2024-03-21
Pub. No.: K239-91007-502 (en)The following symbols and expressions indicate the degree of danger and harm that could
result from ignoring the corresponding instructions:This alerts the user of the possibility of minor or moderate injury
or damage to the device.
This informs the user of important points concerning operation or
the risk of device damage.

Trademarks and Registered Trademarks
Parts of the names of companies, products, services, etc. used in this manual may contain either
trademarks or registered trademarks owned by each company.
© 2022 J. MORITA MFG. CORP.
2

Table of Contents
Design4

Description of Contact Tip Name.......................................................................... 4
Relation between Fiber Core Diameter and Laser Beam Characteristics............ 5Setup

6

Parts Identification................................................................................................ 6
Contact Tip Attachment........................................................................................ 7Operation

8

Applicable Treatments.......................................................................................... 8Treatment Guideline

9How to Use the Treatment Guideline................................................................... 9Treatment Guideline........................................................................................... 10
Hard Tissue................................................................................................... 10
Periodontal Tissue......................................................................................... 11Implant.......................................................................................................... 13
Soft Tissue.................................................................................................... 14
List of Recommended Contact Tips for Each Treatment.................................... 16

Tip Lineup

18C (Caries)...................................................................................................... 18CS (Caries Spray)......................................................................................... 19PS (Perio Surgery)........................................................................................ 20
PSM (Perio Surgery Metal)........................................................................... 21
S (Surgery).................................................................................................... 21R (Root)......................................................................................................... 22P (Perio)........................................................................................................ 23

Reprocessing

24

Contact Tips....................................................................................................... 24Items

26

List of Contact Tips............................................................................................. 26
List of Handpiece Grips...................................................................................... 26
List of O-ring Sets............................................................................................... 273

Design
Description of Contact Tip Name
Contact Tip Name

CS6FXXX

Fiber Core Diameter

CS 600 F
12Markings on Contact Tip

31 Series

2 Fiber Core Diameter

3 Fiber End Shape•C• 200 μm (0.2 mm)*1

•F

*1

•T

CariesFlat• CS• 300 μm (0.3 mm)• PS• 400 μm (0.4 mm)

• TS

• PSM

• 600 μm (0.6 mm)*2

• FL

•S

• 800 μm (0.8 mm)

Caries Spray

Perio Surgery

Perio Surgery Metal

Surgery•RRoot*1

For 200 μm and 300 μmtips, use the R handpiecegrip.

*2

For PSM600T, the fiber core
diameter is 400 μm and isunrelated to the number
indicated in the tip name.

•P

Perio

* The irradiation pattern of
P00FL is the same as C(Caries).

4XX
NX X

00

Outer Diameter

STaperedTapered Short

Flat Long

Relation between Fiber Core Diameter and Laser Beam Characteristics
A laser beam is a single wavelength light beam thattravels in one direction, and its irradiation pattern can bechanged by the fiber end shape of the contact tip. For
that reason, as the distance from the end of the contact
tip increases, the amount of energy per unit area decreases.

The energy density (J/cm 2 ) is inversely proportional to the fiber core diameter.
A smaller fiber core diameter has a higher energy density, and a thicker fiber core disperses energy.
This means using a thin fiber core diameter contact tip can vaporize narrow and deep
areas, and using a thick fiber core diameter can vaporize wide and shallow areas.

ExamplesFiber Core Diameter:
400 μmFiber Core Diameter:
600 μmFiber Core Diameter:
800 μm5

SetupParts Identification
Contact Tip
Make sure that three types of O-rings(large, medium, small) are installed.

O-rings

Metal Pipe

Knurled Screw

Handpiece Grip

• Turn the tip air off when applying to areas thatmay cause emphysema or aeroembolism.

Tip Air Hole
Spray Water HoleDo not excessively press the contact tip against thetooth as it may result in damage to the end of thecontact tip or dislocate the metal pipe.

Handpiece Grip

R Handpiece Grip

6(Only for contact tips R200T and R300T.)

Contact Tip Attachment
Knurled Screw

Holding the knurled screw of the contact tip,
rotate the handpiece grip to screw the contact
tip all the way in.
Never hold the metal pipe; this could damage
the contact tip.

Metal Pipe

• Always attach the contact tip while the AdvErL EVO is in “Stand-by” mode or the key switch on
the AdvErL EVO is in the “OFF” position.
• Do not emit a laser when the end of the contact tip is dirty; this may result in overheating thecontact tip. This is extremely dangerous, especially when turning off the spray water and tip air, as
the contact tip generates heat even if there is only a little dirt on it.
• Contact tips are consumable parts. Be sure to perform a pre-use inspection and make sure to replace it with a new one when you find any of the following conditions. Otherwise, the use of wornout contact tips may result in overheating and may burn the patient.
• If the end of the contact tip is chipped or worn out• If the output seems lower than normal• If the guide light is dim or does not appear at all• If the guide light pattern is different from when it was new
Do not process (polish, cut, etc.) the end of the contact tip; this may damage the contact tip.

7

Operation
Applicable Treatments

Caries Removal (enamel)
p.10

Gingivectomy(incision and resection)
p.14

Caries Removal (dentin)
p.10
Pigmentation Removal
p.14
Periodontal Pocket
Irradiation
p.11
Calculus Removal
p.11

Infected Granulation
Removalp.12

Calculus Removal from Implant Surface
p.13

Infected Granulation Removal around Implant
p.13

8

Stomatitis Coagulation
p.15

Hemostasis

p.15

Treatment Guideline
How to Use the Treatment Guideline
The following is an example and explanation.

1Periodontal Pocket Irradiation

234Contact Tip: PSM600T

56• Turn the tip air off when applying to areas that may cause
emphysema or aeroembolism.

PPS: 20mJ: 50
Spray Water: On
Tip Air: On

77

1 Treatment name
2 Treatment image
3 Recommended contact tip (reference information)

The most suitable contact tip for this treatment among the accessories is listed. For other recommended contact tips, see p.16 “List of Recommended Contact Tips for Each Treatment”
You can select a contact tip as the occasion demands.

4 Laser beam irradiation pattern
5 Precautions
6 Recommended settings (reference information)
Adjust the energy level setting as necessary.

9Treatment Guideline
Hard Tissue

Effectiveness: Vaporization

Caries Removal (enamel)Contact Tip: CS 600 F

PPS: 20mJ: 100
Spray Water: On
Tip Air: On

77Caries Removal (dentin)
Contact Tip: CS 600 F

PPS: 25mJ: 50Spray Water: On
Tip Air: On

1077

Scan the QR code for video instruction.

Periodontal Tissue

Effectiveness: Incision, Vaporization

Periodontal Pocket Irradiation
Contact Tip: PSM 600 T• Turn the tip air off when applying
to areas that may cause emphysema or aeroembolism.

PPS: 20mJ: 50
Spray Water: On
Tip Air: On

77

Calculus Removal
Contact Tip: PS 600 T• Turn the tip air off when applying
to areas that may cause emphysema or aeroembolism.

PPS: 20mJ: 50
Spray Water: On
Tip Air: On

7711

Treatment Guideline
Infected Granulation Removal
Contact Tip: PS 600 T• Turn the tip air off when applying
to areas that may cause emphysema or aeroembolism.

PPS: 20mJ: 50
Spray Water: On
Tip Air: On

1277

Scan the QR code for video instruction.

Implant

Effectiveness: Incision, Vaporization

Calculus Removal from Implant Surface
Contact Tip: PS 600 T

PPS: 20mJ: 40
Spray Water: On
Tip Air: On

77

Infected Granulation Removal around ImplantContact Tip: PS 600 T

PPS: 20mJ: 50
Spray Water: OnTip Air: On

7713

Treatment Guideline
Soft Tissue

Effectiveness: Incision, Hemostasis, Coagulation, Vaporization

Gingivectomy (incision and resection)
Contact Tip: S 600 T• Turn the tip air off when applying
to areas that may cause emphysema or aeroembolism.

PPS: 20mJ: 40
Spray Water: On
Tip Air: On

77

Pigmentation Removal
Contact Tip: CS 600 F

PPS: 20mJ: 40
Spray Water: On
Tip Air: On

1477

Scan the QR code for video instruction.

Stomatitis Coagulation
Contact Tip: CS 600 F

PPS: 10mJ: 30
Spray Water: Off
Tip Air: OffHemostasis
Contact Tip: CS 600 F

PPS: 20mJ: 40
Spray Water: Off
Tip Air: Off15

Treatment Guideline
List of Recommended Contact Tips for Each Treatment.... Suitable contact tip for the treatment.
.... Contact tip included with the AdvErL EVO.

CC400F

C600F

CS
C800F

CS600F

Caries Removal (enamel)
Hard Tissue
Caries Removal (dentin)
Periodontal Pocket Irradiation
Periodontal
TissueCalculus Removal
Infected Granulation Removal

Implant

Calculus Removalfrom Implant Surface
Infected Granulation Removal
around Implant
Gingivectomy(incision and resection)
Pigmentation RemovalSoft Tissue
Stomatitis Coagulation
Hemostasis
Reference Page16p. 18

p. 19

PS
PS400T PS400TSp. 20

PS600T

PSM

SR

PS600TS PSM600T S600T

R600T

p. 21

p. 22

PP400T

P400FL

p. 23

17

Tip Lineup
Tip LineupC (Caries)

C400F

Feature: Small fiber core diameter and high energy density.
Suitable for hard tissues such as enamel.

15.0
Approx. 60°

Code No.: 8001909

16.0

C600F

Feature: Standard tip of the C series.
Suitable for hard tissue treatment, pigmentation removal for soft tissue, stomatitis coagulation, as wellas hemostasis.

15.0
Approx. 50°

Code No.: 8001906

20.0

C800F

9.5

Approx. 35°
23.0

18Feature: Wide fiber core diameter and low energy density.
Use for wide and shallow vaporization.
Suitable for pigmentation removal, stomatitis coagulation, as well as hemostasis

Code No.: 8001905

Dimensions (unit: mm) are standard ones, but there may be some slight discrepancy for individual tips.

CS (Caries Spray)

CS600F

Feature: Spray water has a fine, misty quality so that water isdelivered uniformly. Vaporization efficiency is higher
than C 600 F.

15.0
Approx. 60°

Code No.: 8001918

19.019Tip Lineup
Tip Lineup
PS (Perio Surgery)

PS400TFeature: Small fiber core diameter.
Suitable for narrow periodontal pocket treatment.

18.0
Approx. 60°

Code No.: 8001917

18.0

PS400TS

Feature: The fiber length is shorter than PS 400 T.
Suitable for narrow periodontal pocket treatment.

13.5
Approx. 60°
16.0PS600T

Code No.: 8001901

Feature: Standard tip for the PS series.
Suitable for entire periodontal tissue treatment.

19.0
Approx. 50°

Code No.: 8001910

23.0
20

Dimensions (unit: mm) are standard ones, but there may be some slight discrepancy for individual tips.

PS600TS

Feature: The fiber length is shorter than PS 600 T.
Suitable for shallow periodontal pocket treatment.

15.0
Approx. 50°

Code No.: 8001902

21.0

PSM (Perio Surgery Metal)

PSM600T

Feature: Includes a metal sleeve on the tip of the fiber toincrease durability against tip breakage.
Suitable for periodontal tissue treatment.
Maximum Energy: 80 mJ
Code No.: 8001920

15.5
Approx. 50°

Do not exceed the maximum energy limit when using
PSM600T.

22.0

Do not apply excessive force to the tip of the fiber. This
could damage the fiber or metal sleeve.

S (Surgery)

S600T
10.0

Feature: Dedicated for incision and resection of soft tissue.

Approx. 35°
22.0

Code No.: 8001907
21

Tip Lineup
Tip Lineup
R (Root)

R200T

Feature: Approximately 80 % of the laser beam will be diffused at 360 ° toward the side and rear.
Suitable for treating thin areas.
* Always attach R 200 T to the R handpiece grip.

19.5
Approx. 60°
18.5

R300T

Maximum Energy: 30 mJ
Code No.: 8001915
Do not exceed the maximum energy limit when using
R200T.

Feature: Approximately 80 % of the laser beam will be diffused at 360 ° toward the side and rear.
Suitable for treating thin areas.
* Always attach R 200 T to the R handpiece grip.

17.5
Approx. 48°
22.0

R600T

Maximum Energy: 30 mJ
Code No.: 8001914
Do not exceed the maximum energy limit when using
R200T.

Feature: Approximately 80 % of the laser beam will be diffused at 360 ° toward the side and rear.
Suitable for treatment around implants and periodontal tissue.

14.5
Approx. 50°
20.0
22

Code No.: 8001919

Dimensions (unit: mm) are standard ones, but there may be some slight discrepancy for individual tips.

P (Perio)

P400T

Feature: The laser beam is initially focused 0 . 5 mm aheadof the end of the fiber core, then it diffuses.
Suitable for narrow periodontal pocket treatment.

14.5
Approx. 60°

Code No.: 8001911

16.5

P400FL

Feature: The fiber length is longer than C 400 F.
Suitable for treatment in narrow and deep areas.

21.0
Approx. 60°

Code No.: 8001912

20.023

Reprocessing
Contact Tips
Be sure to perform the reprocessing procedures in the following order after use with eachpatient. (Refer to the accompanying Instructions for Use for the AdvErL EVO.)

1 Pre-treatment

Immerse the fiber area of the contact tip in acontainer filled with tap water or deionized water, and then emit the laser for approximately
3 to 5 seconds. If there is a lot of debris, emit
the laser for 20 to 30 seconds.
Recommended Settings
PPS: 25mJ: 50
Spray Water: On
Tip Air: On• Enzymatic Detergent

710Use enzymatic detergent to clean bloodand debris left on the tip of the fiber.

2 Cleaning & Disinfection

Disinfectants Approved byJ. MORITA MFG. CORP.
Country: U.S.A.
• Ethanol (70 vol% to 80 vol%)• Chlorhexideine Gluconate
Country: Other than U.S.A.
• FD333 forte• Ethanol (70 vol% to 80 vol%)• Chlorhexideine Gluconate
24

Clean the contact tip thoroughly with tap water,then use a soft cloth to wipe off any moisture.
Do not clean the contact tip with an ultra soniccleaning device. This could damage the contacttip.

Disinfect the contact tip with disinfectants
approved by J. MORITA MFG. CORP.
Do not use disinfectants other than those designated by J. MORITA MFG. CORP.
Do not use a washer-disinfector.

3 Packaging

Place the contact tips individually in a sterilization pouch, or store the contact tips in thetip stand and place it in a sterilization pouch.
Use sterilization pouches that conform to ISO
11607.

orThe end of the contact tip is fragile and easilychipped; handle with care. When using the tip
stand, place the end of the contact tip facing
down.

4 Sterilization

Autoclave the autoclavable parts.

Recommended Autoclave Settings
Be sure to complete the clean and disinfection steps before autoclaving the parts.

Country: U.S.A.
Sterilizer Type Temperature
Gravity+135°C(+275°F)

Time
10 to 15 min

The setting temperature for sterilizationand drying process must be +135°C(+275°F) or lower. If the temperature
is set beyond +135°C (+275°F), it may
cause damage to or stain the parts.
Do not sterilize the parts by any method
other than autoclaving.

Country: Other than U.S.A.
Sterilizer Type Temperature

Time

Dynamic
Air Removal+134°C(+273.2°F)

5 min

Gravity+135°C(+275°F)

5 min

25

ItemsList of Contact Tips
Series

CCS

PSPSM
SRP

Name

Code No.

C400F

8001909

C600F

8001906

C800F

8001905

CS600F

8001918

PS400T

8001917

PS400TS

8001901

PS600T

8001910

PS600TS

8001902

PSM600T

8001920

S600T

8001907

R200T

8001915

R300T

8001914

R600T

8001919

P400T

8001911

P400FL

8001912

Ref. Page

p. 18
p.19
p. 20

p. 21

p. 22

p. 23

List of Handpiece Grips
Name

26

Code No.

Handpiece Grip

8001733

R Handpiece Grip

8001736

Ref. Page
p.6

List of O-ring Sets
Contact Tip* Each set contains three O-rings; one each of large, medium, and small.

Name

Code No.

Contact Tip O-ring Black

8001756

R300T

Contact Tip O-ring R300T Black

8001758

R200T

Contact Tip O-ring R200T Blue

8001863

R600T

Contact Tip O-ring R600T Blue

8001861

S600T

Contact Tip O-ring S00T Green

8001864

P400T

Contact Tip O-ring P400T, P600 Red

8001860

P400FL

Contact Tip O-ring Black

8001756

Color

C400F
C600F
C800F
CS600F
PS400T
PS400TS
PS600T
PS600TS
PSM600T27