Lane73- Sorry you are going through this.
Have you discussed using an
Laser instead of extraction?
The most well-known system is LANAP (Laser Assisted New Attachment Procedure), but many dentists use similar lasers under different names.
Typical process:
1. Laser disinfects the pocket
2. Gentle ultrasonic cleaning
3. Laser again to seal tissue
Often done with local anesthetic only.
Why it’s attractive for fearful patients
• Less bleeding
• Often less post-procedure pain
• Usually no cutting or stitches
• Appointments may be shorter or broken up
For someone terrified of dental work, this may be an option. Not paid for ny insurance. Check if there is dental school affiliated with a hospital near you for reduced costs.
Why laser therapy is often chosen because of Prolia
Laser periodontal therapy:
• Does not cut bone
• Reduces infection
• May help avoid extraction
• Is often considered safer than surgery in Prolia patients
Many periodontists specifically use conservative approaches because of Prolia.
The most important thing to understands
This is why preserving even a few natural teeth is so valuable:
Even 2–4 retained teeth can dramatically improve stability, chewing, and future options.
That’s why:
• Periodontists fight hard to save teeth
• Laser therapy, maintenance, and conservative care matter
• Extractions should be a last resort, not a starting plan. Cleanings must be frequent usually done every three months if you want to fight to save your teeth. Nitrous oxide (“laughing gas”)
• Very commonly used for anxious adults
• Wears off quickly
• You stay awake and responsive
• Does not interact with Prolia
• Can be used for cleanings, deep cleanings, and laser therapy. Otherwise, oral medicines to alleviate anxiety can also work as long as you have a ride home. Examples: low-dose benzodiazepine (e.g., lorazepam).