LANAP after extensive bonding?
I'm seeking a sanity check about what to ask my dentist, because I'm moving my appointment up to have him fit an athletic mouthguard and a new retainer. I want a referral to a periodontist to discuss this matter further IRL.
Basically, I smoked cigarettes and had mediocre at-home care for my entire adult life (17 years). This resulted in me getting substantial bonding fillings on most of my teeth where they meet the gums. No teeth are loose, my at-home routine is now extensive and part of my nightly winding down, and I believe any gum disease that I may have is residual. In fact, my gums got so vibrant pink that I can measure exactly how much they receded, and my teeth lack tobacco stains so their yellow color is now intrinsic due to compromised enamel.
What I'm really wondering, is if a round of LANAP potentially followed by pinhole surgery where appropriate, would be a complementary step to "close over" some $4k worth of recent fillings. I'm absolutely paranoid about the border between the bonding and the teeth, to the extent that I imported a Lumoral device from Germany specifically to target this area of my mouth.
I understand the procedure to be an extremely intense version of flossing comparable to a laser face resurfacing in dermatology, perhaps a level or two more intense than that, because your teeth can actually become dislodged if recovery is negligent.
I also understand that gums don't stick to bonding; I'm hoping this procedure would fill in the tissue between the natural tooth and human work so that a fragile interface is less susceptible to decay in the long run.
Nobody has tried to sell me this procedure, it comes from my own research. I'm in the Boston area, so it's not a problem to get the best medical expertise on earth.
I can try to take pictures if needed, or upload the treatment plan for like 20 cavities. I don't have X-rays despite occasionally asking for them.
Thanks.