Laser Surgery

What is LANAP?

LANAP stands for Laser Assisted New Attachment Procedure. The first and only FDA cleared laser surgery to treat gum disease that is backed by both clinical and laboratory research. This remarkable surgical protocol allows for targeted removal of diseased gum tissue, while leaving your body’s own healthy tissues intact. In this way, LANAP allows for an environment where you can actually heal yourself!

Traditional gum surgery utilizes scalpels and sutures (stitches) to cut away diseased or infected gum tissues, often time resulting in esthetic and exposed root surfaces. This type of surgery, while proven to work in many situations, can leave patients with sensitivity, phonetic and root caries (decay). With LANAP, there is no loss of tissue volume, and because there is no “cutting or sewing” patients can in many cases go straight back to work or continue with their normal routine. Depending on the severity of your gum disease, your whole mouth can be treated in only one visit, with little to no downtime.

Scientific research has shown connections between gum disease and heart disease, diabetes and pre-term low birth weight babies. With many patients taking more and more medications, particularly aspirin or other anti-coagulants such as coumadin or Plavix, in order to have gum disease treated they are required to stop these crucial medications for up to a week before surgery. One of the most beneficial aspects of LANAP/LAPIP, is that one never has to stop these medications, as the laser creates such complete healing, that there is no concern about any excess post-operative bleeding. This is an amazing advancement that is helping thousands of people every day.

Dr. Louis Galiano is a leader in the field of LANAP and laser periodontal surgery. Please feel free to contact us today to see how we can help you with your periodontal ( gum disease ) needs in a comfortable and compassionate manner.

How Does LANAP Work?

LANAP, or Laser Assisted New Attachment Procedure, is a Laser Surgical procedure, performed with a specific ND:YAG wavelength laser, that allows for targeted removal of diseased gum tissue, in a minimally invasive manner that creates faster and in most cases, more comfortable healing than traditional gum surgery.

At first, the laser removes diseased tissue and begins to loosen the calculus, or tartar from the root surface of the tooth. The laser light targets the tissue that is infected with bacteria but leaves the healthy or “un-infected” tissue alone.

Then, fine ultra-sonic instruments are utilized to remove the calculus and prepare the root for reattachment of the gums.

Finally, the laser is used on a different setting to close up the surgical area and allow for FIBRIN, which is the body’s own “bandage” to seal off the site and allow for healing to begin from underneath the gums in a comfortable and thorough manner.

Your occlusion, or “bite” will be addressed and adjusted to create a “splint” for your teeth . By allowing your teeth to remain in repose, the healing can occur in an even manner. In some cases, Dr. Galiano will have your dentist splint your teeth together with a temporary material. Similar to a cast on a broken bone. Dr. Galiano aims to create an environment that will allow for the forces on teeth and gums to be controlled, so that you can have a comfortable experience.

After surgery, a special diet and specific home- care instructions will be given to you as well as be made available to you on our website. It is important that you maintain your hygiene like in any other post-op period , as well maintain your regular maintenance visits with your regular dentist. If you don’t have a dentist, Dr. Galiano can perform the maintenance visits.

LANAR Implant Complications

The last 20 years has seen a revolution in dentistry, especially in the field of Dental Implants. Gone are the days where patients have to suffer with loose fitting dentures and removable partials that cause damage to adjacent teeth. Dental implants are here to stay, and are overwhelmingly successful when placed and restored by experienced dentists and dental surgeons.

But like anything, despite our best efforts we are seeing more and more complications with implants. This is a condition we call “Peri-Implantitis”. Many times, implants can get infections under the gum-line which can result in bone loss around the implant, and in some cases loss of the implant itself. Complications due to systemic disease, medications, and simply enough – aging, can all lead to this problem.

Until recently, the only treatment for an “ailing” implant was either extensive surgical repair and in most cases, removal of the implant and waiting for a new one to be placed.

With the advent of LAPIP, which is a specific laser surgery procedure which does not involve a scalpel or stitches, we are now able in many cases to treat the infections and arrest the disease, and regenerate new bone around the implant itself!

LAPIP – which stands for Laser Assisted Peri-Implant Procedure, and like LANAP which is done to treat gum infections around teeth, is the only FDA cleared laser procedure to treat ailing dental implants.