Dr. Ronald Petrosky, One
of "America's Top Dentist" in Little Egg Harbor - Tuckerton offering
South Jersey Mini Dental Implant Centers of America, Dental Implants- New Jersey, CEREC Crowns/ Onlays- New Jersey, Laser Periodontal Therapy (Lanap) of New
Jersey, Lumineers-New Jersey, Laser Dentistry-New Jersey, Cosmetic and General
Dentistry-New Jersey also serving Galloway, Manahawkin, Long Beach Island, Barnegat, Forked River, Toms River, Lakewood, Freehold, and Manalapan Area.
Raymond A. Yukna DMD, MS
Speaks About LANAP Procedure
LANAP - Part I
LANAP - Part II
LANAP - Part III
Dr. Robert Gregg - Randy Alvarez
The LANAP Procedure
Dawn Bloore - Randy Alvarez
Treatment for the 21st Century
Professional treatments for periodontal disease
always involve the same overall objectives:
Stop the infection
Reduce or eliminate the bacteria
Reduce the pockets around the teeth
Maintain the results over time
Depending on the severity of disease, the depths
of the pockets and the degree of bone Loss around
the teeth, various surgical treatment options have
been available for many years. White these conventional
surgical options have been effective for many people,
as with any surgical procedure, there are drawbacks.
And, despite our best efforts, conventional surgical
treatments have never been able to totally eliminate
the bacteria that cause the infection. Recurrence
of disease has been a problem.
LASER PERIODONTAL THERAPY
LASER ASSISTED NEW ATTACHMENT PROCEDURE
Since 2004 this office has used a laser surgical
procedure which has been approved by the FDA for
treating gum disease. In fact, this is the only
dental device which has received multiple levels
of FDA clearance in the treatment of periodontal
disease. And the procedure for its use has been
developed through years of study, and is patented.
This Nd:YAG laser has been used for over 20 years
in medicine for various purposes. Applied to periodontal
treatment, the laser has proven extremely effective:
Stops the infection
Eliminates the bacteria completely
Pocket reduction as good as conventional treatments
Better maintenance of results over time
And, because the laser is very selective
in its effects:
No post-op bleeding
Minimal or No pain
No gum recession
No tooth sensitivity
No cosmetic changes
No lost time from work or other activities
LANAP Success Story
Scott Jett, DMD
Laser periodontal treatment has proven to be extremely
effective for most patients without any of the drawbacks
of conventional surgical treatment.
The Laser Procedure
A deep periodontal pocket, with loss of
bone, and tartar on the root surface is determined
to be present.
The laser selectively removes the infected
gum tissue that lines the pocket wall, removing
unhealthy tissue that lines the pocket for
improved access to the pocket and the root
Tartar and other debris is removed from
the root surface, and rinsed out of the pocket.
The laser is used again to kill any bacteria
or toxins that remain on the root surface
or in the gum tissue, completely disinfecting
The gum tissue is readapted back to the
root surface and is seated to the root surface
with a dense fibrin clot.
We have a very small, sterile wound area that
is now sealed shut.
The bite is adjusted to eliminate any trauma
to the tooth, and to balance out the chewing
forces throughout the region.
Complete heating results in pocket depth
reduction through reattachment of the gum
tissue and connective tissue back to the root
If the disease has progressed to more advanced stages
where bone loss and diseased pockets have formed (Periodontitis)
will discuss your treatment options including:
Scaling and Root Planing
Osseous (bone) Surgery
Laser Periodontal (gum) Therapy or LANAP
Of the three choices you have to treat your disease
most often recommends Laser Periodontal Therapy
utilizing the Periolase dental laser. This revelutionary
laser treatment is the ONLYFDA cleared
protocol for regaining new gum attachment and bone around
Do all dentists have the Periolase Laser?
No. Dr. Petrosky
is one of the first dentists in the State of New Jersey
to utilize this procedure and one of only several hundred
in the entire nation willing to invest in this wonderful
technology. Having used lasers for over 4 years, you
can he confident in Dr. Petrosky's experience to treat
your disease. Dr. Petrosky
has completed advanced training in the use of Lasers
and is licensed to perform the LANAP Laser Periodontal
Therapy and receive Laser certification from the Institute
for Advanced Laser Dentistry with instructor Raymond
A. Yukna. DMD, MS, Professor and Director of Advanced
Periodontal Therapies, University of Colorado School
What exactly is Laser Periodontal (gum) Therapy?
This Periodontal Surgery is called LANAP or
Laser Assisted New Attachment
Procedure, and replaces the traditional gum scraping
of scaling/root planning and the old bone surgery with
its scalpels, sutures, and pain.
The Periolase Laser removes only the diseased tissue
and leaves healthy tissue alone. The technique involves
two passes with the laser, with ultrasonic cleaning
of the pockets completed between the laser passes. Dr. Petrosky
will also adjust your bite at each appointment, a vital
step in assuring proper healing.
How much pain will I have?
There will be NO pain during the surgery. You will
be completely numb and we can alsouse oral sedation
to help you relax if you so choose. Post treatment pain
is so different than traditional surgery because the
laser promotes the bodys healing process. You
can expect some mild discomfort which is easily handled
with analgesics. Patients Who have had the LANAP laser
gum surgery experience very little discomfort following
the procedure and most often only have to take Ibuprofen
(Advil. Motrin) to feel comfortable.
How many appointments does it take?
We always complete the treatment in two appointments
which are scheduled one week apart. This is the best
way to get rid of the bacteria that cause the disease
and keep it from spreading into other teeth.
What exactly happens to my diseased pockets?
You can expect to have NEW gum attachment and bone
formation in most of your pockets. This Laser LANAP
Therapv is the onty FDA cleared laser procedure that
will actually give this result. Most Dentists treating
gum disease with only "soft tissue management",
and Scaling/Root Planing will only see REPAIRED attachment,
which is far inferior to new gum and bone formation
of the Laser procedure.
Is the Laser Periodontal Therapy a Cure for my Disease?
No. There is no cure for moderate/advanced periodontitis.
The good news is that we can now treat it very effectively
with the Periolase Laser LANAP therapy. Just like so
many other diseases such as Diabetes, even though there
is no cure, it can be successfully treated to allow
you to live with the disease under control.
I have seen other dentist adds for laser gum treatments,
are they the same thing?
If the dentist is not using the Periolase laser and
following the LANAP protocol the answer is NO! The FDA
has only cleared the Periolase Laser and the LANAP to
be utilized for this protocol. Only dentists who
have been trained and licensed for the Periolase LANAP
therapy can claim to treat your gums with new attachment
and bone formation.
There are other lasers (diode, and erbium lasers) which
can be used to treat minor gum problems but these laser
procedures have NO FDA cleared research to show
new attachment or new bone formation after treatment!
If you are interested in the FDA research performed
by Dr. Ray Yukna ask Dr. Petrosky
and he will get you a copy of the scientific study and
Call toll free 609-296-1007 today and let our experienced
team help you with our Periolase Laser!
First Laser Gum Disease Procedure
to gain FDA Clearance -
"Laser Assisted New Attachment Procedure
CERRITOS, Calif., October 8,
2004 / PRNewswire / -
Millennium Dental Technologies, Inc. (MDT) announced
today it has received the first FDA clearance ever
for a laser-based periodontal (gum) disease treatment
protocol while using the first ever digital dental
laser--the PerioLase® MVP-7.
50 people out of 100 have moderate
to severe gum disease, 40 out of the 50 don't
know it, and only 3 people out of 100 will ever
get treated before it's too late.
Gum disease is a silent, painless,
chronic, communicable, bacterial infection that
often goes undetected or ignored until severe
gum and bone destruction catch the individual's
attention. Traditional treatments for gum disease
have, until Laser-ANAP, been perceived as painful
with a long and uncomfortable recovery, scaring
patients away and causing the epidemic numbers
suffering with this preventable and now attractively
The US Food and Drug Administration
cleared Laser-ANAP® ("Laser Assisted
New Attachment Procedure") with a unique
and specific claim for, "cementum-mediated
new periodontal ligament attachment to the root
surface in the absence of long junctional epithelium."
FDA clearance for Laser-ANAP®
using the PerioLase® MVP-7 variable
pulsed Nd:YAG dental laser follows three years
of research at Louisiana State University, School
of Dentistry, New Orleans, by principal investigator,
Professor Raymond A. Yukna, DMD, MS, and coordinator
of post-graduate periodontics at LSU. Professor
Yukna led a controlled, blinded, clinical and
human histology study that evidenced new root
surface coating (cementum) and new connective
tissue (periodontal ligament) formation (collagen)
on on tooth roots by stimulating existing
stem cells to grow following the use of the
PerioLase® MVP-7 & Laser-ANAP®
"These results are very
positive, very consistent, and very encouraging
related to the treatment of deep gum pockets,"
said Yukna. "Dentists have been looking for
ways to regenerate some of the tissues lost to
gum infections and Laser-ANAP® is an
exciting and revolutionary treatment protocol
showing microscopically that we can form a new
root coating (cementum) and new connective tissue
attachment (collagen). Our consistent results
(all LANAP treated teeth showed a positive result)
suggest that the best possible type of healing
can be obtained using the specific Laser-ANAP®
protocol. This presents a wonderful alternative
to traditional surgery."
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