LASER Gum Treatment 2

[Prov1210]

glad his teeth are ok.

[4njk]

Just finished a seminar in LANAP. Was very impressed on the possibilities of a would be full mouth extraction case turned into a salvaged non extraction case. Loved the idea that DDS can save teeth vs extract teeth. To my fellow DDS, with an open mind, check it out. I am this close into buying the machine. The studies are all in place.

[johnddscom]

@4njk If you are considering purchasing the Periolase, know that the LANAP periolase package goes up $10,000 the day before the AAP's annual meeting 11-11-11. The reason is that those who have asked for more science will have to pay for it. Nevin's will be presenting his new Human Histological findings. Stay tuned!

[blackdog8188]

it looks like there's still calculus left on some of the teeth...so the bone loss will just continue :/

[johnddscom]

Laser Periodontist what wavelength are you using?

[11levo]

I'm sure those teeth are firm because of composite splinting not because of bone repair or new-healthy periodontium.. I'm just another Periodontist who uses laser too :-)

[johnddscom]

@CrazyWedz Thanks for noticing if you have any ideas for improvement they are always welcome.

[perioprotect]

Love the music! Love the video!

Bravo!

[bubbleman2002]

best part was 1:48

[07boxster2]

very misleading. of course the teeth are "firm" after the splinting was done.doesn't mean that it's a healthy situation. i'd like to see the radiographs because it wouldn't surprise me that after hundreds (if not thousands) of dollars the prognosis is still unchanged. ie. it's pretty bad. over the time that they claim they've been successful it wouldn't surprise me to see deteriorating bone levels which will compromise any future treatment.

- just a periodontist in canada

[johnddscom]

@07boxster2 Just a Periodontist in Canada, Have you ever done a LANAP?

[johnddscom]

@07boxster2 Just a Periodontist in Canada, Could it be that you have been misleading your patients? Do you know? You do not know what you do not know? You said " i'd like to see the radiographs" They have been published in the Prestigious Peer Reviewed Dental Journal "Compendium"

[RiPcOrDz83]

Maybe Your Gum's Doing Better But Your Teeths Still Look Like Crap! If I Was You I Would Have Take Those Dirty Teeths Out Of My Mouth!!

[jaskaram]

In the case above periodontal support for the anteriors is poor. The cause is periodontitis. Repairing soft tissue attachment (assuming junctional epithelium is formed via this procedure) will stop the progression of the disease. But \ the amount of apical bone loss means that unless a graft is done these teeth have a guarded prognosis. This is not an acceptable treatment if the patient is hoping for long-term success

[johnddscom]

@jaskaram No long Junctional but According to the FDA, New Cementum New Connective Tissue Attachment in The Absence of Long Junctional Epithelium.

[pinkbingo]

The background music is VERY distracting. I will not watch this video due to the music.

[johnddscom]

@pinkbingo As far as the music being distracting the original music was removed by You tube original song was "Blinded by the light". Changed the music, let me know what you think?

[fade2bl]

@johnddscom

Annoying

[CoolConejo]

Why do people not brush their teeth? It's pretty simple and takes only a few minutes...

[melekatik]

@CoolConejo sometimes too much brushing is bad too

[JohnniesLovelyGirl]

@CoolConejo With some people, the parents are to blame. They don't tell there kids to brush or floss and decide to not to take them to the dentist which can lead to juvenile periodontal disease. The other people? They just don't care until its too late... But its NEVER too late to practice extreme oral care no matter how bad your teeth are. Well... Unless of course you just don't have teeth. o.O

[fashionbug9880]

@CoolConejo unless you have braces.then it takes about 15-30 minutes because of the flossing, but still, it's not that hard.

[superpowersonic]

BRUSH YOUR DAMN TEETH

[DentistToronto]

The tissue looks great after debridement and laser therapy. I am impressed with the bone growth post laser. Thanks for posting this!

[johnddscom]

@DentistToronto

I see you are a Dentist in Canada. What do you think of the the CDA Journal?

"Study finds lack of research to support perio laser therapy" (April 2010, Vol. 76:2, a30).

See article on drbicuspid . com

[gentleclockdivider]

How do the gums come back ?

Don't really understand this , I have periodontal ddisease , my gums are reciding and my dentist says they will not come back

Is this true ?

[JohnniesLovelyGirl]

@gentleclockdivider Once you remove the dead tissue/gums, they start to heal and produce a new amount of tissue. Some dentists will lie to you if it will benefit them. I have heard of some telling patients that they have no cavities, when they do, just so they can wait for it to get just big enough for them to start treatment for fillings. Fillings are pricey. I would talk with a periodontist and get a second opinion and ask about the laser surgery.

[kmeje5]

I see you splinted the teeth with acrylic after the procedure. Are you sure that this isn't the reason they feel much firmer? Also I don't think the tartar was removed by the laser,but instead an ultrasonic scalar.

[johnddscom]

Initially the bonding did splint these teeth. Though, look over on the side click on "more info" and see the Peer reviewed "Commpenidum" article and you will see the new bone growth on the X-Rays.

You are correct the tartar was not removed by the laser but with piezo sonic scalers.

[iratevids9]

this is y u dont do meth or drugs lol BRUSH YO DAM TEETH

[johnddscom]

Good idea "Brush Yo Dam Teef"

[huddzzii]

GROSS!!! D:

[johnddscom]

Yes Very Gross!!

[HygieneExtravaganza]

Very misleading, the teeth were splinted (bonded) together to make them stable and laser treatment for gum disease has not been widely studied (little evidence exists)

[johnddscom]

How many Lanaps have you done?

[HygieneExtravaganza]

Out of the four studies that studied LANAP, two showed root damage and the other two failed to look for root damage. More research is required before LANAP is to be considered a therapy for periodontal treatment.

[johnddscom]

You have been mislead no studies have ever shown root damage with LANAP please site the references.

Human histology has been performed and published in the IJPRD it happens to be the 4th largest human histological paper in the periodontal literature. These findings have led to the FDA clearance that in lay terms reverses the #1 cause of tooth loss.

[HygieneExtravaganza]

I am well aware of the Yukna article which is always the one Millennium always quotes and paid for. There is an extensive review in J Perio and all the articles including the root damage articles are listed. Charles Cobb is the author.

[Cletustheslackjawdds]

I am well aware of the article by said Cobb. It is also interesting to note the root damage article you fondly site is one that was falsified by the Cobb. And the one root damage that did occur (the rest were falsified) was one where the energy was aimed right at the root and was 30% more than is used in LANAP.

[HygieneExtravaganza]

I have already reached out to McCawley and will let you know what he says.

[johnddscom]

Please let us know what he says. While speaking to him ask him how the culturing is going and when will he be publishing?

He shared with me that he has been able to eliminate 8 out of the 10 bacteria he is culturing after using the laser.

Interesting stuff.

[johnddscom]

Oh the cob? You mean the same cob that if you search dentaltown for "Well known lecturer lies on stage caught on tape" that cob?

You mean the cob paper co-authored by McCawley?

The same McCawley you can see on my web site (laserGumDentist com) the second video on the left McCawley?

The same McCawley extoling the virtues of LANAP?

[HygieneExtravaganza]

Dr. McAllister, I know when dentaltown is referenced it has broken down to a level I dare not enter. It was once said that a major failure of human cognition was that thinking anecdotally comes naturally, but thinking scientifically does not. I will speak to John Kois (Compendium's editor) when I see him next month and ask him about these falsification claims. He once spoke for Millennium and I will let you know where the big guy stands. Until then don't leave any calculus and keep zapping.

[johnddscom]

DT is what it is. Good and bad.

Though, isn't it a little closed minded to not to at least see what over 40,000 dentist have to say?

[HygieneExtravaganza]

It is not scientific but anecdotal and a marketing tool.

[johnddscom]

Are you saying all 40,000 dentist on DentalTown have no scientific background and are all marketing something?

[HygieneExtravaganza]

Clearly you have drank the Kool- Aid and can not see what dentaltown really is. It uses pay for print and the embedding of advertisements to encourage you to buy products. The magazine in particular doesn't even try to hide it anymore.

[johnddscom]

DentalTown is not the end all and be all. Though should we throw out everything 40,000 dentist have to say?

I admit DT has changed even I am no longer allowed to post anything about Cerec.

This is truly discouraging and a great disappointment.

[DaShadowInc]

I still see receeding gum lines thats disgusting! Later on in life these teeth are going to have to be pulled! How much for a procedure like this?  BTW I still see decaying matter on the teeth so it really didn't do much help! For someone that actually pays dental bills out of pocket I wouldn't be happy with these resaults!

[Smilesbypayet]

Exactly which 2 studies, specifically on LANAP, showed root damage? You clearly don't understand how LANAP is done, and anyone doing research without being properly trained on the methodology wouldn't be able to properly do research to know if alleged root damage was from LANAP or poor/incorrect technique. The histology studies showed no root damage.

[HygieneExtravaganza]

Ben Hatit Y, Blum R, Severin C, Maquin M, Jabro MH. The effects of a pulsed Nd:YAG laser on subgingival bacterial flora and on cementum: an in vivo study. J Clin Laser Med Surg 1996;14:137-143

[HygieneExtravaganza]

Cobb CM, McCawley TK, Killoy WJ. A preliminary study on the effects of the Nd:YAG laser on root surfaces and subgingival microflora in vivo. J Periodontol 1992;63:701-707.

[Cletustheslackjawdds]

Read the study and tell me how the irrepariable damage was "fixed"?

[sunraychannel]

Am a dentist and - my opinion - first of all brush your teeth, use mouth wash and dental floss and this situation will never happen to you, except if you have some serous or genetic desease, sorry, english isn't my native language and ofcourse visit your dentist adleast 2 a year. And without x rays we don't see if bone structure is ok and if not, you can have some serious problems cleaning those teeth or some serious pain, abscesses may occur if the pockets are deep and etc.

[juuliuuz]

I'm flossing every day, using salt with water, special toothpaste, special gel.Nothing still bleeding!!!!What should I do??!

[sunraychannel]

Well, you shoul go to dentist adleast 2 times a year so he can SEE whats up there. Maybe you have uneven filling close to gingiva, maybe calculus, maybe too hard toothbrush. Maybe you are cleaning your teeth too hard.

[waasa73]

go check it out for subgingival calculus,remove it and take Vit "C "up to 700 mg daily for a month or so and gradualy reduce it .You may also improve brushing and flossing technique ."WaterPik" is a good thing too. Good Luck

[juuliuuz]

Thanks , I went to a doctor few months ago, nothing. I eat lots of vegetables, fruits, I floss twice a day, have a "WaterPik" . Everything started after I had a stress.I cant drink vitamin c, because I have acid reflux. Well best of luck for me :D thanks

[darakhmao]

Do dentists accept insurance for laser surgery?

[johnddscom]

Yes, it is reimbursed same as gum surgery.

[bigelvis1485]

Nice technology. As a formal dental assistant I am impressed. I just hope this person has learned their lesson and will practice good home care, or they will be back to the same condition.

[johnddscom]

X-Rays have been published in the prestgious peer reviewed journal "Compendium". Click on the article under more info.

[johnddscom]

X-Rays have been published in the May 09 issue of the prestigious peer reviewed journal "Compendium"

[HygieneExtravaganza]

X-Rays are not conclusive evidence for regeneration and vary depending on the angle of the film

[johnddscom]

Apperently DiCesare, you have not read the IJPRD article by Yukna, if you had you would understand that I am extrapolating what has been found on 100% of the human histological slides.

If you attended the AAP meeting this year you may have seen Lloyd Tilt DDS Ms present his 10 year data under "Innovations in Perio" HA! what a joke 10 year data in a profession that is less than 100 years old and they call it innovative?

[johnddscom]

At the AAP this year you may have also seen Ray Yukna and Henry Greenwell speak on their experience with Lanap, or what the Pres of the AAP Sam Low said regarding lasers "This time they are not going away"

[BlizzardProduct]

YUCK!

[Pete535]

You would not need this treatment if you maintained good oral hygiene eg toothbrushing, and interdental cleaning.

[Kabuki0Kozou]

that also depend on the Dr.

Alot of Dentist around the world have the vvery old fashion way of treatment, and nawadays they have too many new technology to fix any dental problems, but some Dentist still dont own them so they recommend to them either extraction or whatever.

[tavolorgia]

so this kind of treatment slowly makes your gum come back?

[johnddscom]

It has been FDA cleared to reverse gum disease.

[tlesgdds]

Really? You sure about this doc? Are you putting your name on that claim John? That is not what the FDA clearance is about...may want to retract your statement. Nothing reverse periodontal disease John.

[johnddscom]

YES! in lay termonology it reverses gum disease.

The FDA clearence says "New Cementum Mediated Atachemnent to the root surface in the Abscence of Long Junctional Epithelium"

[msfoos]

The teeth were bonded together. That is why they are still there. We haven't seen the x-rays. It appears there is a lot of bone loss.

[johnddscom]

Yes, it did help to bond them together. The X-rays have been posted on Dentaltown, Osseonews and soon to be published in Compendium.

WAS (is the key word) tremendous bone loss. Not any more.

[Kabuki0Kozou]

It depend on either to listen to dentist or not to.

my dentest said 4 years ago to come back for my front upper 1st 2 teeth to having this carives or black teeth starting, i ignored and now half of my teeth is drilled because the black got bigger and had to get em covered by Porcelin Veneers, and tho i had 2 fucked up teeth drilled till they got tiny, all black and crowned, Doc didnt remove them and crowned em again, Now when i eat on crown teeth it hurt, i was planning on pulling it out, iwill

[nuttybar9]

you still need braces

[gladqueen]

I had this surgery about 5 months ago. I have seen beatiful results. My gums no longer bleed and are not so puffy. My hygenist also says she sees a drastic improvement. There was no pus when she probed my gums. I'm very exited about this. I'm only 36 and I don't want to loose my teeth any time soon.

[567890kingkhan]

NICE work you don,t come trained from mother womb. Man would never reached moon if something NEW had not been tried.

Perio doctor

[houssamgh]

This Video is fake, these teeth has gone through scaling and splinting and they will not stay there for a long time.....I ve been reading a lot of comment talking about the LNAP.....I am an LSU Perio student where Dr. Yukns has established the program....ENAP now is a historyyyyyy and so the LNAP,,,and I ve never done it and I will not....

[johnddscom]

Nothing fake here. This is not Enap it is Lanap different tool different outcome.

Aren't you a little closed minded by saying that you will not do Lanap?

The only ones hurt by that statement will be your future patients.

[johnddscom]

If you want to see the full case, you can do a search on Dentaltown for "mini implants lanap".

[the74impala]

It amazes me that all the LANAP haters talk about it like it is some obscure theory that hasn't been used for over a decade, in fact almost 2 decades. Then all the patients who have benefited and will testify to the benefits they have found, and they act as if these people do not exist. Hillarious, but pathetic at the same time. There is no way PerioTed has done "REAL" LANAP. Could you blow more smoke up that hole??? Experimenting with lasers on pts is not LANAP.

[PerioTed]

Lanap "hater" - NO. However, it is professionally irresponsible for a licensed clinician to propose to the public that any single treatment modality can be used exclusively to treat - let alone "cure" periodontal disease as you have advocated. Your position is not supported by any of the scientific literature or state dental boards.

[the74impala]

I have read more scientific literature supporting it than refuting it. Please tell me of such literature stating LANAP, specifically, is not doing what Dr. Yukna has found that it does. Haven't seen it. I haven't heard a single acknowledgement that it is in any way clinically significant from you, only disparaging comments = hater.

[PerioTed]

Learn something beyond how to turn on a piece of equipment. Learn truly advanced dental skills and attempt to become a better doctor and not just an advocate for a dental manufacturer. You sound like a "Scientologist" - pushing, pushing and pushing some more. Step back, for a moment, and consider if providing only one periodontal treatment option is the best for everyone - because that is what you are stating. Consider: What makes you special - if it's the periolase then, you are in trouble.

[the74impala]

Scientologist...thats a funny one. Anyhow, I have no stake in MDT. I have seen what LANAP does for my patients. You are the one who is unwilling to accept a time and scientifically proven method that is patient friendly. That is your choice. I am not on an osseous video bashing it. You are poopoo'er of something that you can't wrap your brain around. I offer a referal to see about cut/sew sx. After they see what other patients are getting, they decline. Maybe you should step back.

[the74impala]

So are you saying that all the "classicly" trained periodontists using LANAP are in someway inferior to you? You are more established in your credentials than Ray Yukna? You claim Dr. Yukna is on the take? Are you willing to state that, 'cause that's what you are saying, isn't it.

[the74impala]

Wow, you offer to cut them, or put in implants, not everyone wants that. Funny how so few want to be cut. Funny how so few can afford 4-6 implants per arch. For the price of 1 implant, custom abutment, and crown, they can do something to save the teeth they have. Plus, most people know someone who has been cut, and there is NO way they will be willing to go through that. Those are the words they use, I don't put them in their head.

[PerioTed]

After reading your web postings, I am very disappointed in your lack of respect for the dental profession and concern for your patients' care. As any GP-DDS, you have not been trained in advanced surgical theory, principles or practice by a University. If you believe that the 'periolase' will empower you to be the equivalent in clinical competancy to a Periodontal Specialist - then our profession, insurance providers and the State Dental Board would like to know - Please respond !

[johnddscom]

Concern for your patients' care is THE most important concern here.

I am disappointed in the periodontal communitie for not investing $1 to disprove the 4 year old FDA claim that says "NEW CEMENTUM MEDIATED ATTACHEMENT TO THE ROOT SURFACE IN THE ABSCENCE OF LONG JUNCTIONAL EPITHELIUM"

It is negligent to not inform your patients of the Lanap alternative, these are not my words but Ed Zinman DDS MS JD's.

[the74impala]

I am quite sure that every periodontist offering implants to patients DID NOT have "University" training before they started placing them. Strange double standard to accuse others of being somehow unable to provide a treatment safely.

At CU they are supposed to start LANAP training in the perio program, but they get the same training a "disrespectful" GP gets to perform the same procedure.

So are you the only one that should place implants?

[PerioTed]

What is with you? You deliberately turn around everything I have stated to you - You seem to enjoy fighting anyone who challenges your views with nonsense and foolish accusations. What has happened to the profession of dentistry to see it deteriorate with empty arrogance like you express? Note: The original Branemark Dental Implant System only allowed Oral Surgeons and Periodontal Specialists to take their surgical programs - Why? -- For the protection of the patients!

[the74impala]

When have you seen a patient harmed by a TRUE LANAP trained dentist. We're not talking some wanna-be that has any old laser poking in someones gums. Please site where this has happened. I have seen HORRIBLE results from untrained gung-ho clinicians using the wrong laser in the wrong situation with the wrong technique. They were not LANAP dentists. You are making WILD accusations of harming patients that is COMPLETELY unfounded. Where is your evidence for the fear mongering you offer?

[johnddscom]

They must often change, who would be constant in happiness or wisdom. ~Confucius

The circumstances of the world are so variable that an irrevocable purpose or opinion is almost synonymous with a foolish one. ~William H. Seward

It is not the strongest of the species that survive, nor the most intelligent, but the one most responsive to change. Charles Darwin

[johnddscom]

We would rather be ruined than changed;

We would rather die in our dread

Than climb the cross of the moment

And let our illusions die.

~W.H. Auden

Those who expect moments of change to be comfortable and free of conflict have not learned their history. ~Joan Wallach Scott

If you want to make enemies, try to change something. ~Woodrow Wilson

Oh, would that my mind let fall its dead ideas,as the tree does its withered leaves! Andre Gide

[johnddscom]

IMO those who have chosen to critique a procedure, and have chosen to invest $0 to disprove its efficacy, and have chosen titanium instead of teeth have screwed the public.

My fees are what they are and my patients prefer this to being screwed with titanium.

One implant and grafting for one tooth will cost the patient more than saving 32 teeth with Lanap.

Now who is getting screwed?

[PerioTed]

Many periodontally involved teeth can be saved with some form of corrective intervention; however, often times a titanium alloy implant is the treatment of choice providing the best option for the patient. A competent periodontal clinician must be flexible and capable of providing the best care for each individual patient - regardless of whether a laser is used, open flap access is dictated or an implant is preferred. You only offer LANAP to your patients - how sad.

[johnddscom]

You don't offer Lanap.

Now that is not only sad but negligent.

[PerioTed]

For the last 20 years I have performed both CO-2 and YAG procedures for selected patients who will benefit from these services. Not all patients are candidates for laser therapy. Unfortunately, without having had formal surgical training, you would not be aware of the treatment options available for your patients. On the contrary - "Negligence" is performing surgical services without knowing what you are doing!

[johnddscom]

You have no clue as to what my surgical training has been.

What I do know is that a recently trained Lanaper can run circles around the most gifted of surgeons in the reduction of Periodontal disease.

[PerioTed]

Best of luck to you -- Don't hurt anyone.

[johnddscom]

Ditto

[johnddscom]

You can wait around for the volumes of dog and rat studies in the mean time my patients can benefit from the HUMAN histology studies and the minimally invasive nature of LANAP.

[PerioTed]

Human histological studies? -- There were only three patients in the study you referenced - It is apparent that you don't have a good background in research and are providing less than optimal care if this is your position.

[johnddscom]

Wrong 6 patients 12 teeth

N=12

You are the one providing less than optimal care if your position is not to offer Lanap to your patients.

This is not my position, but Ed Zinman DDS MS JD, he has said that if you do not inform your patients of this alternative then you are not providing full informed consent.

[PerioTed]

Regarding informed consent - Are you informing your patients that you are neither academically nor clinically 'qualified' to perform any form of periodontal surgery? Sorry, even 6 patients doesn't change my position that there is not enough data to support the use of LANAP. For research to have clinical value, it must genetically represent the cross section of your patient population and be of adequate sampling size. Multi center testing is usually regarded as superior to single site testing.

[PerioTed]

As an experienced periodontist I have performed thousands of surgical procedures utilizing both conventional surgical approaches with the scalpel and all forms of laser surgery to control the damage caused by periodontal diseases. The periodontal profession has taken the position, as have I, that lasers are not the proverbial "answer" to perio problems. The overall best clinical treatment to effectively control and correct perio diseases is to keep all options open; Lasers are not the future!

[johnddscom]

Lasers are the present and future.

Ask any periodontist that has the Periolase.

Why did you not return your Periolase on the 6month money back guarantee?

No Periodontist has ever returned one.

Confidentially, many have signed up with a complete intention of using the 6 month guarantee.

The ratio of GP's to Perios using the Periolase is 15%. The ratio of GP to Perios in the general population is 5%.

[PerioTed]

I must disagree with your position that lasers represent the alpha & omega of perio surgery. Perio surgery comprises only one aspect of effective perio treatment; how we clinically treat the patient should depend upon what is best for the patient and, not limited by our lack of clinical knowledge or surgical skill. Understandably, the laser reduces the need for extensive surgical training - but,laser perio therapy is not appropriate for all 'surgical' cases as it can significantly compromise tx

[johnddscom]

How can you say it can significantly compromise treatment if you have never done a Lanap procedure?

Therefore you don't know what you don't know.

[PerioTed]

Out of curiosity, I have performed several LANAP cases - In my hands, I feel qualified to assess the surgical attributes of this procedure as compared to other surgical approaches. The literature is not convincing to support its exclusive use and the clinical results are less than ideal. A clinician must actively apply critical thinking to the claims made by manufacturers before using any product. - The research behind your article was funded by the laser's manufacturer - Reason for concern!

[johnddscom]

The reason for concern is the lack of funding by any perio organization to disprove the third largest HUMAN histological paper in the periodontal literature.

The AAP has funded $0 to disprove the FDA claim of "NEW CEMENTUM MEDIATED ATTACHEMENT IN THE ABSCENCE OF LONG JUNCTIONAL EPITHELIUM"

The AAP has also chosen to never publish that FDA claim even though the claim is over 4 years old.

Don't you think a claim of that magnitude should be published by the AAP?

[johnddscom]

I doubt you have gone through training. It is easy to hide behind anonymity, and say anything you want, even lies.

[PerioTed]

Anybody can take your weekend course as long as they pay the tuition or buy their product -Do your patients know how 'experienced' you are? You have a 4 year DDS while I have a 7-year combined DDS/MS in periodontics. Who are you to be so foolishly bold? I am trying to have a reasonable conversation with you; however, this is deteriorating rapidly because you insist that you are right and you cannot accept any challenge to your opinion. A good clinician is open to new ideas - not closed minded.

[johnddscom]

Bleck

Your condescending attitude has dragged the discussion down.

Don't waste your time talking to a silly little Gp.

Why don't you call MDT and ask them to give you a list of your Periodontal colleagues and ask them what they think of Lanap.

[ocsspot]

I was told by my dentist that if i didn't undergo scaling, i would definitely lose my teeth. THAT WAS APPROX 7 YEARS AGO. My teeth are still in tack and apparently healthy - no cavities. However, i have a receding gum line in front of ONE tooth, kind of reddish. What can i do about it? Thanks.

[johnddscom]

Why did you choose not to have the scaling?

[Watcheronline01]

I am in Miami and my dentist does the LANAP procedure.

[PitbullzDMX]

very nice!!! but how did those teeth manage to be firm again?

just askin

i like the term "reverse periodontitis" ... none but the boxers should taste blood in their mouth /:P/ go to various dentists if ones decision isnt fine with you

[johnddscom]

They were initially splinted together. Just like when you break your arm the MD will put a cast on your arm.

An implant was placed in the area of the missing tooth then they were all tied together.

[mhsevgili]

Go Dr john,

He has funny story about laser.

But he has not respect to other dentists.

[johnddscom]

I have total respect for my profession; I have little respect for those who do not put their patient's best interest's first.

True this was a comedic response to some very disrespectful comments by three Periodontists, one Prothodontists, and several General practitioners. ;-)

[vickytm2000]

Dr. John. I was just told I need to remove two of my front teeth. I have very healthly teeth, but I guess on xrays it shows something else. I'm undergoing a periodontal scaling..but there's got to be more option to removing my teeth. I have an overbite, but otherwise they look so healthy. I probably can't afford to go to CA since am in FL...but I'll do anything possible. Thanks,

Vicky

[johnddscom]

Look for Lanap or Periolase in your area or Fl. I would recomend a second opinion before scaling.

[PerioTed]

RE: Laser Periodontal Therapy - This may comprise a small facet of periodontal care but without proper (3-year post-doctoral University level)surgical training in the delivery of comprehensive perio therapy, you should not make any suggestions to your patients that laser therapy is equal / better than conventional perio treatment performed by a specialist.

[johnddscom]

Have you read the January IJPRD article?

If you had then you might understand the superiority to conventional therapy.

If it were not superior why have your perio colleagues not returned it for a full money back guarantee?

[johnddscom]

How many Lanaps have you done?

[PerioTed]

It's difficult to have an educated discussion with anyone responding to my position with such a hostile and defensive attitude - what am I to say? You apparently believe in a very limited approach to perio therapy; this is unfortunate since it limits your dental horizons. But, your "groupie" attitude is what sells products for the Millenniun Dental Technologies Corporation.

[johnddscom]

The "Groupie" "hostile" attitude has come from the AAP.

Limited approach in your mind, but, SUPERIOR in mine and the patients mind. And their lies the most important horizon what patients want, a superior and minimally invasive procedure.

[PerioTed]

What are you telling your patients? The AAP is a reputable organization which provides responsible, professional guidance for our profession. Your patients look to you for guidance and direction regarding their clinical care. YOU think this LANAP is a "superior" treatment based upon what? There is only minimal literature to support your position and you have little-to-no experience with the spectrum of periodontal surgical options which may be of significant benefit to your patients. What's up?

[johnddscom]

Who are the stewards of Perio?

Why has no one funded any study to disprove the FDA claim?

Maybe they are to busy screwing patients?

[tonyserporno]

that fast results,how much does this cost.

[johnddscom]

The price varies between dental offices anywhere from $3K to 8K depending on the individual case. But, the results are priceless!

[Sybron29]

plus your patient still has has an inability to keep his teeth clean, look at your post-op pictures. As a dentist myself, you CANNOT tell people periodontitis is reversible since you need to gain attachment to reverse it and your "laser" doesn't do that. If you are talking about gingivitis, a toothbrush and floss can reverse gingivitis, you don't need to pay hundreds of dollars for a "laser". patients need to be very cautious about a dentist who makes such claims!

[johnddscom]

As a dentist, you should keep up with the literature if you look up the IJPRD you will find Ray Yukna's work on human histology that shows 100% "NEW CEMENTUM MEDIATED ATTACHEMENT TO THE ROOT SURFACE IN THE ABSECENCE OF LONG JUNCTIONAL EPITHELIUM" on the Lanap treated teeth. That is also a direct quote the FDA gave Lanap over 4 years ago.

[johnddscom]

Again my laser does do that. I noticed you are from Canada. Heath Canada recently allowed the Periolase into Canada. There are a few Canadian dentists that are now offering this procedure to their patients. This video was intended as a response in a dental forum called Dentaltown I have posted this patients pre op xrays and 5 month post op xrays. You are welcome to look them up there.

[johnddscom]

This is not a gingivitis case it is an advanced Periodontitis case. Are you implying patients brush and floss advanced perio away? If so then they need to be cautious of you. I make no claim that the FDA has not already made.

[Sybron29]

what kind of bull$hit is this...you removed #24 (look at the buccal boneloss) and placed a composite bridge from canine to canine to replace missing teeth, "don't let your dentist pull out your teeth"? please. don't say you didn't exo any teeth!

[johnddscom]

No, patient arrived without tooth #24. NO teeth were removed!

[westyone1]

Clinical studies show that bacteremia can set in regardless of how often you see a Dentist. If you have Perio Disease the frequency of seeing the dentist isn't the issue. Its the treatment planning and whats being performed.

[e5211]

thats not true

[westyone1]

Show me your clinical trial that says, " you cannot get perio disease by seeing your dentist regularly!"

And whats your definition of regularly?

Please people! Get on the SAME PAGE here! This is the #1 chronic bacterial infection in your whole body being underdiagnosed! A regular visit to your DENTIST DOES NOT PREVENT ANYTHING!

[josejuan61]

My dentist toldme that I'm loosing bone and that is the reason I've my teeth loose ,I wonder if there is a conection with gum desease and loosing bone thanks for your help!

[johnddscom]

Gum disease is the number one cause of tooth loss in adult Americans. Gum disease is a localized condition, though medicine has found a correlation between gum disease and systemic health. I have not heard of any direct link to systemic bone loss caused by a localized infection like periodontal disease. Though it could be possible since it is an infections process that is constantly dropping noxious inflammatory products into your circulation.

[manixxxo]

Johnddscom and don´t forget the obvious link: Americans eat too much refined foods, hence tooth and gum disease, and also lack of adequeate brushing. Amazing treatment this of laser.

[westyone1]

The endotoxins your body releases in perio disease ultimately helps to erode bone.

[ZoeyMacaroni]

How long do the newly grown gums last?

Do you think this would work on stomach tissues ?

[johnddscom]

The laser treatment reverses the condition it is up to the patient to keep it that way.

As far as the stomach tissue, I am a dentist, though the GI tract is similar. All I can say is that this procedure is one of the most amazing things I have seen in my 18 years as a dentist. I do not doubt that my MD colleagues are looking into the application of lasers in their field. The laser works great in areas that are infected, inflamed, and in pain.

[ZoeyMacaroni]

Thank you.

[westyone1]

I also hear that it damages the soft tissue allot!!?? Why do that when you can effectively manage the infection with an LAA and also prevent bactermia?

[pink29061988]

Please gimme your advise,

I am so scared I have had Periodontal problems and my dentist cleaned out all of my teeth I listen to his advise and done all this brushed my teeth correct etc...

I am only 19 and a female I at starting to get depressed and I am scared of losing my teeth, Also my grandad had this when he was 21 and lost all of his teeth please give help

[johnddscom]

If you are seeing your dentist regularly you should not worry about this.

[westyone1]

Bacteremia is what causes the systemic links in other health risks. ie: Type 2 Diabetes, Coronary Heart Syndrome, Premature low birth weight babies, to name a few. Does a laser kill the Red Complex bacteria that are directly associated with perio disease? And does it kill off the Good bacteria your body needs? Im not sure but don't think so.. Bottom line is we are not talking about price but whats best for the patient. Isn't that what health care is all about?

[johnddscom]

Yes the Periolase is very lethal to the red complex.  Black pigmented anaerobic bacteria.

[westyone1]

Get your WHOLE MOUTH AT ONCE done with Scaling and root planing. Then have a local administered antibiotic placed in the infected pocket. MAKE SURE you are going to a dentist who is perio aware. Meaning THEY look for perio disease..

[johnddscom]

IMO Scaling and root planing is a good service, though it is not as good as LANAP.

[westyone1]

Floss once per day! EVERY TOOTH even your molars, ie: your back teeth.

Brish twice a day for over 30 seconds. Make sure you are getting to all the areas. Use a rinse and not a mouth rinse that "freshens breath" a rinse labeled that it kills bacteria. This will utimately be your job to maintain. THe dentist can only do soo much since you can Maintain your oral health Every Day and only see them every 3 months if your perio!

[AcidBurn022]

huh...so is it abnormal to go once a month...cuz dats wat my whole family does =P

[westyone1]

No, thats fine. But why are they going once a month? To have their teeth cleaned? ask for the perio codes they are using. I have a feeling they are going to just get their teeth cleaned... its not uncommon however, some feel they can get a better "cleaning" at the dentist then doing their oral home care. Every 3 months is needed if you have perio disease. Code D4910

[buttercj]

firm but fucking connected to each otherr

[QBee0]

lmao!!

[johnddscom]

No Photoshop here. If you have any doubt about the efficacy of the treatment you may want to get a copy of the CRA newsletter that gave the Periolase a 9.7 out of 10.

[Omarinm]

its the same shit nice PHOTOSHOP