We provide cosmetic procedures to aesthetically enhance your smile as well as dental implants that can replace single, multiple, or all of your missing teeth. Crown lengthening is a surgical procedure that recontours the gum tissue and often the underlying bone surrounding one or more teeth so that an adequate amount of healthy tooth is exposed. The periodontist will begin by giving you a local anesthesia to numb any pain. To replace the gum tissue around your teeth, your periodontist will cut a flap from the roof of your mouth and use the tissue underneath, called subepithelial connective tissue, to apply to your gums. New Haven, CT - 123 York Street Suite 1A 06511; Branford, CT - 730 Main Street 06405 In order to do this, we use the most current periodontal procedures, instruments, medications, and sterilization techniques. We also offer headphones with a wide variety of music for your listening pleasure. Specific grafting procedures include: A free gingival graft is a dental procedure where a small layer of tissue is removed from the palate of the patient's mouth and then relocated to … Customized Treatment Options Patients of Ravenel Periodontics have confidence that their treatment plan is unique to their specific needs. At Acharya Periodontics, your smile is our main priority. Because periodontal disease is progressive, it is essential to remove the bacteria and calculus build up to halt the spread of the infection. Please feel free to ask questions before, during, or after any of these procedures of either doctor or any of our team members. The cost of periodontal surgery varies greatly depending on the type of procedure and the severity of your disease. 4. The laser is intended to selectively remove diseased or infected pocket epithelium from the underlying connective tissue. Ramdev will use proven biological techniques to place from one to several implants in your mouth. During a deep cleaning procedure, we’ll remove plaque and tartar buildup, even all those hard-to-reach areas below your gum line, through non-surgical scaling and root planing techniques. An uneven gum line can also be distracting. Use a mouth rinse to help reduce plaque between your teeth, if recommended by your dentist. This therapy and the laser used to perform it have been in use since 1994. Periodontal Disease – Periodontal disease can affect and permanently damage the jaw bone that supports the teeth. Continuing education is a priority to Dr. Ravenel, ensuring new technologies and procedures are available to her patients. [15], Nd:YAG laser light treatment has shown a long-lasting effect on the shift of bacterial subgingival flora, decreasing pathogenic bacteria and creating an environment where normal flora survives. Upper Level Infection Removal While most general dentists are trained to diagnose and treat mild periodontal disease (gum disease), complex or severe cases are referred to a periodontic specialist who has additional training and expertise in periodontics procedures. Brush your teeth twice a day or, better yet, after every meal or snack. Welcome to Our Practice. 6. Latest Manhattan Periodontics and Implant Dentistry procedures including crown lengthening, gum graft, laser gum treatment in the heart of Midtown Manhattan, NYC. [13], According to the Academy of General Dentistry (AGD), there are benefits to dental lasers including: reduce symptoms and healing times associated with traditional therapies; reduce the amount of bacteria in both diseased gum tissue and in tooth cavities; and control bleeding during surgery. [12], In 2016, the FDA granted a new clearance of True Regeneration - the ability of the laser to regenerate alveolar bone, cementum, and periodontal ligaments when used with the LANAP protocol. This is known as a "gummy" smile. This causes bone loss and eventual loss of teeth. Many times, your smile is the first thing people notice when meeting. Use a soft toothbrush and replace it at least every three to four months. Sterile water delivery systems are utilized. Please call our dentist in Antioch, CA to schedule your next appointment. Javascript must be enabled for the correct page display. She then fills the sunken area with grafting material. : The periodontist administers a local anesthetic and gently recontours excess gum and bone tissue to expose more of your natural teeth. We invite you to experience our approach to comprehensive diagnosis in the kind of full-service dental office where artistry, skill, and comfort are setting a new standard in periodontal care. This unique aspect of laser irradiation to affect some tissue and not others is termed Selective Photoantisepsis, and is due to differential absorption between host tissue and pathogens. Periodontal procedures require injection of local anesthetic solution to avoid patient discomfort. It is done under local anesthesia and is quite different from the routine dental cleaning or “deep cleaning” that is traditionally done in the general dentist's office. New and exciting things were happening at this past EuroPerio9 held in Amsterdam from June 20th-23rd, 2018. Different patients have different needs for pain and anxiety control medication. Procedure : The periodontist administers a local anesthetic and gently recontours excess gum and bone tissue to expose more of your natural tooth. "[7] A 2015 systematic review from the AAP regeneration workshop acknowledged more recent peer-reviewed studies showing periodontal regeneration,[8] and further suggested that the LANAP protocol's minimally invasive nature may offer advantages in the regeneration of defects where minimal soft tissue change is required. Pocket Reduction Procedures. The website also states patients should be aware that different laser wavelengths have different applications in periodontal treatment. Advanced Periodontics and Implant Dentistry New York. Consider using an electric toothbrush, which may be more effective at removing plaque and tartar. We use some of the latest techniques to provide you with as comfortable an experience as possible. Procedure The Nd:YAG laser has been shown to reduce levels of microbial pathogens in periodontal pockets[3] and vaporize the pocket-lining epithelium without causing damage to the underlying connective tissue. Your jawbone is what supports your teeth and gums. Bone regeneration has become more predictable with the availability of new products and techniques. This antibiotic therapy is always done in conjunction with scaling and deep cleanings. This procedure involves replacing the damaged bone with new bone. Tooth Extraction – Studies have shown that patients who have experienced a tooth extraction subsequently lose 40-60% of the bone surrounding the extraction site during the following three years. Laser Gum Disease Treatment The main advantage of treating gum disease with lasers is that procedures are far less painful than traditional methods. Contact Montville Periodontics and Implantology LLC today at (973) 276-7926 or visit our office servicing Montville, New Jersey. The periodontist is trained in all aspects of dental implant procedures, which can restore functionality to the mouth when teeth have been affected by periodontitis. AAP member periodontists are specialists in periodontal disease treatment, cosmetic periodontal procedures, and dental implant placement. Lower Level Infection Removal This infection must be removed and the area given a chance to heal. [6] The American Academy of Periodontology stated in 1999 that it was "not aware of any randomized blinded controlled longitudinal clinical trials, cohort or longitudinal studies, or case-controlled studies indicating that 'laser excisional new attachment procedure (or Laser ENAP)' or 'laser curettage' offers any advantageous clinical result not achieved by traditional periodontal therapy. This procedure is more often used for patients that have had previous periodontal repair therapy. The procedure is most commonly performed on the front teeth. There are generally two accepted treatments for this condition depending upon the severity of your infection. • Successful regeneration is assessed by periodontal probing, radiographic analysis, direct measurements of new bone, and histology. We want you to be completely informed of your condition and will answer any questions that you may have regarding your treatment and care. Step 3: Connecting New Tissue to Gums There is a protective seal around our … Dr. Cruz is devoted to restoring and enhancing the natural beauty of your smile using conservative, state-of-art procedures. This was a long time coming as both the […] Many of our patients make statements like, "This wasn't even painful? If your infection has spread into the bone which supports your teeth, and is below the level that can be reached in “Upper Level Infection Removal”, then a surgical procedure Patient comfort is one of the most important aspects of care. Regenerative Procedures. They can also increase your sensitivity to heat, cold or sweets. Periodontists are also experts in replacing missing teeth with dental implants. Laser-assisted new attachment procedure (LANAP) is a surgical therapy for the treatment of periodontitis, intended to work through regeneration rather than resection. Procedure [10], As of October 2017 studies of lasers in the treatment of periodontitis have yet to provide sufficient evidence that the use of lasers provide benefit over traditional therapy. A new technique called periodontal splinting attaches weak teeth together, turning them into a single unit that is stable and stronger than the single teeth by themselves. In the past, injections of dental anesthesia were more likely to be painful. Non-Surgical Treatments. Sometimes there is not enough tooth structure above the gumline to accept a new crown. These procedures are usually performed by a dental specialist in the field of gingival tissue, known as a periodontist. Would you like to switch to the accessible version of this site? Laser Assisted New Attachment Procedure The LANAP protocol is a less invasive approach to periodontal pocket reduction, yet proves to have the same outcome (or better in many cases) as traditional periodontal surgery. 2. In some cases, gum tissue can be placed in these areas. Please click on menu and then COVID-19 for information. In LANAP surgery, a variable free-running pulsed neodymium:yttrium-aluminum-garnet (Nd:YAG at 1064 nm wavelength) is used by a dentist or periodontist to treat the periodontal pocket. Gum Graft Surgery. Dr. Nomith Ramdev announces an exciting advancement in treatment for periodontal disease that is faster, more comfortable and minimally... Periodontics is a dental specialty concerned with your gums and the underlying jawbone, which are responsible for anchoring your... Drs. In many cases, various bone grafting techniques can be used to grow back some of the jawbone that was lost. : Topical antibiotics, in various forms, are precisely placed in isolated areas to improve healing after the localized area is scaled and deep cleaned. Periodontal procedures are available to lay the groundwork for restorative and cosmetic dentistry and/or to improve the health and esthetics of your smile. Procedure • Although histology remains the ultimative standard in assessing true periodontal regeneration, periodontal probing, direct bone measurements, and radiographic measurements of osseous changes are used in the majority of studies of regenerative … We use autoclave sterilization for all instruments prior to dental examination and treatment. Your treatment and care varies greatly depending on the type of procedure and wishes. Options patients of Ravenel Periodontics have confidence that their treatment plan is unique to their specific needs – disease. 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