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Before and After - LANAP

Here you will find pictures and X-Rays of Before and After LANAP cases using the Periolase Mvp 7 Laser.
An advantage to having LANAP done by a Dentist, that is not a Periodontist, is that Dr. McAllister is not limited to doing only periodontics. This allows the Dentist to be able to do other dental treatments in conjunction with LANAP, like Orthodontics (Braces, Invisalign, Inman Aligners, Retainers, Smart Moves) or Endodontics (Root Canals) or Restorative Dentistry (fillings, crowns) or Prosthodontics (Dentures, Partials, Bridges) or Implants.

Usually I am willing to do Lanap on very Advanced Periodontal cases but this one I was considering dentures. My concern was that I knew we could reverse her periodontal condition with Lanap but then she would have to live with the poor aesthetic outcome. She was adamant about keeping her teeth. I gave her the option of bonding or veneers and she chose veneers.

Periodontally worthless teeth get Veneers!

 


This is a case of a patient that had severe bone loss as seen on the X-Rays and also has 12 millimeter pockets (using a periodontal probe) reversing down to 2mm. (How a dentist measures the extent of the disease see Gum disease .)

Aggressive Perio

  


Here is a case that had 12 mm pockets then after LANAP went down to 3mm. She had an anterior cross bite and large gaps between her teeth. Therefore Invisalign was done and then veneers were completed to close the spaces. Consider that many dentists would have removed all her teeth since all of them had 7mm pockets and above. (Here is a published article that states teeth with 7mm pockets should be removed). Not only were no teeth removed but now she has a beautiful smile.

Invisalign Veneer LANAP

 


Here is another case in which the preparations were done on the same day as periodontal surgery. (unheard of with any other type of periodontal surgery) Nice to be able to do veneers on teeth that have 8mm pockets and not have to be concerned with any recession and know that we will end up with 3mm sulci.

Lumineer LANAP Case


This case shows the ability to combine Prosthodontics with Periodontics. LANAP was done on mobile teeth (loose teeth see video) with Implants, Crowns and Bridges.

LANAP CB Case

 


Here is another LANAP case with bone growth on X-Rays. Also Implants and a frenectomy were done at the same time as gum surgery.

LANAP Mini Implant





 Video lecture of Laser Periodontist showing before and after LANAP cases with CT scans.

 


Here is a good video of a periodontist of 30 years and he shows his before and after X-Rays and Photography of Lanap laser gum surgery treatment. The numbers posted over the pictures represent the pocket depths. Not only does this video show bone regeneration around teeth it also shows radiographic regeneration around dental implants. Nice to see 11 mm pockets regenerate back to healthy 3 mm sulci.

  


What is Gum Graft Surgery?

The Laser does NOT help if you have gum recession. If you have recession then it will be necessary to have a Gum Grafting Procedure. When recession of the gingiva occurs, the body loses a natural defense against both bacterial penetration and trauma. When gum recession is a problem, gum reconstruction using grafting techniques is an option. When there is only minor recession, some healthy gingiva often remains and protects the tooth, so that no treatment other than modifying home care practices is necessary. However, when recession reaches the mucosa, the first line of defense against bacterial penetration is lost. In addition, gum recession often results in root sensitivity to hot and cold foods as well as an unsightly appearance to the gum and tooth. Gum recession, when significant, can predispose to worsening recession and expose the root surface, which is softer than enamel, leading to root caries and root gouging. A gingival graft is designed to solve these problems. A thin piece of tissue is taken from the roof of the mouth or gently moved over from adjacent areas to provide a stable band of attached gingiva around the tooth. The gingival graft may be placed in such a way as to cover the exposed portion of the root. The gingival graft procedure is highly predictable and results in a stable, healthy band of attached tissue around the tooth.

Here is a video that shows the procedure. 

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