Treatments for gum disease are directed at removing calculus/tartar and bacterial plaque from under the gum line. Juan D. Villarreal, and welcome to our Dental Practice. Laser dentistry is the use of lasers to treat a number of different dental conditions. It became commercially used in clinical dental practice for procedures involving tooth tissue in 1989. There are various forms of periodontitis, but all result from an interaction between bacteria and the body's immune (defense) system. Are lasers effective in the initial treatment of periodontal (gum) disease? What’s different about the research proven LANAP® ? Treatments for gum disease vary from medication to surgery. www.harlingenfamilydentistry.com956-465-44031214 Dixieland Rd. In the treatment of periodontitis the Nd:YAG laser's purported benefits are based on its ability to perform sub-gingival (“sub” – below; “gingival” – gum) curettage, the removal of the inflamed pocket lining and to significantly decrease sub-gingival bacteria. However, only eight studies met the stated criteria for including or excluding patients. In periodontal laser therapy, the provider uses a dental laser to access and remove the inflamed gum tissue from around the root of the tooth. These eight studies involved only 166 participants, and follow-up times were generally of brief duration. LASER PERIODONTAL SURGERY 1. Traditional vs Laser Gum Disease Treatment. Pre-testing bacteria to determine the extent of the infection. In the 10-15% of the population who is susceptible to periodontal (gum) disease, control of disease and maintenance of health is dependent upon long-term daily oral hygiene (biofilm/plaque control), regular periodontal maintenance (often at three-month intervals), and professional monitoring and evaluation. Alternatively, the periodontist may perform gum flap surgery, which, as explained by the NIDCR, surgically the gum tissue is cut and flapped back to allow deep cleaning around the roots underneath. For example, the studies must be large enough, randomized, controlled, have specific treatment goals and criteria, and take place over a long enough period to show effective, long-term results. Different from a regular cleaning, this treatment involves scaling and root planning which is important for re-gaining loss of attachment, treating gum recession, and preventing tooth loss resulting from periodontitis or severe gum … Keep reading to learn more about the laser teeth cleaning … The term laser gingivectomy derives its name from the gingival line, otherwise known as the gum line. Initial non-surgical therapy remains the standard treatment for periodontitis. Depending upon the severity of your case, our hygienists may recommend deep cleaning to reverse the condition. Ask the Colgate Chatbot! However, a small number of periodontists are opting to use new laser technology to treat patients instead. For patients in need of gum disease treatment in La Crosse, WI, a consultation with Dr. Dan Gholson is the place to start. A deep cleaning is a treatment procedure that requires anesthesia and several follow up visits to make sure the infection has been cleared and your gums are healing. Drilling is also not required because lasers can be used to shape teeth as well. Biopsy or lesion removal. When gum pockets are treated with lasers, you’ll have a clean environment where the tissue can start healing faster (since the bacteria are eliminated.) There is no one-shot cure, whether we're talking about traditional cleaning or laser treatment. Our periodontal patients in The Woodlands often recover more quickly from their laser gum treatments than they do conventional periodontal surgery or deep cleaning. Brush your teeth daily and rinse regularly with an antimicrobial product such as Colgate® PerioGard, which offers prescription-strength healing for irritated gums. In fact, 98 percent of … The cost of laser gum disease therapy depends entirely on the extent of the patient's needs, and your dental professional typically won't commit to a price until he has had the chance to examine you. Our office uses a gentle soft-tissue laser to treat the pockets infected by bacteria and periodontal disease. Learn more about the options. © YYYY Colgate-Palmolive Company. J. of Periodontology. In fact, professional teeth cleaning ($75 to $100), scaling, root planning ($275 to $850) … The Problem: Periodontitis, or gum disease, is a “polymicrobial” infection (“poly” – many; “microbial” – bacterial), which means it is caused by combinations of different types of bacteria. Once control of inflammation and infection has been established through initial therapy, secondary goals (in more advanced cases) may include surgical treatment, to assist in regenerating a healthy periodontal attachment to the teeth. If you’ve been suffering from sensitive or bleeding gums that just won’t go away, you may need to see your dentist for a gum treatment or deep cleaning.Unlike a traditional cleaning, this type of a gum disease treatment is a vital step to avoid the need for periodontal (gum) surgery later on, when symptoms have been ignored. Typical treatment for periodontal disease is scaling and root planing (SRP). This is a nonsurgical method that includes cleaning the surfaces of teeth and their roots, which may be exposed due to gum recession. Reported advantages of laser treatment over conventional methods include minimal tissue damage and swelling, less bleeding, sterilization of the treatment area, reduced post-treatment discomfort, and high patient acceptance. According to the Academy of General Dentistry (AGD), there are ample benefits to using lasers for excising diseased gum tissue: Some medical authorities don't yet support the use of this therapy. Have questions about your smile? Although laser periodontal therapy is still in its infancy – and not yet considered a proven method of treatment by the American Academy of Periodontology (AAP) – it shows promising results for eligible patients. Removal of plaque: Plaque is a sticky, almost invisible film that forms on your teeth. A variety of lasers have been investigated for possible use in periodontal debridement, including the Nd:YAG laser. Treatment Techniques For Initial Therapy: The first phase of periodontal therapy consists of mechanical disruption of the biofilm. Generally, using lasers to treat gum disease involves the following steps: 1. This treatment, known as “scaling and root planing” or “root debridement,” is traditionally carried out using hand instruments and/or ultrasonic (high frequency vibrational) instruments, both of which require a high degree of skill and tactile sensitivity. Deep cleaning is a non-invasive and non-surgical procedure. The condition affects mainly adults in their 30s and 40s, according the National Institute of Dental and Craniofacial Research (NICDR), and is usually caused by: Typical treatment for periodontal disease is scaling and root planing (SRP), which is a non-surgical method of cleaning the surfaces of the teeth and their root which may be exposed due to gum recession. The inside lining of the gum tissues become inflamed and ulcerated in response to the presence of bacteria. The Solution: The primary goal of periodontal (gum) treatment is to arrest the disease process. Your question is important and timely. Before to deep dive into all costs of treating gum disease with laser, you should remember that the laser therapy is a complementary method to cure gingival problems. Laser dental cleaning - otherwise referred to as periodontal laser therapy - has become a very popular method of gum disease treatment.. Laser dental cleaning uses laser technology to remove the infected tissue along the gum line. But is it better than traditional therapy — hand or ultrasonic instrumentation? Aside from easing the disorder, deep cleaning also helps prevent gum disease from becoming more severe. 2. This involves scraping off the calculus and plaque built up below the gumline and around the root. Laser teeth cleaning costs are higher than traditional dental cleaning costs, but there are some distinct advantages. The Journal of the American Dental Association. The basic principle involves using a laser at the gum line. It's best to get confirmation from your insurance company before you have the therapy, so you know what's covered in your policy. However, the AAP, suggests there is insufficient evidence that any particular laser's wavelength is better than traditional treatment. This article is intended to promote understanding of and knowledge about general oral health topics. A dental deep cleaning, sometimes referred to as gum therapy, is a treatment that cleans between the gums and teeth down to the roots. Deep cleaning is a procedure done to alleviate the swelling, inflammation, and bleeding due to plaque and tartar build-up along the gum lines and the roots of the teeth. Periodontal therapy is often referred to by patients as a dental deep cleaning. They explain the difference between a deep dental cleaning vs a regular cleaning. One of these is laser gingivectomy or pain-free laser treatment in layman’s terminology. Lasers are used to reshape gums and remove bacteria during root canal procedures. But we will need better studies to assess its effectiveness. 2. Dear Doctor, It can be less expensive than traditional surgery, however, because it requires fewer visits to the dentist and less medication, according to Paul Downing Dentistry. Many patients choose traditional scaling and root planing treatments (SRP) as a safe, non-surgical method to deep-clean the bacteria from their teeth and gums. Increasingly, many dentists like you use laser therapy daily to remove plaque and tartar from their patients’ teeth. Typical treatment for periodontal disease is scaling and root planing (SRP), which is a non-surgical method of cleaning the surfaces of the teeth and their root which may be exposed due to gum recession. Periodontal or gum disease is an infection of the supporting tissues and bone that hold your teeth in place. Lasers can target the diseased areas precisely and accurately. The bacteria produce toxins that inflame the gums. Better results – We’ve found that laser treatment creates longer-lasting results. Thus in a susceptible individual, the resultant inflammatory response can cause destruction of the periodontal tissues and tooth-supporting bone — the ultimate consequence being tooth loss. The first recommendation for treatment for the early stages of periodontal disease is usually deep cleaning of all your teeth. This removes tartar, plaque and bacteria from the gum surrounding the root, and promotes the healthy regeneration of the gum tissue. A deep cleaning is actually a specific procedure performed by your dental hygienist to treat gum and periodontal disease. Laser technology has been proposed as an adjunct (aid) to or replacement for the conventional nonsurgical therapy described above. This procedure addresses swelling, pain, and sensitivity. This procedure, combined with ultrasonic techniques, will help remove the disease and restore your gums to optimal health. The dentist then smooths the root with instruments to remove any rough spots that might attract bacteria and cause future infections. They explain a common treatment procedure, called scaling and root planing. Laser treatment. Traditional Gum Surgery For patients in need of periodontal surgery, the choice between traditional and laser treatments is important. Calculus forms above and below the gum line and can only be removed with special dental cleaning instruments. Laser Gum Surgery (LANAP ®) vs. Examine your mouth to look for plaque and tartar buildup and check for easy bleeding. There has been much interest in the use of lasers, as either an adjunct to non-surgical therapy or as a stand-alone treatment for gum disease. Scaling and root planing, along with proper daily brushing and flossing, is effective in treating gingivitis, an early stage of gum disease. Laser gum treatment is used to treat gum disease, usually when the disease has advanced to periodontitis (or periodontal disease). Laser Assisted Scaling And Root Planing for Periodontal Disease What is Scaling and Root Planing? It is also purported to facilitate the removal of calculus and biofilm from root surfaces. Reduce activity for several hours following the surgery. This requires clinical treatment to remove bacteria and calculus from the root surfaces of affected teeth. The gum tissue is then sutured back into place to heal. It is not intended to be a substitute for professional advice, diagnosis or treatment. It was once considered necessary to remove the lining of “pockets” that form between inflamed gum tissue and teeth. 3. If you have visible and physical symptoms such as bleeding gums, bad breath, sensitive teeth or receding gums, you may need laser gum treatment to stop the disease from advancing even further. Like a regular cleaning, the hygienist or dentist will clean the tooth, gum line and sides of the teeth. This is accomplished by what is known as “initial therapy” or “cause-related” therapy in which the affected root surfaces are cleaned and disinfected, allowing for the re-establishment of health. It is a growing colony of living bacteria, food debris, and saliva. This removes tartar, plaque and bacteria from the gum surrounding the root, and promotes the healthy regeneration of the gum tissue. Treating gum disease is therefore aimed at controlling the cause. 3. All rights reserved. This doesn't mean the AAP is against the practice, but you should still play it safe until more professional associations approve this practice – particularly with regard to the restoration of tissue after therapy. Laser periodontal therapy at Salcetti & Associates is a minimally invasive and highly targeted treatment that only removes and kills bacteria in your mouth, so you can keep your healthy tissue in place. A Kool Smiles dentist can help you decide if laser treatment is right for your child, and if the advantages are worth paying the extra cost. Non-surgical therapy is technique-sensitive and time-consuming. Laser therapy conceivably could offer better clinical results with shorter treatment times while reducing discomfort and perhaps reducing the need for more invasive types of therapy. Maintaining a good oral hygiene program after you undergo any type of periodontal therapy is critical to avoiding a recurrence of the inflammation. Laser treatment is a tissue-preserving, regenerative, and bone-building procedure. Okay, you say. However, research has shown that so long as bacteria can be effectively removed, the tissues can heal whether or not the pocket lining is removed with a procedure known as curettage. Decontaminating the deep pockets with laser treatments… In order to answer it, some background context is necessary. In only five of the eight studies did investigators report having measured tissue attachment, which is the standard for assessing outcomes of periodontal treatment. "Deep cleaning is only necessary if things have gotten to a certain level of bad, which means you've built up tartar deep under the gums and the pockets around the gums … What is the best way to treat gum disease? Nevertheless, there are some risks to the use of laser periodontal therapy. So far, the studies are inconclusive. One of these is the fact that you're a human being; if your dental professional uses an inappropriate wavelength or power level, it could cause further damage to the periodontal tissue. Learn more about our commitment to oral health education. The area between the gum and the root can then regenerate during the healing process. So whether your dental professional uses traditional methods or lasers for treating you, the compensation is likely to be the same for the procedure. With a scalpel or a laser? The effect of a pulsed Nd:YAG laser in non-surgical periodontal therapy. There is also concern among providers that advertising hype is attributing more to this therapy than it should. Scaling and root planing (SRP) is a non surgical periodontal procedure wherein the dentist or hygienist will use a scraping tool, in conjunction with laser to gently remove plaque and tartar from deep periodontal pockets, and remove bacterial toxins by smoothing the tooth root. To determine whether you have periodontitis and how severe it is, your dentist may: 1. Review your medical history to identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications that cause dry mouth. Evidenced-based science requires strict research protocols and parameters to ensure a valid, “apples to apples” comparison among different treatments. Scaling and root planing also is a cost effective, minimally invasive, and non-surgical way to prevent and/or treat the more serious form of gum disease called periodontitis. To select the best option for you, it is critical that you understand the key differences between traditional and LANAP® procedures. The LANAP® Procedure uses a special kind of laser called the PerioLase® MVP-7™, invented by two dentists in Cerritos, California. Avoid or stop smoking to reduce the risk of future infections, and follow any specific instructions from your dentist or dental specialist as closely as possible. 2009;80(7):1041-56 [2] Thomas MV, Shafer K. Insufficient Evidence That Pulsed Nd:YAG Laser Treatment is Superior to Conventional Nonsurgical Therapy in the Treatment of Periodontal Disease. Bacteria migrate along the root surfaces upon which they calcify producing the hardened substance known as calculus or tartar. Consequently, the evidence regarding this topic is poor. No general anesthetic is needed, as is sometimes required for other forms of dental surgery. Colgate Reaches Children in Need Across the Globe With the Power of a Bright Smile. Susceptible individuals must also learn and be trained to remove bacterial biofilm to achieve optimum levels of daily oral hygiene. Is there a less invasive way to treat gum disease? This paves the way for a deep cleaning process to take place. There are a variety of treatment options, all with a common goal: killing the germs, removing the infection and closing up the pockets. Deep cleaning, which involves scaling and root planing, will likely be one of the first treatments your dentist uses. Check the Academy of Laser Dentistry for information. 2. Dr. Gholson will evaluate for gum recession, periodontal pocket depths, and the extent of damage that periodontal disease has caused to the surrounding bone. A systematic review of the scientific literature recently identified over 300 studies on the use of lasers in periodontal treatment. In its early stages, gum problems can often be treated with scaling and root planing which is essentially a deep cleaning under the gum line after numbing the teeth and gums. Bleeding, pain and swelling are limited because periodontal laser therapy is less invasive than regular surgery. In terms of insurance, healthcare policies typically reimburse you for the treatment you get – regardless of the type of device used to perform it. Gum disease. Lasers have revolutionized multiple industries, and oral care is no exception. Many of these bacteria are found in the biofilm (plaque) that collects on the teeth at the gum line, in the absence of effective daily oral hygiene. When the infected tissue is removed and the root is exposed, the root scaling begins. Laser dental cleaning involves the removal of tarter and calculus from teeth and under the gum line without using brushes or a curette, a tool that can sometimes injure other tissues nearby. Deep cleaning your teeth might sound like something you should do after you've missed a few visits to the dentist or eaten a particularly sticky, messy meal. #4 – Harlingen, Texas 78552Dr. Do not be alarmed with any color changes or appearance of tissues following laser therapy. Nevertheless, what evidence there is leads to this bottom line: Current evidence shows no advantage of the pulsed Nd:YAG laser over conventional non-surgical therapy in the initial treatment of periodontitis. The procedure is less traumatic to the gums than traditional methods of cleaning. Dear Martha, Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment. 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