{1 - 24} GreyGrey
{25 - 49} GreenGreen
{50 - 499} BlueBlue
{500 - 4999} OrangeOrange
{5000 - 24999} RedRed
{25000+} BlackBlack

Please confirm that you would like to report this for an admin to review.


Is LANAP contraindicated for ortho patients?

I have a perio maintenance patient who would benefit greatly from LANAP, but she is currently in traditional ortho. Is it best to perform SRP for the time being then refer her to the periodontist after her braces are removed?



Confirm that you would like to Remove Email Alerts for your question. You cant undo this and you will not be able to re-subscribe.


Tags

3 Answers

I heard back! I was told that there’s no contraindications for ortho patients. It was suggested, like I mentioned earlier, to have arch wires removed for best access. The other thing I was told that the laser can react with the metal from the ortho and it makes a popping sound, which doesn’t hurt the patient, its just startling when it happens. I hope this helps!

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


Thank you so much! I look forward to hearing what the LNAP instructor says. Yes, SRP was treatment planned, but I know she would benefit more from seeing a periodontist. The doctor and orthodontist are friends. :/ I will document like crazy to protect my tail.

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


First, I have to mention that I’m surprised that an orthodontist would allow ortho treatment for a patient with active perio. I have had patients have their ortho removed until they got their gingivitis under control, so again, I’m surprised the orthodontist has not addressed this. Ok, with that said, with all of the research I have done I can’t find any contraindications to using LANAP on ortho patients. However, I do have an email out to a doctor who is a LANAP instructor and I’m awaiting a reply. I will update this answer as soon as or if I get a response.
 
I would perform SRP on this patient. Do have her wires removed by the orthodontist before treatment so you can have the best access possible to have the best results possible. Also, make the orthodontist aware of her perio condition, because again, this is an issue in my opinion.

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


You must be Logged In to Answer this Question

Already a Member, Log In
Not a member yet? Sign Up

Search

Categories

Like Kara RDH on Facebook!