LAPIP Laser Peri-Implantitis Procedure

Although dental implants offer a long-term, stable tooth replacement, they are not always successful. Like natural teeth, implants can develop issues if not properly maintained. One such issue is peri-implantitis—a condition that, if left untreated, can compromise the integrity of the implant. Fortunately, modern treatment options like LAPIP® (Laser Assisted Peri-Implantitis Procedure) offer a minimally invasive way to restore implant health. At Brook Periodontics & Implant Dentistry, Dr. Brook and Dr. Dunca specialize in performing LAPIP with precision and care.

What is Peri-implantitis?

Peri-implantitis is an inflammatory condition affecting the soft and hard tissues surrounding a dental implant. It is typically caused by plaque and bacteria buildup, leading to infection and progressive bone loss around the implant.

Symptoms may include:

  • Red, swollen, or bleeding gums near the implant
  • Deep pockets forming around the implant
  • Pus discharge or bad breath
  • Mobility of the implant

Without intervention, peri-implantitis can lead to implant failure. Early detection and treatment are crucial to preserving the implant and surrounding bone.

What is LAPIP®?

LAPIP stands for Laser Assisted Peri-Implantitis Procedure. It is a specialized laser treatment designed to address peri-implantitis without the need for scalpels, sutures, or extensive surgery. Using the PerioLase® MVP-7™ laser, LAPIP removes infected tissue, disinfects the area, and stimulates bone regeneration around the compromised implant.

Unlike traditional methods that may involve removing parts of the gum or implant surface, LAPIP is tissue-preserving and promotes natural healing with minimal discomfort.

The LAPIP Procedure by Dr. Brook and Dr. Dunca

Dr. Brook and Dr. Dunca are trained and experienced in using the LAPIP protocol to treat peri-implantitis safely and effectively. The procedure typically involves the following steps:

  1. Assessment: To evaluate the severity of the infection and bone loss, a thorough examination and imaging (such as 3D CBCT scans) are performed.
  2. Laser Treatment: The PerioLase laser is gently inserted into the gum pocket around the implant to remove diseased tissue and kill bacteria.
  3. Ultrasonic Debridement: The implant surface is cleaned with ultrasonic instruments to remove biofilm and debris.
  4. Laser Re-entry: The laser is used again to seal the pocket and create a stable environment for healing.
  5. Bone Stimulation: The laser stimulates the surrounding bone, encouraging the body’s natural ability to regenerate lost bone tissue.

This entire process is typically completed in a single visit, with most patients reporting minimal discomfort and a quick recovery.

LAPIP Post-Op Instructions

To ensure optimal healing after LAPIP, follow these post-operative care guidelines:

  • Avoid brushing or flossing the treated area for 7–10 days
  • Use a prescribed antimicrobial rinse as directed
  • Stick to a soft food diet for the first few days
  • Avoid smoking or using tobacco products
  • For the first 24-hour period immediately following surgery, take two (2) Advil or Motrin (Ibuprofen) every 4-6 hours, even if you do not have any pain.
  • Apply a cold compress to the outside of your face to reduce swelling
  • Avoid strenuous activity for 48 hours post-procedure
  • Do not be alarmed by any color changes or tissue appearance following laser therapy. Tissues can be gray, yellow, red, blue, or purple, reflecting normal response to laser treatments.
  • Attend all follow-up appointments to monitor healing progress.

For the first few weeks following the LAPIP procedure, you may experience some mild swelling, tenderness, or discomfort near the treated area. Some patients experience temporary sensitivity to temperature or touch.

Please call the office at Massapequa Office Phone Number 516-799-1500 if you are experiencing any of the following signs and symptoms:

  • Prolonged or severe pain
  • Prolonged or excessive bleeding
  • Considerably elevated or persistent temperature

Do not be alarmed that the gums may become sore, tender, or sensitive beginning within two weeks after therapy and extending as long as one year or more as the bone and ligaments around the implants regenerate and become firmer. This is a normal part of the healing process and a sign that the treatment is working. However, it may also indicate the presence of a bite imbalance that may need to be adjusted, so please don’t hesitate to contact us if you have any concerns.

If you have any questions or concerns, please don’t hesitate to call us!