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Protocol · Periodontics

TwinLight

Perio therapy without the flap.

TwinLight uses both LightWalker wavelengths in one visit to clean the pocket, remove calculus and seal the tissue. No scalpel, no sutures, and patients leave with the pocket already sealed.

Book a demoHow it works

TwinLight perio treatment, filmed chairside.

2wavelengths, one laser
No flapno scalpel, no sutures
FDAcleared for laser-assisted new attachment
$1,500sample fee per quadrant

1The protocol

Three steps, one appointment.

The TwinLight sequence from the LightWalker protocol.

Nd:YAG

Clear the lining

Nd:YAG removes the diseased epithelial lining and opens access to the root surface.

Er:YAG

Clean the root

Er:YAG removes calculus and biofilm from the root, without heating it.

Nd:YAG

Seal the pocket

A final Nd:YAG pass coagulates and leaves a stable fibrin clot that seals the pocket while it heals.

Also for peri-implantitis. The same idea works around implants: Er:YAG removes granulation tissue and cleans the implant surface, then Nd:YAG decontaminates and biostimulates the surrounding tissue. The Nd:YAG beam is never aimed at the implant surface.

2For your patients

Why patients say yes.

No cutting, no stitches

Patients who put off flap surgery say yes to a procedure with no scalpel and no sutures.

A comfortable recovery

Bleeding is controlled during treatment, so recovery is usually easier than traditional surgery.

Results they can see

Follow-up X-rays show bone fill after TwinLight. Showing them makes the conversation easy.

3For your practice

Why it pays.

Keep perio in-house

Treat moderate to advanced pockets yourself instead of referring them out.

Higher case acceptance

A no-flap option turns "I'll think about it" into scheduled treatment.

Fits your hygiene program

Laser pocket therapy and maintenance flow naturally from your hygiene schedule.

$1,500 sample fee in the ROI calculator.Plug in your own fee and monthly volume.
Calculate your ROI

4The evidence

What the research shows.

Better

Pocket depth and attachment gains at 2 months vs. SRP alone in a randomized trial.

3

steps, all on one LightWalker. No second laser.

0

sutures. The clot seals the pocket.

Bone regeneration on X-rays after TwinLight treatment. Source: Baltimore Center for Laser Dentistry, via the LightWalker II brochure.

Bone regeneration on X-rays after TwinLight treatment. Source: Baltimore Center for Laser Dentistry, via the LightWalker II brochure.

Perio RCTNd:YAG/Er:YAG added to SRP

Combined laser therapy with SRP gave significantly better probing depth and attachment gains at 2 months than SRP alone.

PMID 33813638
Controlled trialSurgical peri-implantitis

Combined Er:YAG/Nd:YAG treatment compared with conventional surgical debridement, looking at clinical outcomes and bone-loss biomarkers at six months.

PMC10046921

Questions dentists ask

Which LightWalker runs TwinLight?
TwinLight needs both wavelengths, so it runs on the LightWalker AT S, which has Er:YAG and Nd:YAG. The ST-E models are Er:YAG only.
Does it replace scaling and root planing?
It works alongside it. In the randomized trial, adding combined laser therapy to SRP beat SRP on its own.
How is it different from Nd:YAG-only protocols?
Both use Nd:YAG for the pocket lining and the final seal. TwinLight adds Er:YAG to clean calculus off the root, a step that would otherwise need instruments.
How long does it take to learn?
The touchscreen has TwinLight presets built in, and Fotona offers hands-on training through its courses and the Laser and Health Academy.

More protocols

SWEEPSLaser-activated endoNightLaseSnoring treatmentSmoothLasePerioral linesLipLaseLip volume, no filler

See TwinLight on a real case.

In your office or over video.

Book a demoCalculate your ROI
Rian Medley

Rian Medley

Area Sales Manager, Fotona

Rian.Medley@fotona.com
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