How does periodontal laser therapy, laser gum therapy, and LANAP™ work?

The following explains the process:

1. First, measurements are taken of the gums to observe the degree of inflammation and bone loss.

Below is a description of what the measurements mean. The higher the measurement, the deeper the pockets, and therefore more severe the gum disease.

2. The laser fiber optic tip is placed on top of the gum pocket. This begins the removal of diseased tissue that line the inside of the gum or periodontal pocket. This is where bacteria live and build neighborhoods of their own. The bad bacteria destroy the healthy gum tissue and bone that hold your teeth in the proper position. There are specific germs and bacteria that cause gum disease. This periodontal laser is designed to target and to selectively eliminate only the diseased gum tissue and germs while dissolving toxins and leaving the healthy tissue unharmed.

To the left is what it looks like in the gum or periodontal pocket in between the roots of the teeth and gums. cleaned tooth surface.

3. Once the laser tip is removed from the periodontal pocket and set aside, the next step of the procedure begins. An ultrasonic tooth root cleaning device, which is as small as the laser fiber tip, is used to remove the hard calcium deposits, also known as tartar or calculus, from the teeth and roots. These instruments use sound waves to vibrate and break apart the hard mineral calcium deposits with water flushing out the debris. Some hand cleaning instruments may be used at this time to remove any additional hard calcium deposits.

Take a look at how the roots are teeth and gums are cleaned. Click image above for a close-up view of this step.

4. Finally, the laser is used a second time. It is placed at the bottom of the gum pocket in order to remove any remaining diseased tissue. This passing of the laser also sterilizes the remaining gum tissue and bone and completely eliminates the bad bacteria, germs and toxins.

5. The second pass of the laser also stimulates the formation of the blood clot which, once formed, contains fibers that reattach your tissue to the tooth root surface and seal out debris and bacteria.

6. Next your bite is checked and corrected for any irregularities and adjusted by use of a T-scan. A T-scan is a special machine which takes a precise measurement of your bite and shows exactly where your bite is irregular. It is extremely important to be exact and precise, rather than arbitrary, when looking for these irregularities. The irregularities in your bite need to be adjusted because uneven directions of your bite may contribute to the severity of bone loss and may prevent a good seal of your gums to keep the bacteria out while it is healing.

7. The computer records your bite on the T-scan via several colors. The pinker and redder the lines show on a specific tooth, the harder and earlier your bite is on that spot. When no color shows, it means that that tooth is not hitting. The ideal and acceptable color is blue.

8. By doing all of these steps, the right environment is created to allow much of the bone and other soft tissues lost from the disease process to grow back or regenerate.