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I have been a hygienist for 15 years. My employer has been using a Waterlase for over a year. PATIENTS LOVE IT! It is comparable to a very strong powerwash. It is not a heat laser as most people think of when they hear the term laser. It is considered self anesthetizing which means no injections. The statistics state 90% of patients do not need any injections, but we feel that percentage is higher. It works EXCELLENT for children and those adults that have extreme dental phobias. Waterlase has a website (waterlase.com) that may answer questions and give DDS names in your area where this is available. This may be an alternative if you are nervous about premedication. Thankyou so much for your time and I hope this helps!