How Laser Enhanced Regenerative Periodontal Endoscopy (RPE) Works:  A Pioneering Approach

Regenerative Periodontal Endoscopy – RPE, is an advanced non-surgical endoscopic procedure developed by PerioPeak Innovations.  The periodontal endoscope and laser eliminate the need for aggressive surgery, allowing pinpoint precision for removing gum infection and tartar in deep pockets.   This is accomplished with an endoscope/microscope and piezo micro-ultrasonics.  Emdogain- a natural regenerative protein - is then placed in all deep gum pockets to stimulate adult regenerative stem cells.  RPE is completed in one simple appointment with local anesthetic – there is no need for repetative visits, and there is no pain following treatment.  Remarkable clinical results are achieved without surgery, including closure of deep gum pockets and bone regeneration.   RPE is a definitive, yet affordable alternative to tooth loss and periodontal surgery.

  Watch this short video to see how RPE works.  

The Simplicity of the RPE Protocol:

When efficient endoscopic removal of gum infection, bacteria, and tartar beneath the gums is followed by coating the roots with natural regenerative proteins (emdogain), results are extraordinary.  Periodontal health is restored and regeneration occurs.  Watch this simple innovative procedure on our You Tube Video.

 Before and After RPE – Case Studies:

  
Before – 12mm pocket -  advanced bone loss – this patient was advised by his periodontist he needed to have this tooth extracted and an implant placed.  He chose RPE as a less invasive option, see below.

 

  
3  months after RPE – normal healthy tissue 3mm- bone regeneration well underway, no mobility, and no need for an extraction and implant.  The fee for treating this one tooth was $400.  He saved thousands of dollars in treatment costs by avoiding an extraction, bone graft, and impant.

                          
Before – 10mm pockets tooth#10              15 mo’s after RPE – 3mm- no mobility

This patient was told she needed to have this tooth extracted and an implant and crown placed.  She was also treatment planned for full mouth osseous periodontal surgery.   Instead, she chose the option of RPE.  She was able to avoid spending $12K for the full mouth surgery and implant. 

     
Before 10mm                                    after 3mm

 

    
Before -  7mm pocket                3 months after RPE- bone filled in

  

(above) before – 10mm pockets                                (above) 3 months after RPE – 3-4mm

 the patient above was able to avoid extraction of the molar tooth, thus saving the bridge.  She was able to avoid having an implant placed, followed by a new bridge for this area.    

 

  

  before RPE – extraction of 18 imminent          1 year after RPE – complete bone fill

 

  

 Before RPE – 10mm (19 & 20)                               1 yr after RPE – bone filled in -health restored

 

 The case study below demonstrates well the speed at which healing and regeneration occur with RPE.

  

       (above) Before – 8mm                                  (above) 2 weeks after RPE – 3mm – see x-rays below

      

  

Before x-ray #28 mesial                                       only 8 weeks after – rapid bone fill occuring #28

 

 

   
(above) Before – 7mm pockets            6 weeks after – rapid bone fill

 

   

          Before RPE - 10mm                                    3 months after – 3mm (see x-rays below)

 

   

             Before RPE                                     6 weeks after – rapid bone fill

 

 

   before RPE – 10mm                                               3 months after RPE – 2mm

 

 

    Before RPE – 10mm                                                                    3 mo’s after RPE – 3mm

 

 

Before RPE – 12mm                                                                3 mo’s after RPE – 4mm (see x-rays below)

 

 

Before RPE (tooth diagnosed as fractured)                   3 mo’s after, rapid bone fill – no fracture detected

 

    
(above) Before – 8mm  19D                                 After RPE – 3mm

 

    

Before RPE - 10mm                   6 months after – nice bone fill occuring – 3mm  

 

     

Before RPE  – 12mm pocket tooth #11               3 months after - rapid bone fill – 3mm

                                 

       
Before RPE – 10mm           7 months after RPE – no mobility – 3mm

The above tooth was treatment planned for extraction by the periodontist.  #31 presented with a 10mm distal defect, a 10mm furcation on the buccal, and mobility.  Only 7 months after RPE, all periodontal probings are normal, there is no mobility, and the tissue is tight and healthy.

This protocol is very specifically designed to arrest the chronic inflammation associated with periodontal disease, allowing long term healing and regeneration to occur.  RPE goes beyond the short term affects and results of available treatment stratagies – including the overuse of oral or locally applied antibiotics, and laser periodontal therapy.   View more case pictures.

    

before RPE – severe chronic inflammation  

 
 3 months after – health restored

The patient above had root planing at the periodontist and was not satisfied that his periodontal disease was arrested.  He was correct.  Notice the severe floss cuts associated with “itchy” chronic inflammation.  This is due to an overactive immune response, similar to an allergy response.  This can be treated effectively using sub-antimicrobial dose doxycycline – SDD (low dose doxycycline 20mg)  thoroughly cleaning the roots using perioscopy, and coating the roots with emdogain for rapid healing and regeneration.

One third of the population has a genetic tendancy to develop periodontal disease, one half of those individuals will develop advanced periodontal disease, resulting in tooth loss.  RPE can effectively interrupt and reverse this grim outcome for millions of individuals. 

While no formal research yet exists on this innovative approach, there is impressive research on each technology studied independantly, demonstrating efficacy and statistical significance in the treatment of periodontal disease.  Pairing these technologies properly promotes “synergy” – the phenomenon in which the combined action of two or more things is greater than the sum of their effects individually.  Periodontal disease is most effectively treated using a synergistic approach.

For more information about sub-antimicrobial dose doxycyline go to host modulated therapy.

For more information about  innovative regenerative proteins (Emdogain) go to www.straumann.com