Lanap: how can you tell there is still no deep gum dental pocket if you do not probe (per protocol) for 9-12 months post op? a long time not to know.

LANAP: If you have confidence in the lanap procedure it is best to follow their protocol. After 3 months, swollen, puffy or bleeding gums would be a sign that things are not as they should be. Personally, i feel that your should be able to do some very gentle probing after 3 months and along with the other signs mentioned, know if there is improving periodontal health.

Bacterial testing: Protocol will vary from office to office. For some a gentle probing can be done after 6 months. There are several forms of bacteria testing that can be done to see if the damaging bacteria are still present. If gone, it is a good indication that the bacteria causing the deep pocket are also gone and the pocket is healing.

Cant: Have the dentist or hygenist measure the pocket for you and discuss the imrovement or many you need more treatment there.

Clinical picture: Tissues appear healhy based on texture, and color. Also radiographs may show increase in bone regeneration.

You are correct: It is a long time not to know for sure. The lanap protocol does work though and ultimately should be followed for best results. It is counterintuitive we know. Hang in there!

Clinically obvious: Tissue improvement is an excellent assessment tool. With lanap, the bite/occlusion is vitally critical in success. If occlusion is deemed correct, hygiene is good, & tissue color/density/etc is good, expectations for pocket reduction are high. Expectations for regeneration are also high. Patience is golden while waiting on the first post lanap probing depths. Focus on oral hygiene & strict recal.