
Certified LANAP Practice
The Laser-Assisted New Attachment Procedure (LANAP) is a laser-based treatment for gum disease. LANAP therapy is a safe, effective, and painless procedure that focuses on improving your oral and general health. LANAP cleans beneath the gum line in a way that’s more gentle than traditional treatments.
Professional treatments for periodontal disease always involve the same overall objectives:
- Stop the infection
- Reduce or eliminate the bacteria
- Reduce the pockets around the teeth
- Maintain the results over time
Depending on the severity of the disease, the depths of the pockets, and the degree of bone loss around the teeth, various surgical treatment options have been available for many years. While these conventional surgical options have been effective for many people, as with any surgical procedure, there are drawbacks. And, despite our best efforts, conventional surgical treatments have never been able to totally eliminate the bacteria that cause the infection. The recurrence of the disease has been a problem.
Laser-Assisted New Attachment Procedure
Since 2004 this office has used a laser surgical procedure that has been approved by the FDA for treating gum disease. In fact, this is the only dental device that has received multiple levels of FDA clearance in the treatment of periodontal disease. And the procedure for its use has been developed through years of study and is patented. This Nd: YAG laser has been used for over 20 years in medicine for various purposes.
Applied to periodontal treatment, the laser has proven extremely effective:
Stops the infection
- Eliminates the bacteria completely
- Pocket reduction as good as conventional treatments
- Better maintenance of results over time
- No incisions
- No stitches
- No post-op bleeding
- No swelling
- Minimal or No pain
- No gum recession
- No tooth sensitivity
- No cosmetic changes
- No lost time from work or other activities
Laser periodontal treatment has proven to be extremely effective for most patients without any of the drawbacks of conventional surgical treatment.
The Laser Procedure
A. A deep periodontal pocket, with loss of bone, and tartar on the root surface is determined to be present.
B. The laser selectively removes the infected gum tissue that lines the pocket wall, removing unhealthy tissue that lines the pocket for improved access to the pocket and the root surface.
C. Tartar and other debris is removed from the root surface, and rinsed out of the pocket.
D. The laser is used again to kill any bacteria or toxins that remain on the root surface or in the gum tissue, completely disinfecting the area.
E. The gum tissue is readapted back to the root surface and is seated to the root surface with a dense fibrin clot. We have a very small, sterile wound area that is now sealed shut.
F. The bite is adjusted to eliminate any trauma to the tooth, and to balance out the chewing forces throughout the region.
G. Complete heating results in pocket depth reduction through reattachment of the gum tissue and connective tissue back to the root surface.
Why Is Laser Periodontal Therapy Better?
- LPT is about as easy as erasing a blackboard — there’s no cutting and no suturing
- There is much less discomfort with LPT than with conventional periodontal surgery-both during and after the procedure
- It takes less time than the conventional periodontal treatment. Fewer appointments and less time overall.
- None of the post-surgical complications and drawbacks associated with conventional scalpel surgery
- Excellent, long-lasting results
- Rapid recovery, no disruption to your normal schedule
- Safe for patients with health concerns such as diabetes, bleeding disorders, or those medications such as blood thinners, cyclosporine, or chemotherapy agents.
Contact us today at (609) 296-1007
Laser Periodontal (Gum) Therapy
If the disease has progressed to more advanced stages where bone loss and diseased pockets have formed (Periodontitis) Dr. Petrosky will discuss your treatment options including:
• Scaling and Root Planing
• Osseous (bone) Surgery
• Laser Periodontal (gum) Therapy or LANAP
Of the three choices you have to treat your disease Dr. Petrosky most often recommends Laser Periodontal Therapy utilizing the Periolase dental laser. This revolutionary laser treatment is the ONLY FDA-cleared protocol for regaining new gum attachment and bone around your teeth.
Do all dentists have the Periolase Laser?
No. Dr. Petrosky is one of the first dentists in the State of New Jersey to utilize this procedure and one of only several hundred in the entire nation willing to invest in this wonderful technology. Having used lasers for over 4 years, you can be confident in Dr. Petrosky’s experience to treat your disease. Dr. Petrosky has completed advanced training in the use of Lasers and is licensed to perform the LANAP Laser Periodontal Therapy and receive Laser certification from the Institute for Advanced Laser Dentistry with instructor Raymond A. Yukna. DMD, MS, Professor, and Director of Advanced Periodontal Therapies, University of Colorado School of Dentistry.
What exactly is Laser Periodontal (gum) Therapy?
This Periodontal Surgery is called LANAP or Laser Assisted New Attachment Procedure and replaces the traditional gum scraping of scaling/root planning and the old bone surgery with its scalpels, sutures, and pain.
The Periolase Laser removes only the diseased tissue and leaves healthy tissue alone. The technique involves two passes with the laser, with ultrasonic cleaning of the pockets completed between the laser passes. Dr. Petrosky will also adjust your bite at each appointment, a vital step in assuring proper healing.
How much pain will I have?
There will be no pain during the surgery. You will be completely numb and we can also use oral sedation to help you relax if you so choose. Post-treatment pain is so different than traditional surgery because the laser promotes the body’s healing process. You can expect some mild discomfort which is easily handled with analgesics. Patients Who have had the LANAP laser gum surgery experience very little discomfort following the procedure and most often only have to take Ibuprofen (Advil. Motrin) to feel comfortable.
How many appointments does it take?
We always complete the treatment in two appointments which are scheduled one week apart. This is the best way to get rid of the bacteria that cause the disease and keep it from spreading to other teeth.
What exactly happens to my diseased pockets?
You can expect to have new gum attachment and bone formation in most of your pockets. This Laser LANAP Therapy is the only FDA-cleared laser procedure that will actually give this result. Most dentists treating gum disease with only “soft tissue management”, and Scaling/Root Planing will only see repaired attachment, which is far inferior to new gum and bone formation of the laser procedure.
Is the Laser Periodontal Therapy a Cure for my Disease?
No. There is no cure for moderate/advanced periodontitis. The good news is that we can now treat it very effectively with the Periolase Laser LANAP therapy. Just like so many other diseases such as diabetes, even though there is no cure, it can be successfully treated to allow you to live with the disease under control.
I have seen other dentist ads for laser gum treatments, are they the same thing?
If the dentist is not using the Periolase laser and following the LANAP protocol the answer is no! The FDA has only cleared the Periolase Laser and the LANAP to be utilized for this protocol. Only dentists who have been trained and licensed for the Periolase LANAP therapy can claim to treat your gums with new attachment and bone formation.
There are other lasers (diode, and erbium lasers) that can be used to treat minor gum problems but these laser procedures have NO FDA-cleared research to show new attachment or new bone formation after treatment!
If you are interested in the FDA research performed by Dr. Ray Yukna ask Dr. Petrosky and he will get you a copy of the scientific study and FDA clearance.
Call toll-free 609-296-1007 today and let our experienced team help you with our Periolase Laser!
First Laser Gum Disease Procedure to gain FDA Clearance –
“Laser Assisted New Attachment Procedure or Laser-ANAP®”
CERRITOS, Calif., October 8, 2004 / PRNewswire / – Millennium Dental Technologies, Inc. (MDT) announced today it has received the first FDA clearance ever for a laser-based periodontal (gum) disease treatment protocol while using the first ever digital dental laser–the PerioLase® MVP-7™.
50 people out of 100 have moderate to severe gum disease, 40 out of the 50 don’t know it, and only 3 people out of 100 will ever get treated before it’s too late.
Gum disease is a silent, painless, chronic, communicable, bacterial infection that often goes undetected or ignored until severe gum and bone destruction catch the individual’s attention. Traditional treatments for gum disease have, until Laser-ANAP, been perceived as painful with a long and uncomfortable recovery, scaring patients away and causing the epidemic numbers suffering with this preventable and now attractively treatable disease.
The US Food and Drug Administration cleared Laser-ANAP® (“Laser Assisted New Attachment Procedure”) with a unique and specific claim for, “cementum-mediated new periodontal ligament attachment to the root surface in the absence of long junctional epithelium.”
FDA clearance for Laser-ANAP® using the PerioLase® MVP-7™ variable pulsed Nd:YAG dental laser follows three years of research at Louisiana State University, School of Dentistry, New Orleans, by principal investigator, Professor Raymond A. Yukna, DMD, MS, and coordinator of post-graduate periodontics at LSU. Professor Yukna led a controlled, blinded, clinical and human histology study that evidenced new root surface coating (cementum) and new connective tissue (periodontal ligament) formation (collagen) on on tooth roots by stimulating existing stem cells to grow following the use of the PerioLase® MVP-7™ & Laser-ANAP® protocol.
“These results are very positive, very consistent, and very encouraging related to the treatment of deep gum pockets,” said Yukna. “Dentists have been looking for ways to regenerate some of the tissues lost to gum infections and Laser-ANAP® is an exciting and revolutionary treatment protocol showing microscopically that we can form a new root coating (cementum) and new connective tissue attachment (collagen). Our consistent results (all LANAP treated teeth showed a positive result) suggest that the best possible type of healing can be obtained using the specific Laser-ANAP® protocol. This presents a wonderful alternative to traditional surgery.”
The preliminary phase of Yukna’s study was published in the International Association of Dental Research, January, 2004. On March 12, 2004, Dr. Yukna and co-workers presented their complete findings at the International Association of Dental Research Meeting in Hawaii in a paper titled, “Human Periodontal Regeneration Following the Laser Assisted New Attachment Procedure.” http://iadr.confex.com/iadr/2003Goteborg/techprogram/abstract_34208.htm
Contact Info
Paxton Quigley
818-986-4502
paxq@aol.com
MDT Public Relations
Dr. Ray Yukna, Professor
LSU Grad Periodontics
(504) 619-8659
PerioRay@aol.com
Dr. Delwin McCarthy, COO of MDT
562-860-2908
dmccarthy@millenniumdental.com
Related Links
http://www.millenniumdental.com
IADR Abstract – Dr. Yukna’s Human Histology Study
Human Periodontal Ligament Stem Cells Isolated for the First Time
Laser Your Gum Disease
It’s NOT your dad’s dental laser
Selected Articles Regarding Laser Periodontal Procedures
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“Laser-Assisted New Attachment Procedure in Private Practice”
D. H. Harris, R. H. Gregg, D. K. McCarthy, L. E. Colby, L. V. Tilt, General Dentistry September – October 2004, Vol. 52 No. 5 |
“Human Periodontal Regeneration Following the Laser Assisted New Attachment Procedure”
R.A. Yukna, G. Evans, S. Vastardis and R.L.Carr Louisiana State University, New Orleans, USA (Also see the Abstract)The IADR / AADR / CADR 82nd General Session March 10 -13, 2004, Honolulu, HI |
“Periodontal Regeneration in Humans Following the Laser Assisted New Attachment Procedure
(LANAP)” (also see IADR 2003 Abstract 1735 ) Proceedings of the 81st General Session of the International Association of Dental Research (IADR) June 2003 |
“Eight-Year Retrospective Review of Laser Periodontal Therapy in Private Practice”
Dentistry Today, February 2003 |
“Laser Periodontal Therapy For Bone Regeneration”
Dentistry Today, May 2002 |
“Sulcular Debridement with Pulsed Nd: YAG”
Lasers in Dentistry January 2002 |
“Laser Periodontal Therapy”
Dentistry Today, October 2001 |
“The PPSP Procedure: The Pinero Percardiac Surgical Protocol”
Dentistry Today, January 1999 |
“Laser ENAP for Periodontal Ligament (PDL) Regeneration”
Dentistry Today, November 1998 |
“Laser ENAP for Periodontal Bone Regeneration”
Dentistry Today, May 1998 |
“Nd: YAG – Assisted Periodontal Curettage to Prevent Bacteremia
Before Cardiovascular Surgery” Dentistry Today, March 1998 |
“Endodontic Applications of a Short Pulsed FR Nd: YAG Dental Laser:
Photo-Vaporization of Extruded Pulpal Tissue Following Traumatic Fractures of Two Maxillary Central Incisors; A Clinical Trial Report” Laser Surgery: Advanced Characterization, Therapeutics, and Systems III January 1992 |
“Endodontic Applications of a Short Pulsed FR Nd: YAG Dental Laser:
Treatment of Dystrophic Calcification; A Clinical Trial Report” Laser Surgery: Advanced Characterization, Therapeutics, and Systems III January 1992 |
“Sulcular Debridement with Pulsed Nd:YAG”
David M. Harris, Dept of Preventative and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco, CA 94143 |
“Laser ENAP for Periodontal Ligament (PDL) Regeneration”
By Robert H. Gregg, DDS; Delwin K McCarthy, DDS |
“Endodontic Applications of a Short PulsedFR Nd: YAG Dental Laser: Photo-Vaporization of Extruded Pulpal Tissue, Following Tramatic Fractures of Two Maxillary Central Incisors;
A Clinical Trial Report” Robert H. Gregg II, The Institute for Laser Dentistry, Section of Clinical Training Seminars |