• Dental Phobia Support

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Lanap!!

Annika

Annika

Junior member
Joined
Feb 24, 2009
Messages
5
Hello everyone!

I just wanted to update you on how my LANAP went.
For those who don't know, LANAP is an alternative to cut and sew gum surgery.

Heres how it went.

The Dr. numbed me using the "Wand" (one of the best inventions EVER!)
Then, once I was numb he gave me my headphones, and got started.

When he began, I heard a slight noise, kind of like a static sound. I could feel what he was doing, but there was NO pain. If I had to describe the feeling, I guess the laser was warm against my gums, but thats about it.
After he was done with that first step, he put the laser aside. Then I felt each tooth vibration as he cleaned and scaled it with the ultrasonic cleaner. If he did use any hand tools, I didn't feel them.

After that step, he took the laser again to go over each tooth, and seal them.

I was there for a couple of extractions too, and even they were not painful.

The only complaint I could give about this procedure is after two two hour visits (one half of my mouth one day, and the other half the next) my jaw was aching a bit from having it open so long.

Now, it's four days later, and where there were once red, and very swollen gums, (I even has some starting to grow down in between my teeth) there is now a lot less tissue. The color varies from whitish gray to purple, but I can already see a difference in my gums. They are no longer a deep pink, and I don't seem to have the bad breath I sometimes had before the procedure (if someone tells me otherwise I'll let you know lol)

Anyway, for anyone that has bad gum disease, and has been putting off treatment because of fear (like I have done for almost 14 years now), THIS is what you should do. Honestly, on a scale of 1-10, 10 being the highest pain, this is not even a two!

If anyone has any questions, please feel free to ask.
I am thrilled that I took this first step of fixing my mouth. I still have a few others to take though, like fillings and bonding, but I'm finally off the fence! :yay:
 
Hello Anika, I'm glad to see your gum surgery went so well. Keep in touch.
 
Hi,

I had my first appointment with LANAP on 8/11. I was wondering how you are doing with your treatment. How long did your gums remain discolored?
 
FYI

The LANAP and related procedures are meant as an alternative to periodontal treatment only in mild to moderate cases. Make sure you understand your diagnosis so your expectations are met.

Advanced disease can be treated with a laser, but therapy is slightly different and is best performed by a specialist or someone with significant training. You wouldn't go to an internist if you had advanced heart disease - you go to a cardiologist. The same goes for dentistry - advanced cases are best treated by those with better training.

Glad your experience went well. Laser therapy is a powerful tool and is great for patients when executed properly.

Dr. Mark Schlesinger
Diplomate, American Board of Periodontology
Clinical Professor, NYU College of Dentistry
 
FYI

The LANAP and related procedures are meant as an alternative to periodontal treatment only in mild to moderate cases. Make sure you understand your diagnosis so your expectations are met.

Advanced disease can be treated with a laser, but therapy is slightly different and is best performed by a specialist or someone with significant training. You wouldn't go to an internist if you had advanced heart disease - you go to a cardiologist. The same goes for dentistry - advanced cases are best treated by those with better training.

Glad your experience went well. Laser therapy is a powerful tool and is great for patients when executed properly.

Dr. Mark Schlesinger
Diplomate, American Board of Periodontology
Clinical Professor, NYU College of Dentistry
I'm going to have to respectfully disagree with Dr Mark on two points. One would be the premise that Lanap is not indicated in Advanced periodontal cases. On the contrary LANAP shines the best in Advanced cases.
Secondly, the idea that a specialist is needed to do LANAP is completely false. On the contrary IMO a general dentist in many cases would be prefered in order to be able to handle any endodontic and restorative concerns at the same time.
 
As someone who's been diagnosed with advanced perio disease, the alternative of LANAP takes the dread of surgery away should it ever come to that beyond the laser gingivectomy/plasty I already had done................. I'll do that if I have to but won't let anyone cut my gums the old scapel way.
and yes I've only googled and youtubed it....:devilish:

rp
 
Hilarious watching the USA vested interests disagree with each other on a Dental Phobia Board, particular about who should and shouldn't be doing what!

For the sake of balance there's also perioscopy:
 
Hello Brit

You are correct an alternative is the Perioscope. Unfortunatly Magnaview went out of buisness and the perioscope is no longer being manufactured.

Here is a quote from Judy (the author of the posted web site) "I cannot honestly encourage anyone to buy a used machine at this time - at least not without full disclosure that they will routinely deal with headaches. If anyone had had to endure the unbelievable unpredictability of these old DV2's for very long they would get discouraged and no longer practice this procedure, with the exception of the offices out there who have working endoscopes."


As Dental Professionals it is our duty to understand the science and inform our patients as to the difference between the two technologies.

[broken links removed]
 
Last edited by a moderator:
Re: the article Lanap mentioned:[broken link removed]

If you read the article, by the author's own admission, these results were similar to those achieved using old-fashioned techniques done in 1989 (except that those studies looked at many dozens of teeth, not 6).

Should the standard of care today be similar to what could be achieved in 1989?

Additionally, we have regenerative products that are capable of excellent outcomes, when performed competently. A downside to the LANAP is that the presence of the fibrin clot in the periodontal pocket prevents the placement of these specialized materials.

LANAP is a nice mode of therapy, and certainly eases anxiety and helps get patients care they need, which is a major benefit...but it has yet to be proven more capable or predictable than traditional surgery in terms of gain in clinical attachment, the gold standard of periodontal care.

I know more than a few periodontists who have Millenium's Nd:YAG and limit there use of this tool to moderate cases. They find better results using traditional methods. Of course, any tool is only as good as it's user.

Dr. S
 
Hello everyone!

I just wanted to update you on how my LANAP went.
For those who don't know, LANAP is an alternative to cut and sew gum surgery.

Heres how it went.

The Dr. numbed me using the "Wand" (one of the best inventions EVER!)
Then, once I was numb he gave me my headphones, and got started.

When he began, I heard a slight noise, kind of like a static sound. I could feel what he was doing, but there was NO pain. If I had to describe the feeling, I guess the laser was warm against my gums, but thats about it.
After he was done with that first step, he put the laser aside. Then I felt each tooth vibration as he cleaned and scaled it with the ultrasonic cleaner. If he did use any hand tools, I didn't feel them.

After that step, he took the laser again to go over each tooth, and seal them.

I was there for a couple of extractions too, and even they were not painful.

The only complaint I could give about this procedure is after two two hour visits (one half of my mouth one day, and the other half the next) my jaw was aching a bit from having it open so long.

Now, it's four days later, and where there were once red, and very swollen gums, (I even has some starting to grow down in between my teeth) there is now a lot less tissue. The color varies from whitish gray to purple, but I can already see a difference in my gums. They are no longer a deep pink, and I don't seem to have the bad breath I sometimes had before the procedure (if someone tells me otherwise I'll let you know lol)

Anyway, for anyone that has bad gum disease, and has been putting off treatment because of fear (like I have done for almost 14 years now), THIS is what you should do. Honestly, on a scale of 1-10, 10 being the highest pain, this is not even a two!

If anyone has any questions, please feel free to ask.
I am thrilled that I took this first step of fixing my mouth. I still have a few others to take though, like fillings and bonding, but I'm finally off the fence! :yay:

Thank you for the explanation. Do you know if you had any bone regeneration?
 
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