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Periodontal Therapy Laser Therapy (New)

Laser-Assisted New Attachment Procedure (LANAP) is a patented therapy designed for the treatment of periodontal disease. The LANAP protocol promotes healing by removing diseased tissue and harmful bacteria leaving healthy tissues intact. This can often lead to regeneration of bone and the soft tissue around the tooth which creates a stable attachment and reduces pocket depth.

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How the LANAP Protocol Works:
After numbing the areas with local anesthetic. A thin optic fiber is placed in the periodontal pocket, and

1) A first pass with the laser is accomplished to:
a) selectively remove harmful periodontal bacteria. Periodontal bacteria and pathogenic proteins are selectively destroyed by the laser’s light energy, providing a clean surgical environment that allows healing.
b) remove the diseased, infected and inflamed pocket epithelium while preserving healthy connective tissue, literally separating the tissue layers.
c) reduce tenacity of the calcified plaque and calculus adherent to the root surface, so its removal is more easily accomplished.

2) Ultrasonic scalers are then used to removed the softened calcified bacteria (calculus) from the root surfaces.

3) A second pass with the laser is accomplished to achieve clotting (hemostasis).
No sutures or surgical glue is needed. The clot acts as a “band-aid” protecting the treated areas.

4) Severely mobile teeth are splinted and the bite adjusted to remove interferences and provide occlusal balance.

Finally, post-operative instructions specific to the LANAP protocol, diet guidelines and oral hygiene instructions are explained. Continued follow up and periodontal maintenance is scheduled.

Treatment Procedure

A) Perio probe indicates excessive pocket depth.
B) Laser light removes bacteria and diseased tissue.
C) Ultrasonic scaler and special hand instruments are used to remove root surface tarter.
D) Laser finishes cleaning pocket and aids in sealing the pocket closed so new germs cannot enter.
E) Healing of gums to clean root surface occurs.
F) Bite trauma is adjusted.
G) Healing occurs.

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