Surgical Treatments

If the tissue or bone surrounding your teeth is too damaged to be repaired with non-surgical treatment, several surgical procedures are available to prevent severe damage and to restore a healthy smile. We will recommend the procedure that is best suited to the condition of your teeth and gums.

The following is a list of common types of periodontal surgery.

  • Pocket Depth Reduction
    In a healthy mouth, the teeth are firmly surrounded by gum tissue and securely supported by the bones of the jaw. Periodontal disease damages these tissues and bones, leaving open spaces around the teeth that we call pockets. The larger these pockets are, the easier it is for bacteria to collect inside them, leading to more and more damage over time. Eventually the supportive structure degrades to the point that the tooth either falls out or needs to be removed. For some patients, scaling and root planing are not enough to control the ravages of periodontal disease.

    During pocket reduction procedures, also known as “flap surgery” or “osseous surgery”, we fold back the gum tissue and remove the bacteria hiding underneath, as well as the hardened plaque and tartar that have collected. We may also remove any tissue that is too damaged to survive. We then sew the healthy tissue back into place. Now that the tooth and root are free of bacteria, plaque, and tartar, and the pockets have been reduced, the gums can reattach to the teeth.

  • Soft-Tissue Graft
    A frequent symptom of gum disease is gum recession (also called gingival recession). As the gums recede, more of the roots are revealed. This can make teeth appear longer and can also create sensitivity to hot or cold liquids or food. It also exposes the tooth to increased damage from gum disease, in which bacteria, plaque, and tartar attack the surface of the tooth and the root.

    During a soft-tissue graft, tissue from the top of your mouth or another source is sewed to the gum area, to cover the roots and restore the gum line to its original, healthy location. This procedure can also be performed for cosmetic reasons.

  • Periodontal Osseous Surgery
    For some patients, scaling and root planing are not enough to control the ravages of periodontal disease. Bacterial deposits get stuck in hard-to-reach places below the gum line, and there are even reports of bacterial invasion into the gum tissue and bone. In these cases, it is necessary to open up the gum to examine the teeth and surrounding bone closely, and to proceed as needed.

    osseousosseous

  • Crown-Lengthening Procedure

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    Before

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  • Bone Regeneration Around Teeth

  • Extraction and Grafting

  • Gingival Hyperplasia

    Removal of inflamed gum tissue via gingivectomy

    gingival-hyperplasia

    Before

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  • Biopsies

    In the mouth “lumps, bumps and irregular gums” may occur. In most cases these are non-cancerous, benign growths, but it is very important to have these areas checked out as soon as possible. Once the offending lesion has been removed, usually with local anesthetic, it is sent to a laboratory to be analyzed.

    H and E Biopsies
    Most biopsies are stained with two different dyes hemotoxilin and eosin. These allow the pathologist to evaluate what type of underlying cells are present and to make a proper diagnosis.
    Lakewood Path Lab
    UMDNJ

    Immuno Fluorescence
    Sometimes it is necessary to send excised tissue to a special laboratory where radioisotopes are tagged to the cells to allow for a more exacting analysis of certain diseases.
    Beutner Laboratories

  • Fiberotomy/Frenectomy
    The exuberant muscle attachment from the lip to the gum is called the frenum. Judicious removal of all or some of this muscle allows the teeth to be placed in the proper position, and they will stay in place more easily.

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    Before

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