LANAP Periodontal Treatment – St. Louis MO

Developed by Drs. Robert Gregg & Delwin McCarthy through decades of research, for the specific purpose of providing a treatment for periodontal disease that is both comfortable and effective, LANAP is a patented protocol that has been granted an original FDA clearance, unlike some copy-cat lasers out there. Their desire to provide the best for the patient means that every dentist must be thoroughly trained and licensed in the exact procedure that has been tested for years. In addition, LANAP is the only laser treatment for periodontitis with published literature to back it up. So what that means to you is that it is safe and really works.

Laser-assisted new attachment procedure (LANAP)

LANAP is a therapy designed for the effective treatment of periodontitis through regeneration rather than resection. This therapy, and the laser which performs it (The PerioLase MVP-7, Millennium Dental Technologies, Inc.) have long been in use by the dental community. LANAP is a U.S. Food and Drug Administration-approved patented protocol for the treatment of periodontitis, or gum disease.

LANAP Surgery

In LANAP surgery, a variable pulsed neodymium:yttrium-aluminum-garnet (Nd:YAG at 1064nm) dental laser is used by a trained and certified dentist or periodontist to treat the periodontal pocket. The laser energy selectively removes diseased pocket epithelium from the underlying connective tissue. Since the laser energy is quite selective for pocket epithelium, the underlying pleuripotential connective tissue is spared, thereby permitting healing and regeneration rather than formation of a pocket seal by long junctional epithelium. In periodontics it is a process through which cementum-mediated periodontal ligament new attachment to the root surface in the absence of long junctional epithelium is achieved for the treatment of moderate to severe gum disease (including gingivitis and periodontal disease). Stimulation of existing stem cells permits the formation of new root surface coating (cementum) and new connective tissue (periodontal ligament) formation (collagen) on tooth roots.

LANAP is a procedure that involves multiple steps in a precise order

  • We create a small opening (flap) all the way around the teeth with the laser, which kills bacteria and the infected gum tissue, then begins breaking down calculus (tartar).
  • We use various instruments to thoroughly remove as much of the tartar build-up as possible.
  • We use the laser a second time to kill more bacteria deep under the gums and to form a clot around the teeth to minimize reinfection.
  • We adjust your bite to remove any areas where you may be grinding your teeth and loosening them.
  • There is a series of follow-up visits to carefully evaluate your healing.
LANAP Procedure

What to expect after LANAP surgery

After LANAP, most patients experience new root surface coating (cementum) and new connective tissues (periodontal ligament) formation (collagen) on tooth roots, preventing tooth loss. Pocket depth reduction is excellent and comparable to that achieved by conventional resective osseous or pocket reduction surgery, but without the gingival recession normally associated with osseous surgery. Significant post-operative reduction in gingival indices, gingival inflammation, and bleeding on probing are also desirable results of LANAP.

The patient experience is also generally positive. As LANAP is tissue-sparing and contrary to the old fashioned resective paradigm, patients enjoy a smile with minimal post-operative recession and attendant disfigurement or root sensitivity. Minimization of post-therapy gingival recession also reduces the future risk of root caries/dental decay of the tooth root. Through the natural analgesic biostimulatory effects of laser irradiation, patients usually have minimal post-operative discomfort. This discomfort is easily controlled through the use of Non-Steroidal Anti-Inflammatory Drugs (over the counter NSAIDs) such as Ibuprofen.

With normal three month periodontal recall and maintenance, the LANAP-provided new attachment is remarkably stable and resistant to future periodontal breakdown. Patients are encouraged to improve and maintain standards of oral hygiene to prevent further active periodontitis.

No Cut No Sew No FearTop 5 Benefits of LANAP

  • Less Invasive
  • Faster Healing
  • Less Pain
  • Reduced Risk of Infection
  • Decreased Sensitivity

Both Dr. Schaberg and Dr. Campbell have been extensively trained in the LANAP procedure, and can offer insight to your particular condition and see if this revolutionary procedure is right for you.