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laser – international magazine of laser dentistry No.4, 2015

reason, the laser needs more than one treatment sessiontobecomefullyeffective.Inthecourseof45 minutes, the cells are furnished with the correct amount of energy to rebuild the desired fixed “iron bar” structure. When talking to patients, I like to re- fertoanimageofachainofpeoplewithlinkedarms. Thisimageshowsthatnothing„unnatural“ orpainfullikeburning,etchingorscarringwill happen during laser treatment. On the contrary, the cells determine what will happen: laser treatment of the palate is a natural reaction of a group of tissue cells to a wave- length, just as the inner ear’s celia re- spond to sound waves. The cellular reaction of the tissue in the soft-palate and the parapharyngeal space leadstothedesiredtighteningoftherelaxed tissue.Whenpatientsaskmehowmanyses- sions will be necessary, I ask them how often they think they would have to be at a fitness centretotraintheirmuscles.ThisishowItell them that there is no simple answer to this question,asmanyaspects,suchasthequality ofthetissue(trainedorpuffy)orthepatient’s age will influence the treatment outcome. However, they happily accept my statistical replythatthreetofoursessionsaresufficient for 85 to 92 % of all cases. In addition, I always pointoutthatthismeansthatwhileonecasecanbe treated in only three sessions, another might take five or six appointments to achieve the desired cel- lular reaction. Many patients agree to give their age and weight in order to extend my statistical data- base. Another psychological advantage of this treatment method is that the patient is in charge of endingthetreatment.Heorshe(womenarelessfre- quently affected by sleep apnoea) is therefore al- ways in full control. This includes the financial as- pect. Sometimes intense question and answer ses- sionsoftheabovekind,incombinationwiththeas- sessment of findings with regard to the anatomical pharynxclassification(I–IV),formthecontentofthe firstappointment.Attheendofthissession,alsothe payment modalities are discussed. Billing specifics for German dentists can be found below in the sec- tion “Kurz & bündig”. practice management I I 29laser4_2015 The typical snoring noise familiar to most of us is a result of the soft palate vibrating with each breath after becoming relaxed when one falls asleep. Laser treatment of the palate is a natural reaction of a group of tissue cells to a wavelength, just as the inner ear’s celia respond to sound waves. [PICTURE:©MOTTTIVE]

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