LANAP (Laser-Assisted New Attachment Procedure) by Dr. Michael Pawlus

For patients in need of periodontal surgery, the choice between traditional and laser treatments is important. In traditional surgery, the periodontist uses a scalpel to peel back gum tissue for better visibility and access to the periodontal pocket. Traditional periodontal surgery is considered invasive and requires a healing period. While some severe cases of periodontal disease require traditional surgery, LANAP is generally a viable alternative for most patients.

LANAP (Laser-Assisted New Attachment Procedure) treatments have proven extremely successful in dentistry, and this less invasive laser technique is bringing revolutionary outcomes in periodontal treatment procedures. With over twenty years of experience in periodontics, Dr. Michael Pawlus is at the forefront in this innovative laser treatment field.

What is LANAP Laser Surgery?

LANAP treatment was developed as a response for those patients who did not want conventional surgical procedures, due in part to the fear of pain, swelling, root exposure, and post-operative discomfort. LANAP is an FDA-cleared minimally invasive surgical therapy for the treatment of periodontitis that works through regeneration rather than resection.

LANAP offers a less painful, more successful treatment to treat moderate to advanced periodontal disease by using a variable free-running pulsed neodymium yttrium-aluminum-garnet (Nd:YAG at 1064 nm wavelength) laser to treat the periodontal pocket. The LANAP selectively removes diseased or infected pocket from the underlying connective tissue.

The LANAP reduces levels of microbial pathogens in periodontal pockets and vaporizes the pocket-lining epithelium without damaging the underlying connective tissue. The LANAP is the only scientifically proven method that removes diseased tissue and allows true periodontal regeneration, new bone growth, and gum tissue reattachment.

The LANAP is one of the most successful protocols in treating gum disease since it can target the source of the inflammation without hurting or removing any healthy gum tissue, slow or stop attachment loss and decrease pocket depth while allowing the body to recover from infection without the need for scalpel or sutures. LANAP is the only treatment scientifically and clinically proven to regenerate both soft tissue and bone and has been in widespread use for many years.

What Type of Regeneration Can Be Expected with LANAP Laser Surgery?

Regeneration in a true sense refers to the formation of new bone, cementum, and periodontal ligament. In recent studies, it was observed that LANAP could initiate regeneration of the affected periodontal tissues and new connective tissue attachment mediated by cementum could be seen.

What are the Benefits of LANAP Surgery?

  • Less post-operative pain.
  • Less bleeding and swelling.
  • Less sensitivity.
  • Less gum loss.
  • Very little downtime-Most people return to their regular activities within 24 hours.
  • Less chance of post-operative infections.
  • Promotes regeneration of supporting gum tissues.
  • Healing is faster and more comfortable than conventional surgery.

Who is a Good Candidate for LANAP Surgery?

LANAP treatment is especially beneficial to patients with moderate-to-severe gum disease. LANAP is also an excellent treatment option for patients who are afraid of conventional surgery.

What Typically Occurs During a LANAP treatment?

Prior to the procedure, Dr. Pawlus will perform a thorough examination and take X-rays to make a proper diagnosis and determine the extent of the disease. During your procedure, Dr. Pawlus will insert a tiny laser fiber (about the thickness of three human hairs) between the tooth and the gum. The infection and disease will be cleared away without cutting the gums. The tooth roots will be thoroughly cleaned of tartar and plaque, and the laser will be used again at a different setting to create a stable, firm fibrin blood clot to seal the pocket.

Will Insurance Companies Cover LANAP Treatments?

In general, periodontal disease treatment is covered by most insurance carriers, but varies by carrier. Discuss your coverage plan with Dr. Pawlus.

In recent years, periodontal treatments have been shifting from the long-standing resection tradition to more of regeneration and reconstructive procedures. Dr. Pawlus’ ultimate goal is to regenerate supporting structures around your teeth. With his knowledge and experience of LANAP treatments, Dr. Michael Pawlus is the periodontist who can help you achieve your dental goals without the need for invasive surgery. If you have questions, or you would like to schedule an appointment, contact the office of Dr. Michael Pawlus today.