Periodontal Laser Surgery
Posted 08-13-2018 at 07:40 AM by koki11
Quote:
Originally Posted by bart0323
Periodontist here. 2sleepy correctly posted a systematic review comparing periodontal endoscopy to traditional scaling and root planing (SRP). Periodontal endoscopy ideally should not be compared to LANAP. A better comparison to LANAP would be traditional osseous surgery, which Jake alluded to in post #37, since it has been touted as the "alternative to gum surgery" by the marketing gurus.
The plot thickens, however. As Jake mentioned, the quality and quantity of scientific evidence regarding LANAP pales in comparison to that of traditional osseous surgery (to be fair, osseous surgery has been around a lot longer). Most of the latest research that I am familiar with shows that LANAP, in the long run, produces results similar to SRP. Let that sink in for a minute - a procedure designed to replace SURGERY is not even producing long-term results that you would expect to see from traditional surgery. Instead, it is producing results similar to a garden variety "deep cleaning" aka SRP. So basically, the scientific evidence is contradicting the marketing claims.
In my hands, traditional periodontal surgery yields more consistent results and is my first choice of treatment for surgical periodontal cases. I'll usually resort to LANAP as a "Hail Mary" when we are out of options and the patient wants to try everything possible to save a tooth. I do know periodontists and general dentists that swear by LANAP, however.
The plot thickens, however. As Jake mentioned, the quality and quantity of scientific evidence regarding LANAP pales in comparison to that of traditional osseous surgery (to be fair, osseous surgery has been around a lot longer). Most of the latest research that I am familiar with shows that LANAP, in the long run, produces results similar to SRP. Let that sink in for a minute - a procedure designed to replace SURGERY is not even producing long-term results that you would expect to see from traditional surgery. Instead, it is producing results similar to a garden variety "deep cleaning" aka SRP. So basically, the scientific evidence is contradicting the marketing claims.
In my hands, traditional periodontal surgery yields more consistent results and is my first choice of treatment for surgical periodontal cases. I'll usually resort to LANAP as a "Hail Mary" when we are out of options and the patient wants to try everything possible to save a tooth. I do know periodontists and general dentists that swear by LANAP, however.
Do you think doctors(dentists) who perform Lanap can do the osseous surgery as well?
Thank you
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Comments
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If you need to just interact with another poster, then please use the Direct Message or Visitor Message to reach that person directly and personally (and more quickly). It beats wasting a blog post. Otherwise, I suggest replying on the main forum pages.
Then after you've reached out to your party, you can then share that experience and your results on these blog pages. Please bear in mind that these lesser-populated blog pages are for journaling only. Thanks.Posted 08-13-2018 at 01:47 PM by case44
