Laser Assisted New Attachment Protocol: A 12 Month Outcome Study

Abstract

Background: Laser Assisted New Attachment Procedure (LANAP) is a trademarked protocol for the treatment of periodontal disease. However, there are limited controlled clinical studies reporting on outcomes associated with LANAP and the improvement of periodontal disease. Purpose: The purpose of this 12-month, single-center study is to evaluate the effect of LANAP therapy on periodontal disease. The primary objective of this report is to calculate the change in subject-reported outcomes reported within 6months post LANAP therapy. Methods: Eight subjects with periodontal disease were enrolled and underwent LANAP treatment. Clinical examinations were performed at baseline and with follow-up examinations scheduled for 12-months. Changes in clinical parameters of periodontal disease will be evaluated via clinical attachment levels, probing depth, plaque score, gingival bleeding on probing, gingival purulence, gingival recession, tooth mobility, fremitus, and furcation involvement. Subject-reported outcomes were evaluated at baseline and 6 months with scheduled follow-up for 12 months assessing the healing course and oral health quality of life post LANAP via visual analog pain scale (VAS) and oral health impact profile questionnaires (OHIP-14), respectively. Results: VAS pain scores ranged from 0-7 starting from the first day post-operatively. The average rate of decline in post-operative VAS pain score was 1.19+-1.13 for the left side and 1.31+-1.74 for the right-side. Comparisons of baseline and 6-month OHIP-14 data demonstrated significant improvements in physical pain (delta score= -1.5; -0.5) psychological discomfort (delta score= -1.5; -0.5), and psychological disability (delta score= -1.5; -0.5) categories. Conclusions: Subjects demonstrated clinically significant reductions in post-operative pain and improvements in quality-of-life measurements post LANAP therapy.

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Document Details

Document Type
Technical Report
Publication Date
Jun 01, 2023
Accession Number
AD1222335

Entities

People

  • Sean P. Farrell

Organizations

  • Uniformed Services University of the Health Sciences

Tags

Fields of Study

  • Medicine

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  • Directed Energy