Periodontal Treatment

LANAP – Laser Assisted New Attachment Procedure For Periodontal Disease


Periodontal disease is gum disease. It is a silent, painless, chronic, and communicable, bacterial infection that can go undetected until severe gum and bone destruction occurs.

It is caused by bacterial plaque, which creates toxins that damage the gums. In the initial stages of the disease, gums can become red, swollen, and bleed easily. However, some patients have no symptoms at all. If the condition worsens, gums and bone that support the teeth can become seriously damaged. The teeth can become loose, fall out, or have to be removed.


Laser periodontal therapy is different from traditional gum surgery that involves removing gum tissue with a scalpel and placing stitches. Instead, diseased tissue is removed with a special laser using an FDA cleared and patented procedure called LANAP, which stands for Laser Assisted New Attachment Procedure.


Dr. James Fleming is fully trained and licensed to perform Laser Periodontal Therapy using the LANAP procedure. The specific wavelength of the laser allows it to remove diseased tissue and leave the healthy gum tissue. It is the only laser that can be used when performing the LANAP protocol. The LANAP protocol is the only laser patented protocol to treat periodontal disease. LANAP is a regenerative procedure, which means that the patient does not lose tissue volume or attachment, and bone is regenerated. Furthermore, there is very little post op sensitivity to LANAP compared to traditional periodontal surgery utilizing a scalpel.

LANAP itself consists of four simple steps that are much less traumatic to the teeth and gum line than traditional dental surgery, which helps the mouth heal much more quickly.


A) A perio probe indicates excessive pocket depth
B) Laser light kills bacteria and diseased tissue.
C) Instruments are used to remove root tartar.
D) Laser cleans and sterilizes area and seals the pocket to prevent germs from entering site.
E) Connective tissue reattaches to root.
F) Trauma from biting forces are adjusted.
G) New attachment is regenerated and new bone is formed.


Because of its less invasive nature, there are a number of noticeable advantages and benefits that LANAP offers over traditional surgery. First, there is a much faster recovery time because most damage to healthy tissue is avoided. Because LANAP selectively removes diseased tissue, the height of the gums around the teeth is preserved as opposed to traditional surgery. Any minor pain that a patient may feel is almost always manageable with an over the counter medication. The laser causes less bleeding compared to a scalpel, and the heat it produces sterilizes the periodontal pocket as it removes infected tissue. As a result, the patient feels almost no discomfort during or after the procedure. This is a significant breakthrough in the treatment of periodontal disease. Call to learn how LANAP can help you at 615-383-3690

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Dentistry of Nashville
2125 Blakemore Avenue
Nashville TN, 37212
Phone: (615) 383-3690
Fax: (615) 383-3697