
Laser Periodontal Therapy (LANAP)
LANAP, which stands for Laser Assisted New Attachment Procedure, is an FDA-cleared laser protocol for the treatment of periodontal disease. Unlike traditional gum surgery, which involves cutting and suturing the gum tissue, LANAP uses a specialized laser to selectively remove diseased tissue and bacteria from the periodontal pockets while leaving healthy tissue intact. The laser also stimulates the bone and connective tissue to regenerate, promoting a level of healing that conventional surgery often cannot achieve.
At Bensonhurst Dental Care, LANAP is performed by Dr. Alex Rubinshtein, whose membership in the Academy of Laser Dentistry and over 22 years of clinical experience ensure that patients receive this advanced treatment with the highest level of skill and care. The procedure involves inserting a thin laser fiber into the periodontal pockets, where it targets the bacteria and infected tissue. The laser energy destroys the pathogens, removes the diseased lining of the pocket, and creates a clean environment for healing. The healthy tissue is then compressed against the root surface, forming a stable seal without the need for cutting or suturing.
LANAP offers several significant advantages over traditional pocket reduction surgery. There is less discomfort, less bleeding, less recession, and faster recovery. Most patients return to normal activities within 24 hours. Because the procedure is tissue-conserving, it preserves the gumline while still addressing the disease, making it an especially appealing option for patients concerned about the aesthetic impact of gum surgery.
LANAP can be an effective alternative or complement to traditional scaling and root planing and is often considered when non-surgical treatment has not fully resolved the disease. For patients already on a periodontal maintenance program, LANAP can address persistent problem areas that have not responded to conventional methods.
Frequently Asked Questions
Is LANAP painful?
Most patients report significantly less discomfort with LANAP compared to traditional gum surgery. The procedure is performed under local anesthesia, and post-operative pain is typically minimal. Many patients manage comfortably with over-the-counter pain medication alone.
How long does the LANAP procedure take?
A full-mouth LANAP treatment is usually completed in two sessions, each lasting about two hours, with one session per side of the mouth. Individual cases may vary based on the extent of the disease.
Does LANAP really regenerate bone?
Yes. LANAP is the only laser-based periodontal protocol with published, peer-reviewed evidence demonstrating true periodontal regeneration, including new bone, new cementum, and new connective tissue attachment. Results vary by patient and defect type.
How does LANAP compare to traditional gum surgery?
LANAP involves no cutting or suturing, results in less recession, produces less post-operative discomfort, and allows for faster recovery. It also preserves more of the healthy gum tissue. Traditional surgery may still be recommended in certain cases depending on the severity and configuration of the bone loss.
