Periodontal & Dental Implant Services
Dental implants are used to replace missing teeth and roots. Implants are small titanium posts that are surgically placed into the jawbone where the teeth are missing. The bone bonds with the titanium, acting as a tooth root substitute. Posts are attached to the implant allowing for dental prosthetic attachments.
Commonly used to expose more tooth structure, crown lengthening involves the removal of gum tissue and/or bone to expose more of a tooth’s structure.
Connective Tissue Grafting
Connective tissue grafting is commonly used to treat root exposure resulting from receded gum tissue. Tissue is removed from the roof of the mouth or from gum tissue near the tooth and stitched into the area needing gingival repair.
The replacement or enhancement of bone around teeth. When a tooth is lost, the surrounding bone collapses. Bone grafting is performed to reverse bone loss or enhance bone. The bone can be taken from parts of the body or from synthetic material. Bone grafting allows for proper support of dental implants or prostheses.
Regeneration is a procedure used to restore lost bone around existing teeth or in an area where teeth have been extracted. This procedure is often performed to protect your existing teeth and the tissues that keep them in place from bacterial plaque. The gingival tissue is folded back to remove the disease-causing bacteria. Regenerative components such as membranes, bone grafts or tissue-stimulating proteins can be used to encourage the body’s natural ability to regenerate bone and tissue.
Osseous Surgery (Pocket Depth Reduction)
A surgical procedure used to smooth and reshape affected bone under the gum tissue. This procedure is performed when a pocket around a tooth (or teeth) has not responded to other treatments. It creates a shallow pocket, making it difficult for bacteria to survive and damage bone, which results in bone loss and, ultimately, tooth loss.
Adequate bone volume of the jawbone is necessary for the secure placement, stability, function, aesthetics and longevity of implants. Because tooth loss can result in diminished bone volume in the jawbone, a bone expansion procedure may be necessary prior to implant placement. This procedure can increase the height and/or width of the jaw ridge through the use of mechanical manipulation combined with a bone graft. The Ridge Expansion takes several months to mature and be sufficiently strong for the placement of implants. Ridge Expansion not only improves the function of implants, but is also a key contributor to the enhanced aesthetics, filling in the face around the gums and jaw and thus minimizing the appearance of aging.
Tartar and plaque on the teeth’s surface can harbor bacteria. Also known as Gingivitis, they can lead to swollen, painful gums that bleed during and after brushing. As this progresses, the bacteria will eventually cause an infection in the gums called Periodontitis. Periodontal pockets form in the gums and separate the teeth from the gums and bone structure. Unless this disease is treated, the infection will continue to worsen and the tooth will eventually be lost.
To repair the damage to the tissue, the infection has to be cleaned out and the pockets have to be sealed off. In the past, that meant oral surgery with sutures. The LANAP® procedure is a minimally invasive, patient-friendly procedure that uses laser technology to remove the diseased tissue and bacteria. The laser is also used to help seal the pocket so that new germs can not get back in. There is less trauma to the gum tissue, thus reducing the healing time and providing a more comfortable procedure for the patient.
A Labial Frenectomy, or lip release, is performed on the tissue that connects the lip to the gums. This may be performed on children or adults to aid with orthodontic treatment or even help with the proper fitting for a denture or appliance.
A Lingual Frenectomy may also be referred to as the release of tongue-ties (ankyloglossia). This procedure is performed on the connective tissue under the tongue. The procedure is often performed on neonatal patients to assist with nursing or on toddlers or older patients who need the surgery to help correct speech issues caused by limited movement due the the frenum.
Ridge preservation involves placing a regenerative bone grafting material into empty tooth sockets to rebuild bone where an extraction has left an empty, weakened area. This process encourages your body’s natural capacity to regenerate bone.
A tooth that can not be saved with restorative materials may need to be removed. Before removing your tooth, the area will be numbed with anesthesia. The tooth is then loosened using a special dental instrument known as an elevator. After it is loosened from the socket, it is gently removed by a forcep, a dental instrument commonly used in dental extractions. Stitches may be necessary after the removal of a tooth.
The smooth, pink skin lining the mouth is called mucosa. Abnormalities in the color or texture of this skin can sometimes indicate pathology. Any concerns with the skin in the mouth, a sore that is not healing properly or a lump on the inside of the cheeks, palate, gums or lips may merit a biopsy so that the tissue sample can be tested for oral cancer. Please do not ignore these warning signs and mention any concerns you may have during your visit.
Scaling and root planing is a non-surgical procedure used to treat gum disease. During the scaling process, specialized dental instruments are used to remove dental plaque and calculus from beneath the gums. Planing is the procedure used to smooth the tooth’s root after the scaling process. Root planing helps the gums heal and reattach themselves to a cleaner and smoother root surface.
Home care is an extremely important part of maintaining healthy teeth and gums, but even excellent home care cannot prevent bacteria and plaque. If the plaque is not removed, it can harden, becoming calculus. We will recommend a periodontal maintenance program that is best for you based on how quickly you develop calculus and your past and current periodontal health. During your maintenance visits we will perform and oral examination as well as a dental cleaning.
During an oral examination, a visual inspection is performed to detect normal and abnormal structures of the entire mouth, head and neck. Along with radiographs, an examination detects cavities, abnormalities in existing dental restorations, gum and bone recession and any other abnormal findings within the mouth, head and neck
A dental cleaning, also known as an oral prophylaxis, is the removal of dental plaque and tartar (calculus) from the teeth. Specialized instruments are used to gently remove these deposits without harming the teeth. First, an ultrasonic device that emits vibrations and is cooled by water is used to loosen larger pieces of tartar. Next, hand tools are used to manually remove smaller deposits and smooth the tooth surfaces.