1. After conventional instrumentation has been completed, gently probe the pocket
   to get a sense of its geometry.

2. Begin to lase the periodontal pocket.
    • Always use the lowest amount of power necessary to reach the treatment
      objectives.
    • Keep the fiber parallel to the root surface during lasing or with the tip slightly
      tilted toward the gingival tissue.
    • Keep the fiber tip in contact with the epithelium.

3. Move the fiber in both horizontal and vertical directions, covering the epithelium
    and adjacent/inflamed tissue. Move the fiber smoothly and at a moderate speed.          Debride all granulation tissue. Clean the tissue buildup from the tip with a
    gauge pad wet with hydrogen peroxide.
    • You may use a fine water spray during laser treatment for rinsing.
    • Remove plume and debris with the high volume evacuation.

4. The total amount of time for this laser procedure is a function of the extent
    of the diseased soft tissue.
    • In general, lase pockets 6 millimeters or less for approximately 30 seconds
      and lase pockets greater than 6 millimeters for 45 seconds.
    • If the patient experiences noticeable discomfort, lower the power setting and
      switch to pulse mode. Anesthetic may be administrated.