CONSULTATION (FIRST VISIT)

Whether you are referred by your dentist or whether you decide to consult our periodontist directly for any of the following symptoms: bleeding gums, bad breath, missing tooth, gum recession or any other signs affecting your oral health, know that during your first consultation visit, we will discuss your needs and answer your questions before we begin any treatment procedure.

PERIODONTAL MAINTENANCE

We offer a periodontal maintenance program and appropriate post-treatment care, both of which are essential to ensure the health of your gums and to prevent the recurrence of periodontal disease symptoms. Periodontal disease is a chronic health problem that can be perfectly controlled with appropriate periodontal maintenance, as provided by our experienced periodontology hygienists.

SUB-GINGIVAL CURETTAGE

The sub-gingival curettage is a procedure used to remove plaque and tartar that forms in deep periodontal pocket. This intervention involves a careful cleansing and smoothing of tooth root surfaces in order to eliminate any existing bacterial toxins; it is performed under simple local anesthesia, in the comfort of your dentist’s office.

Following sub-gingival curettage, no further treatment is required for most patients, but patients will need to adhere to a continuous maintenance treatment in order to maintain good oral health.

REDUCTION OF PERIODONTAL POCKETS

When plaque builds up under the gums, it can cause inflammation and swelling. This creates an opening at the base of the teeth, separating the gum and tooth, and a periodontal pocket forms, letting bacteria and food debris accumulate. This makes it very difficult to clean your teeth properly. In such a case, we must operate to reduce the periodontal pocket.

During this intervention, our periodontist lifts up the gum to eliminate all pathogenic bacteria, before fixing the tissue into place. In some instances, damaged bone can present with irregular surfaces. These are smoothed during the procedure to prevent infiltration by disease-causing bacteria and to provide better adherence of the gum tissue to the healthy bone.
Reducing the depth of the periodontal pocket and eliminating any existing bacteria is essential to prevent further damage resulting from disease progression and will let you keep that healthy smile.

GUM GRAFT

When gum thickness is reduced and gum height recedes over time, the roots of the teeth are bared and the risk of tooth sensitivity and tooth decay increases. In such a case, a gum graft should be considered. This procedure involves extracting a piece of healthy skin from the palate to graft it to the deficient gum. This keeps the receding gum from progressing.

Grafts not only improve the beauty of your smile and protect roots, they can also reduce tooth sensitivity while slowing any further recession and bone loss.

Before

The gum has receded, exposing bone and leading to sensitivity.

After

After the tissue graft, a more symmetrical gumline is restored, the recession is reversed and the patient has reduced discomfort.

GUM CONTOURING

It’s often referred to as a “gummy smile.” That’s when excess gum tissue makes the teeth appear smaller. Gum contouring—also called gum reshaping, gum lifting, or crown lengthening—is what we perform in these cases to bring improved balance and proportion to your smile. The results can be incredible.

BEFORE

Excess gum tissue is obscuring the patient’s smile.

AFTER

After reshaping, a symmetrical gumline and a new natural-looking smile emerge.

FIBREOTOMY AND FRENECTOMY

In some cases, following orthodontic treatment, the teeth may tend to return to their original positions; this is caused by the elastic nature of the gum tissue. To prevent this from happening, we perform a fibreotomy, a local-anesthetic procedure that consists of splitting the fibers in the gingiva.

A frenectomy is a minor surgery recommended when the ligament connecting the cheeks and gums (called brake) creates a gap between the front teeth.

CROWN-LENGHTENING PROCEDURE

Your dentist and our periodontist could recommend a crown lengthening procedure in order to perform a cosmetic alteration or a complete dental restoration.

If your tooth has a cavity or is broken below the gum line, or if your tooth structure is too insufficient to be restored, we will proceed to extend the crown to adjust the level of the gums and bone, in order to expose a larger area of the tooth structure, making it possible to restore the tooth.

During the elongation of a dental crown, the gum tissue and excess bone will be reshaped to better expose the natural tooth. This procedure can be performed on a single tooth or on several teeth in order to achieve the natural smile you want.