Coral Gables Location


30 Years of Experience

LAPIP™ Treatment

Peri-implantitis is a disease that affects implants placed in the jawbone. It causes inflammation around the implant site, involving both the soft tissue and bone tissue, leading to bone loss. However, many patients are not aware of the signs of teeth implant failure and the symptoms of peri-implant disease until it has progressed to the point where the implant must be removed. The LAPIP protocol is used to help healthy tissue regenerate and reattach to the implant, differentiating it from diseased tissue.

Discover why patients from more than 38 states and 11 countries trust us

LAPIP™ Treatment Benefits

Laser-Assisted Peri-Implantitis Treatment uses a laser to remove tartar from the implant surface, thus preventing further infection and allowing the patient to retain his/her implant. In addition, the laser also helps prevent future infections.


Enhanced Oral Function

LAPIP™ restores the functionality of the affected area, allowing patients to chew and speak comfortably without hindrances. This aids in maintaining a beautiful smile and overall oral health.


Improved Aesthetics

Repairing a failed implant using the laser surgery procedure restores the natural appearance of the smile, improving self-confidence and overall facial aesthetics.


Preserved Bone Health

Addressing implant failure promptly helps prevent further bone loss in the affected area, preserving the integrity of the jawbone and maintaining overall oral health. 

LAPIP for Dental Implant Failure

The laser-assisted peri-implantitis procedure, or LAPIP™, is designed to eliminate tissue inflammation and infection, as well as stabilize the bone surrounding a tooth implant using a stable fibrin blood clot.

Dr. Gallardo is part of a small group of periodontists across the country who provide this unique technique, which ensures better tissue rejuvenation and longer-lasting results than those seen with traditional treatments. By eliminating pathologic proteins and promoting the activity of stem cells, the LAPIP™ procedure ensures a healthier implant.

The LAPIP™ is unique in that it does not require any incisions or sutures. It also reduces tooth sensitivity and recovery time compared to other methods. On the day of treatment, Dr. Gallardo identifies if there is an infection present and uses LAPIP™ to treat the cause of infection, without disturbing the dental implant itself.

Dr. Gallardo offers patients LAPIP™
Dr. Gallardo offers patients LAPIP™

Need a Periodontist?

Contact our Miami office today!

Reasons for dental implant failure

Teeth implant failures can be caused by factors such as poor dental hygiene, poor overall health, and smoking. Titanium corrosion contaminants are also a concern. Additionally, an inferior implant procedure, or an implant placed in the low-density bone, can cause the implant to become loose and take on bacteria, which can then result in an infection of the surrounding tissues. If not properly treated, the infection can turn into peri-implantitis. Even minor inflammation, known as peri-mucositis, can cause the bone to deteriorate and the implant to become loose, indicating the necessity for regular check-ups. The above symptoms, especially when they occur in combination, could suggest a risk for heart disease and other conditions linked to periodontal issues.

Signs and symptoms of peri-implantitis

  • Gum or implant sensitivity
  • Gum swelling
  • Loose or wiggling implants
  • Bleeding gums
  • Gum discoloration
  • Mild to severe pain
  • Drainage or pus from the surrounding tissues
  • Gum recession
  • Implant exposure
Implant failure can be caused by a variety of factors, including poor dental hygiene.
This non-invasive surgical procedure is performed in one of the private, comfortable treatment rooms at Gallardo Periodontics and Implant Dentistry.

LANAP® Laser Periodontal Therapy

The Best Candidates for LAPIP™

While some inflammation around a tooth implant is normal, severe pain, bleeding, and infection call for immediate treatment. Almost anyone suffering from these issues may be a candidate for the LAPIP™ procedure from our Miami dental specialty office. The ideal patient should be in overall good health and have a clear understanding of the LAPIP™ process. Those who make smart food choices and avoid blood thinners often have better outcomes.

During an initial consultation, Dr. Gallardo will perform an in-depth evaluation of the implant. In some cases, an antibiotic regimen can successfully eliminate the infection. If it is determined that LAPIP™ is the right non-invasive treatment for your situation, a treatment plan will be created for you. However, it’s worth noting that while the LAPIP™ procedure is innovative, treatment options remain varied, depending on the individual case.

How LAPIP Treats Failing Dental Implants

After a careful examination, the doctor will begin the LAPIP™ procedure using a tiny, innovative laser, about the width of three human hairs. The laser will be inserted between the implant and the gum line, eliminating bacteria and removing unwanted particles or tissue. This unique laser procedure also stimulates growth factors within the bone, promoting healing and bone graft for tissue regeneration.

In severe cases, the use of a small scalpel may be required to pull back the gum tissue, providing deeper access to the implant. The doctor can also add additional growth factors as needed, to encourage bone growth. This approach can mitigate complications with implants. In this case, sutures will be placed for proper healing.

LAPIP treatment protocol

Your LAPIP™ Recovery


To keep the implant immobile during the healing period, Dr. Gallardo may place a temporary splint along the treated area. Although unlikely, if patients experience any discomfort, over-the-counter pain medications are normally adequate, but prescription pain medications could also be prescribed.

For the first seven to ten days of the healing process, patients should not brush or floss. The doctor will provide a medicated rinse to use during this time period. A soft diet is recommended, and hard items like nuts, chips, or seeds should be avoided. Smoking should also be avoided, as it can cause delay healing and introduce bacteria into the mouth.

Schedule Your Miami LAPIP™ Consultation

Ensure the health of your dental implants by scheduling regular cleanings with a periodontist experienced in implant dentistry. Should any concerns arise, including pain, difficulty chewing, or a loose implant, contact your dentist immediately. Dr. Gallardo is on the forefront of innovative techniques, like LAPIP™, that will keep your teeth and implants healthy for years to come. Call our Miami dental office at 305.447.1447 to schedule a complimentary consultation, or to discuss any concerns about the LAPIP™ technique.

Our Work Speaks for Itself

What Our Patients Say

Committed to your results

John Paul Gallardo, DDS, PA

Why Choose Dr. Gallardo

  • Dr. Gallardo has 30 years of experience offering dental implants and specialized periodontics to patients throughout South Florida.
  • Dr. Gallardo is a graduate from the University of Miami and received his Doctor of Dental Surgery degree from New York University College of Dentistry.
  • Accepted into the V.A. Medical Center General Practice Residency Program of the U.S Department of Veterans Affairs where he was honored with the “Outstanding Resident of the Year” Award.
  • He has lectured nationally and internationally to dentists and hygienists and has been sponsored by companies such as Procter and Gamble to speak on clinical topics related to gum disease and implant dentistry.
  • Dr. Gallardo remains a leader in periodontics and implant dentistry through his active and past involvement with University of Florida, Florida Association of Periodontists and North American Society of Periodontists.

Frequently Asked Questions About LAPIP™

Laser-assisted peri-implantitis procedure (LAPIP™) is a specialized laser technology used by doctors to deep clean and restore failing implants affected by peri-implantitis. The technique can save an ailing implant by eliminating infection and stopping bone loss to restore a healthy, stable tooth. This is essential to keep active the cells from bone and prevents any excessive pocket depth.

Also, by preventing future infections, this laser gum disease treatment also helps in removing diseased tissue and promises a faster healing time compared to conventional surgery.

Dr. Gallardo performs all procedures, including the LAPIP™, in one of the comfortable, state-of-the-art treatment rooms at their Miami office.

A variety of factors can cause an implant to fail. The most common cause of teeth implant failure is the accumulation of bacteria along the gum and tooth pocket. Implants that were improperly placed in low-density bone, teeth grinding, poor dental hygiene, and cigarette smoking can increase the risk of peri-implantitis to occur.

Almost anyone suffering from implant failure due to peri-implantitis can benefit from LAPIP™. The ideal candidate should be in generally good health and also understand the benefits and limitations of LAPIP™ procedure.

To begin, the doctor will use a delicate laser to vaporize bacteria and excise contaminated tissue around the implant. Once the infected tissue has been eliminated, the doctor will reconstruct the bone and gum surrounding the implant.

The length of your LAPIP™ will vary, depending on the extent of correction. On average, the procedure will take from half an hour to one hour, depending on the number of implants that need to be treated.

Pain control is of utmost importance at our office. Our goal is to make sure your LAPIP™ procedure will be as pain-free as possible. Using one or more anesthetic options, we will ensure maximum comfort during your upcoming procedure. To learn more about sedation dentistry, please click here.

For the first 7–10 days, no brushing or flossing; your doctor will provide a medicated mouth rinse for this time. A soft diet is recommended while the mouth is healing. Smoking is strongly discouraged as it will cause delayed healing and increase the risk of infection.

The benefits of a LAPIP™ are long-lasting. With proper oral care and routine cleanings, there is no reason your implants cannot stay healthy for years to come.

If you live near Miami, FL, Gallardo Periodontics and Implant Dentistry offers LAPIP™ among its services, and is conveniently located at 2020 SW 27th Ave Miami, FL 33145