Procedures

Our practice specializes in periodontology, emphasizing comprehensive dental treatment planning, integrating restorative prosthetic, periodontal, and dental implant modalities as well as cosmetic and plastic oral surgery procedures. Treatment is coordinated with the most qualified restorative and cosmetic dentists in the Tristate area.

To help answer some of the most commonly asked questions about the various types of procedures performed in our office, the following outline has been prepared for your information.

Root Planing

The root planing procedure is carried out by using a combination of oral medications for relaxation, local anesthetic, and antibiotics.

Commonly called a "deep cleaning", a root planning is a non-surgical procedure performed to remove the tartar and bacteria that have accumulated below your gum tissue. Root surfaces etched by bacteria are smoothed.

Once completed, you will be re-examined to determine if your mouth can be maintained in a healthy condition by further "cleanings" alone or required additional treatment. Follow-up home care by the patient is critical to the success of a root planing.

Osseous Surgery

The osseous surgery procedure is carried out using a combination of oral medications for relaxation, local anesthetic, and antibiotics.

Commonly called gum surgery, osseous surgery is utilized to treat diseased bone. An incision allows the gum to be gently elevated providing direct access around a tooth or teeth where the bacteria have caused bone loss.

the diseased bone is removed and reshaped to eliminate pockets where bacteria hide, allowing you to properly clean your teeth. This arrests further bone loss.

Implant Surgery

The implant placement procedure is carried out using a combination of oral medications for relaxation, local anesthetic, and antibiotics.

Implant surgery is the surgical placement of a titanium fixture, which replaces the root of a tooth that was lost. An incision allows the gum to be gently elevated providing direct access to the bone. The bone is prepared with a series of drills and the fixture is placed in the bone. A protective cover screw is put over the fixture and the incision is closed.

Time which varies on an individual basis, allows the titanium fixture and the bone to integrate (average time is 3 months in lower jaw, 6 - 8 upper). After the integration period, the gum is lifted to expose the cover screw. The cover screw is removed and a healing abutment is placed which extends through the gum. When the gum has healed, the restorative dentist can begin the final restoration.

Adjunctive procedures, if necessary, will add to the surgical fee:

  • Gum grafting
  • Bone grafting / membrane
  • Sinus lift

Bone Grafting/Membrane

A bone grafting procedure is carried out using a combination of oral medications for relaxation, local anesthetic, and antibiotics.

Bone grafting is the surgical placement of bone material that acts like a scaffold and promotes new bone growth to occur in areas of bone loss. The procedure is limited in its use to specific patterns of bone loss. A membrane may or may not be used to help maximize the benefit of this procedure.

A membrane is a mesh material that is surgically placed under the gum tissue over the bone or bone graft to provide space in which to allow the bone to develop. Healing of new bone is encouraged by "blocking out"the surface gum tissue. Membranes are often used with bone grafting procedures.

A minor secondary procedure will be scheduled to remove the membrane in certain cases as healing progresses.

Sinus Lift

The sinus lift procedure is carried out using a combination of oral medications for relaxation, local anesthetic, and antibiotics.

The sinus lift is utilized to create bone necessary to support dental implant restoration. Sinus lift is the surgical placement of bone material between the membrane that lines the sinus and the bone of the roof of the mouth. An incision allows the gum to be gently elevated providing access to the bone. The bone is prepared to the floor of the sinus cavity. The bone material is pressed under the membrane lining the sinus. The bone material acts like a scaffold and promotes new bone growth to occur in the floor of the sinus.

Crown Lengthening

A crown lengthening procedure is carried out using a combination of oral medications for relaxation, local anesthetic, and antibiotics.

Crown lengthening is a surgical procedure designed to provide proper surface area for a successful dental restoration. Cavities or sometimes a fracture can occur below the gum line and even below the bone. This procedure exposes the hidden problem for your restorative dentist so that the tooth can be saved.

Gum Grafting

The gum grafting procedure is carried out using a combination of oral medications for relaxation, local anesthetic, and antibiotics.

Commonly called a gum graft, a gingival graft is a surgical procedure that is performed to stop further gum and bone recession around a tooth or group of teeth. It does not cover up the exposed root, but designed to stop further recession and to strengthen the tooth.

Circular Fiberotomy

Gum tissues attach to your tooth by elastic-like fibers that become "stretched" during orthodontic treatment and need to be "tightened" so your tooth does not move after your braces are removed. A circular fiberotomy is a minor surgical procedure that releases the stretched fibers in the gum tissue so they can reattach to your tooth.

Frenectomy

A frenectomy is carried out using a combination of oral medications for relaxation, local anesthetic, and antibiotics.

The movable piece of skin between your upper lip and front teeth is called a frenum. The frenum is a fibrous muscle attachment which in some cases can detach the gum from the teeth or cause the teeth to become separated.

A frenectomy is a surgical procedure that releases and repositions the attachment that is pulling the gum tissue.


   
   


 
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