LANAP Laser Therapy

Laser Assisted New Attachment Procedure (LANAP) with Millenium Periolase for treatment of periodontal (gum) disease


We are proud to be one of the few periodontal offices in the country (one of the first in New Hampshire, Vermont and Maine) to offer the latest cutting edge technology in the treatment of periodontal disease. This new technology allows patients who are too afraid to seek traditional surgical treatment, an avenue to address their periodontal needs in a less invasive manner. This treatment is called the laser-assisted new attachment procedure, or LANAP, a patented treatment approach that the Food and Drug Administration approved in 2004. This pulsing laser can distinguish by color between healthy and diseased gums and zaps away only bacteria and infected tissue, which has a darker pigment than the surrounding healthy gums.

LANAP helps connective tissue and bone form between the gums and teeth, according to a major study published in the International Journal of Periodontics and Restorative Dentistry (Vol. 27, Number 6, 2007). “There were also signs of a regeneration of new periodontal supporting tissues on previously diseased root surfaces in all LANAP-treated teeth,” says Raymond Yukna, the study’s lead author and director of advanced periodontal therapies at the University of Colorado School of Dental Medicine. In theory, that means there is less chance of the infection returning. This type of healing is promoted via the lasers heat energy, which seals the gums in the early stages of healing with a “thermal blood clot, creating a physical barrier to any bacteria

Still, LANAP is unlikely to fully replace traditional gum surgery anytime soon. The laser therapy isn’t demonstrably superior to surgery, reseachers recently reported in the Journal of Periodontology. Insurance will typically cover either procedure, so patients won’t necessarily pay more for LANAP.

Lasers are also taking part in cosmetic treatments. Laser gum recontouring, for example, can reshape the gum lines in much the same way that was traditionally done with a scalpel. So, patients with a gummy smile or long- or short-looking teeth can achieve a more proportioned look. Think of the gums as a frame around a painting. If the frame is broken, the painting will not look good despite how expensive it is. The laser cauterizes the gum tissue, minimizing pain and bleeding and shortening recovery.