FAQs

Your First Questions About Lasers

Where are low-energy lasers used?
They are used for therapeutic manipullations in all medical fields.

Where are high-energy lasers used?
They are used for surgical manipullations in all medical fields.

Why should you use lasers?
Because your patients want to be provided with the most up-to-date therapy. Practices to use laser enjoy a better social image and better financial results as well. The usefulness of lasers being used in the field of medicine and dentistry becomes increasingly clear to the patients and they themselves demand the relevant laser treatment.

Does the medicine and dentistry laser investment pay?
Should the physician properly integrate the right laser into his daily routines this would easily result in extra laser related income.
The low-energy therapeutical laser investment is expected to pay within a year while the high-energy mild tissue therapeutical laser investment is expected to pay within 3 through 5 years. However, most users are nicely surprised to find out that this period takes about a year for the high-energy lasers and several months for the low-energy ones.

Should you trust our laser purchase related advice?
Definitely YES! We are the experts to be closely familiar with the potential of the apparatuses we offer and the relevant specifics of medical applications in concern. We do our best to ensure that our lasers meet the expectations of our users - be it a physician or a dentist - and that they get the most out of their lasers. Because otherwise we are aware everyone displeased with our laser performance would share his or her laser related negative experience with his or her colleagues. And because of that you are kindly advised to use the maximum of our consultant services free of charge!

What is the best way of getting the most of our lasers?
The advanced apparatuses feature embedded treatment software that involves the "gold standard" parameters, which benefit the beginners.
It is very important that you get a getting started training by an expert of ours at the location of your practice. Furthermore your attending various laser operation related courses and lectures will enrich your training. You can also apply for a Laser Academy.

How to start your introduction into the „Laser medicine”?
1. Make yourself familiar with this website.
2. Ask your questions on our page.
3. Do not hesitate to ask any matter related questions - we are at your disposal any time!
4. Keep track of all laser related events namely congresses, lectures, courses, symposiums. The training itself is a good investment.
5. Do not miss the chance to become a Laser Academy member.

Your Questions About the Low-Lever Therapeutic Lasers

What is a Low-level therapeutic laser?
An apparatus for low-level laser therapy. This is a source of energy, which once introduced into the body impacts the irradiation sensitive elements of the cells without bringing about destructiveeffect.

What is a low-level laser therapy (LLLT)?
- Nonthermic
- Facilitates the rate and quality of the tissue recovery of the following: cutis, muscles, tendons, ligaments, bones, nerves
- Facilitates inflammation treatments
- Frequently alleviates the pain in a moment

What do researches show?
- ATF-synthesis improvement
- Leucocite phagocytosis increase
- DNA- and RNA-synthesis improvement
- Neovascularization enhancement
- Colagen and protein synthesis improvement
- Prostaglandines level decrease
- Cell respiration enhancement

Where do you use the therapeutic laser?
● Dentistry
● Rheumatology
● Neurology
● Traumatology
● Physiotherapia
● Sports medicine
● Dermatology
● Otorhinolaryngology
Surgery (post surgery)
● Gynaecology
● Veterinary
● Med. Cosmetics
● Acupuncture

Which wavelengths do the therapeutic lasers operate at?
From 600 до 1000 nm. They emit within the red and adjacent infrared spectrums.

Why are the diode therapeutical lasers preferred to others?
Because they are: compact, with easy control, with long-life emitters, with unalterable parameters during operation and period of exploitation.

Which one to choose - an IR (infrared) therapeutical laser or R (red)? one?
Certain specifics exists that, if known, would make the treatment better, despite the fact either one can be used for the same diseases.
The preferable therapeutic laser to use for any specific disease is pointed out in the treatment protocols.
In many cases the combined infrared and red laser impact brings about maximum therapeutic intervention.

What makes the IR (infrared) therapeutic laser distinctive?
This laser is remarkable for its in depth analgetic and antiinflammatory impact. It is preferrable to use with cases of algosyndrome and deep osteoarticular inflammations.
field of application: Rheumatology, Neurology, Traumatology, Physiotherapy, Otorhinolaringology, Odontology-in case of bone problems, Gynaecology-in case of pain problems, Acupuncture

What makes the R (infrared) therapeutic laser distinctive?
This laser brings about antiinflammatory, trophic and cicatrizing impact within mild tissues. It is preferrable to use with vascular treatments (wounds, burns, eutrophy, cosmetic surgery); and with local mild tissue inflammation treatments.
field of application: Dermatology, Gynaecology, Odontology- in case of mucouse problems and problems with mild tissue, medical cosmetics

How deep does the therapeutic laser irradiation penetrate?
Infrared Laser (IR)- 35-40 mm in mild tissue and 1-2 mm in bones
Red Laser (R)- 20-25 mm in mild tissue, no bone penetration

Which specialized tips should be used?
1. Glass light conductor - for the irradiation treatment within the mucosa area (dentistry, ORL, gynaecology)
2. Collimator Æ3 mm - for the irradiation treatment within biologically active points
3. Multidiode head (MDH) - for the irradiation treatment of large areas

Which are the important parameters to achieve the necessary therapeutic intervention?
3 are the most important parameters to result in the best therapeutic intervention:
- specifying the proper wavelength, in nanometers (nm)
- applying the proper power, in miliWatts (mW) or in watts (W)
- applying the proper amount of energy, in Jouls (J)
Another important parameter to use in the pulsed mode is the following:
- specifying the pulsed frequency, in (Hz)
The SIX Laser TS and SIX Laser M contain prepared therapeutic regimens featuring built-in parameters for about 100 disorders. Each disorder is assigned 2 through 4 treatment protocols.
These protocols are the so called "golden standards" in the laser therapy.
The rest of the apparatus models are shipped with a therapeutical guide with treatment protocols.

May I make up a treatment protocol of my own (SIX Laser TS and SIX Laser M)?
YES, you can. You can set up the power, session duration and treated area, аnd the energy (Dosage) will be automatically calculated by the apparatus. You can specify a name for this protocol and store it in the memory.

Multidiode head (MDH)) and a magnet
It embeds red and infrared emitters and a magnet. Large areas can be treated with it. Different wavelength combinations bring about multifaceted cellular response. It is preferrable to use with cases of local mild tissue inflammations to mend trophism within the zone (wounds of various origin, burns, herpeses, haematomes, oedemas, bursitis, etc).

Which locations should be irradiated?
In cases of locomotor apparatus disorders – Irradiate fields closest to the joint capsule (at the joint level); directly upon damaged muscles, upon osseous tissues.
When treating a pathological process projection - Irradiate the dermal section over the pathological process
With cases of trauma based cutis wounds or wounds with different origin - Irradiate the wound brims and inside the wound area. The necrotic patches should be cleaned up first.

How to irradiate?
The right choice depends on the therapeutic indications.
Irradiation treatment in a point - Point treatment is preferred in the specified reflexogenic points along with anodynia therapy
Scanning within the zone (covering a larger area) - Scanning within the zone is preferred with antiinflammatory and trophic therapy.
The preferred treatment technique is specified in the treatment protocols.

What is the dosage (radiant flux density) with the laser treatment?
It is presented in Jouls per square cm (J/cm2)
The preferrable dosage is specified in the treatment protocols and it has been set in the treatment protocols of the software control units.

What is the number and frequency of the therapeutic procedures?
They depend on the clinical studies and are adapted accordingly by the therapist
Recommended number and frequency of the therapeutic procedures is specified in the treatment protocols.
The treatments should usually be carried out daily with acute diseases. Three sessions prove to be sufficient in achieving regression.
With long-term ilnesses 2-3 procedures are recommended weekly, i.e. expanded in time therapy. Six sessions prove to be sufficient in achieving regression. The total number of sessions can be up to 10-15.
Do not stop the therapy after the painful syndrome has faded away and consolidate the therapeutic result through at least 3-4 sessions more!

How does the patient respond to the laser treatment?
With acute diseases an instant pain stopping is found frequently to take place as soon as the first session has been carried out. Continue the therapy!
With long-term ilnesses more therapeutic procedures are necessary. You must well in advance warn the patient for a possible atypical response after 3-4 sessions. Do not stop the therapy! Switch to lower doses, space out the sessions.These cases have been found to be the most appropriate for laser therapy.

What is the technique of the irradiation treatment?
After the case has been properly diagnosed specify the right therapeutic technique to apply.
Place the relevant specialised tip on the laser probe.
Locate the treatment area.
Direct the laser probe perpendicularly to the treated area and irradiate in accordance with the relevant technique.

How to clean up the specialised tips?
Cleaning of the specialised tips should be carried out chemically.
When operating a collimator or a MDH use individual polyethylene bags.

Clinical effects

Clinical effects

Beginning

Dose per point

Muscle spasm relaxation

immediate

2 J/cm2

Acupuncture point stimulation

immediate

0.1 - 0.5 J/cm2

Nerve stimulation

immediate

2 J/cm2

Contracture relaxation

immediate/in days

5 - 7 J/cm2

Microcirculation improvement

in minutes/in hours

1 - 3 J/cm2

Anti-inflammatory effect in cases of acute inflammations

in minutes/in hours

1 - 3 J/cm2

Anti-inflammatory effect in cases of chronic inflammations

in days/in weeks

3 -6 J/cm2

Alleviation

in minutes/in days

1 - 4 J/cm2

Bloodstream improvement

in hours/in days

2 - 3 J/cm2

Nerve cells regeneration

in days

2 J/cm2

Improvement (recovery)

in days/in weeks

1 - 4 J/cm2

Therapeutical Indicators for the Infra Red Laser and Red Laser

Infra-Red Laser (Infra Red-Laser probe)

Soft Tissue Injuries such as:
▪ Capsulitis, Bursitis
▪ Sprains & Strains
▪ Haematomas
▪ Tendonitis, Tendosynovitis
▪ Myofascial Trigger Points, AhShi Points, & Deep APs

Acute & Chronic Joint problems including:
▪ Osteoarthritis
▪ Rheumatoid Arthritis
▪ Ligament & Tendon injuries
▪ Chrondomalacial Patella

Chronic Pain such as:
▪ Post Herpetic Neuralgia
▪ Chronic Back & Neck Pain
▪ Metatarsalgia
▪ Trigeminal Neuralgia
▪ Brachial Neuralgia
▪ Plantar Fasciitis
▪ Frozen Shoulder
▪ Carpal Tunnel

Fractures such as:
▪ Non Union
▪ Small bone

Red-Laser (Red-Laser probe)

▪ Herpes
▪ Apthous Ulcers
▪ Leg Ulcers
▪ Dermatitis
▪ Wound Healing
▪ Burns
▪ Acute Epididymitis
▪ Otorhinolaryngology
▪ Gynaecology
▪ Obstetrics- post partum
▪ Superficial AP Stimulation and Tonification
▪ Cosmetic
▪ Acne

SIX Laser Applications

Dentistry
Alveollitis, Aphthae, Aptyalismus, Caries-pulp hyperem.prevention, Cheilitis, Cicatrisatio, Cicatrix, Decubitus, Denticio difficilis, Endodontia, Extractio-alveolitis prevention, Fistula, Fractura, Implantatio, Gingivitis, Glossitis, Herpes simplex labialis, Hyperaemia pulpae, Hyperaesthesia dentis, Neuralgia n.trigemini, Neuritis, Osteolysis, Parodontitis, Periodontitis, Phlaegmone (Abscessus)-post-operative compl., Praeparatio, Pulpitis-bioligical therapy, Sialoadenitis, Syndromum temporomandibularis, Analgesia

Rheumatology, Traumatology, Rehabilitation
Cervicalgia, Osteohondrosis cervicalis, Myalgia thoracis, Arthrosis dorsalis, Lumbalgia, Spondylarthrosis lumbalis, Ischias, Sacroileitis, Dorsalgia, Periarthhtis humeroscapularis, Epicondylitis, Epitrochleitis, Distorsio articulacio cubiti, Tendosynovitis articulacio carpi, Bursitis radialis, Dystorsio articulacio carpi, Syndromum canalis carpi, Rizarthrosis pollicis, Coxarthrosis, Periarthritis coxae, Pubalgia, Gonarthrosis, Prelongatio ligamenti, Syndromum patelaris, Syndromum Osgood-Schlateri, Contractura musculi, Tendinitis achillae, Bursitis pre et retro achillaris, Tendinitis mm.extensoris tibialis anterior, Talalgia, bone recovery: nonclosing fractures (scaffoid in particular), small bone fractures (rib, carpal, tarsal and phalangeal in particular)

Neurology
Cephalgia, Neuralgia Arnoldi, Neuralgia n.Ishiadici, Neuralgia n.Trigemini, Neuralgia роst Herpes Zoster, Migraena, Torticolis, the therapeutical laser treatment decreases muscle spasticity and enhances traumatised nerve recovery

Dermatology
Acne vulgaris, Alopetia areata, Cicatrix, Cicatrisatio, Combustio gr.l-IV, Decubitus, Erythema exsudativa multiforme, Furunculus, Herpes simplex, Herpes zoster, Lichen ruberplanus, Ulcus cruris, Rhagades

Otorhinolaryngology
Otitis externa circumscripta, Furunculus, Sinuitis, Tonsillitis, Rhinitis vasomotorica, Herpes, Aptyalismus, enhances the recovery after Perforatio membranae tympani

Gynecology
Adnexitis, Erosio cervicis uteri, Endometritis, Herpes simplex genitalis, Parametritis, Post partum (Haematoma, Cicatrix, Keloidum), Post-operative complications, chronic vulvar dystrpohy as follows: Craurosis vulvae, Lichen scleroatrophicus, primary atrophy, atrophic and hyperkeratotic vulvitis

Surgery (after surgery)
Cicatrisatio, Cicatrix, Keloidum, Haematoma, Oedema, Pain relief

Cosmetics
Tonicizing of the facial musculature, anti-inflammatory procedures, Acne vulgaris, Sanatio, Furunculus, Cicatrix

Laser acupuncture
Tonicize or Cedate

Veterinary
Arthritis, Osteoarthritis, Bursitis, Cicatrix, Contractura musculi, Contusio, Distorsio, Luxatio, Fractura, Gingivitis, Haematoma, Lymphadenitis, Mastitis, Oedema, Otitis, Regeneratio musculi, Regeneratio nervus, Ruptura ligamenti, Sanatio postoperativa, Tendinitis, Ulcus, Vulnus

Your questions on the high-energy diode laser Six Laser Lancet 980

What is a high-energy diode laser like and what is it designed for?
It is a medical apparatus designed for soft-tissue surgery and tissue treatment in the daily practice
*For the time being the Six Laser Lancet 980 is developed for dental usage, with techniques for the daily dental practice. Development of techniques for other medical fields is forthcoming.

What is the operating wavelength of the high-energy diode lasers?
From 808 to 980 nanometers (nm). They emit within infrared spectrum.
*Six Laser Lancet 980 is with 980 nm wavelength

Why diode high energy lasers are preferred to use in soft-tissue surgery?
Because they are compact, with easy control, long life emitter, with invariable parameters during operation and in time.

What is so special about the high-energy diode laser?
It is that water is made to evaporate in the soft tissue with high layer by layer in very thin layers while no adjacent mild and solid tissue is harmed. No tissue necrosis is involved!

Which are the most important parameters to achieve the right result?
The most important parameters when soft tissue laser cutting is involved are as follows:
- Using the right power, in watts (W)
- Choosing the mode - continuous (CW) or frequency in Hertz (Hz)
- Applying the right energy, in Jouls (J)
*Six Laser Lancet 980 has pre-set therapeutic regimens with built-in parametersof the treatment protocols .

Can I make up a treatment protocol of my own with SIX Laser Lancet 980 ?
Yes, you can! You can enter power, time and and mode in it. You can store this protocol in memory.

Which specialized tips are used?
1.Optic fibre featuring different thicknesses from 200 to 600 micrometers (μm), depending on the objectives. The most frequently (universal) fibre used is 300-320 μm
2.Tip for teeth whitening.

How to treat?
Your choice depends on what you aim to do:
1.In contact way, in maximal proximity to the tissue surface - when cutting soft tissue in depth, with endodontic treatment, when sterilizing recesses.
2.In non-contact way, from a distance of 0,3-0,5 mm from the tissue, without holding at one spot - to remove superficial layer, with haemostasis, analgesia.
The treatment technique is pointed out in the treatment protocols.

What is the methodology of the SIX Laser Lancet 980 manipulation?
1. Choose the treatment technique you are to operate with from the manipulation list.
2. Direct the optic fibre perpendicularly to the treated area and irradiate in accordance with the relevant technique.

Similarities and differences in comparison with Electrocauter
It is a regular question!
There is only one similarity: both methods are thermic.
And the differences are substantial:
1.With lasers a beam is the cutting tool.
2.The laser provides "layer-by-layer" cutting which implies a very precise conrol of the cut depth.
3.Laser cutting prevents heating of the adjacent tissues both soft and solid as it cuts in very thin layers of the order of microns.
4.No tissue necrosis is found to result with laser cutting.
5.Cutting of soft tissue with a diode laser results in a very short recovery period.
6.The laser cutting is known to be the most non-traumatic one for patients.

Treatment Protocols for the Six Laser Lancet 980

I. Endodontics
1. Root canal sterilization
2. Pulp capping
3. Melting/Glazing

II. Periodontics
1. Periodontal pocket sterilization
2. Gingivoplasty
3. Biostimulation-Gingiva

II PROSTHODONTICS
1. Crown-recontouring
2. subgingival retraction
3. Site preparation

III. Surgery
1. Abscess
2. Cicatrix- sutura sealing
3. Circumcisio
4. Fibroma
5. Fistula
6. Frenectomy
7. Gingivectomy
8. Granuloma
9. Haemostasis
10.Operculectomy

V. Therapy
1. Aphtae
2. Angulus Cheilitis
3. Decubitus
4. Epulis
5. Herpes Simplex Labialis
6. Hiperaesthesia dentis
7. Lichen Ruber Planus
8. Leucoplakia

VI. IMPLANTOLOGY
1. Implant uncovering
2. Perimplantitis

VII. Estetics
1. Crown lengthening
2. Gingival depigmentation
3. Whitening

VIII. Others
1.Analgesia

Ендодонтия
Деконтаминация на коренови канали
Разтапяне/ Глазиране (витрификация на дентина)
Апикоектомия

Пародонтология
Деконтаминация на костни джобове (почистване на гранулации)
Перимплантит-деконтаминация

Хирургия
Абсцес
Обработка на корона- реконтуриране
Епулис
Фибром
Фистула
Френектомия
Гингивотомия
Гингивална ретракция
Гингивопластика
Гранулом
Хемангиом
Хемостаза
Разкриване на имплант
Инцизия
Оперкулектомия
Сулкус-дисцизио

Мукозна Терапия
Афта
Хейлит
Херпес
Хиперестезия
Лихен
Левкоплакия

Естетична стоматология
Избелване на зъби
Гингивална хиперпигментация

Други
Аналгезия
Биостимулация