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)?
- 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?
● Sports medicine
● Surgery (post surgery)
● Med. Cosmetics
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 || |
Dose per point
Muscle spasm relaxation
Acupuncture point stimulation
0.1 - 0.5 J/cm2
5 - 7 J/cm2
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
in minutes/in days
1 - 4 J/cm2
in hours/in days
2 - 3 J/cm2
Nerve cells regeneration
in days/in weeks
1 - 4 J/cm2
SIX Laser Applications
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)
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
Acne vulgaris, Alopetia areata, Cicatrix, Cicatrisatio, Combustio gr.l-IV, Decubitus, Erythema exsudativa multiforme, Furunculus, Herpes simplex, Herpes zoster, Lichen ruberplanus, Ulcus cruris, Rhagades
Otitis externa circumscripta, Furunculus, Sinuitis, Tonsillitis, Rhinitis vasomotorica, Herpes, Aptyalismus, enhances the recovery after Perforatio membranae tympani
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
Tonicizing of the facial musculature, anti-inflammatory procedures, Acne vulgaris, Sanatio, Furunculus, Cicatrix
● Laser acupuncture
Tonicize or Cedate
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.