What is a Periodontist?
A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease (a chronic inflammatory disease that affects the gums and bone supporting the teeth also known as gum disease), and in the placement of dental implants. Periodontists receive extensive training in both of these areas and more, including additional years of education beyond dental school.
While some general dentists treat less serious periodontal disease, many will refer their patients to periodontists for the more challenging periodontal cases. Similarly, while some general dentists perform dental implant procedures, many will refer their patients to periodontists for the more challenging implant cases as well.
In addition to handling challenging periodontal and implant cases, periodontists also provide a variety of other specialized services. These include scaling and root planing, oral inflammation treatment, and cosmetic periodontal procedures like tissue grafts.
Dental Implant Services
Depending on your specific condition, Dr. Alvarez will create a treatment plan tailored to meet your needs.
Single Tooth Dental Implants – If you’re missing a single tooth, one dental implant can replace it.
Multiple Tooth Dental Implants – If you’re missing several teeth, they can be replaced by multiple dental implants.
Full Mouth Dental Implants – If you’re missing all of your teeth, they can be replaced by full mouth dental implants.
Sinus Augmentation – A key to implant success is the quantity and quality of the bone where the implant is to be placed. The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. Sinus augmentation can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants.
Ridge Modification – Deformities in the upper or lower jaw can leave you with and inadequate amount of bone in which to place dental implants. To correct the problem, the gum is lifted away from the ridge to expose the void where bone is missing. The void is then filled with bone or bone substitute to build up the ridge. Ridge modification has been shown to greatly improve the jaw’s appearance and increase the chances of successful implants.
Periodontal Surigical Services
Gum Graft Surgery
Exposed tooth roots are the result of gum recession. Gum graft surgery will cover the exposed root and help prevent additional recession and bone loss.
During gum graft surgery, your periodontist takes gum tissue from your palate or another donor source to cover the exposed root. Gum graft surgery can be performed on one tooth or multiple teeth, and may help reduce tooth sensitivity and improve the aesthetics of your smile.
Regenerative Procedures
Your periodontist may recommend a regenerative procedure when the bone supporting your teeth has been destroyed due to periodontal disease. These procedures can reverse some of the damage by regenerating lost bone and tissue.
During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria. Membranes (filters), bone grafts or tissue-stimulating proteins can be used to encourage your body’s natural ability to regenerate bone and tissue.
Dental Crown Lengthening
Some individuals may have a “gummy” smile because the teeth appear short. In fact, the teeth may actually be the proper lengths, but they’re covered with too much gum tissue. To correct this, your periodontist performs a dental crown lengthening procedure.
During the dental crown lengthening procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile.
Your dentist or periodontist may also recommend dental crown lengthening to make a restorative or cosmetic dental procedure possible. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.
Periodontal Pocket Procedures
Your bone and gum tissue should fit snugly around your teeth like a turtleneck around your neck. When you have periodontal disease, this supporting tissue and bone is destroyed, forming “pockets” around the teeth.
Over time, these pockets become deeper, providing a larger space for bacteria to live accumulate and advance under the gum tissue. These pockets can result in bone and tissue loss. Eventually, if too much bone is lost, the teeth will need to be extracted.
During a periodontal pocket procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone.
