Laser Periodontal Disease Treatment/LANAP

DrHaddix asked:


This video demonstrates treatment of a potentially problematic area…

Content

Comments

25 Responses to “Laser Periodontal Disease Treatment/LANAP”

  1. rdt1970 on April 4th, 2009 02:11

    thanks for advice but it seems to be geting better i.e the tissue is not receeding on my other teeth the gums are nice and pink and tissue is well in place but think im going to another dentist to get it looked at..thanks

  2. DrHaddix on April 4th, 2009 16:38

    Best I can recommend to you is to seek the care and opinion of a dentist or periodontist. Don’t ignore the signs just because there is no pain; periodontal disease is largely painless until the extremely advanced stages where there is little that can be done to correct or treat the damage caused by the disease.

  3. DrHaddix on April 6th, 2009 22:43

    Not necessarily so. A skilled surgeon can correct recession with tissue grafting procedures; failure to correct the recession can result in continued tissue and bone loss.

  4. shortbutsweet89 on April 9th, 2009 06:38

    no if ur gums have receded there is nothing u can do except keep the area rlly clean to prevent any plaque build up

  5. rdt1970 on April 11th, 2009 15:20

    how much does this cost i have gum problem on my two front lower teeth the tip of my gum has come away. my gums used to bleed but are much better now been flossing,brushing,oral rinse morning and night just this little problem i have with gum tip at frot not adhering to the gap, can see where the gum used to be how do i fix this or will this gum tip slowly fix its self back again no bleeing but tip of gum is a away

  6. PXG13 on April 12th, 2009 07:21

    Oh, I see, but that is very painless too, right? Something else too, can you help me? I’m scared out of my wits. I have 4 or 5 loose teeth. I searched up on the internet that it can also be genetics. Is it true? What should I do?

  7. DrHaddix on April 15th, 2009 15:08

    I’m always awake. The patients, however, may be sedated. The procedure can be done very acceptably with only local anesthetic.

  8. DrHaddix on April 18th, 2009 15:46

    Gum disease, or periodontal disease, affects an estimated 60% of adults and is the leading cause of adult tooth loss. It is a silent and painless disease until the extreme late stages when saving the patient’s teeth is difficult or impossible. It also is associated with a higher risk of stroke, pancreatic cancer, coronary artery disease, preterm births/low birth rate, and brittle diabetes.

    And really bad breath. How nasty is that.

    I thought the video was pretty phat.

  9. ugot2bkiddingme2009 on April 20th, 2009 01:10

    interesting

  10. PXG013 on April 20th, 2009 03:48

    aren’t you awake during that?

  11. joeh1cks on April 23rd, 2009 08:16

    this vid is nastey…
    is gum disease normal??

  12. DrHaddix on April 24th, 2009 11:45

    No, more like “ow”. “Ouchhhhhhhhhh” is when the procedure is performed with a scalpel and the gums are peeled back off the bone and, uh, well, I”ll forgo the rest. Sometimes still necessary, to be sure, but this procedure offers a new option for patients who would otherwise have to have conventional surgery. Like most laser based medical procedures, LANAP is less painful and invasive than the conventional surgical counterpart.

  13. joeh1cks on April 25th, 2009 06:03

    ouchhhhhhhhhhhhhhhhh

  14. DrHaddix on April 28th, 2009 16:40

    The PerioWave system is an interesting approach, using a dye to make pathogens more suceptible to the diode laser used. I’m sure it gives pocket reduction, but I can’t speak to how it compares with the more well researched and documented LANAP treatment.

  15. DrHaddix on April 30th, 2009 18:32

    To continue, the protocol for LANAP uses a free running pulsed ND:YAG laser capable of producing pulse energies in the thousands of watts for 100 microseconds duration, making it capable of penetrating tissue to kill embedded bacteria without harming the tissue. Diode lasers are not able to do this by virtue of their design; thus, the PerioLase is an integral portion of making LANAP so successful.

  16. DrHaddix on May 2nd, 2009 00:56

    The scaling and Perioscope approach is a valid conventional treatment, as is surgery; my patients are offered all options. LANAP offers a statistically better result than closed scaling procedures and results at least as good as open surgical procedures with less morbidity to the patient as well as better maintenance of clinical attachement levels. Additionally, LANAP is shown to much more consistently produce reattachement of cementum and bone than surgery or SCRP.

  17. jackwindinhair on May 4th, 2009 21:12

    sometimes not that simple: I brush and floss every day (thoroughly), but nonetheless developed periodontitis… apparently, because I grind my teeth at night :o

  18. jackwindinhair on May 7th, 2009 07:58

    First, to Dr. Haddix: thank you for taking the time to answer these questions. Periodontitis seems to be a silent, hidden disease that hits alot of people but few know what it is or what to do to stop it.

    Q: Why use the lanap procedure instead of scaling w/ a micro-ultrasonic tip and a perioscope, then disinfect w/ local anti-biotics? Pros/cons?

    Also, what do you think of the Periowave? seems like a good idea :)
    Thanks Again!

  19. DrHaddix on May 9th, 2009 08:31

    Much more than that. The laser selectively removes the inflamed epithelium of the diseased gum pocket adjacent to the tooth as well as killing both superficial and deeply embedded bacteria that cause the disease process. The contaminated root surface is cleaned with the scaling instrument, then the blood in the pocket is coagulated with the laser into a fibrin clot which serves as both a dressing to the area as well as a biologic scaffolding for new hard and soft tissues to grow into.

  20. kimaste on May 12th, 2009 11:00

    so, what are you exactly doing here? removing plaque?

  21. DrHaddix on May 14th, 2009 16:58

    This could very well be a symptom of periodontal disease; as the bone support around teeth is decreased by the desease process, teeth can drift due to lack of support. I recommend that you see a dentist or periodonist to confirm or rule out any periodontal disease. Little known fact: untreated chronic periodontal disease is also associated with and increased risk of heart disease, stroke, pancreatic cancer, as well as early and preterm births. Have it checked.

  22. khalaf2007 on May 15th, 2009 19:55

    doc on of my front tooth is incrising in space and sometimes when i brush it does bleed does this mean i have this desease there anything that can stop not the tooth to move

  23. DrHaddix on May 17th, 2009 01:43

    The only person who can help you with that is a dentist; periodontal disease by definition is a condition that the patient cannot cure themselves with proper brushing and flossing. There are no home cures or antibiotics that will treat true periodontal disease. My recommendation is that you consult a dentist and tell him/her of your concerns; diagnosis will require x-rays and measurements of the tissue around your teeth. Don’t wait; you don’t want dentures, trust me.

  24. MountainDeww4 on May 18th, 2009 02:16

    I think I might have Periodontitis. No really obvious signs, but the lower gum tissue might be separating. There’s some plaque surrounding the teeth but I dunno if I can afford treatment for this. Help? Maybe a home treatment or solution? Thanks!

  25. Xoebear on May 19th, 2009 02:21

    It’s Flossing.

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