Periodontist and Dental Implant Specialist

Our Procedures

LANAP Laser

Millions of Americans each year suffer from gum disease, yet only a small percentage actually receives treatment. Gum disease has been linked to a variety of health complications including but not limited to heart disease, pancreatic cancer, diabetes, and low birth-weight babies. Gum disease is an epidemic in this country and around the world, and until now the majority of the treatment options available included invasive surgery involving cutting the gum tissue down and suturing it back together, or extracting the teeth and recommending dentures or dental implants. But the day has finally arrived when patients do not have to fear or put off getting treatment.

With the introduction of the PerioLase® MVP-7™and the LANAP® protocol (Laser Assisted New Attachment Procedure) we are able to remove and kill only the bacteria within the pockets of your gums while leaving the healthy tissue behind to reattach to the root surface! Why is this important? You can now enjoy less pain, less discomfort, less recession, less sensitivity, and much better and more predictable long-term results. LANAP® is the first and only FDA cleared laser protocol on the market and has been proven through extensive science and research studies in the United States and abroad. Quite simply it is the highest standard of care available in the world for the treatment of periodontal disease. Often we can save teeth that have previously been deemed hopeless by naturally regenerating the bone around the tooth.

If saving your teeth, reducing your pocket depths, and maintaining optimum periodontal health is important to you, this is a treatment that you must consider!

Beware of Phony Laser Treatments and False Advertisements

LANAP® is the ONLY FDA cleared protocol for the treatment of periodontitis! It is also the ONLY laser with the science, research, and human histological studies to PROVE its claims! No matter what clinician you decide to get laser treatment from be sure that your doctors is LANAP® Certified and they are using the PerioLase® MVP-7™.

Patients with certain medical conditions (e.g. valvular heart conditions and artificial joints) may be asked to pre-medicate with antibiotics prior to treatment. We do this with your safety in mind. Please inform us if you have a condition that might require pre-medication.

The Benefits of LANAP®

  • Faster Healing LANAP® is a minimally invasive procedure that allows the body to heal itself quickly
  • Less Discomfort Due to the bio stimulation capabilities of the Perio/lase there is usually little to no discomfort for our patients. It is very rare to prescribe pain medication post op LANAP®.
  • Less Downtime Most patients that opt for laser gum surgery can go straight back to their daily activities the same day
  • Little to No Recession Patients travel from across the state to have laser surgery because it does not lower the level of the gum line like traditional surgery.Reduce Inflammation and Bleeding. The PerioLase® MVP-7™can remove 90% of the inflammation in your mouth after one visit. The laser specifically targets the bacteria in your mouth while leaving the healthy tissue intact
  • Minimal Bleeding With the LANAP® Protocol we are able to control the bleeding with the laser. This results in less bleeding and complications.
  • Saves Teeth Patient’s number one reason to receive laser gum surgery is because they want to save and keep their natural teeth.
  • Bone Regeneration LANAP® is the only protocol scientifically proven to regenerate bone around teeth.
  • Very Safe There are zero contraindications with this laser meaning it does not interfere with any disease or medication.

The LANAP® Procedure

LANAP®(Laser Assisted New Attachment Procedure)

Steps of the LANAP® Protocol

  1. Measurement of pockets The first step of this laser treatment is to measure the depth of your periodontal pockets using a probe. This will tell us how deep the pockets are and how much loss of attachment has occurred.
  2. Laser removes bacteria Pulsed laser light is used to remove the diseased tissue from the pocket and kill bacteria that causes gum disease. Because the laser light is not absorbed in water, healthy tissue, root, or bone, this surgery is much less invasive and more comfortable for the patient.
  3. Removal of calculus Calculus is then removed from the root surface of the teeth. Tiny ultrasonic scalers remove the deposits of calculus that form underneath the gum line. The laser will not remove this by its self but it will denature the calculus resulting in better removal with the ultrasonic.
  4. Clot is formed The laser is used a second time at the bottom of the pocket in order to stimulate the soft tissue, root, and bone. This also causes the blood to become sticky, forming a seal around the teeth. This creates a clean, closed, and stable environment for healing to begin.
  5. Tissue compression The tissue is recompressed against the root surface of the teeth and no sutures are required.
  6. Adjustment of bite The doctor will adjust your bite to make sure that there is not a considerable amount of trauma on any of your teeth. Especially the ones that have bone loss.

Laser Gum Surgery LANAP vs Traditional Gum Surgery

If you have been told that you have periodontal disease and surgery will be required, it is important to know the difference between traditional gum surgery, (which utilizes a scalpel and sutures) and laser surgery.

Traditional surgery typically utilizes a scalpel so that the doctor can reflect the gum tissue back for visibility and to clean the pocket and reduce the pocket depth. The pocket depth is reduced by cutting away tissue. In many cases the additional use of bone grafting or membrane materials will be needed in order to achieve reattachment of the gum tissue to the root surface of the tooth. Although in some cases the only way to treat the patient is by tra ditional surgery the vast majority of patients that we see opt for the less invasive and more comfortable LANAP®, or Laser Gum Surgery

LANAP® does not require the use of a blade or sutures. It is a minimally invasive surgery that results in very little recession or pain for the patient. The laser operates at a wavelength that can tell the difference between the diseased tissue and the healthy tissue. This means that the laser is extremely safe and selective when being used in surgery. For the first time we can remove the diseased tissue and bacteria from your gums without harming, cutting, or removing healthy tissue.

Some Key Differences Between Traditional Gum Surgery and LANAP®

Pain Traditional surgery can be fairly painful and require pain medication and downtime. Many patients opt for dental implants to avoid the pain involved in gum surgery. LANAP® involves much less discomfort. There is almost never a need to prescribe pain medication and the patients can usually go right back to work and move on with their daily routine.

Recession Because traditional surgery requires the use of a blade there is no getting away from the gum line being reduced. The question is how much. Traditional surgery can result in lowering the gum line anywhere from 2-4 mm all the way to 10-15mm. LANAP® is much less invasive and more selective in the tissue that it cuts… This results in little to no recession of the gum line. This is a very important difference because recession can lead to a number of aesthetic problems for the patient, and cause the teeth to become very sensitive to cold and hot temperatures.

Healing Time The healing time for LANAP® is much faster because it is a new technology that is less invasive than scalpel surgery. The laser kills the bacteria in your pockets resulting in reduction of inflammation and healthier tissue.

Long-term results Although we can have fantastic results long term with both treatments, LANAP® is far more predictable when it comes to bone regeneration and connective reattachment of the tissue. The laser stimula tes the bone that surrounds the root of the tooth and has been proven to encourage regeneration, often saving teeth that would have previously been extracted. Many times we can reverse the effects of periodontal disease and the patient will get better and better as time goes on.

In conclusion, as technology evolves and breakthroughs are made in dentistry, we are committed to keeping up and offering the latest and most advanced treatments to our patients in order to provide the highest standard of care available. Utilizing a laser to treat gum disease is something that many patients can take advantage of, although not every patient is a candidate for laser treatment. Please give us a call to schedule your laser consultation today to find out if LANAP® is right for you!

LANAP® in the News

Patient Safety

We adhere to the highest professional standards of cleanliness, sterilization, and radiation control. Our staff regularly attend safety seminars and are knowledgeable on the latest techniques.  All our staff are Basic Life Support (BLS) certified. Additionally, Dr. Hollander is ACLS certified (Advanced Cardiac Life Support).


Brian N. Hollander, DDS, MS
Diplomate, American Board of Periodontology
1615 Hill Road, Suite 4, Novato, CA 94947
Tel: (415) 898-6660 • Get DirectionsContact Us

A key to dental implant safety and success is advanced radiography. A CT scan we can be sure that every precaution has been taken.

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Dr. Hollander is a periodontist in Novato, CA who specializes in dental implants and in treating periodontal disease.
He also services the surrounding areas of San Francisco, San Raphael and San Anselmo.
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