Periodontal Dental Services
Initial Oral Examination
Your first visit at our office is very important in establishing your oral health baseline. Dr. Bolden will perform a complete oral examination which includes an oral cancer screening, periodontal evaluation, an analysis of your occlusion (bite) and a thorough examination of your teeth, their supporting structures and of the oral anatomy.
The Preventive Program
Both natural teeth and teeth with restorations survive best in an oral environment that is clean and where the intake of harmful foods is controlled. Our dental hygiene program is designed to preserve teeth that have been restored and manage periodontal disease. At the initial visit with our hygienist, oral hygiene instructions are reviewed and are reinforced at subsequent recall visits.
Scaling and Root Planing
Periodontal treatment methods depend upon the type and severity of the disease. We will evaluate the severity of each of our patients and recommend the appropriate treatment. Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, which cause irritation to the surrounding tissues. When these irritants remain in the pocket, they cause infection and damage to the gums and eventually, the bone that supports the teeth. If the disease is caught in the early stages (known as Gingivitis) and no permanent damage has been done, one to two regular cleanings may be recommended. You will also be given instructions on improving your daily oral hygiene habits. However, if the disease has progressed to a more advanced stage, where the infection has caused bone loss, treatment options may include scaling and root planing, bone surgery or or other gingival and osseous treatments.
Dental implants are a great way to replace missing teeth and also provide a fixed solution to having removable partial or complete dentures. Implants provide excellent support and stability for these dental appliances. Dental implants are metal anchors that act as tooth root substitutes. They are surgically placed into the jawbone. Small posts are attached to the implant to provide stable anchors in the gums for replacement teeth. For most patients, the placement of dental implants involves two surgical procedures. First, implants are placed within your jawbone. Healing time following surgery varies from person to person and is based on a variety of factors that include hardness of bone. In some cases, implants may be restored immediately after they are placed. For the first three to six months following surgery, the implants are beneath the surface of the gums gradually bonding with the jawbone. You should be able to wear temporary dentures and eat a soft diet during this time. At the same time, your restorative dentist designs the final bridgework or denture that will ultimately improve both function and aesthetics. After the implant has bonded to the jawbone, the second phase begins. Dr. Bolden will uncover the implants and attach a small healing collar. After appropriate healing, your general dentist will be able to restore your missing teeth. The entire procedure usually takes six to eight months. Most patients do not experience any disruption in their daily life.
Dental implants are designed to provide a foundation for replacement teeth that look, feel and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that teeth appear natural and that facial contours will be preserved. The implants themselves are tiny titanium posts that are placed into the jawbone where teeth are missing. The bone bonds with the titanium, creating a strong foundation for artificial teeth. In addition, implants can help preserve facial structure, preventing the bone deterioration that occurs when teeth are missing.
If, like many others, you feel implant dentistry is the choice for you, we ask that you undergo a dental/radiographic examination and health history. During your consultation visit, Dr. Bolden will address your specific needs and considerations. Your questions and concerns are important to us and our team will work with you very closely to help make your procedure a success.
When upper teeth are removed, there is often just a thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone. There is a solution called a sinus graft or sinus lift graft. During this procedure, your periodontist enters the sinus from where the upper teeth used to be. The sinus membrane is then lifted upward and donor bone is inserted into the floor of the sinus. Keep in mind that the floor of the sinus is the roof of the upper jaw. After several months of healing, the bone becomes part of the patient's jaw and dental implants can be inserted and stabilized in this new sinus bone. The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option other than wearing loose dentures.
Pocket Reduction Surgery
Pocket reduction surgery (also known as gingivectomy, osseous surgery and flap surgery) is a collective term for a series of several different surgeries aimed at gaining access to the roots of the teeth in order to remove bacteria and tartar (calculus).
The human mouth contains dozens of different bacteria at any given time. The bacteria found in plaque produce acids that lead to demineralization of the tooth surface, and ultimately contribute to periodontal disease.
Periodontal infections cause a chronic inflammatory response in the body that literally destroys bone and gum tissues once they invade the subgingival area (below the gum line). Periodontal disease is a progressive condition which, if left untreated, causes gingival inflammation and bone loss. Pocket reduction surgery is an attempt to alleviate this destructive cycle, and reduce the depth of the bacteria-harboring pockets.
Our bleaching system will make your teeth whiter in easy at-home applications with outstanding results achieved in just days.
When tooth removal is necessary, we can perform simple and surgical extractions using local anesthesia or IV sedation. If you choose, we can also replace the missing teeth with dental implants.