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Laser Assisted Periodontal Therapy
At Pacific Coast Periodontics, we are passionate about laser periodontal therapy as a treatment alternative to conventional
scalpel surgery. Many of our patients have elected to manage their periodontal disease with lasers to avoid scalpel surgery.
Our practice has incorporated soft tissue diode lasers; Er,CrYSGG lasers; and Nd;YAG lasers into our periodontal procedures
to manage all aspects of your periodontal needs.
Laser Assisted Periodontal Therapy is a minimally invasive periodontal surgical procedure that avoids cutting and suturing
as in conventional surgery. It involves using a laser to precisely remove just the diseased lining of the inside of the periodontal
pocket and decontamination of the sulcus from bacteria. The laser also weakens the attachment of tartar to the root surface
for more easy removal. The initial pass of the laser also relaxes the tissue away from the tooth so there is better visualization
of the root for cleaning. Then, Dr. Wiesen uses a special ultrasonic instrument to clean off the root and flush the pocket
with an antimicrobial. After the roots are inspected under magnification, Dr. Wiesen denudes the pocket to the underlying
bone to allow for bone stem cells to fill the pocket. We then use the laser a second time to create a fibrin clot which creates
a natural biologic seal around the pocket. Finally, an occlusal adjustment is performed to ensure balanced function in the
laser treated area.
A. Periodontal mapping with probe after local anesthesia
B. Laser light removes bacteria and diseased tissue
C. Piezo ultrasonic handpiece with special tips clean and smooth root surface
D. Laser second pass further decontaminates the pocket and create a biologic seal for optimal healing
E. Healing of gum to clean root surface
F. Bite adjustments as needed to prevent occlusal trauma
G. Healing and maturatio
This procedure when performed as a full mouth protocol is often referred to a LANAP, Laser Assisted New Attachment Procedure.
Learn more about LANAP at www.lanap.com
Laser Assisted Periodontal Therapy is a less invasive than scalpel surgery and the recovery is often times quicker and more
comfortable. The procdure is easily performed with just local anesthetic and typically takes about 1-2 hours.
We look forward to discussing lasers with you in greater detail after reviewing your individual case.