Posted on Sunday, 30th September 2007 by admin
How Laser Enhanced Regenerative Periodontal Endoscopy Works:
Regenerative Periodontal Endoscopy – RPE, is an advanced non surgical endoscopic procedure developed by PerioPeak Innovations. The periodontal endoscope, micro-ultrasonics, and laser eliminate the need for aggressive surgery, allowing pinpoint precision for the complete removal of gum infection and tartar in deep pockets. Emdogain, a natural regenerative protein, is then placed in all deep gum pockets to stimulate regenerative stem cells.
RPE is completed in one simple appointment with local anesthetic, there is no need for repetative visits. There is no pain following RPE treatment, making it very convenient for clients traveling in from out of state. Remarkable clinical results are achieved without surgery, including complete closure of deep gum pockets and bone regeneration. RPE is a highly definitive, yet more affordable, alternative to periodontal surgery and tooth loss. RPE is a fraction of the cost of traditional and laser 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 in deep pockets is followed by coating the roots with natural regenerative proteins (emdogain), results are extraordinary. Periodontal health is restored in many cases and regeneration may occur in deep vertical bony defects. 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, more affordable 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. This tooth was treated in 2006 and is still healthy. This patient saved thousands of dollars in treatment costs by avoiding an extraction, bone graft, impant, and crown.
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 for multiple infections and deep pockets. Instead, she chose the option of RPE. She was able to avoid spending $12,000 for the full mouth surgery and the added expense of having an implant placed. Her total cost for full mouth RPE treatment was only $3000.
The above result has been maintained since 2006.
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 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 (is tooth 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.
Contact us for a complimentary consultation
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
Tags: Case Studies
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