LANAP Treatment


Our practice offers a minimally invasive periodontal surgery procedure called the LANAP protocol.

Gum disease is a chronic inflammatory disease that destroys the tissue and bone around the teeth. If left untreated, the disease can lead to receding gums, loss of bone, and ultimately tooth loss.

Our doctors receive intensive training in the LANAP protocol by the Institute for Advanced Laser Dentistry. The LANAP protocol is the only laser periodontitis treatment scientifically and clinically proven to regenerate both soft tissue and bone, with FDA clearance for True Regeneration. This gentle laser treatment is performed in our practice with the only laser specifically designed for the LANAP protocol - the PerioLase MVP-7.

Minimally Invasive:

The width of the surgical laser fiber tip is equivalent to the width of about three human hairs.

Before and After

X-rays showing bone improvement:

Photos showing tissue improvement and pocket depth reduction (probing):

About Gum Disease

What Are the Risk Factors for Gum Disease?

Well known risk factors for periodontitis include genetics, stress, avoiding the dentist, no brushing or flossing, and some medical conditions. Smokers are significantly more likely to develop gum disease than non-smokers.

It's not just about your teeth anymore - gum disease has been linked to numerous health problems, with new studies emerging all the time linking oral and overall health.

What is Gum Disease?

Gum disease begins when a film called plaque accumulates on the teeth and calcium from saliva hardens the plaque - this calcified plaque is called tartar or calculus. Certain types of germs that live in this plaque and calculus damage gum tissue. Your body tries to fight this infection with an inflammatory attack, sending white blood cells to the area to destroy the bacteria. This inflammation causes the tissue to bleed easily when you brush or floss. This stage of the condition is called gingivitis.

If the infection and inflammation persist the result is a chronic inflammatory condition where the gums, ligament and bone around the teeth are destroyed - often with no symptoms. At this stage it is called periodontitis.

Signs/Symptoms of Moderate-Advanced Gum Disease Include:

  • Gums that are red, swollen, and bleed easily
  • Gums that seem to have pulled away from the teeth
  • Bad breath or halitosis
  • Pus between your teeth and gums
  • Teeth that seem to be loose or moving away from one another
  • Change in the way your teeth fit together when you bite
  • Change in the way your partial denture or implant-supported restorations fit
  • Or no symptoms at all!

Frequently Asked Questions

What is LANAP?

The LANAP protocol is the only laser periodontitis treatment protocol that is cleared by the FDA for True Regeneration and is clinically and histologically proven to regenerate new gum tissue, ligament, and bone. Research has shown the PerioLase Nd:YAG wavelength stimulates the release of growth factors, allowing the body to heal naturally.

For more information on the science that supports the LANAP protocol, visit:

Why is it important to get my gum disease treated?

The health risks of gum disease go far beyond the loss of teeth. There is a connection between gum disease and a number of serious medical conditions. People with periodontal disease are almost twice as likely to suffer from coronary artery disease, and have nearly twice the risk of having a fatal heart attack. Gum disease has also been linked to other health problems, including respiratory disease, diabetes, Alzheimer's, certain cancers, heart disease, stroke, osteoporosis, erectile dysfunction, HPV, and pregnancy complications.

Can the LANAP protocol help my loose dental implants?

Yes! Using the PerioLase MVP-7, we can often save ailing or failing implants using the LAPIP protocol. We use the same laser, but different laser settings and light exposure to help your implant stabilize while destroying periodontal pathogens and endotoxins.

Who is a candidate for LANAP laser surgery?

Patients with moderate-to-severe gum disease can especially benefit from the LANAP protocol. The LANAP protocol is also an excellent treatment option for patients who are fearful of conventional scalpel surgery and patients taking certain medications, such as blood thinners. With the LANAP protocol, patients do not have to stop taking any medications.

What about patient discomfort and recovery versus conventional surgery?

Some of the primary benefits of LANAP laser surgery as compared to traditional cut-and-sew surgery are:

  • Less pain
  • Less bleeding
  • Less sensitivity
  • Less gum loss
  • Less swelling
  • Very little downtime after treatment
  • Less Post-op infections
  • Promotes regeneration of supporting gum tissues
  • Healing is perceived to be faster and more comfortable than conventional surgery

Pre-op picture shows large defect in bone
6 years later, the post-op picture shows remarkable bone fill - suggesting a once "hopeless" tooth is now stable
individual results can vary

What is the cost of the LANAP treatment?

Your individual cost will depend upon a number of variables, and we will try to create a financial arrangement that is appropriate for you.

LANAP Protocol - What to Expect

What to Expect: Your LANAP Surgery

LANAP periodontal surgery is a full-mouth procedure usually completed in two 2-hour visits. We complete one side of the mouth during the first visit, and complete the other side on the second visit. Surgeries are usually scheduled within one to seven days of one another. It is common to quickly return to work or other activities.

What to Expect: The First Few Days

You may experience mild aching, throbbing, and soreness of the treated areas for the first couple days - this can be helped with mild pain medications. The tissue around the teeth may appear discoloured. Your bite may feel slightly different, but the teeth will adapt. You cannot brush or floss for the first 7-10 days after treatment, and you will need to follow a liquid or mushy diet. Smoking decreases results for all gum treatments, including LANAP treatment.

What to Expect: Follow-up Care

As the gums heal, the teeth will shift, and your bite will need to be adjusted several times over the coming months. Splints may be fabricated to stabilise and immobilise the teeth. It is important that you wear these splints as instructed to promote healing. Expect to have your teeth professionally cleaned every three months for at least the first year, and then as recommended by your Periodontist.

LANAP Protocol - Surgery & Follow-up Treatment

Below is a sample treatment plan, your treatment plan may vary based on case severity and healing response.

Post-Op Visit: Week 1

  • Bite adjustments and healing management
  • No brushing
  • No flossing or use of electric toothbrush
  • Very soft 'mushy' diet days 3-10

Post-Op Visit: Month 1

  • Light cleaning/polishing
  • Wear splints every night; wear during day when possible (variable)
  • Continued bite adjustments and healing management
  • Resume brushing and flossing
  • Resume normal diet

Post-Op Visit: Month 4

  • Periodontal maintenance
  • Continued bite adjustments and healing management
  • Continue good brushing and flossing

Post-Op Visit: Month 7 & 10

  • Checkup and periodontal maintenance
  • Continued bite adjustments and healing maintenance

1 Year (13 Month) Re-Evaluation

  • Full periodontal charting and X-rays
  • Periodontal maintenance
  • Continued bite adjustments and healing maintenance
  • Impressions for LANAP guard (variable)
  • Access possible areas requiring re-treatment
  • Discuss direction of future treatment, including any recommended restorative, cosmetic, or orthodontic care

LANAP Protocol Explained

The patented LANAP protocol is a minimally-invasive surgical method of treating and often reversing gum disease. During the procedure, the PerioLase MVP-7 dental laser is used to gently remove harmful germs and diseased tissue from gum pocket, keeping healthy tissue intact.

The LANAP protocol is the only laser treatment to receive FDA clearance for True Regeneration.

  • New cementum
  • New periodontal ligament
  • New alveolar bone!

Overview of the LANAP Protocol

The drawings below illustrate the LANAP protocol steps:

  • A. Periodontal probe indicates excessive pocket depth
  • B. Laser light removes germs and diseased tissue
  • C. Ultrasonic scaler removes root surface tartar
  • D. Bone modification promotes new tissue growth
  • E. Laser finishes cleaning pocket, stimulates growth factors, and aids in sealing the pocket closed
  • F. Healing of gums to clean root surface occurs
  • G. Bite trauma is adjusted
  • H. Tissues and bone re-grow and healing occurs