Periodontal Surgery / Bone Regeneration Procedures: This is indicated when the bone support and/or gum pockets around a tooth are advanced enough to require more than the deep cleaning procedure. These procedures involve gently opening the gum to further clean the roots. Bone materials or artificial meshwork may be added to stimulate bone growth.
Ridge Augmentation / Preservation Procedures: Following the removal of a tooth, the jaw shrinks unless bone is added to prevent this. This shrinkage can affect the esthetics of your smile and the longevity of bridgework and dental implants. These procedures involve adding bone at the time the tooth is removed to preserve the jaw shape and width.
Crown Lengthening: This is a procedure to expose more tooth structure for correct crown placement. If this procedure is not completed when needed, the crown will not stay on well and cannot be cleaned adequately. Placing a crown in a situation where there is inadequate tooth structure results in uncomfortable impingement of the crown on the gum line. This procedure is also used to make teeth look longer to improve esthetics.
Frenectomy / Fiberotomy: Frenectomy is a procedure which removes a web of skin that pulls on the gum line often contributing to recession. This web of skin may also prevent teeth from being moved as needed during orthodontic treatment. This is removed to prevent further recession and to allow teeth to remain in contact after orthodontics. A Fiberotomy releases fibers around the tooth to help stabilize it after orthodontics.
Soft Tissue Grafting: This procedure uses soft tissue to cover gum recession and the exposed root. The root may need to be covered due to esthetic concerns, sensitivity, gum inflammation or to prepare the area for a crown.
Soft Tissue Biopsy: Abnormal oral lesions are biopsied and sent to an oral pathologist for a diagnosis. A non-invasive “brush biopsy” may be used in place of a traditional biopsy as a diagnostic aid.
TMD / TMJ (Temperomandibular Disorders): Patients experiencing jaw joint pain, facial muscle pain, clicking or pain when chewing may require TMD treatment. This treatment usually involves wearing a bite splint. This is a hard and plastic appliance similar to a retainer that alleviates these symptoms. A bite splint may be worn to further diagnose problems prior to definitive treatment. Adjustment of the bite (occlusal adjustment) may be necessary following bite splint therapy to improve treatment success. Physical therapy may also be recommended as an additional treatment.