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Cosmetic Periodontal Surgery

These procedures are a predictable way to cover sensitive or exposed root surfaces and to prevent future gum recession. If you are unhappy with the appearance of short unsightly teeth this can be greatly improved by a combination of periodontal procedures by Dr. Mardirossian and cosmetic dentistry by your dentist.

Ridge Preservation

Careful management of extraction sockets after tooth extraction prevents disfiguring bone loss and leads to a better cosmetic outcome of tooth replacement. Whenever a tooth within the esthetic zone (within the gummy area in the viewable smile line) is to be extracted or in sites which may later receive dental implants it is advisable to consider socket/ridge preservation bone grafting. This will slow the process of gum and bone collapse. This atrophy occurs after the extraction of teeth and grafting allows for less shrinkage and a more esthetic tooth replacement (either implant crown or fixed bridge around the replacement teeth).

Bone Grafting

Over a period of time, the jawbone associated with missing teeth atrophies or is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, most patients are not candidates for placement of dental implants We now have the ability to grow bone where needed. This gives us the opportunity to place implants of proper length and width, and it also gives us a chance to more effectively restore esthetic appearance and functionality.

Non-Surgical Treatment Methods

Treatment methods depend upon the type of disease and how far the condition has progressed.
The emphasis in Dr. Mardirossian’s practice is conservative periodontal therapy.
Many times, the early stages of periodontal disease are best treated with non-surgical periodontal therapy.
This usually consists of placing a fine ultrasonic tip or hand scaler/curette in between the tooth and gum tissue to remove bacterial plaque and calculus (tartar) below the gum line. The tooth roots may also be planed to smooth the root surfaces.
This procedure is commonly known as Scaling and Root Planing or Periodontal Debridement.
This initial periodontal therapy along with good personal oral hygiene allows the gum tissue to heal and reattach to the tooth.
Four to six weeks later, periodontal pockets are eliminated due to gum shrinkage (if the disease is in its earliest stage). Then the patient can personally maintain these areas with routine brushing and flossing.

Even in most severe cases of periodontal disease, non-surgical periodontal therapy most often precedes surgical therapy.
This is done so that the active periodontal infection is reduced and the overall tissue quality is improved prior to surgery. This procedure may also limit the areas requiring surgery.