18800 Main Street, Suite #201
Huntington Beach, CA 92648
Periodontics
& Implant Dentistry
Peter A. Russo, DDS, Inc.

Periodontal Surgery

Periodontal Regeneration Procedure

A procedure where bone is regenerated along the root surface of a tooth.

Tooth Extraction

When the extraction of a tooth is required:

  1. An incision in the gums is made
  2. The tooth is removed
  3. The area is stitched up and is allowed to heal

During this time, it is important to think about a tooth replacement option. An extracted tooth leaves an open area in the jaw which, in time, allows the neighboring teeth to drift into the area where the tooth was extracted. This in turn, causes a chain reaction to all the surrounding teeth. Also, if you are considering placing an implant in the future, you should consider asking your dentist to place a bone graft at the time of surgery to preserve the bone width and height.

Gum Flap Surgery

When deep pockets between teeth and gums (6 millimeters or deeper) are present, it is difficult for a dentist to thoroughly remove the plaque and tartar. Gum flap surgery is a procedure where the gum flap is lifted away from the tooth. Diseased tissue and sometimes bone is removed. The rough surfaces of the tooth are then smoothed by root planing. The area is medicated and the gum flap is replaced and sutured allowing the bone and gum tissue to heal.

One of the goals of gum flap surgery is to reduce the depth of the periodontal pockets to make them easier to keep clean.

Functional Crown Lengthening

Periodontal procedures are available to lay the groundwork for restorative and cosmetic dentistry and/or to improve the esthetics of your gum line. Your teeth may actually be the proper lengths, but they are covered with too much gum tissue. Crown lengthening is a procedure to correct this condition.

During this procedure, excess gum and bone tissue is re-shaped 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.

Crown lengthening can make a restorative or cosmetic dental procedure possible. Perhaps your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.

Bone Regeneration

When a tooth is lost, both bone and gum tissue compete for the vacant space. The gum tissue generates more quickly than bone, subsequently occupying the space. With a membrane placement we can keep the gum tissue from invading the space, which will ideally give the bone sufficient time to regenerate. Bone regeneration is often used to rebuild the supporting structures around the teeth, which have been destroyed by periodontal disease. Bone surgery may be used to attempt to rebuild or reshape bone. Grafts of the patient's bone or artificial bone may be used, as well as special membranes.

Ridge Regeneration

When a tooth is lost and not immediately replaced, the bone reacts to this event by 'shrinking back'. The bone becomes thinner from a width perspective and the bone height is frequently reduced. This process is known as bone resorption. In order to place implants, it is necessary to rebuild the bone width and height through regenerative surgical therapy. Bone grafting of the ridge is almost always required to enable accurate placement of dental implants. The grafting is completed utilizing tissue bank and/or synthetic bone particles combined with collagen membranes. It is a highly predictable procedure.

Socket Regeneration

When a tooth is extracted and an implant is to be placed (either simultaneously or in the future) it is always necessary to complete bone grafting within the residual sockets that are left behind after the roots of the tooth are removed. The shape of the tooth root is always different from the shape of a dental implant and hence there are always residual socket defects (holes) that must be filled in so that there can be excellent contact of the implant to the newly formed bone.

Frenectomy

If a patient has an excess amount of tissue that connects the lower and upper lips to the jaw and gum line, a frenectomy procedure is performed to remove the excess tissue. A frenectomy is either performed inside the middle of the upper lip, which is called a labial frenectomy, or under the tongue, called a lingual frenectomy. Frenectomy is a very common dental procedure in the dental world and is performed both on children and adults.

Sinus Lift

The human skull has several cavities or air spaces called sinuses. When the sinus is enlarged and intrudes on areas where we want to place dental implants, bone or bone growth stimulation material is placed into the sinus. This procedure only affects the maxillary sinuses, which are located just over the molar teeth in the upper jaw. The side of the maxillary sinus is opened and the bottom is raised so it will fill in with bone. Several months later, dental implants can be placed in solid bone.

An "Osteotome Lift" is a surgical procedure that raises the floor of the sinus directly over where the implant is placed. This can be done without actually opening the sinus.

Ectopia

Impacted Canine

Canine teeth are also commonly referred to as cusped or "eye teeth" since the teeth align under your eyes. You should have two canines in both your upper and lower jaw. They are the strongest teeth you have, used for tearing into your most meaty meals. Because of this need for strength, your canines have the longest roots of all your teeth. They are an essential part of your bite and balanced smile for two main reasons:

  • Your Bite
    Due to their length, the canines guide your other teeth together when chewing and biting. Canines are essential for maintaining a proper bite.
  • Your Appearance
    Without canines, large gaps appear in your smile. This can lead to your other front teeth becoming twisted or crooked.

Your canine teeth are generally some of the last teeth to erupt. Occasionally they do not erupt. The two most common reasons are:

  • Overcrowding in your mouth
    Extra teeth or a small jaw can cause the space where your canines are supposed to come in to be very small, resulting in impaction, or failure to erupt.
  • Abnormal growths
    Tissue may have developed in your jaw that prevented your canines from reaching the surface.

The fact that teeth don't always come in like they're supposed to highlights the need for regular dental visits when young teeth are developing. If you suspect your child has impacted canines, don't hesitate to make an appointment with Dr. Peter Russo. With regular dental visits, x-rays and examinations, the problem of impacted canines can be found out early when treatment is easier. If you are an adult and your canines have not erupted Dr. Peter Russo can help. Set an appoint today for an x-ray and consultation. Your smile is up there waiting for you.

Treatment for Impacted Canines

After assessing your situation, Dr. Peter Russo will devise a plan to make room for your canines. Will a typical oral surgery and the assistance of an orthodontist your canine will find their way into their proper place over time.

"Dr. Russo was more than capable and wonderful at helping me achieve that smile."

- Michelle