Traditional gum surgery and LANAP® both treat the same underlying problem, active gum disease that has progressed past the point scaling and root planing alone can reverse, but they take very different paths to get you there. Traditional surgery uses a scalpel to lift the gum tissue, clean the roots, and reshape the area, while LANAP® uses a specific wavelength of laser energy to remove diseased tissue and encourage new attachment without cutting or stitching. The right choice for you depends on how advanced your gum disease is, how you tolerate surgical recovery, and what your periodontist finds during a clinical exam.

At Advanced Periodontics of NJ, we offer both traditional periodontal surgery and LANAP® as periodontal treatment options, and we help you weigh the tradeoffs based on your specific case rather than a one-size-fits-all recommendation. With years of experience and a commitment to the latest advancements in periodontal care, our team aims to provide effective treatment with reduced discomfort and a recovery timeline that fits your life.

The Difference Between Traditional Gum Surgery and LANAP®

There are a variety of surgical options available for treating gum disease. Two of the most common treatments are traditional gum surgery and LANAP® (Laser-Assisted New Attachment Procedure). Both procedures aim to address gum issues, but they differ significantly in technique, recovery time, and patient experience.

Traditional Gum Surgery: The Conventional Approach

Traditional gum surgery, also known as gum flap surgery, has been a standard treatment for gum disease for many years. This method involves making incisions in the gums to access the underlying bone and tissue. The surgeon then removes infected tissue and reshapes the gums to help reduce pockets and prevent future infections.

While traditional gum surgery is effective, it is a more invasive procedure. The recovery period can be long and uncomfortable, with patients often experiencing swelling, bleeding, and a longer healing time. Additionally, the use of a scalpel means there is a risk of tissue damage, and the procedure can sometimes result in scarring. Most patients need seven to fourteen days before returning to normal activity, and a soft food diet is typically recommended for at least a week following surgery.

Key aspects of traditional gum surgery include:

  • Invasive: Requires incisions and stitches
  • Recovery: Typically involves several weeks of healing with potential discomfort
  • Scarring: There is a risk of visible scarring or tissue damage

Traditional gum surgery has been a go-to treatment for many years. However, advancements in dental technology have led to less invasive and more efficient treatments, like LANAP®.

LANAP®: A Less Invasive, Laser-Based Treatment

LANAP® is an FDA-cleared alternative to traditional gum surgery. It utilizes a specialized laser to target and remove infected tissue without the need for scalpel incisions or sutures. The procedure is minimally invasive, meaning there is less discomfort and a significantly shorter recovery time compared to traditional surgery.

During the LANAP® procedure, a highly focused laser removes harmful bacteria and diseased tissue from the gum pockets. The laser also stimulates the gums, promoting natural healing and regeneration of healthy tissue. This process supports the reattachment of the gums to the teeth, helping to restore lost bone and tissue. Most patients return to work or normal routines within a day or two, and many describe the discomfort afterward as comparable to a routine deep cleaning rather than a surgical procedure.

Key benefits of LANAP® include:

  • Minimally invasive: No scalpel or sutures are needed
  • Faster recovery: Most patients experience minimal downtime and less discomfort
  • Less bleeding: The laser cauterizes the tissue, reducing bleeding during the procedure
  • Promotes healing: The laser encourages the regeneration of healthy gum tissue

LANAP® offers a more comfortable experience with fewer risks, a shorter recovery, and outcomes that many patients find easier to fit into a busy schedule.

Comparing the Two Options

When choosing between traditional gum surgery and LANAP®, the decision often depends on personal preferences, insurance coverage, and the severity of the gum disease.

Consider the following when choosing your treatment:

  • Recovery time: LANAP® offers a significantly faster recovery
  • Comfort: LANAP® tends to be less painful and requires fewer follow-up visits
  • Effectiveness: Both treatments can be effective, but LANAP® is known for providing favorable results with less disruption to healthy tissue

Ultimately, you should consult with your periodontist or dentist before making a choice between traditional gum surgery and LANAP®.

Is LANAP® Right for You? Candidacy and Consultation

Most patients with moderate to severe gum disease are candidates for LANAP®, though your periodontist will confirm this after reviewing your periodontal charting, x-rays, and overall health history. Certain conditions, such as very deep bone defects or teeth with advanced mobility, may respond better to traditional surgical techniques or a combination approach. Smoking, uncontrolled diabetes, and certain medications can also affect healing time for either procedure, so it helps to share your full medical history during your consultation.

Your periodontist evaluates pocket depth, bone loss patterns, and your comfort with each approach before recommending a treatment plan. Some patients ultimately need a combination of therapies rather than a single procedure, particularly when gum disease affects multiple areas of the mouth to different degrees.

Cost and Insurance Considerations

Fees for both traditional gum surgery and LANAP® vary based on the number of teeth involved and the extent of disease being treated. Dental insurance plans that cover periodontal surgery often apply the same benefit structure to LANAP®, though coverage varies by plan and provider network. Our insurance and payment information page outlines what our office accepts, and our team can help verify your specific plan benefits before treatment begins. For patients without full coverage, we also offer financing options to help make treatment more manageable.

Frequently Asked Questions About Gum Surgery and LANAP®

Is LANAP more expensive than traditional gum surgery?

Fees for LANAP and traditional gum surgery are often comparable when the same number of teeth and severity of disease are involved. The exact cost depends on how many areas need treatment and your insurance benefits, so a consultation with a detailed treatment plan gives you the most accurate estimate.

How do I know if I am a candidate for LANAP?

Most patients with moderate to severe gum disease qualify for LANAP, but candidacy depends on your pocket depths, bone loss pattern, and overall health. A periodontal exam with x-rays lets your periodontist confirm whether LANAP, traditional surgery, or a combination approach fits your case.

Does insurance cover LANAP or traditional gum surgery?

Many dental insurance plans apply periodontal surgery benefits to both procedures, though coverage amounts vary by plan and provider network. Our team can help verify your specific benefits before treatment, and financing options are available for costs not covered by insurance.

How long does it take to see results after LANAP?

Many patients notice reduced gum sensitivity and swelling within the first week or two, while full tissue reattachment and healing can take several months. Your periodontist monitors your progress with follow-up visits to confirm the gums are responding as expected.

Can LANAP be used for all stages of gum disease?

LANAP is generally recommended for moderate to severe periodontitis rather than early gingivitis, which usually responds well to professional cleaning and improved home care. Your periodontist will confirm which stage of gum disease you have before recommending a laser or surgical approach.

Why Choose Advanced Periodontics of NJ for Your Gum Disease Treatment?

When you’re considering treatment for gum disease, it’s important to have options tailored to your unique needs. At Advanced Periodontics of NJ, we pride ourselves on offering cutting-edge solutions like LANAP® that prioritize your comfort, recovery, and long-term oral health. Our team combines extensive experience with a dedication to staying at the forefront of periodontal advancements, ensuring you receive care that’s both compassionate and effective.

Whether you’re facing traditional gum surgery or exploring LANAP® as a less invasive alternative, we’ll guide you through every step, helping you make informed decisions. Our commitment to providing personalized care sets us apart, and we look forward to helping you achieve healthier gums and a brighter smile. To learn more about our services, visit our contact form.

Dr. David Peto is a board-certified periodontist practicing in New Jersey and New York. He completed his dental education at the University of Toronto Faculty of Dentistry, followed by hospital-based training at the Los Angeles County/University of Southern California Medical Center, where he also served on faculty. He later completed his periodontics program at the University of Texas Health Science Center at Houston.

Dr. Peto is LANAP-certified and known for his conservative, evidence-based approach to periodontal and implant care. He has published articles on genetic control of bone formation and cosmetic periodontal procedures, and has served as a clinical instructor at UCLA.