bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com photodynamic therapy helbo® helbo® manual periodontitis/peri-implantitis (closed procedure) apdt therapy concept – periodontitis/peri-implantitis periodontitis/peri-implantitis (surgical procedure) endodontics (orthograde) endodontics (retrograde) disinfection of the alveoli bone necroses skin/mucosal diseases (e.g. aphthae, herpes, candida, suture dehiscence) caries photobiological laser effect: promotes wound healing, reduces pain and reduces inflammation controls bacterial infections „success scientifically proven for more than 15 years“ bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 3 photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ treatment materials helbo®blue photosensitizer 0,5 ml or helbo®blue photosensitizer 0,1 ml helbo®3d pocket probe helbo®theralite laser helbo®t-controller periodontitis/ peri-implantitis (closed procedure) bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 4 periodontitis/peri-implantitis (closed procedure) step 1: carry out professional cleaning of the teeth/implant. important: the less dental calculus remaining on the tooth/root surface, the better the access to the biofilm. the apdt is commenced immediately or a maximum of 1-2 days after cleaning. step 2: apply helbo®blue photosensitiser from the base of the pocket. important: a possible air bubble deep in the pocket prevents helbo®blue photosensitiser from reaching all bacteria. step 3: allow the helbo®blue photosensitiser to take effect for at least 1 minute - for pockets > 6 mm or persistent, refractory infections and in the case of implants, leave for 3 minutes. important: only bacteria stained blue will be killed. step 4: rinse the pockets thoroughly with h2 o - remove any excess dye, as well as from the base of the pocket (use a suitable rinsing cannula). important: helbo®blue photosensitiser must be applied in a very thin layer thickness so that the laser light can have a full effect and to avoid excessive absorption of light. step 5: expose the area in a circular manner for approx. 1 min. per tooth/implant: aim for contact exposure - as close as possible to the stained bacteria = the biofilm - 10 seconds for each of the 6 sites. important: only bacteria that are sufficiently exposed will be killed. ensure that the optic condition is perfect and change batteries daily for optimum results. how often must this treatment be carried out? • if used correctly (incl. correct preceding professional tooth cleaning), you will achieve a very good result with only one application. • application should be repeated after approx. 1 week in the case of persistent, refractory infections; professional tooth cleaning should be checked and optimised if necessary; the helbo®blue photo- sensitiser takes 3 minutes to take effect and this should be observed. bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 7 photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ treatment materials helbo®2d spot probe helbo®3d pocket probe helbo®cover sleeve periodontitis/ peri-implantitis (surgical procedure) helbo®blue photosensitizer 0,5 ml or helbo®blue photosensitizer 0,1 ml helbo®theralite laser helbo®t-controller bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 8 periodontitis/peri-implantitis (surgical procedure) step 1: surgical intervention: expose, remove the granulation tissue and, where necessary, the necrotic bone (in the case of peri-implantitis). important: access to the periodontal/peri-implantar pockets must be ensured. step 2: cleaning of the tooth/implant surface. important: coatings and biofilm should be removed as much as possible, e.g. with curette, powder jet suitable for the subgingiva, piezo technology. step 3: application of the helbo®blue photosensitiser on the implant and soft tissue, if necessary by means of compression with a soaked gauze strip. important: stain entire area, including the surrounding soft tissue/hard tissue. step 4: staining of the micro-organisms: 3 minutes to take effect. important: the time for the product to take effect ensures the penetration of the dye solution into the biofilm. step 5: prior to exposure with the helbo®theralite laser: rinse (saline solution) to reduce the layer thickness. important: excess dye absorbs too much and prevents correct light application in some circumstances. step 6: extensive exposure using the helbo®theralite laser for at least 1 minute per cm2 = 30 seconds for each site. important: in the event of deep vertical defects, additional use of the helbo®3d pocket probe is recommended. step 7: if necessary, defect augmentation; closure with sutures; further exposure of the surface to the photobiological laser effect. important: dye remaining in the operation area temporarily does not have any negative effects. bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 9 photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ treatment materials helbo®endo blue helbo®3d endo probe endodontics (orthograde) helbo®theralite laser helbo®t-controller helbo®endo seal bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 10 endodontics (orthograde) step 1: prepare the tooth in a conventional endodontic manner. important: dental dam recommended; prepare optimally to iso 45 (manually or by machine), then rinse (h2 o) and dry with paper points, then leave these in the canals. step 2: apply helbo®endo seal in the crown region to cover the surface. important: diffused dye can lead to permanent staining, therefore this area must be protected. step 3: remove paper points and apply helbo®endo blue from an apical to a coronal direction. important: prepare optimally to iso 45 – in the case of smaller preparation sizes, apply helbo®endo blue into the apical region by mechanical means (file, lentulo, gutta-percha points...), so that the dye reaches all of the bacteria. step 6: expose for 1 minute per canal: aim for contact exposure – as close as pos- sible to the stained bacteria, also in an apical direction. important: only bacteria that are sufficiently exposed will be killed. ensure that the optic condition is perfect and change batteries daily for optimum results. step 7: seal the canals and remove any dye residues in the crown region mechani- cally (finishing bur!). important: immediate definitive obturation is possible thanks to the significant reduction in bacteria step 4: allow helbo®endo blue to take effect for at least 1 minute. important: only bacteria stained blue will be killed. - diffusion into the tubules guarantees a deep treatment action. step 5: remove helbo®endo blue excess - rinse with h2 o for best results and dry completely with paper points. important: excess dye absorbs too much and prevents correct light application in some circumstances; the root canals must be dried completely. bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 12 step 1: retrograde preparation following root tip resection. step 2: application of the helbo®blue photosensitiser. important: stain the entire area, including the surrounding soft tissue/hard tissue, which has been infected by the apical process. step 3: staining of the micro-organisms, whole area, including the sur- rounding tissue: 3 minutes to take effect. important: the time for the product to take effect ensures the penetration of the dye solution into the biofilm. step 6: seal root canals and wound. important: dye remaining in the operation area temporarily does not have any negative effects on wound healing. step 4: prior to exposure with the helbo®theralite laser, rinse (saline solution) to reduce the layer thickness. important: excess dye absorbs too much and prevents correct light application in some circumstances. step 5: expose the root tip and the surrounding tissue. important: exposure with the helbo®2d spot probe (extensive exposure) for approx. 30 seconds for each site. endodontics (retrograde) bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 13 photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ treatment materials disinfection of the alveoli helbo®blue photosensitizer 0,5 ml or helbo®blue photosensitizer 0,1 ml helbo®cover sleevehelbo®3d pocket probe helbo®theralite laser helbo®t-controller bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 14 disinfection of the alveoli step 1: careful tooth extraction, where possible. important: the apical and periodontal granulation tissue must be curetted carefully but completely. step 2: soak a gauze strip with helbo®blue photosensitiser and pack the alveoli with it. important: stain the entire area, the gauze strip absorbs the blood at the same time. step 3: the time for the product to take effect in the alveoli is 3 min. important: the time for the product to take effect ensures the penetration of the dye solution into the biofilm. step 6 (option 1): immediate implantation. important: dye remaining in the operation area temporarily does not impair the healing process of the implant/bone grafting material. step 6 (option 2): application of bone grafting material for "socket preservation", wound closure. important: dye remaining in the operation area temporarily does not impair the healing process of the implant/bone grafting material. step 4: prior to exposure with the helbo®theralite laser, rinse (saline solution) to reduce the layer thickness. important: excess dye absorbs too much and prevents correct light application in some circumstances. step 5: expose the area in a circular manner for 1 min. per alveolus, as close to the alveolar walls as possible, in 6 places for 10 seconds each. important: in the event of severe bleeding from the alveolus, aspirate the blood and occasionally clean the optical fibre with a damp cloth. bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 15 photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ treatment materials bone necroses helbo®blue photosensitizer 0,5 ml or helbo®blue photosensitizer 0,1 ml helbo®cover sleevehelbo®2d spot probe helbo®theralite laser helbo®t-controller bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 16 step 1: division of the gingiva and subperiostal preparation. surgical removal of the necrotic and infected bone, smoothing of sharp bone edges (modelling osteot- omy). step 2: application of the helbo®blue photosensitiser on bone and soft tissue, if necessary by means of compression with a soaked gauze strip. important: stain the entire area, including the surrounding bone/soft tissue (including the periostium in particular). step 3: staining of the micro-organisms: 3 minutes to take effect. important: the time to take effect ensures that the bacteria that are still present are stained by the dye solution. step 4: prior to exposure with the helbo®theralite laser, rinse (sterile h2 o) to ensure sufficient exposure to the light. important: excess dye absorbs too much and prevents correct light applica- tion in some circumstances. the bone and soft tissue areas still stained after rinsing may be populated with bacteria and should be exposed. step 5: extensive exposure of the infected area. important: exposure with the helbo®2d spot probe (extensive exposure) for approx. 30 seconds for each site. step 6: wound closure important: further exposure of the closed operation wound to activate the photobiological laser effect (promotion of wound healing and pain reduction). bone necroses bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 18 skin/mucosal diseases step 1: application of the helbo®blue photosensitiser with a cannula or soaked gauze strips, staining of the infected area. important: where possible, remove loose, coarse coatings and biofilm by means of rinsing before commencing treatment (h2 o2 , nacl). step 2: time for the helbo®blue photosensitiser to take effect: 3 minutes. important: the time for the product to take effect ensures the penetration of the dye solution into the biofilm. step 3: prior to exposure with the helbo®theralite laser, rinse (h2 o) to reduce the layer thickness. important: excess dye absorbs too much and prevents correct light application in some circumstances. step 4: extensive exposure of the infected area. important: exposure with the helbo®2d spot probe (extensive exposure) for approx. 30 seconds for each light point. step 5: repeat the use of the helbo® treatment as required depending on the indication, severity, healing progress and treatment op- tions. important: a maximum of 3 applications is generally sufficient. if this is not the case, a further investigation of the causes should take place, if necessary. bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 19 photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ treatment materials caries helbo®blue photosensitizer 0,1 ml helbo®theralite laser helbo®t-controllerhelbo®2d spot probe bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 20 caries step 1: mechanical removal of caries. important: removal of the infected tissue as much as possible, however with concomitant protection of the pulpa. step 2: timely application of the helbo®blue photosensitiser on the base of the cavity. staining of the micro-organisms: 3 minutes to take effect. important: the time for the product to take effect ensures the penetration of the dye solution into the infected areas. step 3: prior to exposure with the helbo®theralite laser, rinse (h2 o) to reduce the layer thickness. important: excess dye absorbs too much and prevents correct light application in some circumstances. step 4: extensive exposure with the helbo®theralite laser and the helbo®2d spot probe (extensive exposure) for approx. 30 seconds for each site. step 5: if necessary, removal of dye particles on the side walls of the cavity. sealing of the cavity. important: dye residues temporarily remaining on the base of the cavity pose no risk to the outcome of treatment. bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
photodynamic therapy helbo® controls bacterial infections „success scientifically proven for more than 15 years“ bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 0 73 09 / 8 72-4 41 | f: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com 22 photobiological laser effect promotes wound healing, reduces pain and reduces inflammation aim: stimulation of the body's own repair process (atp synthesis, mitochondria activity) for improved wound healing, pain reduction and reduction of inflammation through the use of the low-energy laser light. use of the laser light alone (without dye solution) is expedient in all situations that do not involve an infec- tion, e.g. in the field of orthodontics (tooth bands) and in operation wounds following surgical proce- dures. procedure: extensive exposure of the affected areas. important: exposure with the helbo®2d spot probe (extensive exposure) for approx. 30 seconds for each site. note: repeat the photobiological effect of the helbo® theralite laser as many times as you like, if necessary, depending on the indication, severity, healing progress and treatment options. when using antimicrobial photodynamic therapy (dye solution and laser light) to treat infections, the photobiological effect has a positive concomitant effect. bredent medical gmbh & co. kg | weissenhorner str. 2 | 89250 senden | germany | t: (+49) 07309 / 872-441 | f: (+49) 07309 / 872-444 | www.bredent-medical.com | @: info-medical@bredent.com
protective charge : 19,90 e plus vat mistake and subject to change reserved 000567gb-20150723 bredent medical gmbh & co. kg weissenhorner str. 2 | 89250 senden | germany t: (+49) 0 73 09 / 8 72-4 41 f: (+49) 0 73 09 / 8 72-4 44 www.bredent-medical.com e-mail: info-medical@bredent.com helbo® manual other offers that may be of interest to you ref 000 429 gb ref 000 461 gb ref 000 200 gbref 000 501 gb periodontitis periimplantitis infection of the soft tissue and bone endodontitis caries helbo treatment success – scientifically documented helbo treatment infection control helbo the most important scientific publications - summary publications helbo® therapy develop secu re retain regeneration the complete solution for the alveolar ridge immediate restoration for potentially edentulous jaws and single-tooth gaps antibacterial, analogue and digital t: (+49) 07309 / 872-441 f: (+49) 07309 / 872-444 ref 000429 gb ref 000461 gb ref 000200 gbref 000501 gb