LANAP laser periodontal therapy
How I frame it before anything else. Periodontal disease is chronic. LANAP is a way to manage it, not a one-time fix, and I say that at the first appointment rather than at the end. Maintenance is part of the plan from the beginning.
What the appointment looks like. A thin laser fiber clears diseased tissue, the root is debrided with a piezo ultrasonic scaler, and the gum reseals against the tooth using the patient's own fibrin clot. No scalpel, no sutures, no grafts or membranes. A full-mouth case is two appointments about 24 hours apart, one side each, three to four hours of chair time in total.
The last step, and why. The last thing I do is adjust the bite on the worst-affected teeth. Swelling from periodontal disease pushes a tooth out of position over time, and by the time I am treating it, that tooth is usually one of the few still holding the patient's bite. Taking it out of heavy contact gives it room to settle back while the site heals.
The next morning, and the week after. Without a flap or a releasing incision, recession is usually minimal, which matters in the smile zone. Across every LANAP case I have treated, including full-mouth cases in severe disease, I have not written a prescription for anything beyond ibuprofen. Pain response varies and I set expectations case by case, but that is my record. I ask how they slept.
Who it fits. Wider than most people assume. I have treated patients in their twenties and patients in their seventies, people with diabetes, smokers, cases that were one stubborn site and cases that were the whole mouth. Patients decline a periodontal referral over cost, inconvenience, and not seeing oral health as a priority. Keeping the surgery in house removes the first two.
- PerioLase MVP-7
- IALD live-patient continuum
- Fellow since 2023