Rowley Periondontal Treatment Options
We are very lucky to have two very skilled periodontists as referral sources. Dr. Leonard Strauss, our in-house periodontist can perform any of the treatments below right in the comfort of our office. We also use the services of Dr. Lawrence Miller in Danvers.
Our Goal is to provide you with the highest quality care in a caring and safe environment. In order to do this, we use the most current periodontal procedures, instruments, medications, and sterilization techniques.
We know that preventing the spread of infectious diseases such as AIDS, herpes, hepatitis and even the cold virus is critical and takes sterilization very seriously. For this reason, we use extensive sterilization procedures, going well beyond those recommended by the American Dental Association and Centers for Disease Control.
We use barrier techniques such as disposable masks and gloves and change them for every patient. Every piece of equipment is wiped-down with antibacterial solution prior to every operatory procedure. Water lines and evacuation hoses are cleaned per the guidelines of the American Dental Association. We use autoclave sterilization for all instruments prior to dental examination and treatment. You can be assured that our staff have been specifically trained on sterilization procedures and their importance.
While no dental procedure is 100% comfortable, we go to great lengths to minimize any discomfort you might feel. Many of our patients remark, "This wasn't even painful. How did you do that?" The following are some of the latest techniques we use to provide you with as comfortable an experience as possible.
Pre-medication patient comfort is one of the most important aspects of care. Different patients have different needs for pain-control medication. Depending upon the procedure and your wishes, there are many medications we can prescribe.
Injections of Anesthesia
Injections of dental anesthesia can become more painful if not precisely done or if the injection is done at too rapid a rate. We recognize this and take extra care when giving injections.
Basic Periodontal Treatment
Periodontal disease is a bacterial infection that gets under the gums and into the bone around your teeth. This infectious material must be removed and the area given a chance to heal. There are two generally accepted treatments for this depending upon the severity of your infection.
Upper Level Infection Removal
Bacterial infection which is in the upper levels of the pockets around your teeth can be removed using specialized instruments. This procedure is called tooth scaling and root planing. It is done under local anesthesia and is quite different from routine, or deep, cleaning which is traditionally done in the general dentist's office.
Lower Level Infection Removal
If your infection has gotten into the bone which supports your teeth, and is below the level that can be reached with specialized instruments, then a minor surgical procedure must be done to pull back the gums and remove the lower level infectious bacteria.
When getting a crown, the general dentist must prepare your tooth to receive the crown. Sometimes there is not enough tooth surface above the gum line to accomplish this. Crown lengthening provides more tooth for your restoration. This ensures a more stable crown with less gum irritation afterwards. Also, if you have a "gummy" smile or uneven gum line, crown lengthening can help your teeth look longer and more even.
Procedure: The periodontist gives you a local anesthetic and gently removes excess gum and bone tissue to expose more of your natural teeth.
Your jaw bone is what supports your teeth and gums. Unfortunately, periodontal disease can eat away at your jaw bone and lead to tooth loss. In many cases, this lost bone can be partially grown back using various bone grafting techniques.
Procedure: The periodontist gives you a local anesthetic and gently opens the area filling in the missing section with bone grafting material.
Soft Tissue Grafting
Longer teeth or exposed tooth roots can look unsightly. They can also increase your sensitivity to heat, cold or sweets. In some cases, gum tissue can be placed in these areas.
Procedure: The periodontist gives you a local anesthetic and gently places a gum tissue graft over the area.
Some oral antibiotics enhance periodontal treatment. In certain isolated circumstances, placement of antibiotic chips or creams can reduce infection.
Procedure: Oral Antibiotics, in cream or chip form, are precisely placed in isolated areas to improve healing. Afterwards, the results are closely monitored during follow-up visits.
Sometimes after an extraction, there will be a sunken in spot in your gum line. This looks unsightly and can jeopardize the appearance of a bridge which goes over this area. A soft tissue graft can be inserted to fill out this depression.
Procedure: The periodontist gives you a local anesthetic and gently opens the area. He then fills the sunken area with a soft tissue graft.
Each procedure is done with your comfort and safety in mind. We work closely with your general dentist to ensure you get the best possible result in accordance with your general dentist's wishes. Please feel free to ask questions before, during, or after any one of these procedures.