The connection of such key technologies as laser and sensor technology opens a broad field of applications especially in medicine. The development of sensor-controlled medical laser systems represents a quantum leap in precision and safety in medical practice. This makes the treatment or surgery more gentle and safer for both physician and patient. This paper presents the possibilities and the potential of sensor-based laser procedures in medical practice. It starts with medical laser technology and sensor systems that are already used in medical diagnostics and therapy. A concrete example from laser surgery illustrates the advantages of laser ablation for an osteotomy of the mandible and a sensor and control concept for tissue-specific bone ablation. An Er:YAG laser system was combined with a process control and qualified for layer-specific ablation of hard tissue. Layer-specific ablation of tissue is especially important when, as in the laser osteotomy of the mandible (lower jaw), vulnerable structures, as e.g. nerves (mandibular nerve), run underneath the to-beablated tissue that may not be damaged. The closed loop control system developed for laser osteotomy is based on the evaluation of process emissions that occur during the laser ablation and are recorded with several sensors. Thereby optical and acoustic process emissions are used for achieving switching-off criteria for the laser system before damaging the nerve. Tests were performed on dissected bone specimens from the rabbit's femur and minipig's jaw. After laser application the bone specimens were evaluated macroscopically, radiologically, histologically and by micro computed tomography.

Purpose: To date, the qualitative and quantitative recording of biomechanical processes in dental implants represents one of the greatest challenges in modern dentistry. Modern, dynamic, 3D optical measurement techniques allow highly constant and highly accurate measurement of biomechanical processes and can be superior to conventional methods. This work serves to establish a new measurement method. Materials and Methods: A comparative analysis was undertaken for two different measurement systems, two conventional strain gauges versus the 3D optical two-camera measurement system ARAMIS (GOM GmbH, Braunschweig, Germany), as they detected surface changes on an artificial bone block under masticatory force application. Two implants (Straumann Standard Implants Regular Neck, Straumann GmbH, Freiburg, Germany) were placed in the bone block, and three different three-unit bridges were fabricated. Increasing masticatory forces, from 0 to 200 N, were applied to the bone block via each of these bridges and the inserted implants. Fifteen repetitions of the test were performed using a universal testing machine. The computer unit of the ARAMIS system was used to simultaneously integrate the surface changes recorded by the strain gauges and the ARAMIS system. The areas on the bone block examined by the dynamic 3D optical measurement method corresponded exactly to the locations and extent of the strain gauges. A statistical comparative analysis was carried out separately for the strain gauges and the corresponding optical measuring surface at the defined force magnitudes. The equivalence test and the intraclass correlation served as statistical means. Results: In the case of the intraclass correlation, a clear concordance of both measurement methods could be shown for all examined cases. For the equivalence test, no significance could be shown in individual cases. Conclusion: The accuracy of the modern, dynamic, 3D optical measurement method is comparable to that of conventional strain gauges. On this basis, versatile new research approaches in the field of biomechanics of dental implants can be pursued by establishing this method.