Periodontic procedures performed in our office by Dr. Burgess:
There are many different situations that can lead to the loss of teeth, including trauma, dental diseases and tooth decay. Dental implants are a safe and effective long-term replacement for missing, broken or decayed natural teeth. Implants are very versatile and can be used to replace a single tooth, as well as multiple teeth or even an entire set of teeth. They can also act as supports for bridges, partials and dentures as well.
If we determine that dental implants are the best treatment option for you, we will refer you to a specialist who will surgically place the implant. Once you have healed, we will restore the implant so that it looks, feels and functions like your natural teeth. Dental implants will involve Dr. Burgess working closely with an oral surgeon or periodontist to ensure you receive the highest level of care throughout the entire procedure.
Depending on how many teeth need replacing, you may need a single, partial, or complete implant set. In most cases, a permanent tooth replacement won’t be made until the jawbone is fused to the implants. Until then, a temporary prosthetic may be used.
There are many types of options for implants, the first being whether you choose a removable or fixed tooth replacement to attach to them.
A removable tooth replacement is joined to the implants by a connecting device, such as a clip and bar, which allows you to take the replacement out for cleaning.
A fixed tooth replacement allows for easy maintenance and cleaning since the replacement is permanently attached to the jawbone. There is no need to remove for cleanings.
Types of implants:
Single – a single tooth replacement is used to replace only one missing tooth. One implant is all that’s needed for support.
Partial – a partial tooth replacement replaces two or more teeth. Two or three implants are used for support. This is used as an alternative to a bridge.
Complete – a complete denture set replaces all of the teeth in an upper or lower jaw, or both. The number of implants depends on whether we use a fixed or removable prosthesis.
The total process of receiving implants takes two surgical procedures and full treatment can take anywhere from 6 to 8 months.
Extractions due to periodontal disease, trauma or tooth decay may be the right solution for you if your tooth is loosened or severely damaged. Dr. Burgess is our in-office periodontist who specializes in these types of extractions.
Barrier membranes, made of either Gortex or Collagen, are used in periodontal surgery. It is placed between the gum and the bone to prevent the gum tissue from growing down into the bone. This procedure may be done along with bone grafting.
In some cases of severe bone loss, the surgeon may attempt to encourage regrowth and restoration of bone tissue that has been lost due to gum disease through bone grafting. Bone material, provided by you or other sources, is placed into the defect and the gum is sewn back into place. The next 6 to 9 months involves the bone graft gradually binding with the jaw bone to help reattach your teeth to the jaw.
A gingivectomy involves removing the diseased or overgrown gum tissue. This procedure is done to promote the healthy gum tissue. We will identify the need for a gingivectomy before the gum disease has advanced enough to jeopardize the tooth ligaments and bone supporting the teeth.
Biopsies (Soft Tissue)
Biopsies will be performed if we suspect any kind of abnormal or unexplained lesion that is found in your mouth. This is ultimately for your overall gum and oral health so that periodontal disease and/or oral cancer may be detected as early as possible. Early detection can lead to early treatment!
Crown lengthening is a surgical procedure done to expose more of a tooth. We readjust the gum and bone levels by removing small sections of bone and attaching the gums into a new position to allow more tooth exposure.