft-laser device available.

B Cure Laser Dental Pro:

European CE Medical Device 0120

Approved for Dental Usage

Crown preparation and implants

Post-operative muscle relaxation and joint flexibility pain reduction, minimized swelling and infection around the implants

Endodontics

Decreased pain and inflammation

Guided Bone Regeneration (GBR) technique

Decreased inflammation, minimized pain, accelerated healing

Soft tissue lesions

Accelerated healing, minimized pain

Deep Scaling

Reduced post-procedure pain and discomfort

Gingivitis treatment and periodontitis treatment such as open flap surgery

Decreased inflammation, minimized pain, accelerated healing

Differential diagnosis of hyperemic pulp

Decreased inflammation, minimized pain

Facial Pain

Decreased pain, muscle relaxation

Reduced TMJ pain

Neuralgic pain or neural trauma

of coherent

therapy

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Clinical effects:

Promotes wound healing

Reduces inflamation

Reduces pain

Up to 40

mm

Nucleus

Electric

Potential

Mitochondria

ATP

ROS

Laser light energy

LLLT involves the transmission of coherent red and near-infrared light energy at

wavelengths that are able to pass into and through the body up to depths of 40 mm. 1

Laser light may influence even deeper tissues due to its known cascade effect.

As the laser passes into and through the body it generates a wide range of effects on physiological mechanisms and processes at the molecular and cellular and tissue levels. 2

Clinical effects:

Promotes wound healing

Reduces inflamation

Reduces pain

B-Cure Laser Dental Pro’s

Mode of Action

References

1. Walsh, L.J., et al. 2006. “Low Level Laser Therapy (LLLT).” Chap. 13 in Oral Laser Application.Berlin: Quintessence. 2. Chung, H., et al. 2012. The nuts and bolts of low-level laser (light) therapy. Ann Biomed Eng, 40(2):516-33.

Increases the synthesis of endorphins - hormones that relieve pain. Affect: Reduction in pain level. Affect: Anti-inflammation activity. Affect:

Faster wound healing and blood clotting, reduced scars. Arouses the

macrophages cells and increases the

number of mast cells that help heal

wounds. Increases the

production of S.O.D which fights

inflammation and reduces damage of

free radicals.

Accelerates the synthesis of collagen and elastin.

Accelerates and induces blood flow

to the wound. Influences the permeability of cell

membranes, and causes increased nerve activity.

Increases the ATP (Adenosin Triphosphate) level and activates and stimulates enzymes

in the target cells.

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Dentine hypersensitivity

Two reviews have shown efficacy for LLLT in the treatment of dentine hypersensitivity. • A 2012 systematic review and meta-analysis of 13 studies found a significantly better

pain reduction for LLLT as a monotherapy compared to placebo. [Ref 3]

• A 2011 systematic review of 8 studies found LLLT achieved “superior” outcomes compared to topical desensitising agents. [Ref 2]

Surgical removal of impacted mandibular third molars

A 2012 systematic review and meta-analysis of 10 studies found a moderate benefit for trismus compared to controls (an average of 4.2 mm on the second day and 5.2 mm on the seventh day after surgery) when LLLT was used as an adjunct therapy. [Ref 1]

Oral mucositis (cancer therapy induced)

Two systematic reviews with meta-analysis have been conducted on LLLT for oral mucositis in patients receiving cancer therapy.

• A 2011 review of 11 randomised controlled trials (RCTs) found that LLLT as a monotherapy can help prevent development of oral mucositis and significantly reduce pain, severity and duration of symptoms. [Ref 6]

• A 2012 review of 33 studies concluded, “there is moderate-to-strong evidence in favour of LLLT... as a well tolerated, relatively inexpensive intervention.” [Ref 5]

Orofacial neuralgia

A 2010 review of four studies concluded that “low-level lasers [LLLT] have been shown to be effective in improving oral and maxillofacial pain,” in particular pain due to trigeminal neuralgia and post-herpetic neuralgia. [Ref 8]

Peri-implantitis

A 2012 review of non-surgical therapies concluded that “submucosal debridement with adjunctive local delivery of...laser treatment may reduce clinical signs of peri-implant mucosal inflammation to a greater extent relative to submucosal debridement using curettes with adjunctive irrigation with chlorhexidine.” [Ref 7]

Orthodontic pain

While no reviews have been specifically conducted for LLLT, four studies found significant pain reduction and faster pain relief when using LLLT during placement of orthodontic appliances compared to placebo. [Refs 8, 9, 10, 13] One of the studies also found

reductions in prostaglandin-E2 (PGE2) levels, which is a pro-inflammatory mediator. [Ref 13]

Strong Evidence for LLLT in Dentistry

According to a review of the literature, there is strong evidence of the

efficacy of LLLT for a wide range of dental conditions.

The body of published research includes systematic reviews,

meta-analyses and individual studies of LLLT as a monotherapy and adjunct

therapy. The treatment outcomes found to be effective include reduction

in pain, inflammation and trismus and improvement in wound healing.

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1. Lin, P.Y., et al. 2013. In-office treatment for dentine hypersensitivity: a systematic review and network meta-analysis. J Clin Periodontol 40 (1):53-64.

2. He, S., et al. 2011. Effectiveness of laser therapy and topical desensitising agents in treating dentine hypersensitivity: A systematic review. J Oral Rehabil 38 (5):348-58.

3. Brignardello-Petersen, R., et al. 2012. Is adjuvant laser therapy effective for preventing pain, swelling, and trismus after surgical removal of impacted mandibular third molars? A systematic review and meta-analysis. J Oral Maxillofac Surg 70 (8):1789-801.

4. Magnus, Bjordal J., et al. 2011. A systematic review with meta-analysis of the effect of low-level laser therapy (LLLT) in cancer therapy-induced oral mucositis. Support Care Cancer 19:1069-1077.

5. Bensadoun, R. J. and R. G. Nair. 2012. Low-level laser therapy in the prevention and treatment of cancer therapy-induced mucositis: 2012 state of the art based on literature review and meta-analysis. Curr Opin Oncol 24 (4):363-70.

6. Khalighi, H. R., et al. 2010. Effect of low-power laser on treatment of orofacial pain. J Dent Res Dent Clin Dent Prospect 4 (3):75-78.

7. Muthukuru, M., et al. 2012. Non-surgical therapy for the management of peri-implantitis: A systematic review. Clin Oral Implants Res 23 (Suppl. 6):77-83.

8. Xiaoting, L., T. Yinb, and C. Yangxic. 2010. Interventions for pain during fixed orthodontic appliance therapy: A systematic review. Angle Orthod 80:925-932.

9. Artés-Ribas, M., J. Arnabat-Dominguez, and A. Puigdollers. 2012. Analgesic effect of a low level laser therapy (830 nm) in early orthodontic treatment. Lasers Med Sci (Jul 21). http://www.ncbi.nlm.nih.gov/ pubmed/22814893.

10. Bicakci A. A., et al. 2012. Efficiency of low-level laser therapy in reducing pain induced by orthodontic forces. Photomed Laser Surg 2012 30 (8):460-5.

11. Ozcelik, O., et al. 2008. Improved wound healing by low-level laser irradiation after gingivectomy operations: a controlled clinical pilot study. J Clin Periodontol 35 (3):250-4.

12. Amorim, J. C., et al. 2006. Clinical study of the gingiva healing after gingivectomy and low level laser therapy. Photomed Laser Surg 24 (5):588-94.

13. Tanboga, I., et al. 2011. The effect of low level laser therapy on pain during dental tooth-cavity preparation in children. Eur Arch Paediatr Dent 12 (2):93-5.

14. Obradović, R., et al. 2012. Low-level lasers as an adjunct in periodontal therapy in patients with diabetes mellitus. Diabetes Technol Ther 14 (9):799-803.

15. Aykol, G., et al. 2011. The effect of low-level laser therapy as an adjunct to nonsurgical periodontal treatment. J Periodontol 82 (3):481-8.

16. Kreisler, M. B., et al. 2004. Efficacy of low level laser therapy in reducing postoperative pain after endodontic surgery--a randomized double blind clinical study. Int J Oral Maxillofac Surg 33 (1):38-41. 17. Wang, X., et al. 2011. Efficacy evaluation of low-level laser therapy on temporomandibular disorder. Hua

Xi Kou Qiang Yi Xue Za Zhi 29 (4):393-5,399.

18. Dostalová, T., et al. 2012. Effectiveness of physiotherapy and GaAlAs laser in the management of temporomandibular joint disorders. Photomed Laser Surg 30 (5):275-80.

Gingivectomy

While reviews haven’t been specifically conducted for LLLT, two studies have made findings of significantly improved wound healing in patients following gingivectomy surgeries. [Refs 11 and 12]

Cavity preparation

A 2011 RCT found decreased pain in children after receiving LLLT treatment before cavity preparation. [Ref 14]

Periodontitis

A 2008 systematic review of four studies of LLLT as an adjunct to scaling and root planning for chronic periodontitis did not find efficacy; [Ref 15] however, two RCTs conducted after 2008, including one of 300 diabetes patients, have found significant improvements in gingival inflammation. [Ref 16, 17]

Endodontics

A 2004 RCT found that LLLT as an adjunct therapy significantly reduced pain one day post-surgery. [Ref 18]

Temporomandibular joint (TMJ) pain

While a 2011 systematic review and meta-analysis of 6 RCTs concluded that LLLT “was not statistically significant from placebo”, [Ref 19] two additional, more recent studies found significant improvements in pain and movement. [Ref 20, 21]

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Dr. Gil Munish, a Dentist with private practice in Haifa, Israel testifies;

“I performed eight implants on a 48 year old man patient in one day on the lower jaw- four implants on either side of the mouth. The patient was treated with antibiotics and pain killers for a week.

He was sent home with the B-CURE LASER and was asked to treat only the right side of his mouth. On the first day post-treatment the patient treated himself for 8 minutes hourly and the following days until check-up six times daily.

A week later, the patient came for a review and reported that the pain on the right side was significantly lower that the left.

I routinely give my patients the B-CURE LASER and recommend that they use it after transplants.”

The B Cure Laser Dental Pro is used extensively within the department of Dental Medicine at the Haddasah Medical Center in Jerusalemץ

Benefits for Patients

Significantly reduces the intensity and period of pain

Decreases swelling and bruising

Accelerates the healing process

May reduce the use of pain medicine

Faster return to normal life

B-Cure Laser Dental Pro Treatment Regime

8 minutes treatment in the clinic before and immediately after dental procedure. Post-procedure: 8 minute treatments 4-5 times daily at home for several days.

Benefits for Dentists

Clear differentiator for dental practice

Builds patients trust and satisfaction

Portable device allows continued treatment at patient’s home

Highly cost effective solution compared to in-clinic devices

Increases Dentist’s peace of mind with regards to patients’ recuperation

Medical Testimonials

Dr. Avi Reyhanian is a member of the Israel Society of Dental Implantology, an academic staff member of the Institute of Advanced Dental Education in Israel and currently practices general dentistry and oral surgery in Netanya, Israel. Dr. Reyhanian is also a member of the Academy of Laser Dentistry.

“Normally after surgical procedures such as implants, peri-implantitis, apicoectomy, surgical extraction, periodontal surgery, etc., the patient presents with swelling and pain. With the use of B-Cure Laser Dental Pro for 8 minutes prior to and immediately following surgery, followed up by several further treatments at home for several days after surgery, I observe - • only moderate swelling

• either moderate or no pain and in most cases there is no need for more than one tablet of pain medicine

• accelerated healing process of soft tissue • no side effects

After treating hundreds of patients over three years, B-Cure Laser has a positive influence on the healing process of the hard and soft tissues. Patients experience less pain, swelling and bruising - together with faster healing - and I have better peace of mind with regards to my patients’ healing process.”

of coherent therapy

Increased laser emission Fast pain relief,

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Absorption Levels of light wavelengths of water,

hemoglobin and melanins

Attribute

B-Cure Laser Dental Pro

Treatment area

A very large area of 4.5 cm2 is covered during each treatment, with one completely coherent beam. Average treatment area for for other portable devices is only 1 cm2.

Peak power

Peak power of 250 mW (a quarter watt) in micro-pulses, which guarantees maximal penetration and effectiveness. Average peak power for other devices: 30-50 mW.

Energy density Average 1.2 joules per minute per cm2.

Micropulses

Unlike continuous waves, micro-pulses allow for an increase in the beam’s power and ability to deeply penetrate to the source of the problem, thus increasing the treatment’s effectiveness.

Wavelength 808 nM; range of wavelengths for optimal penetration is

800-830 nM.

Coherence

Perfect coherence. B-Cure Laser Dental Pro is the only perfectly coherent beam covering an area as large as 4.5 cm2.

Weight and mobility 173 g, lightweight, portable and rechargeable.

Two operation methods

1. By pressing the treatment buttons simultaneously (located on the side) to operate without touching the skin. 2. By pressing the device directly onto the skin or

treatment area for a deeper effective treatment.

Safety goggles Not required; eye safety approval.

When assessing soft laser

quality and effectiveness

, the following attributes are

of key importance: full coherence, size of treatment area and treatment time, peak

power and average energy density.

of coherent

therapy

Increased

laser emission

Ultraviolet Argon 488 100 400 600 800 1000 1200 1400 10600 50 0 51 4 6 32 820 904 1064 10600 He-Ne Diode

lasers YAG: Nd CO,

Visible light Infrared Wavelength [nm] Absorption [%] Water Melanin Haemoglobin

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Strategic

Branding

&

Design

Approvals and safety certifications

Approved by the European community

CE 0120-Medical Device.

Patent pending

Erika-Carmel LTD

Good Energies® (Israel)

5 Nachum Heth St.,

Hi-Tech Park,

Haifa 35085, Israel

Customer service:

+972-73-7293001/2

E-mail:

info@gd-energies.com

Look for us on

: B-cure laser

www.gd-energies.com

Technical Specifications

GaAIAs solid state diode laser

Laser peak power 250 mW Laser wavelength (infrared) 808 nM Pulse frequency 15 kHz

Laser diode lifetime over 3,000 hours Indicating green led 520 nM

Laser beam size 10x45 mm Batteries 3 AAA Operation time with fully charged batteries over 2 hours Charging time 5 hours Charger input voltage 115-230 V Charger output voltage 9 V

Weight 173 g

LASER

DENTAL PRO

European community approval Ve rs io n 3 .13

Figure

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References

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