Online Dental Education Library

A periodontist who specializes in the diagnosis and treatment of problems that affect the gums and other supporting tissues of the teeth. If you want to keep your teeth for life — a completely reasonable goal in this day and age — you need to make sure the tissues that surround them are also healthy. Should gum problems arise, you may need periodontal therapy to restore diseased tissues to health. Learn more about Periodontal Disease & Therapy.

Treatment of Gum Disease

Treating gum disease starts with the removal of any plaque and hardened deposits (tartar or calculus) on the tooth root surfaces. This may be followed by other non-surgical treatments and/or periodontal surgery to remove diseased tissue and restore your mouth to the best possible health.

Implant Dentistry

Dental Implant Video

If you are missing one or more teeth, dental implants offer the comfort and security of a permanent replacement that looks and functions just like your natural teeth. Dental implants also help preserve the tooth-supporting bone in your jaw that deteriorates when even one tooth is lost.

Cosmetic Gum Surgery

The gum tissue that surrounds and supports your teeth plays a big role in how appealing your smile will look. Excess gum tissue, gum recession, and an uneven gum line are all problems that can often be successfully treated surgically at the dental office. Learn more about Cosmetic Gum Surgery.

Gum Grafting

If gum recession is affecting your health or your appearance, a routine surgical procedure called gum grafting may help. It involves carefully placing a small amount of new tissue in an area where little or no gum tissue currently exists — typically recommended to prevent further gum recession or to help cover tooth root surfaces that have become exposed. Learn more about Gum Grafting.

Tooth Extractions

There are times when it is in your best interest to have a tooth extracted (removed). This could be the case for a variety of reasons, including: damage or trauma to the tooth; extensive gum disease; extensive tooth decay; or overcrowding. Learn more about Tooth Extractions.

Bone Grafting

Bone grafting, a minor in-office surgical procedure, is commonly used in dentistry to correct deficiencies in bone quantity and to build support for teeth or dental implants. Learn more about Bone Grafting.

Sedation Options

We offer a wide array of sedation options for our patients.  We want you to be comfortable for every procedure and are fully Licensed to offer you Nitrous Oxide sedation ( laughing gas), Oral sedation, IV sedation and General Anesthesia. Learn more about  Anesthesia

 

Immediate dental implant.Preserving natural teeth is a major goal of modern dentistry. But when a tooth is not salvageable and needs to be removed, it is now possible in many cases to replace it immediately with a dental implant. A dental implant is a small titanium post that substitutes for the root part of a natural tooth. A dental crown is attached to the implant, making the whole tooth-replacement system look and feel just like your own. Implants are used in a variety of situations: to replace a single tooth, multiple missing teeth, or even an entire set of teeth.

It used to be that if you were having failing teeth removed, there would be a wait of months between the extraction procedure and the placement of dental implants. This allowed time for the bone that formerly supported your teeth to heal before the implant procedure. These days, however, implants can sometimes be placed immediately into the tooth sockets after tooth removal. In the right circumstances, this has some definite advantages — the major one being that you will need just one surgical procedure rather than two.

How It Works

Preplanning is the key to success with immediate implants. The first step is taking x-rays to determine the quality (volume and density) of the bone that surrounds your failing teeth. Bone quality is a crucial consideration because it determines how well the implant will fuse in place as the surgical site heals in the months following the surgery. If you do not have enough bone there, placing an implant could compromise the healing of the implant-bone interface, and create possible aesthetic or functional problems.

If radiographic (x-ray) examination reveals that there is not enough bone to support the implant initially, it doesn't mean you can't have a dental implant; it just means that you will probably need to have a routine bone grafting procedure as the tooth is removed, and then allow the area to heal for several months before having a second procedure to place the implant.

Of course, even if your x-ray images look good, it is possible to extract the tooth and then find that placing the implant immediately is not in your best interests due to poor bone quality, inadequate bone quantity or the presence of infection. If that's the case, the implants will be placed after the bone graft heals and enough healthy bone have been generated in that area. After all, implants done right have a higher than 95% success rate, and that is our goal.

What to Expect

On the day of your surgery, the area of the tooth or teeth with be numbed with a local anesthetic. If you would like, you can also receive a sedative in pill form or intravenously (through a vein) for a deeper level of relaxation. Tooth extractions rarely require general anesthesia; we will discuss all of these options with you in advance.

Once the affected tooth is removed, the implant will be placed. A small amount of grafting material may be added to prevent shrinkage of the gum and bone. After the procedure, you may have some minor discomfort and/or swelling in the area, but this should subside in a day or two. If necessary, an antibiotic or pain medication will be prescribed.

After the implant is placed, a crucial healing phase begins. Your body will make new bone that actually fuses to the implant, holding it solidly in place. This process, known as osseointegration, usually takes about two to six months. During this time it's important that your implant is not subjected to too much stress. That means you will need to eat a softer diet and keep food away from the surgical site.

Depending on how many implants you received and where they are in your mouth, you may be able to receive a temporary dental crown or a set of temporary teeth to wear during this healing phase. That way, you will not only walk out of the dental office with new implants, but possibly new teeth as well! It all depends on your unique situation. As in every circumstance where your health is a concerned, we will do whatever is best to ensure the success of your treatment.

Related Articles

Immediate Dental Implants - Dear Doctor Magazine

Same-Day Tooth Replacement With Dental Implants It used to be that replacing a broken or diseased tooth with a dental implant always required three separate visits to the dental office — for tooth removal, implant placement, and crown placement. Now, in the right circumstances, it's possible to have all three done in a single day... Read Article

Dental Implants - Dear Doctor Magazine

Dental Implants – Your Best Option For Replacing Teeth Dental implants have many advantages over older methods of tooth replacement like bridges and dentures — from the way they function and feel to the way they look and last. Vigorous research has documented and confirmed that in the right situations, dental implant success rates are over 95%. It is no exaggeration to say that they have revolutionized dentistry. They may even change your life... Read Article