en-US

Protocols

Dentistry

  • Photosensitivity history (dermatoses);
  • Client being submitted to treatments with acids synthesized from vitamin A (retinoic acid, Retinol A, Vitanol A, Retin, Tretoinin, Isotretinoin, etc.) and / or tetracycline antibiotics;
  • Personal history of skin cancer in the region;
  • Pregnancy;
  • Glaucoma.

Topical ILIB – Laser Intravascular Blood Irradiation

Action: Originally a Russian Technique that was modified in Brazil (INCOR), which consists of the direct and direct application of red therapeutic laser (660 nm) in the region of the radial artery, which produces a photochemical effect that acts systemically by the production of the metalloenzyme SOD ZnCu , being indicated for acute and chronic inflammatory processes and for combating free radicals.

Applications: With a specific bracelet, low intensity laser is applied in the wrist region, an area with energetic meridians that, when stimulated, optimize the activities of the heart, lungs, circulatory system, libido and others as a kind of Laserpuncture ( laser acupuncture and no needles), as well as the stimulation of antioxidant enzymes.

AG mode 15 minutes (option 1)

  • 5 sessions of 15 minutes on alternate days (every other day, not for 10 days).
  • At the end of the 5 initial sessions, one should rest for 20 days and repeat the protocol, then rest another 20 days and repeat the protocol again.

Maintenance every 3 months – 5 sessions of 15 minutes only.

  • IL mode 30 minutes (option 2)
  • 1 session per week of 30 minutes, at least 8 sessions.
  • Maintenance every 30, 60 or 90 days, depending on each systemic condition.

Topical ILIB – Laser Intravascular Blood Irradiation

Action: Originally a Russian Technique that was modified in Brazil (INCOR), which consists of the direct and direct application of red therapeutic laser (660 nm) in the region of the radial artery, which produces a photochemical effect that acts systemically by the production of the metalloenzyme SOD ZnCu , being indicated for acute and chronic inflammatory processes and for combating free radicals.

Applications: With a specific bracelet, low intensity laser is applied in the wrist region, an area with energetic meridians that, when stimulated, optimize the activities of the heart, lungs, circulatory system, libido and others as a kind of Laserpuncture ( laser acupuncture and no needles), as well as the stimulation of antioxidant enzymes.

Autoimmune Diseases (IL Mode 30 minutes)

  • 10 sessions of 30 minutes for 10 days in a row.
  • At the end of the initial 10 days, one should rest for 20 days and repeat the protocol, then rest another 20 days and repeat the protocol again.
  • Maintenance every 30, 60 or 90 days, depending on each systemic condition.

Cardiovascular / Lung Diseases and Diabetes (IN Mode 60 minutes)

  • 5 consecutive days, rest 20 days, repeat the cycle 3 times.
  • Maintenance every 30, 60 or 90 days, depending on each systemic condition.

Action: Analgesic; anti-inflammatory; accelerates repair in patients with systemic alterations.

Application: 1 point directly on the lesion (in the case of small lesions up to 1 cm²) and points along the edges of the wound (in case of larger lesions).

Dosage: Total of 2 applications, at 48 hour intervals. If necessary continue the applications at intervals of 48 hours until complete remission of signs and symptoms.

Tip: Laser application is done directly on the lesion in case of small lesions. In case of larger lesions, apply over and around the lesion.

  • Laser: Red
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action: Anti-inflammatory and analgesic.

Application: Around the affected region and on the lymphatic chain responsible for the drainage of the affected region (Almeida Lopes * Lymphatic Drainage Technique)

Posology: The recommended wavelength is infrared. The first application should be performed immediately after the routine therapeutic procedure chosen for the treatment of this condition. Two more applications should be performed at 48-hour intervals. The recommended dose (energy) is ~ 2 J per well, divided into two points of ~ 1 J using fluence of 35 to 50 J/cm².

Tip: The application is made on the alveolus. It is not recommended to introduce the tip into it, as it is not only unnecessary, it is a mechanical trauma that must be avoided.

  • Laser: Infrared
  • Fluency: 35 to 50 J/cm²
  • Dose: ~ 2 J


Action: Immediate analgesia; induction of tertiary dentin formation.

Application: Directly on the region where it is intended to activate the formation of reparative dentin.

Dosage: 4 applications at 72 hour intervals. It is recommended to start with the recommended minimum dose for a dental element, ie dose (energy) of approximately 1 to 2 J using 20 to 50 J/cm 2 fluency, increasing the dose in subsequent sessions if necessary. The dose (energy) will be divided into two points of ~ 1 J, using fluence of 20 to 25 J/cm 2 in each of them.

Tip: It is necessary to refer the patient to the dental repair clinic.

  • Laser: Infrared
  • Fluency: 20 to 50 J/cm²
  • Dose: ~ 1 to 2 J

Action: Higher rate of absorption and metabolism of the anesthetic.

Application: About the point of introduction of the needle and injection of the anesthetic.

Posology: 2 points of application on the injection site of the anesthetic (in cases of trunk anesthesia) and 1 single point on the dental apex (in cases of infiltrative anesthesia). The use of infrared in trunk anesthesias and of both (infrared and visible) in infiltrative anesthesias is recommended. The dose (energy) used is ~ 1 J per point, using fluence of 20 to 25 J/cm² (in children using 1/2 of the dose).

Tip: The laser increases local circulation, causing the anesthetic to be metabolized more quickly and therefore, causing the numbness sensation to disappear promptly. The laser is applied directly over the apex (in the case of infiltrative anesthesia) and in the region where the anesthetic was inserted (in the case of trunk anesthesia).

  • Laser: Infrared
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action: Stimulation of the lymphatic system, increase of local trophic.

Application: Injured region and major lymph nodes of head and neck responsible for drainage of the affected region.

Posology: The same as described in the Almeida-Lopes Lymphatic Drainage Technique.

Tip: The laser is applied to the main palpable lymph nodes of the head and neck.

Laser: Infrared
Fluency: 70 to 120 J/cm²
Dose: ~ 2 J

Action: Improves tissue repair, reduces edema and postoperative pain.

Application: Perpendicularly to the alveolus and over the suture region.

Posology: In cases of traumatic exodontia, an immediate postoperative application is made for the prevention of postoperative edema. Therefore, the Almeida-Lopes Lymphatic drainage technique is recommended. From the second application (which should occur after 48 hours of surgery), application sessions will be established every 72 hours, until complete reduction of edema and remission of painful symptomatology.

Tip: The laser is applied over the remaining alveolus. There is no need to apply the laser into the socket, since the wavelengths emitted in the infrared have great depth of penetration.

  • Laser: Infrared
  • Fluency: 35 to 50 J/cm²
  • Dose: ~ 2 J

Action: Analgesic and anti-inflammatory.

Application: On the inserted gingiva, throughout the inflamed region.

Dosage: Total of 2 or 3 applications in 72 hour intervals.

Tip: It is important to guide the patient about the local hygiene, as well as motivate him to perform it.

Laser: Red
Fluency: 20 to 25 J/cm²
Dose: ~ 1 J

Action: Accelerates and improves tissue repair, reduces pain post-clinical procedure.

Application: On the gingival papillae, throughout the inflamed region.

Dosage: Applications every 72 hours, combined with prophylactic and systemic treatment for Diabetes, until the disappearance of symptoms.

Tip: The application of the laser is done on the inserted gingiva, avoiding the ends of the papillae, which are little vascularized.

  • Laser: Red
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action: Analgesic, relieving the patient’s feeling of discomfort.

Application: Throughout the language.

Dosage: Uses every 48 hours for as long as symptoms persist. The dose (energy) used is ~ 1 J, using fluence of 20 to 25 J/cm² making a total of about 5 points distributed throughout the length of the tongue.

Tip: Benign Migratory Glossing, popularly known as Geographic Language, is not considered a disease, it is simply an anatomical variation, but it can often cause burning, pain or feeling discomfort.

  • Laser: Red
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action:

Before clinical manifestation (pruritus phase): The virulence and incidence of the lesion decreases;
During the manifestation (vesicles phase): Analgesic and anti-inflammatory (in this phase we recommend the Almeida-Lopes Drainage Technique);
After clinical manifestation (ulcerated vesicles): Accelerates healing, decreases pain of remaining lesions, prevents opportunistic infections, improves aesthetics after healing.
Application: Directly on the affected region, both during the pruritus stage and after vesicle rupture. On the lymphatic chain responsible for the drainage of the affected region, when in the vesicle phase.

Dosage and Administration:

Itching phase: Infrared wavelength is recommended, 2 points over the pruritus region. The recommended dose is ~ 1 J using fluence of 20 to 25 J/cm² per application point. The number of applications varies between 1 and 2 (the second, 24 hours after the first).
Gall bladder phase: the use of the Almeida-Lopes Technique * is recommended, aiming at the decrease of the local inflammation, as well as the increase of the local immunity. Infrared wavelength, with applications every 48 hours, on the lymph nodes responsible for drainage of the region is recommended. The recommended dose is ~2 J using fluence of 35 to 50 J/cm² per lymph node.
Ulcerated vesicle stage: 1 point of 0.8 J using fluence of 30 J/cm² on the lesion. In the case of multiple lesions (multifocal herpes), 1 J should be used using fluence of 20 to 25 J/cm² in each affected region.
Hint: In the vesicle stage we do not directly irradiate the lesion, but around it, associating the Almeida-Lopes Drainage Technique. If we can irradiate the patient in the subclinical (pruritus) phase, then we will do it directly on the affected area.

  • Laser: Red
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action:

Before clinical manifestation (pruritus stage): The virulence and incidence of the lesion diminishes;
During manifestation (vesicle stage): Analgesic and anti-inflammatory (in this phase we recommend the lymphatic drainage technique of Almeida-Lopes);
After clinical manifestation (ulcerated vesicles): It accelerates healing, reduces the pain of the remaining lesions and prevents opportunistic infections, improves the aesthetics after healing, and above all, prevents post-herpetic neuralgia.
Application: Throughout the affected nerve (all branches affected).

Dosage and Administration:

Itching phase: Infrared wavelength is recommended, 2 points over the pruritus region. The recommended dose is ~ 1 J using fluence of 20 to 25 J/cm² per application point. The number of applications varies between 1 and 2 (the second, 24 hours after the first).
Gall bladder phase: The use of the Almeida-Lopes technique is recommended, aiming at the reduction of local inflammation, as well as the increase of local immunity. Infrared wavelength, with applications every 48 hours, on the lymph nodes responsible for drainage of the region is recommended. The recommended dose is ~2 J using fluence of 35 to 50 J/cm² per lymph node.
Ulcerated vesicle stage: 1 point of 0.8 J using fluence of 30 J/cm² on the lesion. In the case of multiple lesions (multifocal herpes), 1 J should be used using fluence of 20 to 25 J/cm² in each affected region.
Tip: In Simple Herpes, only a small area is affected by the clinical manifestation of the virus. In Herpes Zoster the entire path of a nervous branch is affected. In this way the applications must be made following all the costume of the affected branch.

The application of the laser in Herpes Zoster follows the same protocol as Simple Herpes.

  • Laser: Red
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action: Immediate analgesia by repolarization of the altered nerve membrane, prevention of intrapulpal edema formation.

Application: 1 points directly over the region that shows hypersensitivity and a point on the dental apex.

Posology: Usually a single application is required in the immediate post-bleaching. If the patient has persistent pain, it is recommended that 1 or 2 other applications should be used at 24-hour intervals.

Tips: Laser application in immediate post-bleaching can be used in all patients as a preventive procedure.

  • Laser: Infrared
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action: Immediate analgesia; formation of tertiary dentin.

Application: Two points directly on the exposed wall; perpendicularly to the restoration, in the region of the pulp chamber or, in the case of the tooth already restored, in the cervical region, on the crown, and a point on the dental apex.

Dosage: 4 applications within 72 hours between them. It is recommended to start with the recommended minimum dose for a dental element, ie dose (energy) of ~ 1 J using a flow rate of 20 to 25 J/cm 2, increasing the dose in subsequent sessions, if necessary.

This dose (energy) will be divided into two points of ~ 0.5 J using fluence of ~ 10 J/cm² in each of them.

Tip: The laser is applied over the exposed preparation wall. It can be supplemented by applying a point on the dental apex to increase circulation and decrease pulpal inflammation.

  • Laser: Infrared
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action: Accelerate bone repair; improves the histological quality.

Application: Directly on the region of placement of the implant, along its entire axis, making a total of about six points per implant.

Dosage: Applications should occur every 72 hours during the first month of the bone healing process.

Tip: The laser is applied around the implants and over the suture after its closure. The use of the Almeida-Lopes lymphatic drainage technique is recommended immediately after implant placement for the prevention of postoperative edema.

  • Laser: Infrared
  • Fluency: 50 to 70 J/cm²
  • Dose: ~ 3 J

Action: Activates the patient’s local immunity; decreases discomfort.

Application: Directly in the area of the lesion, over its entire extension.

Dosage: Applications every 72 hours, while the lesion lasts.

Tip: The purpose of the applications is to activate the local immunity of the patient, not ruling out the need for the systemic treatment recommended in these cases.

  • Laser: Red
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action: Activates the patient’s local immunity, reduces discomfort, improves the healing quality of the lesions.

Application: Laser application is done directly over the injury. Applications are made with an average space of 1 cm between each application point.

Dosage: Uses every 48 hours for as long as the outbreak persists.

Tip: Laser application is done over the entire extent of the injury.

  • Laser: Red
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action: Relief of neuralgic pain, relief of pain in the trigger region; relaxation of the musculature; repair of the injured nerve.

Application: Following the entire path of the affected branch, directly on the trigger points and on the regions of foramen.

Dosage: Treatment consists of about 10 applications at 72 hour intervals. Ideally, in the first two applications the dose (energy) should be lower, about 1 J per application point, using a flow rate of 20 to 25 J/cm², increasing gradually until the fifth or sixth session reaches 3 a 4 J per point, using fluence of 50 to 90 J /cm².

Tip: It is recommended to prescribe B vitamins throughout the treatment period. It is important to alert the patient that it will only feel clinical improvement (on average) after the third application.

  • Laser: Infravermelho
  • Fluência: 20 a 25 J/cm²
  • Dose: 1 J

Action: On teeth with painful eruption.

  • In traumas of teeth and lips;
  • In direct and indirect pulp capping;
  • After anesthesia;
  • After cavity preparation.

Tip: In all procedures of the pediatric dentistry clinic there is indication and application of laser therapy.

For children, light weight and height: The doses prescribed here will be about 1/3 smaller than those recommended in adult protocols.

For older children (10 years old) and with more weight: Dosages will be reduced by only half.

Laser: Red

Action: Analgesic, after installation, exchange or adjustment of arcs; activation of bone repair after palatal disjunction; modulates the process of lysis and bone formation of the region where there is activation of a piece of orthodontic appliance.

Application: In the region of activation of the loop or elastic; on the palatine raphe.

Dosage: In the conventional treatments the application will be made when the activation of loops and/or elastics. In cases of acute pain, repeat the application after 24 hours. Regarding the palatine disjunction, the applications should occur every 72 hours, or each activation of the expander screw, lasting for up to 2 months after the disjunction has taken place.

Tip: The laser is applied in the region of pressure and bone traction and on the apex of the tooth that undergoes activation.

  • Laser: Infrared
  • Fluency: 50 to 70 J/cm²
  • Dose: ~ 3 J

Action: Relief of painful sensitivity (when available), repair of damaged nerve branches and relaxation of the muscles (when compromised).

Application: Following the entire path of the affected nerve. In the case of nerves with several branches, apply on all the branches belonging to the respective cranial pair.

Dosage: Treatment consists of about 10 applications at 72 hour intervals. Ideally, in the first two applications the dose (energy) should be lower, about ~ 1 J per point, using fluence of 20 to 25 J/cm², increasing gradually until the fifth or sixth session reaches 3 to 4 J per point, using fluence of 50 to 90 J/cm².

Tip: The prescription of B vitamins is recommended throughout the treatment period. It is important to alert the patient that he/she will only feel clinical improvement (on average) after the third application and sometimes that improvement will be accompanied by the unpleasant clinical sensation of pain, or tingling. The patient may report a strong hyperesthesia, alternated with moments of complete dysesthesia.

  • Laser: Infrared
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action: Relief of painful sensitivity (when available) and repair of damaged nerve branches.

Application: Following the entire path of the affected nerve. In the case of nerves with several branches, apply on all the branches belonging to the respective cranial pair.

Dosage: Treatment consists of about 10 applications at 72 hour intervals. Ideally, in the first two applications the dose (energy) should be lower, about 1 J per point, using a flow rate of 20 to 25 J/cm², increasing gradually until the fifth or sixth session reaches 3 to 4 J per point, using fluence of 50 to 90 J/cm².

Tip: The prescription of B vitamins is recommended throughout the treatment period. It is important to alert the patient that he/she will only feel clinical improvement (on average) after the third application and sometimes that improvement will be accompanied by the unpleasant clinical sensation of pain, or tingling. The patient may report a strong hyperesthesia, alternated with moments of complete dysesthesia.

The laser is applied following the entire affected branch. The application is performed in points directly on the nervous branch, with spacing of about 1 cm between these.

  • Laser: Infrared
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Action: Analgesic and anti-inflammatory, activates the patient’s local immunity.

Application: Directly in the area of the lesion, over its entire extension.

Dosage: Uses every 48 hours for as long as the outbreak persists.

Tip: The laser is applied to all lesions, which usually present ulcerated, with the clinical aspect of an aflosa stomatitis.

  • Laser: Red
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ 1 J

Application: Around the affected region and on the lymphatic chain of the affected region (Lymphatic Drainage Technique of Almeida-Lopes *).

Dosage: 2 applications with 24-hour intervals are usually sufficient. 2 J are distributed in 4 points of ~ 0.5 J, using fluence of 35 to 50 J/cm², around the affected region or the lymphatic drainage technique is used directly. In cases where there is associated trismus, it is recommended to make 4 or 5 extra-oral application points on the masseter, to relax this spasm, and to begin intraoral applications after 24 hours.

Tip: In cases of acute contaminated lesions, such as this, we should avoid application directly on the lesion, since contaminating microorganisms can be biostimulated, exacerbating the process. We have obtained excellent results using the technique of indirect treatment of the lesion, that is, activating the lymphatic drainage of the lymph node chains involved in this process. Clinical procedures traditionally used in such cases may be maintained.

  • Laser: Red
  • Fluency: 35 to 50 J/cm²
  • Dose: ~ 2 J

Action: Eliminates post-treatment periodontal hypersensitivity, mediates the inflammatory process, accelerates bone neo-formation, increases the adhesion of periodontal fibers.

Application: About the scraped area and areas of hypersensitivity.

Posology: The applications for elimination of dentin hypersensitivity should be done according to the protocol of “dentin hypersensitivity”. In the case of application for periodontal treatment, applications should be performed every 72 hours during the first month of bone healing.

Tip: In cases most refractory to bone formation, treatment may be prolonged for another 1 month.

  • Laser: Infrared
  • Fluency: 35 to 50 J/cm²
  • Dose: ~ 2 J

Action: Accelerates and improves the quality of bone and soft tissue repair, reduces edema and postoperative pain.

Application: Along the edges of the suture in the reparations by first intention and also on the bed of the wound, in the reparations by second intention.

Dosage: Applications every 72 hours until removal of the suture. In cases where the edema and pain persist, applications are recommended for about two more sessions (respecting the same time interval).

Hint: The laser is applied on the edges of the lesion, as cicatrization will occur through the proliferation of stem cells (fibroblasts) present in these borders and, by chemotaxis, will migrate to the region to be repaired.

  • Laser: Red
  • Fluency: 20 to 25 J/cm²
  • Dose: ~ J

Action: Immediate analgesia, formation of tertiary dentin.

Application: Two points directly over the scraped region, in the region of the dentin collar, perpendicular to the exposed region, and a point at the dental apex.

Dosage: 4 applications at 72 hour intervals. It is recommended to start with the recommended minimum dose for a dental element, ie dose (energy) of ~ 1 J using a flow rate of 20 to 25 J/cm 2, increasing the dose in subsequent sessions, if necessary.

The dose (energy) will be divided into two points of ~ 0.5 J using fluence of ~ 10 J/cm² in each of them. Continue periodontal treatment as recommended in the item “Periodontics”.

Tip: The laser is applied over the exposed neck, on the long axis of the tooth, by vestibular. There is no need to apply by lingual, since the laser has good penetration in the dental tissue. It can be supplemented by applying a point on the dental apex to increase circulation and decrease pulpal inflammation.

Laser: Infrared
Fluency: 20 to 25 J/cm²
Dose: ~ 1 J

Action: Analgesic, anti-inflammatory; muscle relaxant, relief in cases of trismus, repair of traumatized nerves.

Application: Points over the joint region. In case of trisms, treat the triggers and muscles involved.

Posology: 2 points of 2 J using fluence of 35 to 50 J/cm² in each ATM. It is recommended to use infrared, with applications every 72 hours, as long as the symptoms persist.

Tip: The use of laser does not dispense the need for oral rehabilitation in patients who need it. The laser is applied at one or two points directly over the temporomandibular joint.

Laser: Infrared
Fluency: 35 to 50 J/cm²
Dose: ~ 2 J

Action: Accelerates and improves bone repair and soft tissue healing; reduces postoperative pain and edema.

Application: In the first intention repairs, along the edges of the suture. In the reparations for second intention, besides this region, also on the bed of the wound.

Posology: Applications should be performed every 72 hours during the first month of the bone healing process.

Tip: The laser is applied over the area where the tissue repair is sought. It is recommended to complement the local treatment with the Almeida-Lopes lymphatic drainage technique.

Laser: Red
Fluency: 50 to 70 J/cm²
Dose: ~ 3 J

Action: Stimulates the secretion of saliva in patients with diseases or who use medications that lead to this condition; patients undergoing chemotherapeutic or radiotherapeutic treatment; in the adjuvant treatment of Sjogren’s Syndrome.

Application: Directly on the major affected glands.

Posology: The recommended wavelength is infrared. The applications should be performed every 96 hours, while the xerostomia condition persists. The dose (energy) used in the first 2 applications should be ~ 1 J, using fluence of 20 to 25 J/cm² per point, making a total of 4 or 5 points on the larger gland under treatment. From the third application, the dose used will become ~ 2 J per point, using fluence of 35 to 50 J/cm 2. We recommend keeping 1 cm between these points.

Tip: Laser is indicated in these pictures not only to prevent the opportunistic infections that affect these patients, but also to prevent and treat the mucositis that invariably affects these patients.

Laser: Infrared
Fluency: 20 to 25 J/cm²
Dose: ~ 1 J

Benefits

  • Absorbed by substances in the plasma membrane of deeper cells (connective tissue, muscle, bone, cartilage, etc);
  • Alteration in membrane permeability with increased absorption of nutrients, water and dermocosmetic assets;
  • Activation of cellular metabolism;
  • Increase in deep peripheral microcirculation (activation of lymph nodes in pre and post lymphatic drainage).

Benefits

  • Absorbed by substances present in the mitochondria of superficial cells (epithelial tissue and underlying connective tissue);
  • Increased ATP synthesis;
  • Increased production of collagen and elastin;
  • Release of endorphins and enkephalins;
  • Increased superficial peripheral microcirculation;
  • Inhibition of cyclooxygenase (analgesia).

Benefits

  • Absorbed by porphyrins;
  • Immediate hydration;
  • Optimization of superficial pickling (physical or chemical peels);
  • Formation of reactive species that act on melanin, fractionating this molecule and making it less absorbing light (bleaching effect on melanin spots);
  • Bactericidal effect on microorganisms with physiological porphyrin (propyonibacterium acne).

Benefits

  • Absorbed by ribosomes, responsible for the synthesis of amino acid chains;
  • Acceleration in the speed of protein synthesis (collagen fats, elastic fibers, etc.);
  • Breakage of hydrogen bonding that form in glycation processes, improving the elasticity of densified fibers and preventing processes of ruptures thereof (striations).

Benefits

  • Energy stimulation and intracellular functioning;
  • Stimulation to physiological lipolysis;
  • Control of frozen fibroedema (EGF);
  • Oxitherapy (increased local oxygenation and toxic gas sweeping;
  • Optimization of collagen synthesis;
  • Healing and restorative action;
  • Increases acceleration of cellular and tissue regeneration;
  • Increased local metabolism;
  • Improvement of viscoelasticity.

Concentration of 0.005%: Indicated for deep areas

  • Endodontics;
  • Periapical lesions;
  • Apicectomies;
  • Deep periodontal pockets;
  • Contaminated bone grafts.

0.01% Concentration: Suitable for surface areas

  • Contaminated oral lesions;
  • Peri-implantite;
  • Herpes Simplex;
  • Decontamination on dental surfaces-cavities.
  1. Carry out the mechanical chemical preparation of the root canal system.
  2. Apply the Methylene Blue 0.005% in each channel, wait for 5 minutes.
  3. Red laser beam (660 nm) for 90 seconds (9 J or 320 J/cm²) on each channel.
  4. The fiber should be placed 2 mm from the apex of the canal. There is no need to carry out any movement, it must remain stopped. In the case of staining use 5.2% sodium hypochlorite or EDTA.
  • Laser: Red
  • Fluency: 320 J/cm²
  • Dose: ~ 9 J
  1. Apply the Methylene Blue 0.10% and wait 5 minutes.
  2. Red laser beam (660Nm) for 90 seconds (9 J or 320 J/cm²).
  3. Root scaling and straightening – RAR.
  4. The procedure should be performed again after RAR.
  5. Depending on the severity of the case, the periods of 7 and 30 days after the first application are recommended.
  • Laser: Red
  • Fluency: 320 J/cm²
  • Dose: ~ 9 J
  1. Cold sores in the bladder phase.
  2. Drainage of the vesicles with a sterile needle.
  3. Application of Methylene Blue 0.10% and wait 5 minutes.
  4. Red laser beam (660 nm) for 90 seconds (9 J or 320 J/cm²).
  5. Complete repair of the lesion in 1 week.
  • Laser: Red
  • Fluency: 320 J/cm²
  • Dose: ~ 9 J

Action: Regeneration and prolonged hydration through the reorganization of the dermal connections. It strengthens immunity, resistance and skin vitality.

Protocol

  1. Clean with Clean Solution Purifying Cleaning Gel. Remove with cotton swab moistened with water.
  2. After evaluation of the client, if there is no contraindication, perform the ILIB technique for 30 minutes, simultaneously with the next steps.
  3. Use infrared laser on the face lift muscles (muscle tone) with sweeping motions. Then use blue LED for hydration and tissue swelling.
  4. With dry skin, apply Neoderm Complex Glyco-Active Soap and let it act for a minute. Remove with cotton swab moistened with water.
  5. Use infrared laser again to increase the absorption of the active.
  6. Spray Hidradefense Solution Moisturizing mist directly onto face, neck and lap and wait to soak. Do not remove.
  7. Apply Hydradefense Solution Dynamizing Fluid and perform clamping maneuvers. Do not remove.
  8. Then apply Hidradefense Solution Sapphire Mask and use red laser for 10 minutes to increase mitochondrial ATP.
  9. Remove with cotton swab moistened with water.
  10. Apply Hidradefense Solution Energizing Massage Cream and perform Connect Derm Intensive Massage. Do not remove.
  11. Use Red Laser to stimulate the ribosome organelle and the synthesis of collagen. After, use amber LED + infrared laser, simultaneous.
  12. Apply three drops of Hidradefense Solution Elixir Repairer in the palm of the hand, rub in each other to increase the heat and exhale the blend of essential oils. Then transfer to the face with light pressure to deposit the product on the skin.
  13. Finalize protecting the skin with one of the products of the daily photoprotection line.

Home Care Maintenance

Day and Night: Intensive Serum and Repair Elixir of the Hidradefense Solution Line.

Day: Hidradefense Moisturizing Mist Solution and Solar Filter.

Night: Hidradefense Solution Aqua Pro.Bio.

Frequency: According to the professional’s assessment.


Tips: In resistant skins, use Neoderm Complex Mascara 10 AG, after the Neoderm Complex Glyco-Active Soap, to potentiate the treatment. Leave on for 10 minutes and remove with cotton swab moistened with water.

Benefits: Antifrug, cell renewal and intensive hydration.

Protocol

  1. Clean areas with Clean Solution Purifying Cleaning Gel. Remove with cotton swab moistened with water.
  2. Use blue LED for pre-peeling hydration.
  3. Apply Neoderm Complex Tri-Active Peeling with circular motions for one minute. Remove completely with gauze and water.
  4. Use infrared laser to increase peripheral microcirculation and active absorption.
  5. Apply Gold Mask on your lap and hands and let it act for up to 20 minutes. Remove completely with cotton swab moistened with water.
  6. With massage movements, apply Biogen Facial Dermocosmetic Treatment Phase 1 until total absorption.
  7. Then apply Biogen Sérum with Syn-Ake® with pinching movements, massaging until completely absorbed.
  8. Use red laser to stimulate the cellular energization (ATP).
  9. Follow with amber LED + infrared laser, simultaneously, to increase collagen synthesis.
  10. Finalize protecting the skin with one of the products of the daily photoprotection line.

Tips: In resistant skins, use Neoderm Complex Mascara 10 AG, after the Neoderm Complex Glyco-Active soap, to potentiate the treatment. Leave on for 10 minutes and remove with cotton swab moistened with water.

Cosmetic dentistry

  • Tissue management.
  • Lingual and labial fren.
  • Outline of the tissue.
  • Positioning of pontics.
  • Increased clinical crown (without osteotomy).
  • Cauterizations by vaporization and ablation.
  • Gingival hyperplasia.
  • Gingivectomies and Gingivoplasty (tissue sculpture).
  • Lip herpes.
  • Aphthous ulcers.
  • Removal of incipient carious tissue in dentin and enamel.

Pediatric dentistry

  • Tissue management.
  • Distal wedge.
  • Difficulties of eruption of the teeth.
  • Hyperplasias.
  • Frenectomies.
  • Incision and drainage of abscesses.
  • Pulpotomias.
  • Pulpectomies
  • Remineralization of white spots.
  • Decontamination of darkened grooves, incipient caries and restoration margins.

Prosthodontics and implantology

  • Biopsies.
  • Injuries caused by prostheses (healing and pain relief).
  • Deepening lobby.
  • Frenectomy.
  • Reduction of tuberosity soft tissue.
  • Implantology, reopening of implants, implant maintenance.
  • Immediate dentures.
  • Trauma of tissue.
  • Papillary hyperplasia.
  • Positioning of pontics.

Oral and Maxillofacial Surgery

  • Oral medicine.
  • Lip herpes.
  • Aphthous ulcers.
  • Papillary tongue
  • Ablation of hair follicles of skin grafts.
  • Incisional and excisional biopsies.
  • Removal of benign and malignant hyperkeratocysts and vascular lesions.
  • Injuries to the tongue.
  • Lesions present in the vermilion of the lips.
  • Superficial white lesions such as leukoplakia and lichen planus through laser peeling (exfoliation).

Periodontics

  • Gengivectomy (reduction of bags up to 5-6mm).
  • Surgery with flap.
  • Removal of granulation tissue.
  • Formation of protective layer on surgical wound.
  • Conformation and adaptation of the margins of the flap.
  • Distal wedge (without osteotomy).
  • Reduction of soft tissue of tuberosities.
  • Coagulation of donor areas of grafts.
  • Postoperative management of patients operated through retail surgeries.
  • Plasticity of fabric for cosmetic dentistry and maintenance.
  • Reduction of bag for patients in reconsultation / refractory.
  • Soft tissue procedures for debilitated patients (with compromised health).
  • Removal of melanin stains from the gingiva with aesthetic purpose.

Endodontics

  • Incision and drainage.
  • Removal of gutta-percha from the channels.
  • Removal of organic debris.
  • Pulpotomy.
  • Bleeding control.
  • Pulpal capping.
  • Intracanal bacterial reduction.

Oral surgery

  • Vaporization and ablation with hemostasis and tissue healing.
  • Revival of edges.
  • Gingival hyperplasia.
  • Excision.
  • Biopsies.
  • Leukoplakias.
  • Lichen flat.
  • Treatment of medically debilitated patients (compromised health).
  • Patients treated with drugs for blood thinning.
  • Patients with pacemakers.
  • Drug induced hyperplasia.
  • Mucosites in patients undergoing chemotherapy.
  • Hypertensive patients.
  • Reduction of infection for compromised cardiac patients.
  • Multiple extractions.
  • Formation of a clot to cover bone to reduce alveolitis.
  • Apicectomies.
  • Mucoceles.
  • Cosmetic surgery of the face.
  • Superficial teleangiectasias.
  • Pigmented lesions.
  • Pyogenic granuloma, fibroma, papilloma.
  • Nicotinic stomatitis.
  • Erosive flat lichen.
  • Inflammatory papillary epulihiperplasica.
  • Removal of lesions and benign conditions.
  • Verruca vulgaris.
  • Removal of malignant lesions.
  • Removal of vascular lesions-hemangioma.
  • Removal of lesions in patients with hemorrhagic disorders.
  • Skin folds.

Description: Surgical excision for the removal of a frenulum or mucosal fold that hinders or restricts movements of the tongue, lips, foreskin or other structures endowed with some anatomical retraction.

Application: Raise the tongue as far as possible towards the palate, keeping the mouth open, the lingual brake tight, and section it with the laser tip in sweeping movements. Complete deinsertion and elimination of all fibrous tissue is performed. The direction of the divulsion should be the same as that of the fibers, thus avoiding fibrosis in the postoperative period. Healing time of 10 to 15 days.

  • Power: 2 to 3 W
  • Frequency pulse: 20 pps
  • Pulse Width: 20 ms

Description: Surgical release of any anatomical structure equipped with a brake.

Application: The upper lip is tightened and the lip is excised and the palatal insertion with the laser tip in contact with the tissue. One can also carry out vaporization technique, in which the laser operates near the contact, blurred. Healing time of 7 to 10 days.

  • Power: 2 to 3 W
  • Pulse rate: 25 pps
  • Pulse Width: 20 ms

Description: It is the name given to a periodontal procedure with aesthetic purpose that consists of a greater exposure of the constituent enamel of the clinical crown, through surgical gingivoplasty. This procedure is also known as Clinical Crown Augmentation.

Application: The depth of probing with periodontal instrument (3 points per face) is marked. Afterwards, the gingival contour is remodeled with the laser tip at 45 degrees in contact with the tissue. Intermittent cutting motion depending on the consistency of the fabric. Afterwards, the tissue is scarified with the non-contact laser. No need for surgical cement. Healing time: 4 to 7 days.

  • Power: 1.5 to 2.5 W
  • Frequency pulse: 20 pps
  • Pulse Width: 20 ms

Descition: It is the name given to the increase in non-tumor volume of any structure, tissue or organ due to the increase in the number of cells, always all the same. Surgery for the removal of this clinical condition is important, especially in cases of pre-prosthetic preparation.

Application: Clamping is performed at the base of the lesion and the incision is then performed with the laser tip perpendicular to the edge of the lesion. Depending on its size, there is no possibility of performing histopathology. Thus, if it is a lesion with a doubtful diagnosis, make an incision with margin to collect excess material or opt for a conventional biopsy prior to surgery. Healing time: 10 to 15 days.

  • Power: 2 to 4 W
  • Frequency pulse: 20 pps
  • Pulse Width: 20 ms

Descition: Also known as gingival peeling, it consists of a surgical or pharmacological procedure of any lesion or formation pigmented by melanocytes.

Application: Procedure without infiltrative anesthesia. In some patients topical anesthesia with prilocaine 3% (EMLA) is used. It works with the contact laser only by scarifying the epithelial tissue. No need for surgical cement. Healing time: 5 to 8 days.

  • Power: 2 to 3 W
  • Frequency pulse: 20 pps
  • Pulse Width: 20 ms

Description: It is the inflammation of the gums around an erupting tooth. After the clinical treatment of its acute phase, it is indicated the surgical removal of the spare tissue in the region.

Application: A distal wedge is made with the laser operating in contact. After the removal is completed, the laser is operated, without contact, in order to decontaminate the region and form a natural protection. Healing time 3 to 5 days.

  • Power: 2 to 4 W
  • Frequency pulse: 20 pps
  • Pulse Width: 20 ms

Description: Opening or exteriorization of an implant by means of surgical technique for revision, clinical inspection or replacement of implant or osseointegrated abutments.

Application: The area of the implant is marked. If it is fibrous, it will be necessary to vaporize the fabric. Circular movements are performed until the implant is exposed. If the aesthetic region is compromised, direct incision in the palatal and / or lingual region is recommended, in order to preserve the vestibular-anterior border. Healing time: 2 to 3 days.

  • Power: 1.5 to 2.5 W
  • Frequency pulse: 20 pps
  • Pulse Width: 30 ms

Description: This term is sometimes used to denote an angular surgical incision made in the gum for the purpose of removing a small amount of fibrous gingiva to facilitate the eruption of a tooth that should have already erupted.

Application: The amelo-cementary limit is determined and then movements are made with the laser tip in the region of the ridge to be excised. Healing time: 3 to 5 days.

  • Power: 2 to 3 W
  • Pulse rate: 25 pps
  • Pulse Width: 20 ms

Action: Nano Home has in its formulation 16% of peroxide of carbamide, which dissociates into hydrogen peroxide and urea. This first is a powerful whitening agent that acts by oxidizing the organic pigments, acting in both enamel and dentin.

Application

  • Carry out the prophylaxis with pumice stone and water, perform the registration of the initial staining of the dental elements;
  • Flossing and brushing teeth;
  • Apply the required amount of Nano Home whitening gel in the tray, avoiding overeating;
  • Fit the tray into the dental arch;
  • Remove excess gel with cotton or toothbrush;
  • Obey the length of stay determined by the dental surgeon. If there is significant sensitivity, discontinue treatment and contact the dentist surgeon;
  • When time has expired, remove the tray. Wash and brush your teeth with toothpaste free of dye and baking soda;
  • Wash, dry and store the tray;
  • If necessary, apply the desensitizer. The application can be performed with your own fingers or by applying it to the tray;
  • Repeat treatment according to the dental surgeon’s orientation;
  • After the appropriate treatment time, polish the dental elements using a contra-angle felt attached to a polishing paste;
  • Make a final color shot.

Action: Nano White has 35% hydrogen peroxide in its formulation (after mixing Phases 1 and 2), a powerful bleaching agent that acts by oxidizing the organic pigments found in both enamel and dentin.

Application: Apply the gel on the buccal surface of the teeth. A layer of gel 1 to 2 mm thick should be applied over the entire vestibular enamel.

Satisfactory bleaching results will occur from 1 to 3 clinical sessions, depending on the patient’s age, type of staining, and tooth staining. The whitening protocol associated with light source increases the performance of the result, allowing a faster whitening, and consequently with less sensitivity.

Protocol

No light: Leave the product in contact with the teeth for 45 minutes.


With blue LED: Total time 24 minutes

1st application – 12 minutes (2 minutes upper arch – 2 minutes lower arch – until total 12 minutes).

2nd application – 12 minutes (2 minutes upper arch – 2 minutes lower arch – until total 12 minutes).


With violet LED: Total time 18 minutes

1st application – 9 minutes (1 minute upper arch – 1 minute lower arch – until total 9 minutes).

2nd application – 9 minutes (1 minute upper arch – 1 minute lower arch – until total 9 minutes).

Action: Nano White has 6% hydrogen peroxide in its formulation (after mixing Phases 1 and 2), a powerful whitening agent that acts by oxidizing the organic pigments found in both enamel and dentin.

Application: Apply the gel on the buccal surface of the teeth. A layer of gel 1 to 2 mm thick should be applied over the entire vestibular enamel.

Satisfactory bleaching results will occur from 1 to 3 clinical sessions, depending on the patient’s age, type of staining, and tooth staining. The whitening protocol associated with light source increases the performance of the result, allowing a faster whitening, and consequently with less sensitivity.

Protocol

With violet LED: Total time 30 minutes

1 application – 30 minutes (15 minutes upper arch – 15 minutes lower arch – until total 30 minutes).


Application: Apply the gel on the buccal surface of the teeth. A layer of gel 1 to 2 mm thick should be applied over the entire vestibular enamel.
The product will be applied only once per session. Satisfactory bleaching results will occur from 1 to 3 clinical sessions, depending on the patient’s age, type of staining, and tooth staining. The whitening protocol associated with light source increases the performance of the result, allowing a faster whitening, and consequently with less sensitivity.

Protocol for 35%

No light: Leave the product in contact with the teeth for 45 minutes.


With blue LED: Total time 24 minutes

1st application – 12 minutes (2 minutes upper arch – 2 minutes lower arch – until total 12 minutes).

2nd application – 12 minutes (2 minutes upper arch – 2 minutes lower arch – until total 12 minutes).


With violet LED: Total time 18 minutes

1st application – 9 minutes (1 minute upper arch – 1 minute lower arch – until total 9 minutes).

2nd application – 9 minutes (1 minute upper arch – 1 minute lower arch – until total 9 minutes).


Protocol for 6%

With violet LED: Total time 30 minutes

1 application – 30 minutes (15 minutes upper arch – 15 minutes lower arch – until total 30 minutes).