Maneet Dharia DDS, FIDIA

Ash Kaushesh DDS, MAGD, MaCSD, DDOCS, DABOI/ID
Implants, General, Cosmetic & IV Sedation
211 Swanson Avenue
Lake Havasu City, AZ 86403
(928) 854-8540

What is Laser Periodontal Therapy called LANAPâ„¢

It is a breakthrough FDA approved treatment for gum disease. LANAPâ„¢ is Laser Assisted New Attachment Procedure. It is an alternative to scalpel and suture gum surgery.Studies have shown the laser's ability to reduce 99.4% of the organisms in the periodontal and gingivitis lesions irrespective of their sensitivity or resistance to antibiotics.

In addition to cleaning the pocket, the laser can assist in initiating a mature fibrin clot to seal the conservative laser woulnd at the surface eliminating post surgical bleeding and providing a natural would bandage during initial healing.

Benefits of LANAPâ„¢ include:

  • No cutting
  • No stiches
  • Less sensitivity than standard periodontal surgery
  • Gum disease can be stopped
  • LANAPâ„¢ resutls are long lasting (stable after five years)
  • Typically less than 24 hour recovery period so that you don't have to miss time from work or family.

What laser is used in LANAP?

MVP 7 Periolase by Millennium Dental Technologies

The PerioLase® from Millennium Dental Technologies is the only laser designed especially for LASER PERIODONTAL THERAPY. A powerful 6 watt FR (Free Running) Nd:YAG (Neodymium: Yttrium Aluminum Garnet) laser with the unique features necessary to perform LASER PERIODONTAL THERAPYTM and all other soft tissue procedures. The PerioLase® is the "Swiss Army Knife" of lasers -- easy to use, with the versatility to help you advance your dentistry -- and your practice -- with a full complement of new soft tissue laser treatment options. The founding clinicians of Millennium Dental Technologies, Robert H. Gregg, II, D.D.S. and Delwin K. McCarthy, D.D.S., combined their talents and expertise to perfect a powerful laser with the unique features and capabilities needed to quickly and effectively perform LASER PERIODONTAL THERAPY as well as all other soft tissue laser procedures.

What is gum disease?
Gum disease begins when a film called plaque accumulates on the teeth. Certain strain of bacteria that live in this plaque feed on gum tissue and bone. Your body tries to fight this infection with an inflammatory assult, sending white blood cells to the area to destroy the bacteria. This inflammation causes the tissue to bleed easily when you brush or floss. This stage of the condition is called gingivitis.

If the infection and inflammation persists, what results is a chronic inflammatory condition in which the gums and bone around the teeth are slowly destroyed, many times with no awareness or symptoms. At this stage, it is called periodontitis.

The biggest risk factors are ineffective home care and smoking. Periodontitis has been linked to an increased risk for heart disease, diabetes and other serious medical conditions. Ins hort, healthy gums are the gateway to a healthier body.

Options and Alternatives
Gingivitis can be reversed with regular professional cleanings, and excellent home care including daily flossing. It is also important to eat healthy foods such as fresh fruits and vegetables. These types of foods have important anti-oxideants and phytonutrients your body needs to remain healthy

Once your condition has progressed to periodontitis, surgical intervention is usually necessary to eliminate the deep pockets which develop between the teeth and gums. If these pockets persist, they become excellent "priviledged sites" for bacteria to organize colonies.

Traditional surgery involves cutting away some of the gum tissue, and reshaping the bone underneath. LANAPâ„¢ is a progressive technique using a specialized laser to destroy the bacteria which cause disease, and alter the tissue so that it has the opportunity to heal. The use of laser is less invasive than traditional scalpel surgery and results in a much faster and less painful recovery.

How LANAP works

  1. Depth of pocket is measured
  2. Laser selectively removes pocket lining
  3. Ultrasonic instruments clean root surface
  4. Laser disinfects pockts and seals the wound
  5. tissue is compressed against the tooth
  6. Bite is adjusted through selective grinding
  7. healing results in new attachment

Your Surgical Visits:

Usually, we treat one half of mouth at a time, (Or full mouth treatment in one visit under IV sedation). The surgical visits are ideally made one to two weeks apart, and take about two hours each on average.

The mouth is numbed, just like if you were having a filling or crown done. The pockets are then measured while you are numb, so that more accurate measurements can be made without causing discomfort.(A)

LANAP procedure visits

A first pass is made with the laser giving the doctor access to the pockets and allowing better visualization of the roots of the teeth. (B) Then the teeth are cleaned very thoroughly using ultrasonic instrumments (C), which have tips that vibrate very quickly, loosening up any deposits on the teeth and flushing them away with an irrigation solution.

A second pass is made with the laser,(D) disinfecting the pocket and pressure is applied to the gums (E) sealing them up through the formation of a stable blood clot (F and G), the bite is then adjusted so that clenching forces on the teeth are minimized.

The First Few Days:

Most people experience some mild soreness of the treated areas for the first few days. The tissue will appear discolored around the teeth, similar to what a scab looks like when you go in the pool. It is very important NOT to brush or pick this away, as this fibrin barrier is what allows the gums underneath to get a head start creating a new attachment.

Your bite will feel different, as if the teeth don't touch together as heavily on the treated side. This can feel imbalanced at fist, but the teeth will quickly adapt, and after both sides have been treated, your bite should feel stronger and more stable than ever.

Continuing Follow Up Care

As the gums heal, the teeth will shift and will need to be adjusted several times over in the first few weeks, even for the first year and beyond. Although it seems counter-intuitive, inadequate adjustment is what is usually responsible for soreness or sensitivity following LANAPâ„¢.

Three to six weeks after your surgery, impressions may be made of your teeth and splints will be fabricated to stablize and immobilize the teethwhile you sleep for the next six months. It is important to wear these splints as directed by Dr. Kaushesh as we humans have a tendency to periodically clench our teeth and jaws during sleep. this clenching can produce extremely damaging forces which can delay or prevent healing.

Professional cleaning is recommended every three months for the first year, and re-evaluation of your condition will be done at the twelve month visit. Most people with gum disease remain at risk for the rest of their lives, and would benefit from cleaning their teeth every three months indefinitely.

 

WHY IS LPT (Laser Periodontal Therapyâ„¢) LANAP better for the treatment of gum disease?

  • LPTTM is about as easy as erasing a blackboard -- there's no cutting and no suturing.
  • There's much less discomfort with LASER PERIODONTAL THERAPYTM than with standard surgery -- during and after the procedure.
  • It takes less time than traditional surgery. All it takes is two 2-hour visits to the dentist and two follow up visits. Traditional surgery requires four sessions of about one hour each, with subsequent visits for suture removal and additional check-ups.
  • LPTTM gives better, longer-lasting results. In fact, 98% of LPTTM treated patients remain stable after five years, while only 5% reportedly remain stable after surgery.
  • Your dentist will probably recommend a soft diet for a day or two, and common sense should prevail, but in most cases, patients feel good enough to eat anything they want right after the procedure.
  • Following traditional surgery, recovery can take between to 2-4 weeks during which patients can experience considerable pain and swelling, where they may be restricted to liquid or soft diets.
  • There's less than 24 hour recovery period, so you won't lose time from work.
  • LASER PERIODONTAL THERAPYTM is safe for patients with health concerns such as diabetes, HIV, hemophilia, or those taking medications such as Plavix or aspirin.

What won't LANAP do?

  • It will not grow gums back. (you may need grafts)
  • It will not allow you to avoid daily care at home.
  • It will not allow you to avoid cleanings every 3 months.
  • It is NOT magical.
  • It will not walk and feed the new puppy;-)

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For more information visit www.lanap.com