Laser Periodontal Therapy (LANAP™)

Laser-Assisted New Attachment Procedure (LANAP™) is a FDA approved protocol of laser periodontal therapy that utilizes the Millennium MVP-7 Nd:YAG PerioLase laser for the effective treatment of periodontitis through regeneration rather than resection (removal) of tissue.

Click the play button to see an
animation video of the
LANAP Procedure
The PerioLase used in the LANAP™ protocol utilizes a small, flexible laser fiber about the width of a paperclip.  When placed into the periodontal pockets, the laser energy emitted through this fiber precisely removes the unhealthy diseased gum tissues lining the pocket while leaving the healthy gum tissues intact.  After the unhealthy gum tissues have been removed,  the teeth are thoroughly cleaned and the laser is utilized at a different setting to stimulate the formation of a blood clot in the pocket.  This blood clot assists with sealing the healthy gum tissues to the root surface.  The LANAP protocol is a gentle, conservative, non-invasive method of treating gum disease without cutting, suturing or removing tissue.  This provides an effective method to treat periodontal disease with a faster recovery that is virtually pain free.


The following case illustrates the bone regrowth that can be seen following LANAP therapy.  This case was treated by Dr. Wilson on October 14, 2010 and the follow-up x-ray taken on October 10, 2011.  The first two x-rays show different views of the same area.  These x-rays are unaltered and of the same patient.  The only treatment provided was LANAP therapy. 



 Pre-LANAP Treatment

 Pre-LANAP Treatment

 1 year Post-LANAP Treatment



Steps of the LANAP™ protocol

A Periodontal probe indicates excessive pocket depth.   E Sticky blood clot encourages sealing of the gums to clean root surface so new germs cannot enter.
B Laser light kills bacteria and diseased tissue.   F Bite trauma is adjusted so the tooth does not wiggle and break down the blood clot.
C Ultrasonic scaler and special hand instruments are used to remove root surface toxins and tarter.   G

Healing occurs.  When the seal of the gum tissues remains intact, regeneration of the bone and gum attachment can occur.

D Laser finishes cleaning pocket and aids in stopping any bleeding so that a blood clot can form in the pocket.   


The benefits of LANAP™ include the following:

    LANAP™ creates an environment that allows your body to heal itself. It is not invasive or obtrusive.
    Many of our patients say that there is little or only minimal discomfort, during and after Laser Periodontal Gum Surgery with LANAP™.
    There is no significant recovery time - so no time needed off work or other activities.
    There is only negligible reduction of gum tissue during treatment (unlike traditional periodontal surgery).  A positive side effect of laser periodontal gum surgery is that in many cases regeneration and reattachment of the gum tissue to the tooth and bone is possible
    LANAP™ can decrease in the inflammation in your mouth
    This treatment can remove the infection associated with gum disease
    LANAP™ can decrease bleeding gums
    There is only minimal bleeding during treatment unlike traditional surgery
    LANAP™ can reduce the severity of loose teeth

In addition to the clinical benefits, the PerioLase laser treatment is also great for patients who have medical problems that would contraindicate traditional periodontal surgical treatment without discontinuing or modifying their medication usage.  Patients on blood thinning medications drugs such as Plavix or Coumadin do not have to discontinue usage of these drugs with this laser therapy.

These benefits make laser periodontal treatment ideal for patients who are fearful of conventional periodontal scaling and surgery. Of course, maintenance visits and good plaque control will be necessary following laser treatment.

For patients who are concerned about conventional blade surgery to treat periodontal disease, the new laser treatment can be a life-changing event. Patients are able to preserve their natural teeth, enhance their smile, and avoid the potentially life-threatening systemic effects of untreated periodontal disease.


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