Do's and Don'ts Before and After Laser Gum Surgery

by Rana Baroudi

Dr. Baroudi is a Board Certified Periodontist. She has successfully passed the American Board of Periodontology oral and written examinations covering all phases of periodontal disease, its treatment and dental implants. She is also an Associate Clinical Professor of Periodontology at UCSF where she enjoys teaching and lecturing on a bi-monthly basis.

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Do’s and Don’ts Before and After Laser Gum Surgery

Laser gum surgery, more formally known as the laser-assisted new attachment procedure (LANAP), has ushered in a new era in periodontal treatments. Its use of advanced laser technology allows for the precise targeting of diseased tissue while preserving the healthy ones. However, the effectiveness of this procedure isn’t solely dependent on the technology or the surgeon’s skill. Patient preparation and post-operative care play pivotal roles. Here are the detailed do’s and don’ts to guide those undergoing this transformative treatment, along with more information about the procedure and its benefits.

Understanding the Need for Gum Surgery

Gum disease, clinically referred to as periodontal disease, represents a prevalent oral health concern where the gums undergo inflammation and infection from bacterial presence. This condition is often instigated by a combination of factors like poor oral hygiene, genetic predisposition, smoking, and other underlying health issues. Over time, if gum disease goes unnoticed or untreated, it advances to stages where the gums recede, underlying bone structure deteriorates, and tooth loss can occur. In such advanced stages, the only recourse to arrest and potentially reverse the damage might be surgical intervention.

The Evolution of Laser Gum Surgery

Traditional gum surgeries were primarily invasive, employing scalpels for incisions and sutures for wound closure. However, the advent of laser technology in dentistry marked a transformative phase in treating gum ailments. Today, laser gum surgery stands as a testament to this evolution, providing a surgical method that is less invasive, is more precise, and fosters faster recovery.

How Laser Gum Surgery Works

  1. Diagnosis and Planning: The process starts with a comprehensive evaluation. Diagnostic tools and procedures, such as digital imaging and probing, are used to assess the extent and severity of gum disease. This in-depth analysis facilitates a customized treatment strategy, ensuring optimal outcomes.
  2. Anesthesia: Despite the gentler approach of laser gum surgery, administering local anesthesia remains standard practice. It ensures the patient’s utmost comfort, making the procedure virtually painless.
  3. Laser Application: Specialized dental lasers become the primary tool, meticulously removing infected gum tissue. What makes this technology unique is its precision—only the diseased tissue is targeted, leaving the healthy tissue untouched. Concurrently, the laser has a sterilizing effect—eradicating harmful bacteria from gum pockets.
  4. Root Scaling and Planing: Post-laser treatment, the roots of the teeth exposed by receded gums require thorough cleaning. Scaling techniques remove hardened plaque or tartar, while planing smoothens the root surface. This dual process ensures not only a clean oral environment but also minimizes chances of bacterial reattachment.
  5. Stimulation of Tissue Regeneration: Lasers do more than just eradicate diseased tissue. They are known to stimulate stem cells present in the tissues. This invaluable trait can instigate the regrowth of bones and tissues, reversing some damages of gum disease.
  6. Recovery: One of the most commendable attributes of laser gum surgery is the significantly reduced recovery period. While traditional methods might entail several days of recuperation, laser procedures often allow patients to return to regular activities within a day. There might be some mild discomfort, but this is usually manageable with over-the-counter pain relievers.

Benefits of Laser Gum Surgery

Minimally Invasive: Eliminating the need for surgical cuts and stitches means minimal trauma and discomfort.

Reduced Pain and Discomfort: The procedure, being less invasive, typically leads to less post-operative pain.

Quicker Healing: The advanced nature of lasers promotes a faster tissue healing process.

Less Risk of Infection: The sterilizing property of lasers lowers post-operative infection probabilities.

Preservation of Healthy Tissue: The inherent precision of the laser ensures optimal tissue preservation, focusing only on the affected regions.

Embracing Modern Dentistry

Laser gum surgery combines precision, efficiency, and patient comfort to effectively treat gum disease while minimizing invasiveness. This state-of-the-art solution can help to effectively restore your oral health.

Before Laser Gum Surgery


  1. Educate and Inform: Read widely about the procedure. Websites, scientific journals, patient testimonials, and direct consultations with specialists can offer valuable insights.
  2. Oral Hygiene: This cannot be stressed enough. Regular brushing, flossing, and using mouthwash helps in reducing the bacterial environment, making the surgery more effective.
  3. Regular Dental Checkups: Before the surgery, ensure all appointments are kept. These sessions help in charting out the procedure, making you feel more prepared and relaxed.
  4. Medical History Transparency: Every detail counts. Ensure you provide a thorough record, even if you think something might be insignificant.
  5. Eat Well: A balanced meal a few hours before the surgery ensures energy levels are optimal, particularly if sedation is involved.


  1. Tobacco Consumption: Any form of tobacco can compromise the healing process. It’s advisable to halt consumption several weeks before the procedure.
  2. Alcohol and Caffeine: Their consumption can interfere with medications, anesthesia, and the body’s natural healing process. Reduce or eliminate intake a week before the procedure.
  3. Self-Medicate: Unless approved by your dentist or surgeon, avoid taking painkillers or other medications.
  4. Stress Overload: Engage in relaxation techniques. Consider activities like reading, meditation, or even light walks to stay calm.

After Laser Gum Surgery


  1. Stick to Post-Op Guidelines: These instructions are a blueprint to your recovery. Adhering to them will reduce risks of complications.
  2. Dietary Changes: Soft foods are your best friends post-surgery. Beyond the usual suspects like soups or puddings, consider foods like mashed potatoes, steamed veggies, and smoothies.
  3. Keep Hydrated: Drinking water aids in the recovery process by flushing out toxins and also helps in keeping the mouth clean.
  4. Regular Updates: Stay in touch with your dentist or surgeon. Regular updates, even if everything seems fine, can be beneficial.
  5. Rest is Essential: Your body heals best when it’s at rest. Ensure you’re getting adequate sleep and avoid stress.
  6. Gentle Oral Care: Once you reintroduce brushing and flossing, be gentle. Consider using tools designed for post-operative oral care.


  1. Rushed Oral Care: The surgical site needs time to heal. Avoid brushing or flossing too vigorously.
  2. Tobacco and Alcohol: Continue avoiding these substances as they can delay the healing process.
  3. Physical Exertion: Avoid activities that might strain your body. Light activities are permissible, but always consult your dentist.
  4. Avoid Certain Foods: Extremely hot, cold, spicy, or crunchy foods can irritate the surgical site. Opt for neutral, easy-to-consume foods.
  5. Straw Usage: The suction action might displace the vital blood clot at the surgical site.

In recent years, the field of laser gum surgery has been further enhanced by the dedicated efforts of professionals like Dr. Rana Baroudi. As a seasoned Periodontist based in San Jose, CA, Dr. Baroudi has been at the forefront of providing laser gum surgery to her patients. Her commitment to patient care, coupled with her expertise, has made her a sought-after name in the realm of periodontal treatments. With professionals like Dr. Baroudi, patients not only receive top-tier surgical interventions but also guidance, support, and education, ensuring they are well-prepared before the surgery and well-taken-care-of post the procedure.

When considering laser gum surgery, the procedure itself is just a part of the journey. Pre-operative preparations and post-operative care are integral for optimal results. It’s a collaborative journey between the patient and the healthcare provider, leading to a healthier oral future.