Periodontology

You don't have to lose teeth to periodontal disease. Brush, clean between your teeth, eat a balanced diet, and schedule regular dental visits for a lifetime of healthy smiles.

Non Surgical Periodontal Debridement

Periodontal treatment depends on the type and severity of the disease. If the disease appears early, and no damage was done on the supporting structures of the teeth, you may simply need to follow basic instructions to improve your oral hygiene after a professional cleaning.

The early stages of periodontal disease are treated with a nonsurgical periodontal approach. This technique (commonly referred to as deep cleaning) of cleaning deeper pockets usually consists of placing a fine ultrasonic tip or hand scraper / curette between the tooth and gum (in pockets) to remove plaque and tartar below the gum line. This procedure is known as the periodontal debridement. This, combined with good personal oral hygiene allows the gum tissue to heal and attach to the tooth. Six to eight weeks later, the periodontal pockets are reduced by retraction of the gums and reduction of inflammation.

If the disease is at a low or moderate progression, the patient can expect to see a significant reduction in pocket depth . Periodontal health can then be maintained with oral hygiene techniques and cleaning appointments every three months.

In the most severe cases of periodontal disease, non-surgical periodontal therapy usually precedes surgery. This is done to reduce active periodontal infection.. This procedure can also limit the necessity of doing a surgery.

Local anesthesia is used because we want our patients to be very comfortable during treatment.

Most patients experience very little pain after non-surgical treatment.

Photodynamic desinfection

The introduction of Periowave photodisinfection  is a new and effective treatment system that can be used in conjunction with standard root planing procedures to improve outcomes for patients with periodontal disease. Its non-surgical nature improves the comfort of the treatment and makes the process more attractive to patients.

Dr Benhamou uses this technology since 2006 with remarkable results and often reduces the need for additional periodontal surgeries.

A complete debridement is necessary before the initial photo disinfection procedure to remove scale layers of sub gingival (below the gum) calculus deposits and bacteria that hamper the attachment of soft tissue. This is performed utilizing gentle ultrasonic instruments and dental curettes.

Periowave is an effective, minimally invasive, anti-microbial and anti-inflammatory treatment. It is relatively simple to administer. Each site requires irrigation with a blue photosensitizer immediately followed by 60 seconds of light activation with a cold laser. Some sites will respond much better when treated more than once. This simple treatment actively destroyed a large number of toxins, inflammatory molecules and pathogens that remain after scaling and root planning.

pocket reduction surgery

Surgery may be necessary if inflammation and deep pockets remain following the non-surgical treatment with deep cleaning, local medication or photo disinfection. Surgery is used to remove plaque deposits in deep pockets and reduce the depth of the periodontal pocket. This will allow the area to be cleaned more easily by the patient, the dentist and dental hygienist.

During this procedure, your periodontist folds back the gum tissues and eliminates pathogenic bacteria before closing tissues with sutures. In some cases, irregular surfaces of the damaged bone are smoothed, which limits the areas where bacteria can hide and also helps restore the contours of normal bone. This allows the gum tissue to be better attached to the healthy bone. This procedure sometimes results in teeth appearing slightly longer and more sensitive to temperature variations.

Clinical Crown lengthening

When a tooth is damaged or has a very large filling, your dentist may recommend a crown to restore it. If the remaining tooth structure is not sufficient, a clinical crown lengthening procedure may be necessary.

This procedure involves removing and re-contouring of the gums and bone surrounding the tooth. This will allow your dentist to have enough surface to work, to place the crown so that it remains in place on the tooth, allowing the gum tissue to remain healthy.

Excess gum tissue can make them abnormally short teeth, and also increase susceptibility to periodontal infections. The removal of excess gum can restore a healthy, improving the aesthetic appearance of the smile.

Regenerative Surgery

Procedures that regenerate lost bone and tissue supporting your teeth can reverse some of the damage caused by periodontal disease.

Your periodontist may recommend a regenerative procedure when the bone supporting your teeth has been destroyed due to periodontal disease. These procedures can reverse some of the damage by regenerating lost bone and tissue.

During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria. Bone grafts and/or tissue-stimulating proteins and collagen membranes (barriers) can be used to encourage your body's natural ability to regenerate bone and tissue. Your cells will grow into the matrix provided and recreate the lost bone.

Eliminating existing bacteria and regenerating bone and tissue can help to reduce the pocket depth and repair damage caused by the progression of periodontal disease.

Impacted Tooth Exposure

When a tooth fails to emerge through the gums, it is considered to be an impacted tooth. This commonly occurs in the case of canine teeth.

It is important to treat an impacted tooth in order to prevent the improper eruption of nearby teeth, cyst formation, possible infection or other negative changes in the jaw.

In order to determine the correct treatment for you, your dentist will examine your teeth and radiographs to determine the position of the impacted tooth as well as the condition of your gums. One of the treatment options is to surgically expose the tooth in order to guide it to the right position in your jaw. In most cases, you will need to have space created in your jaw through orthodontics prior to the surgical treatment.

The periodontist will expose the tooth in order to attach an orthodontic bracket to it either at the time of surgery or shortly after in order to help guide the tooth to the level of the adjacent teeth. Once the surgery is completed, a  protective dressing may be placed over the surgical site while it heals. This method will allow the impacted tooth to emerge until it is at the level of the adjacent teeth, after which the teeth can be aligned with braces.

Recession and Gingival Grafts

Your gums may have receded for a variety of reasons, including aggressive brushing, aberrant tooth position, orthodontic movement or periodontal disease.

You may not be in control of what caused the recession, but prior to treatment we can help you identify the factors contributing to the problem. Once these contributing factors are controlled, we will perform a soft tissue graft procedure that will solve the problem and help to prevent additional recession and bone loss.