Surgical Services

When surgery is your best option for your dental care needs we want you to be fully prepared. We recommend the following links for more information on your next dental surgical service.

Video on Gum Disease

Gum Grafting

Sometimes our gums become thin and weak due to lack of attached tissues. When this occurs, the area is more susceptible to bacterial penetration and trauma. If bacteria and trauma attack the area, it further causes a condition called gum recession.

Risk Factors for Recession:

  • Toothbrush abrasion
  • Biting overload (grinding or clenching)
  • Supporting teeth for bridges or partial dentures with thin tissues
  • Orthodontic therapy
  • Exposed tooth roots
  • Ill-fitting restorations under the gum line

When there is only minor recession, some healthy gingiva often remains and protects the tooth so no treatment is necessary. However, gum recession often results in root sensitivity to hot and cold foods as well as a “long in the tooth” appearance to the smile. Also, gum recession, when significant, can predispose the area to decay, as the root surface is softer than enamel. When these are factors that affect your gums, often treatment is necessary to keep those teeth in a healthy condition.

Fortunately, there are gum reconstruction procedures referred to as gum or gingival grafting. A gingival graft is a thin piece of tissue, which is usually harvested from the roof of the mouth or moved from adjacent areas and attached to the affected area to provide a stable band of tissue around the tooth. In a few weeks, the new tissue attaches to the existing tissue, which becomes almost undetectable to you and functions just as the gingival tissue that you had previously lost. The result is a healthier and more esthetically pleasing smile that lasts for the rest of your life.

Example of a single upper front tooth Gingival Grafting:

Pre-Operative Recession Pre-Operative Recession
Post Operative Result Post Operative Result

Example of a single lower front tooth Gingival Grafting:

Pre-Operative Recession 2 Pre-Operative Recession
Post Operative Result 2 Post Operative Result

Example of front teeth Gingival Grafting:

Pre-Operative Recession 3 Pre-Operative Recession
Post Operative Result 3 Post Operative Result

Crown Lengthening

When decay occurs below the gum line or if a tooth exhibits significant breakdown, your dentist will have trouble getting a crown stay on your tooth. If this is the case, your dentist may ask for a crown lengthening procedure before he or she makes a new crown for your tooth. A crown lengthening procedure is one which purposely exposes more of the tooth by reshaping the gum and/or supporting bone allows your general dentist adequate room to place a quality final restoration.

Also, esthetic crown lengthening may be done to facilitate a crown or veneer. Oftentimes it is indicated when the patient has a “gummy smile” with short looking teeth or when the gum line is uneven. Often times orthodontics and/or cosmetic dentistry are utilized in addition to esthetic crown lengthening surgery to attain a more ideal result.

Esthetic Crown Lengthening of front teeth:

Pre-Operative Gums Pre-Operative Gums
Post Operative Gums Post Operative Gums

See the American Academy of Periodontology for more information – Crown Lengthening

Perio Surgery for Gum Disease

In cases where significant bony changes have accompanied periodontal disease or where pockets remain even after scaling and root planing, periodontal surgery is done to eliminate the remaining pathology. Periodontal surgery involves reflecting (folding back) the gum line to create access to adequately treat the root surfaces and the supporting bone. During periodontal surgery, certain regenerative procedures such as bone grafts and or biotechnology products may be used to enhance results. The ultimate goal is to leave the area with only healthy tissue, reduce pockets for a more maintainable situation, and to replace what nature has remove by disease. Periodontal surgery is typically done under local anesthesia and conscious sedation.

See the American Academy of Periodontology for more information — Gum surgery

Bone Grafting

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

See the American Academy of Periodontology for more information.

INFUSE: Bone Grafting Made Easy with Biotechnology!

There are many bone grafting techniques to develop sites for dental implant placement but they often require invasive procedures. Recent advances in biotechnology have not only made things more predictable but take advantage of the body’s own ability to heal itself. INFUSE is a revolutionary biotechnology product that uses a naturally occurring protein (rhBMP-2) in our body to stimulate your own cells in the area to form bone.

Click on the following files and learn more about bone grafting for dental implants.

Dental Bone Graft Options by Dr. Howard Low
Bone Grafting Options

Mechanism of Action

Contact us for more information regarding INFUSE, dental implant procedures, or bone grafting.

Bone Augmentation

Sinus Augmentation

Our 30+ years of experience, coupled with the latest technology and computerized 3D implant placement allows us to provide the most predictable results in the least invasive manner. Send us an email, or call us for more information at 408-746-3878.

Vivian’s Story

Bone Regeneration

Periodontal disease results in deep pockets and bone loss around the teeth. The bone can develop funnel-shaped defects (infrabony defects) that can be treated with bone grafts to stimulate bone regeneration and attachment. Regenerative procedures such as bone grafts can be done in conjunction with periodontal surgery and often times involves the placement of a membrane, which is used to cover the bone graft and prevent the gum tissue from interfering with bone healing. Recent advances in periodontal regeneration have produced biotechnology products that stimulate the body’s ability to regenerate lost periodontal structures.

Sedation

Our philosophy is to administer the least amount of medications to COMFORTABLY perform the necessary procedures. This may be as little as local anesthesia only, to nitrous oxide (also known as “laughing gas”), to oral sedation (i.e. valium type sedative), to conscious sedation. Conscious sedation is performed by delivering sedative medications through an IV. We do not allow a patient to be sedated at the level of general anesthesia in an outpatient setting in our office. The purpose of sedation is to allow your treatment in a relaxed anxiety free state that is comfortable for you. If you have any sedation other than nitrous oxide, it will be necessary for you to have a responsible adult bring you to the office and back home, To insure your comfort and safety, Dr. Low has been an examiner for the California Dental Board that certifies the other offices for sedation since the inception of this requirement in 1991.