Comprehensive Periodontal Therapy

Minimally invasive care means gentle, predictable results.

First-Time Patient?

Click here to complete our Patient Information form online before your appointment!

;

Periodontal Regenerative Therapy

Damage that has been caused by periodontal disease can often be reversed.

;

Laser-Assisted Therapy

Dr. Blansett provides minimally-invasive laser periodontal therapy for treatment of periodontitis.

;

Periodontal Maintenance

A personalized maintenance program, along with good oral hygiene, can keep your teeth and gums healthy.

;

Socket Preservation Bone Grafting

Tooth extraction causes the surrounding jawbone to shrink and remodel as it heals.

;

Non-Surgical Therapy

Scaling and root planing can be used as a stand-alone treatment or a preventive measure.

;

Functional Crown Lengthening

In order to for a crown, bridge, or deep filling to be successful, there must be enough supportive structure available.

;

Frenectomies

A frenectomy is a procedure commonly needed between the upper and lower front teeth and on the tongue.

Oral Pathology / Medicine

Once we have a diagnosis, we can customize a treatment regimen to treat the specific problem.

Periodontal Regenerative Therapy

Damage that has been caused by periodontal disease can often be reversed utilizing procedures that regenerate any lost bone and tissue that support your teeth.

During periodontal regenerative therapy, Dr. Blansett will remove the disease-causing bacteria and the resulting inflammatory / infected tissue from around your teeth.  Once the root of the tooth and the adjacent bone are clean, we can regenerate missing bone by placing bone grafts and growth factors to stimulate new bone and tissue formation.  To do this we use a videomicroscope, with magnification available up to 50X.  We are proud to be one of the a few offices in the world to utilize this technique, and the results speak for themselves.

Laser-Assisted Periodontal Therapy

Dr. Blansett provides minimally-invasive laser periodontal therapy for treatment of periodontitis.

Laser-Assisted Periodontal Therapy is gentler and more targeted than the traditional surgical method using a scalpel. As a result, treatment is more comfortable, and there is less trauma and faster healing. Dr. Blansett uses the Fotona Lightwalker® laser to remove diseased tissue, leaving healthy tissue intact and bacteria free. The laser cauterizes blood vessels and nerve endings to reduce bleeding and pain. This treatment is ideal for treating mild to moderate gum disease, and avoids more invasive procedures to restore periodontal health.

Periodontal Maintenance

After your periodontal disease is under control, it is important to keep it from coming back. A personalized maintenance program, along with good oral hygiene, can keep your teeth and gums healthy. Adherence to a program of dedicated home oral care and regularly scheduled maintenance therapy visits will give you an excellent chance of keeping your teeth for your lifetime.

The main cause of gum disease is bacterial plaque. Plaque forms continuously, and if not removed with proper flossing and brushing will harden into dental tarter (calculus). Calculus cannot be brushed away and is a nidus of inflammation to the adjacent bone and gum tissue. Periodontal maintenance cleanings remove plaque and calculus, and are typically recommended every 3-4 months to keep your periodontal health as stable as possible.

Tooth Extraction(s) & Socket Preservation Bone Grafting

Tooth extraction causes the surrounding jawbone to shrink and remodel as it heals.  Often, if no bone grafting is done at the time of extraction, there is not enough bone for an implant to be placed once the site has healed.  Ridge preservation grafting is a technique that uses a bone graft to preserve the bone dimensions around an extraction site and makes future implant placement much easier and predictable. 

Teeth that are not repairable need to be removed with as minimal trauma as possible.  Once the teeth are removed, the socket will tend to collapse as it heals due to missing support from the tooth root.  To prevent this a bone graft is placed into the socket to hold the space of the existing bone structure to provide a stable foundation for a future implant.  The bone graft is taken from a cadaver bank to avoid having to harvest bone from an area in the mouth.  As the graft heals, your body replaces the graft material with living bone.  The grafted bone is typically ready to support an implant after 3-4 months of healing.

Non-Surgical Periodontal Therapy (Scaling and Root Planing)

The initial stage of treatment for periodontal disease is usually a deep cleaning, called Scaling and Root Planing. The objective of this non-surgical procedure is to remove the things that cause gingival inflammation and disease, such as dental plaque and tartar, also called calculus.

Scaling and root planing can be used as a stand-alone treatment or a preventive measure. It is commonly performed on cases of gingivitis and mild to moderate periodontal disease. This therapy, along with good personal oral hygiene and regular maintenance care, can stop the progressive bone loss that results from periodontal disease.

Oral Pathology / Oral Medicine

Oral pathology treatment may involve a biopsy of the involved soft tissue to determine what type of disease process affecting your mouth.  Once we have a diagnosis, we can customize a treatment regimen to treat the specific problem.  Sometimes, a biopsy completed by a periodontist is not the best course of treatment, and a referral to another specialist will be recommended, depending upon the features of the involved tissue. 

The mouth can be subject to multiple autoimmune, malignant, traumatic, and/or chemical injury-related problems just like the rest of the body.

Sometimes these problems manifest as ulcerations that are painful, or sometimes they are painless bumps / lumps and may involve any part of the mouth (tongue, cheeks, lips, gum tissue, palate, etc).  If the involved tissue needs to be biopsied, Dr. Blansett can remove the involved tissue and submit it a pathology service to determine the diagnosis.

Once the lesion(s) are diagnosed, a treatment regimen can be developed as needed to provide ideal healing and prevent (as much as possible) any recurrence of the problem. 

Functional Crown Lengthening

Dr. Blansett may need to perform functional crown lengthening when cosmetic or restorative procedures are recommended for a tooth that has become decayed, is broken below the gum line, or when there is insufficient structure for a tooth restoration procedure. In these cases, Dr. Blansett will need to reshape the gums and supporting bone tissue to make room for a high quality restoration.

In order to for a crown, bridge, or deep filling to be successful, there must be enough supportive structure available.

If the tooth is decayed or broken below the gum line, Dr. Blansett will need to lower the gum and bone levels to expose more of the root surface. He may need to reshape the gums and supporting bone, in addition to trimming back the gum line.

Functional crown lengthening may be contraindicated if the amount of bone and soft tissue removal is too much, and an implant may be recommended. Every effort is made to retain your natural teeth so long as it does not harm the adjacent teeth. Functional crown lengthening is usually healed and ready to have the final restoration(s) placed in 6-12 weeks.

Frenectomies

A frenectomy is a procedure used to remove a fibrous tissue attachment and is commonly needed between the upper and lower front teeth and on the tongue.  This helps prevent recession of the gum line, allows for the spaces in the teeth to be closed orthodontically, and to allow for normal tongue movements and speech. 

Frenectomies are often completed with a laser and there is usually little downtime associated with the procedure(s).  We work closely with both your dentist and orthodontist to make sure maximize their treatment.

Frequently Asked Questions

I heard gum surgery hurts, how bad is it?

Most of our patients tell us that their postop course of healing was very manageable with minimal pain. Compared to traditional techniques like flap surgery, osseous resective surgery, etc, modern periodontal surgery is less invasive and therefore less painful.  

I have friends that have had gum surgery in the past and it hasn't been successful. Will I have to have more surgery in the future?

Periodontal surgery can be very successful if all of the calculus and plaque is removed. The combination of technology and training we have in our office with the videoscope and laser therapies allows us to visually see and confirm that the calculus has been removed. Once we have a clean root surface free of inflammatory tissue and calculus, the body can heal. Also, certain systemic health problems (smoking, diabetes, auto-immune diseases, osteoporosis, low vitamin d, etc) have a direct impact on wound healing and responses to treatment.

Careful case selection is important to determine if you are a good surgical candidate. If not, Dr. Blansett will often recommend a medical workup to ensure all systemic factors are controlled prior to any surgical care. Also, compliance with recommended periodontal maintenance schedules is as important as the type of care provided. If we cannot adequately maintain your mouth after our treatment, the disease process can / will relapse.

I have had a deep cleaning (scaling and root planing) in the past and it hasn't worked. Why did it not work the first time and / or why is it being recommended again?

Non-surgical periodontal therapy typically starts with scaling and root planing (S/RP).  S/RP has been studied extensively and has been shown to be effective around single rooted teeth to 5mm and multi-rooted teeth (molars, maxillary first premolars) to 4mm. If the pocket depths around your teeth are deeper than these thresholds, often additional treatment such as laser therapy or videoscope assisted surgery will be needed to completely arrest the disease process.

S/RP is great for patients who are not good surgical candidates due to medical issues or plaque control (hygiene) problems or for patients who have generalized 4-5mm pockets around their teeth. Like any field of medicine, it is rare to jump straight to a surgical plan unless more conservative, less invasive care has been completed.

Do I have to have periodontal maintenance therapy the rest of my life?

Typically yes. Periodontal disease at this time is not curable and much like other medical problems patients have (high blood pressure, heart disease, diabetes, autoimmune problems, etc) it requires ongoing care to keep things healthy and stable. Periodontal maintenance therapy allows us to ensure that the gains we have made with treatment are going to immediately relapse. If the plaque and calculus comes back, the disease process comes back.  Maintenance care allows us to remove these problems before they migrate under the gumline and allows us to continuously work with you to ensure your oral hygiene regimen is optimal along the way.

Do all extraction sites need a bone graft?

No, most of the time we will recommend a bone graft if there is a future implant planned for this site.  If there is not an implant planned or if there is a large infection around the tooth, then a graft will not be advised.  A collagen membrane will typically always be recommended as it will help hold the blood clot that will form in the extraction site and prevents a dry socket and food debris from packing down into the sockets as it heals.

How long after functional crown lengthening will I be ready to have any restorations (crowns, veneers, etc) placed with my dentist?

Typically we will wait 6 weeks after the surgical procedures to ensure the new gumline is stable and fully matured.  This ensures the new gum line will not change once the final restorations are placed with your dentist.

I have an infant that needs some frenectomies to help with breastfeeding, can this be done at your office?

No, Dr. Blansett is not trained to work with young children and will typically refer to a pediatrician or a pediatric dentist to help safely deliver this care. Patients who are typically age 8 and above can physically and mentally tolerate local anesthetic procedures such as frenectomies and can safely be treated at our office.  

Call Us Today!

479-282-2812

We look forward to the opportunity to continue to serve all of your dental implant and periodontal needs!