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When gums are healthy, there are only small, shallow spaces around each tooth. When bacterial plaque is left at the tooth/gum junction, the resulting infection (periodontitis) causes these spaces to become deeper. As the “pockets” (spaces) deepen, the bacteria grow in number resulting in red, swollen, bleeding gums and frequently bad smelling breath, and bone loss. When spaces become deep, a procedure of pocket reduction may useful. The procedure removes the bacteria and infected tissue, cleans and smoothes the root surfaces, and reshapes as necessary the bone and gums surrounding the teeth. All this allows the gums to heal with shallower, more cleansible, and healthier spaces.
Functional crown lengthening is a procedure performed when there is not enough exposed tooth structure upon which to place a restoration. It is often done when a tooth fractures at or below the gumline or when the tooth is significantly decayed. In order to save and properly restore the remaining tooth, a periodontist may remove gum tissue and/or bone to expose more healthy tooth structure. As a result, a crown-lengthened tooth will probably appear longer, since more of the tooth has been exposed.
Jawbone volume can be lost due to periodontal disease, tooth loss, pressure from dentures or partial dentures, trauma, injury, or atrophy. This results in unsightly deformities or indentations in the bone which can produce an unattractive restoration, a cleansibility problem, or an inability to place dental implants. Hard and soft tissue reconstruction — to build back lost structure — is an effective procedure to either prevent volume loss or remedy it, thus improving appearance, allowing dental implant placement or both.
Jawbone volume can be lost due to periodontal disease, tooth loss, pressure from dentures or partial dentures, trauma, injury, or atrophy. This results in unsightly deformities or indentations in the bone which can produce an unattractive restoration, a cleansibility problem, or an inability to place dental implants. Hard and soft tissue reconstruction — to build back lost structure — is an effective procedure to either prevent volume loss or remedy it, thus improving appearance, allowing dental implant placement or both.
Healthy gums form the “picture frame” for the teeth. They also protect the teeth against decay. Root exposure or recession makes the teeth look long and unattractive. Recession can also make the teeth sensitive to hot, cold, or touch.
By recovering the roots and rebuilding the lost gum tissue, recession can be reversed, sensitivity decreased, and decay susceptibility reduced, resulting in a younger, prettier smile.
Sometimes, teeth cannot be saved for a variety of reasons – cracks or fractures, root canal failures, teeth whose structure can’t be restored, or impacted teeth associated with adjacent teeth. When this is the case, Dr. Newhouse can remove the teeth and perform socket regeneration so that the dimensions of the jawbone can be protected. Without such socket regeneration as much as 30% of the jawbone dimensions in all directions can be lost. Protecting the bone’s width and length becomes important for implant placement, for other types of esthetic tooth replacement, and for the bone support of adjacent teeth. In the end, it provides the foundation for model smiles and health!
With periodontitis (gum disease), teeth can lose supporting bone resulting in loose teeth, a change in the way teeth fit together and function, and eventual tooth loss. Sometimes the underlying boney architecture will allow the bone to be rebuilt. Based on the best clinical research and a great clinical skillset, Dr. Newhouse uses the either materials from the patient’s own mouth or processed banked materials with biologics (proteins that speed healing) and resorbable membranes to reconstruct the loss jaw structure, tighten teeth, reestablish function, and save teeth. Dr. Newhouse has done thousands of such procedures and saved thousands of teeth!
Digital Photography – extraoral and intraoral. It lets us look forward and backwards. It shows what we start with and it lets us evaluate outcomes. It helps us convey conditions and circumstances to our patients, their insurance companies, colleagues, and students.
If you are missing a single tooth, a crown restored dental implant is the most natural looking way to replace it. It functions like a natural tooth and unlike a bridge, it doesn’t involve neighboring teeth. An implant preserves the bone, so naturally looking jaw contours are maintained. What’s more, a single-restored dental implant is much easier to clean and does not catch food like a bridge. And it doesn’t get cavities!
If you are missing a single tooth, a crown restored dental implant is the most natural looking way to replace it. It functions like a natural tooth and unlike a bridge, it doesn’t involve neighboring teeth.
An implant preserves the bone, so naturally looking jaw contours are maintained. What’s more, a single-restored dental implant is much easier to clean and does not catch food like a bridge. And it doesn’t get cavities!