Laser Gum Surgery: Cost, Procedure, and Aftercare

In recent years, laser gum surgery has become more widespread for treating moderate to severe gum disease. Laser stands for light amplification by stimulated emission of radiation.

Your dentist may recommend laser surgery as an additional step after having a traditional scaling and root planing treatment.

They may recommend laser gum surgery in lieu of non-laser surgeries, such as gum flap surgery. Laser gum surgery may also be used for other dental procedures. These include gum contouring to address a gummy smile for cosmetic reasons.

The Food and Drug Administration (FDA) has approved the use of lasers for:

There’s a small body of evidence indicating that laser gum surgery is safe and effective for treating many dental conditions, including gum disease.

The American Dental Association has not yet approved the use of lasers for treating gum disease, but there’s a small body of evidence indicating that laser gum surgery is safe and effective for treating many dental conditions, including gum disease.

The American Academy of Periodontology reviewed current evidence and summarized that appropriate laser therapy may provide a modest additional benefit over traditional treatments.

However, the organization cautioned that evidence is limited, and more research is recommended on the use of lasers.

For this reason, it’s very important you use a periodontist who is trained to work with lasers if you choose to get this procedure.

The cost of laser gum surgery to treat gum disease ranges based upon several factors. These include the amount of work you need done and your geographic location.

If you have dental insurance, your provider will usually pay at least a portion of the cost.

In some instances, a free consultation may be available before booking the procedure. Your initial consultation will include X-rays, which can cost anywhere from $50 to several hundred dollars.

If a scaling and planing procedure is done before laser gum surgery, the fee may range anywhere from $200 for one quadrant to $1,500 or more for your entire mouth.

Laser gum surgery may be done with a Nd:YAG type of laser using LANAP (laser-assisted new attachment procedure) protocol. According to staff at Advanced Dental Arts in New York City, the cost of this procedure varies anywhere from $1,000 to $2,650 per quadrant.

If you’re having laser surgery to correct a gummy smile, insurance most likely won’t cover it. Gummy smile correction is considered a cosmetic procedure.

The costs for laser gummy smile surgery vary. In general, you can expect to pay between $675 and $875 per tooth.

Lasers are tubes that use powerful, pinpointed light beams of thermal energy to perform multiple tasks during gum surgery. Lasers can:

  • cut and remove diseased tissue
  • coagulate blood vessels to form solid clots
  • kill germs and bacteria
  • sterilize the area

Lasers work by creating an energy change in atoms. The laser light shifts atoms from their current resting state to a stage known as the excited state. This causes the atoms to produce energy called spontaneous emission.

When the atoms return to a resting state, they emit particles of light called photons. This process provides the energy needed to perform certain functions, such as cutting tissue without the use of a blade.

The LANAP, or laser-assisted new attachment procedure, is often used to treat gum disease.

Here’s what you can expect for laser gum surgery:

  1. Your periodontist will place the fiber optic tip of the laser at the top of the periodontal pocket. The laser is about the size of three human hairs.
  2. The laser will use pinpointed light to remove diseased and inflamed gum tissue from the pocket. (The laser is designed to only remove diseased tissue. It does not remove or damage healthy gum tissue. The laser also removes disease-causing germs and bacteria from the periodontal pocket.)
  3. Once the pocket is cleaned of damaged tissue and bacteria, the laser is set aside.
  4. Your periodontist then uses an ultrasonic cleaning tool to break apart and remove tartar and calcifications with sound waves.
  5. The laser is reintroduced into the pocket to deep clean the bottom and eliminate telltale debris.
  6. The laser also sterilizes tissue and bone, and stimulates formation of a blood clot. The blood clot speeds healing and helps gum tissue reattach to the tooth. This eliminates the need for stitches.

If you’re having your entire mouth done, you may need two visits that last 1 to 2 hours each.

A single quadrant can be finished in 1 to 2 hours.

Here’s what you can expect for gummy smile surgery:

  1. If inflammation or infection is causing excess gum tissue, your periodontist’s first step will be a scaling and root planing procedure.
  2. Then, a laser procedure can sculpt and contour the gums. A periodontist or an orthodontist can do this.
  3. During the procedure, a soft tissue laser will remove excess gum tissue.
  4. The laser will also cauterize the tissue. This helps reduce bleeding and postsurgical discomfort.
  5. Your dental specialist may also use the laser to reshape the underlying jawbone.

Laser gum surgery can be done on the gums in any quadrant of the mouth. The lasers used for this purpose are designed to treat soft tissue.

Laser surgeries can also be done on and in teeth. These procedures use different types of lasers that are designed to treat hard tissue.

There are many types of lasers, and none of them are one-size-fits-all.

Lasers rely on varying wavelengths and power levels. Using the wrong laser can damage gum tissue. For this reason, it’s important to see a professional who has been trained in laser treatments.

Other possible complications may include:

  • infection
  • scarring
  • permanent tissue color change

Because the laser sterilizes the area, infection is not common. However, call your dental professional immediately if you notice any signs of infection. These include:

  • swelling
  • oozing
  • worsening pain
  • fever

Some people resume their normal activities the day following surgery. Others may take a few days to feel completely up to speed.

You can expect to feel mild soreness for several days. Other temporary side effects include:

  • slight bleeding
  • minor swelling
  • discoloration of gum tissue

Aftercare instructions might include the following:

The healing process generally lasts a week. During that time, your periodontist may recommend you:

  • not brush or floss the affected area
  • rinse your mouth and let the water or mouthwash fall out gently instead of rinsing and spitting
  • eat a soft diet
  • abstain from using nicotine products such as cigarettes

In the first 1 to 2 days, your periodontist may recommend you rinse your mouth every few hours with warm salt water to help soothe your mouth. Mix 1/2 teaspoon of salt in 8 ounces of water. Make sure the water isn’t too hot or cold.

Laser surgery can decrease gum disease. However, to keep your mouth clean and free from infection, you must maintain good oral hygiene habits. These include:

  • daily brushing and flossing
  • seeing a dentist twice a year for preventive care and cleaning

Laser gum surgery eliminates gum disease. It also removes tartar and bacteria, enhancing the health and appearance of teeth.

General anesthesia isn’t used for laser gum surgery. Only local anesthesia is needed, so you won’t need to fast before the procedure.

Wear comfortable, warm clothing. Often, surgical areas are kept cool to reduce bacterial growth in the environment.

Remove nose rings and tongue piercings.

If you have long hair, don’t wear a ponytail or bun. You’ll have your head resting against the chair for several hours, and a ponytail or bun may cause discomfort.

Laser gum surgery is used for dental procedures, such as treating gum disease. It’s also used to contour the gums and eliminate gummy smile.

Since there’s no scalpel or cutting, laser gum surgery eliminates the need for stitches and reduces postoperative bleeding. When this procedure is done to treat gum disease, insurance often covers it.

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