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The LANAP Protocol Explained
The patented LANAP protocol is a minimally invasive surgical method of treating and often reversing gum disease. During the procedure, the PerioLase MVP-7 dental laser is used to gently remove harmful germs and diseased tissue from the gum pocket, keeping healthy tissue intact.

The LANAP protocol is the only laser treatment to receive FDA clearance for True Periodontal Regeneration based on human histological research.

  • New cementum
  • New periodontal ligament
  • New alveolar bone!

Overview of the LANAP Protocol

The drawings below illustrate the LANAP protocol steps:

  • Periodontal probe indicates excessive pocket depth
  • Laser light removes germs and diseased tissue
  • Ultrasonic scaler removes root surface tartar
  • Bone modification promotes new tissue growth
  • Laser finishes cleaning the pocket, stimulates growth factors, and aids in sealing the pocket closed.
  • Healing of gums to clean root surface occurs
  • Bite trauma is adjusted
  • Tissues and bone regrow and healing occurs


Dr. David Malakov received his Doctorate in Dental Surgery from the New York University College of Dentistry, where he graduated with distinction as the recipient of the American Academy of Periodontology Award for Outstanding Achievement in Periodontics.


Dr. Malakov continued on to complete a supplementary three years of extensive specialty training at the prestigious Advanced Education Program in Periodontics and Implant Dentistry at New York University.


Dr. Malakov’s main emphasis is on comprehensive treatment planning and reconstruction to restore patients to their ideal oral health, function and aesthetics.


Common symptoms of gum disease include:
  • Red, Irritated Gum Tissue
  • Gum Inflammation
  • Bad Breath
  • Loose or Shifting Teeth
  • Tooth & Bone Loss
  • Bleeding Gums
  • Gum Recession

Our Dental Services

Dental Implants

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Cosmetic Dentistry

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Teeth Whitening

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Teeth Cleaning

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No Cut!

No Sew!

No Fear!

LANAP is the world’s first & ONLY laser protocol FDA cleared and scientifically proven to regenerate bone & tissues lost to gum disease!

Our doctors receive intensive training in the LANAP protocol by the institute for advanced laser dentistry. The LANAP protocol is the only laser periodontitis treatment scientifically and clinically proven to regenerate both soft tissue and bone, with FDA clearance for true regeneration, this gentle laser treatment is performed in our practice with the only laser specifically designed for the LANAP protocol – the PerioLase MVP-7.

Our Professional Dentist

Dr. Kristin Watson


Dr. Cameron Williamson


Dr. Annette Black


Gum Disease

Gum disease begins when a film called plaque accumulates on the teeth and calcium from saliva hardens the plaque—this calcified plaque is called tartar or calculus. Certain types of germs that live in this plaque and calculus damage gum tissue. Your body tries to fight this infection with an inflammatory attack, sending white blood cells to the area to destroy the bacteria. This inflammation causes the tissue to bleed easily when you brush or floss. This stage of the condition is called gingivitis. If the infection and inflammation persist the result is a chronic inflammatory condition where, in addition to the gums, ligament and bone around the teeth are destroyed—often with no symptoms. At this stage it is called periodontitis.
The health risks of gum disease go far beyond the loss of teeth. There is a connection between gum disease and a number of serious medical conditions. People with periodontal disease are almost twice as likely to suffer from coronary artery disease, and have nearly twice the risk of having a fatal heart attack. Gum disease has also been linked to other health problems, including respiratory disease, diabetes, Alzheimer’s, certain cancers, heart disease, stroke, osteoporosis, erectile dysfunction, HPV, and pregnancy complications.
  • Gums that are red, swollen, and bleed easily
  • Gums that seem to have pulled away from the teeth
  • Bad breath or halitosis
  • Pus between your teeth and gums
  • Teeth that seem to be loose or moving away from one another
  • Change in the way your teeth fit together when you bite
  • Change in the way your partial denture or implant-supported restorations fit Or no symptoms at all!
Although the procedure itself can be virtually painless, we anesthetize the area for the patient’s comfort. In this way we can precisely direct the laser for treatment. Post-procedure discomfort is typically minimal and of short duration.
Well known risk factors for periodontitis include genetics, stress, avoiding the dentist, no brushing or flossing, and some medical conditions. Smokers are significantly more likely to develop gum disease than non-smokers.

Patient Benefits

Faster Healing

LANAP® is minimally invasive and allows the body to recover and heal more quickly.

Less Discomfort

Patients report less discomfort during and after surgery.

Minimal Recovery Time

Most patients can immediately return to their daily routine.

Little to No Gum Recession

Because the procedure doesn’t require cutting the gums, there is less risk of recession and your beautiful smile is maintained

Reduction in Gum Inflammation and Bleeding

The PerioLase® MVP-7™ targets inflammatory bacteria without injuring healthy tissue.

Saves Teeth

Patients can keep their natural teeth sometimes even when the teeth have been deemed ‘hopeless’ with traditional treatments. Keeping your natural teeth has been linked to a longer lifespan!

Safe for patients with Health Concerns

LANAP® protocol is safe for patients with health concerns such as diabetes, HIV, hemophilia, or those taking medications such as Plavix or aspirin.

FAQ'S– the LANAP® protocol

The LANAP protocol is a laser-based treatment for gum disease, that uses a very specific laser that targets the bacteria that causes gum disease. Fear of periodontal treatment is greatly reduced when patients find out no scalpel or sutures will be used. Patient friendly laser treatment gets patients to agree to the treatment they need and continue with the follow-up care that is prescribed. The LANAP protocol is the only surgical laser gum disease treatment that is FDA-cleared and supported with histological studies and clinical results. Our office is one of the first in the area to offer the LANAP protocol for the treatment of gum disease/ periodontitis.
Tartar, associated with inflamed and bleeding gums, is removed form the root surface of the tooth using an ultrasonic scaler and small instruments. Then, a small amount of light energy from a laser is directed through a tiny fiber, which is gently placed between the gum and tooth. This light energy removes a tiny amount of diseased tissue and aids in reducing the bacteria associated with the disease. After the area is thoroughly cleaned, the body can heal the area naturally.
Although the procedure itself can be virtually painless, we may anesthetize the area for the patient’s comfort. In this way we can precisely direct the laser for treatment. Post-procedure discomfort is typically minimal and of short duration.
There are many factors which may affect the cost, such as the severity of the periodontal disease, and how many teeth are involved. Patients should discuss their payment options and costs with the dental office personnel. The dramatically increased comfort for our patients made the new system attractive to our office. We do encourage patients to take care of the need now to reduce further damage to their gums, teeth and bone.
LANAP periodontal surgery is a full-mouth procedure that may be completed in one visit, or within two 2-hour visits. Depending on the patient's specific needs, we may complete one side of the mouth during the first visit, and complete the other side on the second visit. However, many patients are able to receive full treatment within just one visit! LANAP requires limited downtime or recovery, so patients can return to work or their daily activities the following day.
You may experience mild aching, throbbing, and soreness of the treated areas for the first couple days—this can be helped with mild pain medications. The tissue around the teeth may appear discolored. Your bite may feel slightly different, but the teeth will adapt. You cannot brush or floss for the first 7-10 days after treatment, and you will need to follow a liquid or mushy diet. Smoking decreases results for all gum treatments, including LANAP.
As the gums heal, the teeth will shift, and your bite will need to be adjusted several times over the coming months. Splints may be fabricated to stabilize and immobilize the teeth. It is important that you wear these splints as instructed to promote healing. Expect to have your teeth professionally cleaned every three months for at least the first year, and then as recommended by your dentist.
Patients with moderate-to-severe gum disease can especially benefit from the LANAP protocol. The LANAP protocol is also an excellent treatment option for patients who are fearful of conventional scalpel surgery and patients taking certain medications, such as blood thinners. With the LANAP protocol, patients do not have to stop taking any medications.