LANAP also goes by another term “Laser Assisted Regeneration (LAR).” These are the FDA-cleared laser treatment that offer a less painful, more successful treatment alternative to conventional surgery. 

LANAP is the only scientifically, research proven methodology that results in true periodontal regeneration, new bone growth and gum tissue reattachment. LANAP is accomplished with the PerioLase MVP-7. It is a free-running, variable pulsed Nd:YAG laser. The 7 variable pulse durations can be thought of as “different lasers” in one device, each having a discrete and discriminating tissue interaction important for providing the best clinical results. 

The LANAP or LAR treatment is one of the most successful protocols in treating periodontal disease today because it can target the source of the inflammation without hurting or removing any healthy gum tissue. It can slow or stop attachment loss and decrease pocket depth. And best yet, it enables the body to recover from deep seated chronic infection without the need for scalpel or sutures.




1. Conventional Care. The first phase is non-surgical therapy. This is scaling and root planing and involves the scaling off of tartar or calculus and then the smoothing of the root surface. The anticipated pocket depth improvement is within the range of 2 mm. LANAP is a completely different approach to therapy and is generally not Dr. Young’s approach to treating this disease. There are exceptions based on certain circumstances, but when LANAP is a viable option, it is Dr. Young’s preferred method of care for all the reasons described here. The second phase is surgical therapy. This can involve a number of different procedures depending on the specific problems of a particular area.

Conventional Care works but in general requires more appointments compared with LANAP. However, LANAP may not be enough either in specific areas and so surgical therapy involving exposing bony defects and suturing may be necessary.

2. No treatment. This is a poor choice and problems once begun can progress over time.

This is a difficult question to answer outright because we need to first know what specific problems are. Usually the cost for a comprehensive examination without any insurance coverage is under $200. But let’s put this in perspective. If someone has avoided dental care for a period of time, how much money would they have spent had they simply seen a dentists annually for check ups and periodically, as recommended , for cleanings? Think about this money now being used for the treatment of conditions now. Also, the earlier problems are addressed, the less expensive treatment will be. Personally, I would rather know specifically what things will cost rather than speculate. If you want to know more and you have dental insurance, there is probably a fee schedule you can access to see costs of periodontal care.

You live at a time in world history where we have local anesthetics and methods to help people manage their fears that are simple and predictable. Also the level of tenderness following procedures in this area of dentistry are effectively managed without the need for narcotic pain medications. So, no. Treatment should not be painful.

Your initial visit will be about an hour of your time. During that visit we will provide you with a full periodontal exam, diagnosis, and treatment plan. Following this, especially if we will be using laser gum disease treatment, it will take as few as two additional appointments and no more than an additional four hours of time before you are back to seeing your general dentist and dental hygienist for continuing supportive periodontal care going forward. If you have not watched my explanation about managing periodontal disease I recommend you do so.

A Tooth has Four Parts >>

Watch “A Tooth Has Four Parts” to find out. It will take fifteen minutes of your time.

Watch here >>