Periodontal Surgery

What is Periodontal Surgery and When Would I Need it?

Although we see our most important goal as helping you to keep your teeth for your entire life, there are of course times when that isn’t possible.  Whether it’s because of gum disease so severe that even Laser Periodontal Therapy, aka LANAP, can’t save the teeth, or because a tooth splits in half, or a cavity has become too large, or perhaps because fixing a tooth will be just too expensive at that time, there are cases where it truly is best to take the teeth out.  Dr. Payet has received extensive, advanced training in periodontal surgery with some of the world’s leading surgeons.

Periodontal Surgery for Gum Disease

The first step in treating gum disease (periodontal disease) is usually a deep cleaning (scaling).   If you need additional treatment after scaling (some patients do fine with scaling, while other patients have more aggressive gum problems and need more intervention), periodontal surgery may be an option.

For Periodontal Disease:

LANAP – LANAP is an proven, successful, and more comfortable alternative to traditional periodontal surgery.  During LANAP, we use a laser to kill bacteria and disinfect the periodontal pockets.  Using the laser means no scalpel to cut the gums, so no stitches are needed. While not everyone is a candidate for LANAP, Dr. Payet is one of only 10 dentists in the Charlotte area with the training and expertise to perform this procedure.

There are many other types of periodontal surgeries and we use them for different purposes and treatment goals.

For Dental Implants:

Bone Grafts – when a tooth is extracted, the bone starts shrinking  If you don’t have enough bone height or width to securely hold the implant in place, the implant is more likely to fail.  Periodontal surgery to build up bone ensures enough bone to hold the implant firmly.  If you’re having a tooth extracted and want a dental implant later, we can do a bone graft after taking the tooth out.  This preserves the bone and gives you up to a year, before having the implant put in.

Sinus Lift – when your upper back molars & premolars are missing a long time, your sinus drop down.  This often means, there isn’t enough height of bone for dental implants.  A sinus lift is a periodontal surgery procedure to gently push the sinus up, but adding bone just on the bottom inside of the sinus.  Sometimes the implant(s) can be put in at the same time, but not always.

For Gum Recession and Esthetics:

Gum Grafts – gum recession (where the gum tissue recedes or becomes lower on the tooth surface)  is a problem for several reasons.  Exposed roots are more sensitive to hot and cold food & drinks. get cavities more easily, & look ugly.  Even worse, if the gums are receding, the bone is also receding underneath!  That means less bone holds your teeth in, so they may loosen.  We offer 2 different types of gum grafting, a periodontal surgery procedure to make the gums tougher, cover recession, and stop it from happening again.

Gum Lifts – sometimes the problem is too much gum or bone around teeth, not too little.  If you have a gummy smile, with short teeth, Esthetic Crown Lengthening, aka a “Gum Lift” can work wonders.  With this simple procedure, we can dramatically improve your smile!  I even did this procedure before doing my wife’s porcelain veneers.

For Healthy Gums around Crowns & Bridges

Crown Lengthening – If the edge of your crown is too close to the bone, your body thinks it’s a foreign object.  Your immune system attacks, trying to make it go away, but it can’t.  Instead, the gym gets really red, tender, and irritated.  No matter how much your brush or floss, it doesn’t go away. Crown lengthening is a periodontal surgery procedure to move the bone farther away.  That way, the crowns, bridges, veneers, or fillings won’t make your gums bleed.