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Article · Ghatkopar East, Mumbai

LANAP: laser gum surgery, and why it saves tissue conventional surgery removes

Gum disease that has reached the bone used to mean cutting. It increasingly does not.

LANAP laser periodontal therapy explained by Dr. Manthan Desai

LANAP is laser periodontal therapy. It combines the proven methods of traditional gum surgery with the precision of laser dentistry — and it saves gum tissue that conventional surgery would remove to treat the disease. Treatment is almost painless with long-lasting results.

The problem with conventional gum surgery

Once gum disease progresses past the gums and involves the bone — the condition commonly called pyorrhoea — treatment becomes surgical. Traditional flap surgery lifts the gum away from the tooth to clean the diseased surfaces beneath, and some tissue is removed in the process.

It works. But losing gum tissue has consequences you live with afterwards: longer-looking teeth, sensitivity, and a gum line that is harder to keep healthy.

What LANAP does differently

A laser targets the diseased tissue and the bacteria within the pocket with a precision a blade cannot match. Healthy tissue that traditional surgery would sacrifice is preserved.

The procedure has gained considerable popularity in western countries, and it brings the general advantages of laser dentistry with it: bloodless procedures, so less or no swelling and pain, an analgesic effect meaning minimal anaesthetic, and faster healing.

How to know if you are already in this territory

The signs of pyorrhoea, roughly in the order they appear:

  • Bleeding gums
  • Bad breath that does not respond to brushing or mouthwash
  • Mobile teeth — a tooth that moves slightly when pressed
  • New spacing appearing between teeth that were tight
  • Loss of teeth

The first is easy to dismiss. By the last, bone has been lost — and bone that is lost does not grow back on its own.

The short version
  • LANAP treats gum disease at the bone level while preserving tissue
  • Almost painless, with shorter recovery than conventional flap surgery
  • Bleeding gums can often be treated by laser without surgery at all
  • Scaling twice a year prevents most of this from ever arising
  • Before it gets that far

    Most gum disease never needs any of this. Regular follow-ups and oral prophylaxis — scaling and polishing with ultrasonics — twice a year keep gums healthy, and treatment of bleeding gums without surgery by laser is available well before the surgical stage.

    A simple procedure like teeth cleaning can do miracles for gum health. It remains the most cost-effective appointment in dentistry.

    Why gum health decides everything else

    Gums are the foundation. They determine whether implants succeed, whether veneers look right at the gum line, and how a smile ages. Almost every other treatment sits on top of them — which is why this is examined before larger work is planned.

    Common questions

    What is LANAP?

    Laser periodontal therapy. It combines the proven methods of traditional gum surgery with the precision of laser dentistry, saving gum tissue that would otherwise be removed.

    Is LANAP painful?

    Treatment is almost painless, with added comfort and less recovery time than traditional gum surgery.

    Can bleeding gums be treated without surgery?

    Yes. Treatment of pyorrhoea and bleeding gums without surgery, using a laser, is one of the advantages of laser dentistry.

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