LANAP Laser Gum Surgery

Periodontal disease is a serious condition that often needs gum surgery to resolve. However, not many people have the stomach for surgery.

Fortunately, Laser-Assisted New Attachment Procedure (LANAP) offers a minimally invasive treatment option for gum disease. So if you’re hesitant or worried about surgery, consider LANAP.

In this article, we’ll go over what to expect with LANAP, who benefits from it, how much it costs, and more.

What is LANAP® Laser Gum Surgery?

LANAP is a method of laser therapy for treating gum disease by removing infected tissue and promoting regeneration.

It’s a research-driven treatment method for gum tissue regeneration, gum tissue attachment, and new bone growth.

The LANAP procedure is FDA-approved to treat periodontal disease (periodontitis). Both diseases can lead to detrimental dental issues and even tooth loss. Fortunately, they’re largely preventable.

How Does LANAP Work?

LANAP uses an Nd:YAG laser that specifically targets and removes bacteria and diseased tissue without harming healthy gums. The laser’s unique wavelength (1064nm) precisely removes infected areas, leaving behind healthy gums.

Additionally, the laser provides a natural sealing method by forming a blood clot over the surgical site. This offers a biological bandage preventing reinfection.

After the procedure, the periodontist may use photobiomodulation (PBM). This procedure uses red and near-infrared light to stimulate biological processes, promoting bone regeneration and accelerated healing.

What to Expect on Procedure Day?

Before the procedure begins, a periodontist will need to examine your gums to determine the level of treatment necessary. Once they understand the severity of the issue, they’ll start the procedure.

Here’s a look at what your appointment involves:

• Local anesthesia — The periodontist numbs your gums to ensure comfort.
• First laser pass — Removes bacteria and infected gum tissue gently.
• Deep cleaning — Tartar is removed using ultrasonic scalers and other instruments.
• Second laser pass — Seals the area, forming a stable clot for proper healing.
• Bite adjustment — The periodontist adjusts your bite to ensure no excess pressure interferes with healing.

What to Do After the Procedure?

You might feel some mild discomfort after the procedure. This is normal, and your periodontist will provide you with follow-up care after the procedure is complete. 

This typically includes:

• Taking prescribed pain medications (if necessary)
• Do not floss for a month
• Do not brush the treated areas for one week (you may be advised on how to clean them gently)
• Stick to a liquid or soft food diet for a few days
• Be careful when chewing food

Following your periodontist’s recommendations during this time will help promote healing. Additionally, don’t forget to go to follow-up appointments so they can properly monitor the healing process.

Who Benefits from LANAP?

LANAP is an excellent procedure, but it’s not for everyone. Here’s a quick checklist to see if it fits your needs.

You’ll be a good candidate if you have:

• Moderate to deep gum pockets — Usually, pockets measuring 5 mm or more respond best.
• Stable health conditions — Controlled diabetes or mild-to-moderate smokers still benefit, though results may vary slightly.
• Desire for less invasive treatment — Especially suitable if you fear surgery or want quicker healing.

What Are the Pros and Cons of LANAP?

LANAP delivers clinical outcomes comparable to traditional treatments, like open-flap surgery or osseous surgery. It has an easier recovery period with less postoperative discomfort.

How Much Does LANAP Cost?

LANAP typically costs about $1,000 to $4,000 per quadrant, depending on your location and the severity of gum disease. Here's a general look at what you might expect across the U.S.:

Getting insurance approval can be challenging because many insurers classify laser treatments as experimental. Coverage often requires detailed documentation and appeals. 

Even then, insurance typically covers 20% to 25% of the procedure. The average cost of full-mouth LANAP surgery is between $4,000 and $15,000.

Factors that Affect the Cost

The cost of LANAP surgery depends on:

• The technology your dentist uses to perform the procedure
• Your dental insurance coverage and benefits
• Your specific treatment plan
• Where your dentist is located
• Any additional add-ons

What Does the Recovery Period for LANAP Look Like?

Healing after LANAP is straightforward. On the first day, you’ll experience mild discomfort that can be managed with over-the-counter pain medication.

On the third day, you’ll start to notice reduced soreness. After one week, you’ll see significant improvements with minimal sensitivity.

By this time, you can start brushing your teeth gently, following your periodontist's specific instructions, especially around the treated areas. After 3 months, your dentist will evaluate bone regeneration and pocket depth improvements.