Surgical Procedures

  • We offer both IV and oral sedation (conscious sedation) to help reduce anxiety with dental procedures.

  • We have a variety of approaches in the treatment of peri-implant disease, including but not limited to, platelet rich fibrin, laser therapy and bone grafting.

  • In advanced cases of periodontal disease, we may perform a procedure to reduce the pockets (small defects near the gum line where bacteria populate), root plane the dental surfaces and smoothen any defects in the bone.

    What you can expect: A highly skilled periodontist will perform this procedure by numbing the area, performing a thorough cleaning and debridement (clearing away infected tissue), accessing the pocket and using instruments to even out the defects. It may also require grafting with additional bone. The areas are then sutured. You can expect some bleeding and swelling which can be controlled at home. It is important that proper maintenance plans are set in place after the procedure to prevent recurrence of disease.

    Benefits of this procedure: preventing further disease and tooth loss, maintaining health, reducing the spread of bacteria into other areas, and enhancing your smile.

  • If a tooth is deemed beyond repair due to periodontal disease or decay, we perform a delicate dental extraction to preserve your bone, to allow for eventual placement of a dental implant.

  • We offer a variety of tissue engineering procedures to help “regrow” bone. Periodontal disease causes bone loss, which creates uneven bone. The goal of this treatment is to clean beneath the gum line by removing bacteria and calculus, adding a biological agent and bone graft, as well as a membrane to stabilize the bone graft. This novel approach to periodontal disease has proven to be remarkably effective.

    In the event of an absent tooth, we can use these techniques to regenerate bone so that a dental implant can be placed in the most ideal position:

    Socket grafting: after the tooth is extracted, we utilize bone graft material to fill the void of the tooth. This will help to preserve the integrity of the site for a future implant.

    Ridge Augmentation: if a tooth has been lost for an extended period, the surrounding bone can decrease in size. A ridge augmentation can be performed using the combination of bone graft material and a rigid membrane for stabilization. This can help contour the bone for implant placement

Osseous Surgery

Guided Tissue Engineering

  • When an upper tooth has been long absent, there is only a thin layer of bone separating the maxillary sinus (a naturally occurring empty space) from your maxilla (upper jawbone). We may need to lift that tissue lining and deploy additional bone graft by creating a small hole into the existing bone which can potentially allow for placement of a dental implant. Sometimes we may need to allow several months of healing before the implant can be placed.

Ridge Augmentation

Lateral Window or External Sinus Lift

  • In this procedure, we utilize your own blood to help your body heal naturally. First, we draw a blood sample and spin it in a centrifuge to isolate the plasma.  This fluid, which is rich in natural growth factors, can then be placed at your surgical site to accelerate healing.

Crestal or Vertical Sinus lift

Platelet Rich Fibrin

  • Gum recession is disease process that occurs when the gums pull away from the gum line exposing more tooth and root structure. This occurs for due to age, periodontal disease, bruxism (grinding), improper brushing technique, a history of orthodontic therapy, or simply due to genetics.  It can make your tooth appear longer and unesthetic, even causes tooth sensitivity.  Additionally, this can be detrimental to the integrity of the tooth and pose it to caries and periodontal disease. We can add tissue graft in the area that is exposed to cover the root recession, preventing risk of periodontal disease and caries.

    What you can expect: We numb the area that needs grafting, but we also numb the roof of your mouth, which has the same likeness as your missing tissue. We utilize that same tissue and transport to the area with recession. If you follow the instructions, the graft will incorporate and heal just like the other areas.

  • Crown lengthening can be used to elongate a tooth with decay close to the bone (to allow for placement of a crown) or in the treatment of a “gummy” smile.   Gummy smile is when the teeth appear very short and disproportionate which can be esthetically unpleasing.  In this scenario, crown lengthening can lengthen the visible portion of the teeth, offering a more balanced and beautiful smile. What you can expect: we numb the area, remove gum tissue and bone, and then suture the areas. This can be completed in a single appointment, with little to no downtime.

Gum Grafting

Crown Lengthening