Laser Assisted New Attachment Procedure (LANAP): A 12-Month Outcomes Study

Abstract

Introduction: As a modern alternative to conventional therapies, the Laser Assisted New Attachment Procedure (LANAP) protocol utilizes an Nd:YAG laser to treat periodontal disease. Purported advantages of LANAP include improved access to root surfaces, more predictable hemostasis, and increased patient acceptance due to a lack of need for conventional surgical flaps and suturing. Despite widespread use of the LANAP protocol, there is limited research that reports on general treatment outcomes, post-operative pain, and rapidity of healing. Objectives: The primary purpose of this study is to investigate the clinical healing and resolution of periodontal disease after LANAP by comparing full-mouth clinical measurements at baseline and 12 months after treatment. Secondarily, the study will assess the patient-reported outcome measures of pain and perceived improvement in oral health. Methods: Thirty patients with generalized Stage II to Stage IV Periodontitis will be enrolled in the study. Qualifying subjects will have at least 4 sites per quadrant with a probing depth of >/= 4 mm and bleeding on probing. Full-mouth clinical measurements recorded at baseline, including plaque, probing depth, clinical attachment level, recession, bleeding on probing, purulence, mobility, and furcation involvement, will be compared to measurements gathered 12 months after LANAP therapy. Additionally, after each LANAP procedure, the patients level of post-operative pain will be recorded via a visual analog scale (VAS)-based pain questionnaire. Lastly, at baseline, 6, and 12 months after treatment, patients perceived improvements in their oral health status will be analyzed through an oral health impact profile (OHIP-14) questionnaire. Results: This human research study is pending approval by the Institutional Review Board.

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Document Details

Document Type
Technical Report
Publication Date
Jun 14, 2021
Accession Number
AD1183215

Entities

People

  • Christopher M Tully

Organizations

  • Uniformed Services University of the Health Sciences

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Anesthesia
  • Attachment
  • Bones
  • Data Analysis
  • Department Of Defense
  • Diseases
  • Electromagnetic Radiation
  • Health
  • Institutional Review Board
  • Instructions
  • Ionizing Radiation
  • Laser Applications
  • Laser Therapy
  • Lasers
  • Maintenance
  • Measurement
  • Medical Personnel
  • Mouth Diseases
  • Oral Health
  • Surgery
  • Teeth
  • Therapy
  • United States
  • X Rays
  • Yag Lasers

Fields of Study

  • Medicine

Readers

  • Aerial Unmanned Vehicle Swarm Micro Periodontal Dentistry.
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  • Trauma Surgery or Emergency Medicine.

Technology Areas

  • Directed Energy