About Us
About Us
Find out more about Dr McAllister and Staff.
Laser Gum Treatment
Laser Gum Treatment
LANAP a laser procedure that reverses gum disease.

New article published on LANAP in the AAP Journal. P. 96-103 Comments Off

New article published on LANAP in the AAP Journal. P. 96-103


Introduction: The focus of periodontal surgical procedures has shifted over the past three decades from philosophy based
on resection (subtractive) to one of regeneration of lost tissues (additive). This shift has had particular significance in cases of advanced
periodontitis. When a patient presents with severe attachment loss, regeneration cannot take place until the etiologic factors
have been effectively managed or reversed and the disease progression arrested. Traditional surgical techniques have been successful
in facilitating access and addressing the goal of “pocket elimination.” However, such surgical methods often result in unpleasant
side effects, which can be painful and disfiguring. Clinicians have come to accept previous tissue breakdown as often irreversible.
Additionally, the theory behind conventional pocket elimination was to produce an environment that promoted ongoing disease control
by facilitating personal oral hygiene. At its best, traditional pocket surgery often falls short of achieving these goals and objectives.
Additionally, conventional resective surgical techniques do not adequately address esthetic concerns, whereas surgical techniques,
which are directed toward regeneration, have as their ideal outcome the preservation and/or restoration of lost periodontal tissues.

Case Series: This case series presents six clinical cases illustrating favorable results using laser-assisted new attachment
procedure. In all cases, mobility and other manifestations of occlusal pathology were assessed. Occlusion was carefully
addressed and managed using a combination of procedures.

Conclusions: The results of recent research on a specific free-running, pulsed neodymium-doped:yttrium–aluminum–
garnet (Nd:YAG) laser suggest that this laser provides a viable alternative to traditional periodontal surgery. Properly applying
the laser has been shown to produce less bleeding, swelling, and discomfort. The Nd:YAG laser appears to address the cause
of periodontal disease rather than the effects by specifically targeting identifiable periodontal pathogens.Regeneration of periodontal
tissues is the gold standard by which dentists measure treatment effectiveness. Evidence has emerged that the Nd:YAG laser
provides an enhanced method for achieving this elusive goal while eliminating many of the negative sequelae, which have been
historically associated with conventional pocket elimination surgery. It should be noted that the information in the paper does
not refer to all Nd:YAG lasers, but to one specific type of Nd:YAG laser. There are specific differences between individual YAG
lasers, and this one is unique. Clin Adv Periodontics 2013;3:96-104.

Key Words: Nd-YAG lasers; periodontal attachment loss; periodontal pocket; periodontal regeneration.

About The Author


Comments are closed.