LANAP Laser Periodontal Procedures


Another recent development in periodontal treatment is the use of laser to regenerative tissue. Utilizing the body’s own natural ability to “heal itself”, Dr. Urling utilizes the PerioLase™ for the Laser Assisted New Attachment Procedure (LANAP™). Performed without a scalpel and sutures, LANAP™ creates an environment for regeneration of the tissues around your teeth (gum, bone, cementum, ligament) that are lost due to periodontal disease.

The laser therapy works by targeting only diseased gum, which it discerned by the color. Diseased gums are darker than healthy gums. The laser is then used to agitate the healthy tissue, encouraging it to reattach to the bone. Because of the regrowth of this connective tissue, there is also a much lower chance of gum disease returning than with traditional surgery.

Due to the ability of the laser to target and remove only diseased tissue, Dr. Urling is able to help restore you to health with no post-operative pain and fewer side effects and risks than traditional surgery. This is in conjunction with a detailed homecare program that is described below.

LANAP™ Post-Operative Instructions

  • Anti-microbial rinses and antibiotic medications may be prescribed for you. Take any prescribed medications according to directions and continue taking until all meds are gone.
  • Reduce physical activity for several hours following surgery.
  • Periodontal laser procedures usually result in little or no discomfort following surgery.
  • For the first 24 hour period immediately following surgery, take two (2) Advil or Motrin (Ibuprofen) every 4-6 hours even if you do not have any pain.
  • For the first 24 hour period immediately following surgery, stay on a liquid diet only. For the following 3-7 days after surgery, a soft diet is recommended. Try to eat soft but nutritious foods such as eggs, yogurt, cottage cheese, malts, ice cream, etc. Stay away from spicy and “chippy” foods. It is also important to maintain good fluid intake during this period.
  • Carefully avoid chewing food in the areas of the mouth where the laser has been used for at least one week following surgery. One of the most important results of laser surgery is the blood clots that form following surgery. It is extremely important not to dislodge the tiny clots that form in and around the gums.
  • Do not be alarmed with any color changes or appearance of tissues following laser therapy.  Tissues can be gray, yellow, red, blue, purple, “stringy” and reflect normal response to laser treatments.
  • It is OK to spit, rinse, and wash your mouth today.  Rinse as directed with Peridex or Periogard morning and night.  In between, it is OK to rinse gently every three (3) hours with warm salt water (1/2 teaspoon of salt dissolved in an 8oz. glass of warm water).  Do not brush or floss your teeth until instructed to do so (see Treatment and Home Care sequence sheet).
  • Try to keep your mouth as clean as possible in order to help the healing process.  Brush, floss, and follow other home care measures in all the areas of your mouth except for the surgery area.
  • Do not apply excessive tongue or cheek pressure to the surgery area.

Do not be alarmed if one of the following occurs:

  • Light bleeding
  • Slight swelling
  • Some soreness, tenderness, or tooth sensitivity
  • Medicinal taste, from Peridex or Periogard

Please call the office at 203.753.9905 if you are experiencing any of the following signs and symptoms:

  • Prolonged or severe pain
  • Prolonged or excessive bleeding
  • Considerably elevated or persistent temperature

Do not be alarmed that beginning within two weeks after therapy and extending as long as one year or more, the teeth may become sore, tender, or sensitive as the bone and ligaments around the teeth regenerate and become more firm.  This is a sign of healing, but may also indicate the presence of a bite imbalance that may need to be adjusted.

If you have any questions or concerns, please don’t hesitate to call us! 203.753.9905

The Use of Lasers in Periodontal Therapy

Answers to frequently asked questions about the use of lasers in periodontal therapy.

Recently there has been a lot of information in the news about the use of lasers in dentistry. Below are some frequently asked questions about the use of lasers in periodontal therapy, based on an AAP-commissioned literature review on the topic.

Are there potential benefits to using lasers in periodontal therapy?

Limited research suggests that the use of lasers as an adjunct to scaling and root planing(SRP) may improve the effectiveness of this procedure. SRP is a non-surgical therapy used to treat periodontal diseases. In addition, when the lasers are used properly during periodontal therapy there can be less bleeding, swelling and discomfort to the patient during surgery.

Can the use of lasers in periodontal therapy harm patients?

Yes and no. Each laser has different wavelengths and power levels that can be used safely during different periodontal procedures. However, damage to periodontal tissues can result if an inappropriate wavelength and/or power level is used during a periodontal procedure.

Does the research on lasers support their use in periodontics at this time?

At this time, there is insufficient evidence to suggest that any specific laser wavelength is superior to the traditional treatment methods of the common periodontal diseases, such as periodontitis.

Can I trust the claims in an ad for periodontal therapy performed with a laser?

It is important to beware of advertising that sounds too good to be true because it very well may be. A dental professional can help you separate fact from hype.

Will my insurance carrier cover the use of a laser in periodontal therapy?

Insurance carriers reimburse for the procedure being performed rather than the device used to perform it. Therefore, whether your periodontist uses traditional tools for treatment or lasers, your reimbursement will be the same for that specific procedure. Before having surgery, always consult with your insurance carrier to determine what procedures are covered in your plan.