Q: What is LAPIP?
A: LAPIP (Laser-Assisted Peri-Implantitis Protocol) is a minimally invasive laser treatment designed to treat failing dental implants affected by peri-implantitis — a bacterial infection that causes inflammation and bone loss around implants. Using the same PerioLase® MVP-7™ laser technology as LANAP®, LAPIP targets and removes bacteria while helping regenerate the bone and tissue supporting your implant — without cutting or sutures.
Q: What is peri-implantitis?
A: Peri-implantitis is a condition similar to gum disease, but it occurs around a dental implant rather than a natural tooth. It involves inflammation of the surrounding soft tissues and progressive bone loss, which, if left untreated, can lead to implant failure.
Q: How does LAPIP work?
A: LAPIP uses a specialized laser that precisely targets infected tissue and harmful bacteria without damaging healthy tissue or the implant itself. The laser also stimulates your body’s natural healing response, encouraging the regrowth of bone and connective tissue around the implant.
Q: How is LAPIP different from traditional peri-implantitis treatment?
A: Traditional treatments often involve mechanical cleaning, flap surgery, and bone grafting. LAPIP offers a gentler and more regenerative alternative by avoiding cutting, sutures, or removal of the implant surface. The laser disinfects the area and promotes regeneration, all while minimizing post-op discomfort and gum recession.
Q: Is LAPIP painful?
A: Most patients experience little to no discomfort during or after the procedure. Local anesthesia is used to ensure comfort during treatment, and because it is minimally invasive, recovery is generally easy and well-tolerated.
Q: Will LAPIP save my implant?
A: LAPIP is often successful in stabilizing and saving implants that might otherwise be lost due to peri-implantitis. However, long-term success depends on factors like how advanced the disease is, your oral hygiene, and whether you attend regular maintenance appointments.
Q: How long does the LAPIP procedure take?
A: The procedure is typically completed in one appointment, which can last 60 to 90 minutes depending on the extent of the infection and the number of implants treated.
Q: What is recovery like after LAPIP?
A: Recovery is typically mild, with minimal swelling or bleeding. Most patients return to normal activities within a day. A soft diet may be recommended for the first few days, and you’ll be given home care instructions to support healing.
Q: Is LAPIP safe for all patients?
A: Yes. LAPIP is safe and especially beneficial for medically compromised patients who may not be good candidates for surgical flap procedures — such as those with diabetes, cardiovascular disease, or patients on blood thinners.
Q: Is LAPIP covered by dental insurance?
A: Many insurance plans cover LAPIP under surgical or periodontal therapy codes. We’re happy to help you verify your benefits and provide a pre-treatment estimate before your procedure.
Q: How do I know if LAPIP is right for me?
A: If your dental implant is showing signs of inflammation, bleeding, pus, bone loss, or mobility, you may be experiencing peri-implantitis. A clinical evaluation, along with X-rays or 3D imaging, will help determine whether LAPIP is the right treatment for saving your implant.
Occlusal Guard After LANAP – FAQ
Q: Why might I need a nightguard after LANAP?
A: After LANAP, your gums and bone are healing and reattaching to your teeth. A nightguard helps protect this healing process by preventing damage caused by clenching or grinding, especially while you sleep.
Q: What exactly does a nightguard do?
A: A nightguard (also called an occlusal guard) cushions your teeth and reduces the pressure caused by grinding or clenching. This helps prevent irritation, loosening of teeth, or damage to the healing gum tissue.
Q: I don’t think I grind my teeth — do I still need one?
A: Many people grind or clench their teeth without realizing it, often at night. We may recommend a nightguard based on your bite, any signs of wear, or how your teeth respond after treatment — even if you don’t notice grinding.
Q: How does this help with healing?
A: Think of it like protecting a broken bone — if you keep putting pressure on it, it can’t heal properly. Your gums and bone need a stable environment to regenerate after LANAP, and the nightguard helps create that by minimizing unnecessary forces.
Q: When and how should I wear the guard?
A: Typically, you'll wear it at night while you sleep. In some cases, we may advise daytime wear during high-stress periods. We’ll provide specific instructions based on your situation.
Q: Is it comfortable to wear?
A: Yes. A custom nightguard is made to fit your teeth precisely. Most patients find it easy to get used to and appreciate the added comfort and protection.