At this time, a consistently effective and predictable treatment approach or guideline for failing implants due to peri-implantitis has not been developed. Laser Assisted Peri-Implantitis Procedure (LAPIP) is being used for failing and ailing implants, using the similar minimally invasive protocol of Laser Assisted New Attachment Procedure (LANAP) for periodontitis, which is a FDA-cleared soft tissue laser procedure utilizing the Periolase MVP-7.
A recent study (pending publication) showed the clinical outcomes of 222 patients with 437 failing implants using the LAPIP procedure. Follow-up data extended for 3 years: 80% of the subjects that were treated one time showed significant decrease in pocket depths, bleeding, and suppuration. Another group required a second treatment before improvement and resolution of clinical symptoms. The study results showed a 96.6 % efficacy using the LAPIP protocol.
The data indicates that the LAPIP procedure for failing dental implants may be the treatment with the most consistent and predictable clinical outcomes to date.