Wavelength
Why it matters: it works below the surface to seal, disinfect and calm tissue.
1064 nm passes through water and is absorbed by blood and pigment, so it reaches millimeters into soft tissue. That's what lets you control bleeding, disinfect deep in the pocket and relieve pain, all in-house.
1For you
Less bleeding to manage, fewer instruments, and one laser for both steps of TwinLight.
Nd:YAG seals small vessels as it works. Frenectomies, gingival procedures and lesion removal stay clean and visible, and many don't need sutures.
Run the fiber through the pocket after scaling and root planing. It adds a few minutes and takes the bacterial load down in tissue your curettes can't reach.
See the researchSwitch between Er:YAG and Nd:YAG on the touchscreen mid-procedure. TwinLight perio and peri-implantitis protocols run on a single unit, no second laser.
Pick the procedure and the settings load. Fine 200 and 300 µm fibers for pockets and precise soft tissue work.
2For your patients
Less bleeding, less swelling, no flap. That's what gets hesitant patients to accept treatment.
In a randomized trial, adding combined Nd:YAG/Er:YAG laser therapy to SRP gave significantly better pocket depth and attachment gains at 2 months than SRP alone.
Randomized trialWith bleeding controlled during the procedure, patients typically see less swelling and an easier recovery after soft tissue surgery.
A short, low-level Nd:YAG application eases discomfort and can shorten healing time. Patients remember the office that fixed it.
Paired with Er:YAG, Nd:YAG decontaminates and biostimulates the tissue around peri-implantitis sites, giving patients an option before removal.
Controlled trial3For your practice
Cases you stop referring out, and quick add-ons that fit into visits you already have.
Treat pockets in-house instead of sending them to the periodontist.
Keeps cases in-houseManage peri-implantitis in your own office with the combined protocol.
Keeps cases in-houseA hygiene add-on for active pockets during periodontal maintenance.
Hygiene add-onQuick, dry-field procedure, often same day it's diagnosed.
Same-day add-onMinor soft tissue surgery with little bleeding and fast recovery.
Same-day add-onA few minutes of chair time for patients who walk in miserable and leave relieved.
Quick add-onSample fees from the ROI calculator. Set your own based on your market.
4The science, briefly
Water barely absorbs 1064 nm, so the beam passes into the tissue and gets picked up by blood and pigment instead.
The energy spreads into the tissue rather than stopping at the surface. Why it matters: it reaches bacteria in the pocket wall, not just on top.
Blood absorbs 1064 nm strongly, so vessels close as you work. Why it matters: a dry field and less post-op bleeding.
Energy arrives in bursts, with time for tissue to cool in between, unlike a continuous diode. Why it matters: clean cutting with less heat spread.
Nd:YAG removes the diseased pocket lining, Er:YAG clears calculus from the root, and Nd:YAG finishes by sealing the pocket with a stable clot while it heals.
No flap and no sutures. Before-and-after X-rays from one case are in the video library.
Approximate values from published absorption data: water (Hale & Querry 1973), whole-blood hemoglobin (Prahl), melanin (Jacques). Simplified for teaching.
Adding combined laser therapy to non-surgical treatment gave significantly better probing depth and attachment gains at 2 months than SRP alone.
PMID 33813638Combined Er:YAG/Nd:YAG treatment compared with conventional surgical debridement, looking at clinical outcomes and bone-loss biomarkers at six months.
PMC10046921A randomized trial testing whether LightWalker Nd:YAG reduces the incidence, severity and length of mucositis in stem cell transplant patients.
NCT05175222In your office or over video.
Territory Manager, New York, New Jersey, Connecticut
All views and opinions on this site are my own and do not represent those of Fotona. Content is for educational purposes for dental professionals and is not medical advice. Some research and clinical content on this site comes from the Laser and Health Academy (LA&HA), a not-for-profit organization dedicated to education on lasers in medicine. Those contributions reflect the views and clinical experience of their authors and should not be regarded as official product information.