For Sheboygan Periodontics services, you can trust the experienced and innovative care at Shoreline Periodontics & Implant Dentistry. Some of the specialized treatments we provide include:
SCALING AND ROOT PLANING
The initial phase of treatment for the management of periodontal disease often includes a non-surgical procedure called scaling and root planing. Scaling is the removal of disease-causing plaque and tartar deposits on the teeth, while root planing refers to smoothing of root surfaces to remove toxins and create a root surface more compatible with health. Scaling and root planing is normally performed using local anesthesia to enhance patient comfort. In many cases, it is adequate to control mild or moderate periodontal disease, however in more advanced cases surgical therapy may be required to arrest the periodontal disease and return the area to a state of health. Scaling and root planing has a number of benefits, including the prevention of tooth loss and painful abscess formation, removal of unsightly staining and elimination of bad breath. It has even been shown to have general health benefits including the reduction of HbA1C levels.
Osseous Surgery is done when scaling and root planing alone is not adequate to control periodontal disease. The goal of this procedure is to achieve stable and healthy tissues by creating an environment that is easier to clean and maintain. Deep inflamed spaces between the teeth and gums, commonly called “pockets” are not stable or cleansable and are eliminated through this procedure. By ridding the tissues of inflammation, the destruction of supporting bone can be stopped and in some cases even reversed, preventing teeth from needing to be extracted.
LANAP (Laser-assisted new-attachment procedure) is a minimally-invasive treatment that can be performed as an alternative to osseous surgery. LANAP works by eliminating inflammation and bacteria under the gum line, which allows the gum to heal naturally via the body’s natural mechanisms. This results in significant improvements in tissue health, pocket reduction, and in some cases, regeneration of bone that was previously lost due to periodontal disease.
Crown lengthening can be done in many cases to save a tooth that would otherwise have to be pulled. When there is inadequate healthy tooth structure accessible to retain a filling or crown, this procedure can expose more of the tooth that was previously hidden under the gum line. Afterwards, the tissue will heal within a few days to a week, but it is recommended to wait 6 at least weeks before having a final crown placed.
Bone grafting is done for several different reasons and the exact technique depends on the goals of the procedure. Often times, bone grafting can be performed to regenerate bone lost due to periodontal disease. In these cases, the area around the diseased tooth is thoroughly cleaned and bone graft particles are placed to help the body form new vital bone around the teeth. Bone grafting may also be done when a tooth is removed in order to preserve the ridge for future dental implant placement or to augment an area where there is inadequate bone to place an implant.
Tissue grafting procedures can correct a number of gum problems such as recession, sensitivity, and thin or detached gums. During these procedures, a small pouch is created underneath the gum so that additional tissue can be added to thicken and reposition the existing gum tissue. The palate is an excellent source of tissue for these procedures, but they can also be performed using other materials such as collagen or acellular dermal matrix.
COSMETIC PERIODONTAL SURGERY
Short or uneven teeth can negatively affect the appearance of one’s smile. Many times, beautiful, healthy enamel is covered up by extra gum tissue, which can result in a “gummy smile”. By reshaping the gums, we can reduce the amount of gum that is visible, while also giving the teeth more esthetically pleasing proportions that conform to the golden ratio.