Periodontal Specialists

Bone grafts in periodontics

There are various types of bone grafts that can be performed in the periodontal office.

1. Guided Tissue Regeneration- bone grafting around an already existing tooth which has lost bone due various problematic issues. The bone grafting procedure consists of opening the gum around the tooth, cleaning out the defect, adding bone and a resorbable membrane and closing the gums tightly around the tooth with suture. The bone takes about 6 months to grow back around the tooth. This technique has been around for 30 years and is effective in saving certain teeth.

2. Guided Bone Regeneration- bone grafting of a tooth socket AFTER extraction of the tooth in question. The socket bone is regenerated because an implant may be planned as tooth replacement in the empty tooth site. After FOUR months, the extraction site is x-rayed and assessed for a dental implant and crown placement.

3. Bone Block Graft- when there is enough vertical hight of bone to place a dental implant but not enough HORIZONTAL bone, then a bone block graft is placed on the ridge and stabilized with at least two stainless steel screws. The screws are left in position for four months. Once an x-ray is taken after four months, the site is assessed for a dental implant. Once it is decided to place a dental implant, the gum is opened and the stainless steel screws are removed. Finally, a titanium implant is placed in position. Three months later, a crown can be placed.

4. Sinus Lift Procedure- when someone loses an upper molar, there may be extensive bone loss such that implants may not be possible UNLESS a bone graft is performed. Such a bone graft procedure is called a SINUS ELEVATION (LIFT). The gum is opened, a window is created on the lateral aspect of the upper jawbone and bone grafting material is used to fill the sinus site. If there is at least 3-4 mm of bone, an implant may be stabilized at the same time as the bone grafting procedure. Dental implant crowns may be placed at 4-6 months. Otherwise, if there is less then 3-4 mm of bone, the bone graft is performed and then 6 months later, the implants may be placed. Three months later, the crowns may be placed.

3D CONE BEAM COMPUTED TOMOGRAPHY

I am amazed at the incredible benefits of 3D CAT scan imaging we have been performing in our office for the past 14 months. Computed tomography is a vast improvement over linear tomography and panoramic radiography. It is possible to view all aspects of a specific location of the head and neck, thereby readily identifying any pathology and locating any vital anatomical structures critical to bone grafting and dental implant placement. We are one of only a few dental offices in Ontario with license to use a 3D CAT scan imaging machine. In the past,  patients would have to see a radiologist in a recognized hospital. But today, we take the imagine and are able to play “virtual reality dental implant surgery” right in front of the patient. We can locate and place dental implants right on the 3D image immediately after taking the image and right in front of the patient. Once the image is taken, a patient can make the decision to proceed with treatment. This drastically reduces wait times and anyone can have dental implant and crown and bridge in a quick and expedited fashion allowing a rapid turnaround time and improvement in quality of life

Gummy Smile Correction

Lucie is a beautiful 18 year old young lady who lost the confidence to smile because of her gummy smile. But, thanks to techniques like the gummy smile smile correction (aka Crown Lengthening), within one hour, she had a brand new smile with just the right proportion of tooth and gums.

 

Gummy Smile Correction or Crown Lengthening cosmetic procedure

There is now a solution to the gummy smile. A simple procedure, called a Gum Lift (crown lengthening), can help improve your smile and give you back your confidence, self-esteem, and peace of mind. And the results are INSTANT! Imagine this: you wake up in the morning with a gummy, unsightly smile! You go to sleep that night with a gorgeous NEW smile!
Both of these beautiful ladies were scared to smile in public and always covered up their smile with their hand. They both came in with concern that they could not socialize or enjoy life to the fullest. Now, they both date, laugh, go out with friends, and travel more then ever.  This gum lift procedure changed their lives in under an hour….. FOREVER!
GUMMY
Linda was embarrassed to smile until she had her gum lift procedure
Jean would not go out in public until she found out about the gum lift procedure. Her life has improved 100% since her treatment.