Q: I have been advised for years that I have bone loss in my jaw. I have a clenching/grinding problem at night that I suspect is contributing to the problem. I had orthodontics 3 years ago to correct my bite as the theory was that my bone loss could be a result of my bite being so bad. The orthodontics corrected my bite. However, I did get some root resorption on one of my front teeth. While I was in braces I think I stopped clenching at night because it was too painful. However, the clenching has started again.
My general dentist referred me to a periodontist who is recommending LANAP.
I have 4-6 mm pockets scattered throughout my mouth and my front top and lower teeth are slightly loose (I was not aware of it, but the periodontist pointed it out to me). I do not have any obvious signs of gum disease (bleeding, redness, odor, etc.). My periodontist is recommending LANAP on all 4 quadrants. I also just got a new, better night guard made by my orthodontist to try to help with the clenching/grinding issue. I am 40 years old and very concerned about losing my teeth. In your experience, is LANAP an effective treatment for periodontal disease caused by clenching/grinding?
Is LANAP safe on a tooth with very little root left due to resorption?
A: LANAP is safe on short roots, resorbed roots, and long roots as long as the periodontist follows the protocol carefully and according to the strict guidelines. Having a new and improved night guard is a smart move. This should take the secondary occlusal trauma out of the picture.
I would also discuss with your laser periodontist the possible need for splinting your mobile teeth together. There are various ways to accomplish this. The laser periodontist can explain this to you in detail. Additionally, as part of the LANAP protocol, an occlusal adjustment is also performed at the time of surgery and at your follow up visits. Finally, LANAP is very effective in treating bone loss (periodontal disease) and when done in conjunction with occlusal therapy, can ultimately save your teeth.
