Laser treatment are used to destroy the periodontal pathogens that scaling and root planing leave behind and also, to remove or trim excess gingival tissue. Currently we are using a new technology called "Periowave". Periowave is a cold laser technology that in conjunction with deep cleanings can help manage or slow down the periodontal condition. Use of the cold laser may be part of the initial care in our office, or part of the preventative care after surgical therapy. We decide on implementation of this technology on a case by cae basis.