PROCEDURES

READ OUR INSTRUCTIONS & FAQ’S

Keystone Periodontics and Implantology was founded with the intent of providing exceptional patient care. We are a traveling periodontal practice that serves patients at their home-base dental office.

The removal of a tooth is an extraction. Extractions are recommended for various reasons including, but not limited to, severe bone loss around the tooth roots, non-restorable cavities, part of orthodontic plan, part of restorative/prosthodontic plan, abscess, etc.

When a tooth is planned for an extraction and there is a lack of bone surrounding the tooth, a bone graft may be recommended. A bone graft procedure involves placement of bone particles inside the fresh socket. It serves to help re-build bone and also to minimize the natural bone shrinkage that occurs during healing from extractions. The bone particulates can come from a variety of sources such as human and animal donors. The bone graft is obtained from bone banks where strict processes are in place and are rigorously regulated by the American Association of Tissue Banks to ensure safety to the public. Oftentimes bone grafting is recommended if an implant is being planned as the replacement tooth option.

 A method used in dentistry to help patients relax during dental procedures. It involves the administration of sedative medications in pill form, which can be taken orally before the procedure.

A surgical procedure that aims at increasing the volume of bone in an area lacking adequate bone volume for implant placement. A ridge is an extension in our jawbone missing a tooth/teeth. When your dentist recommends an implant, sometimes there may not be enough bone to predictably and safely perform the implant procedure. A ridge augmentation procedure is performed either prior to an implant being placed or at the same time.

A surgical procedure that is recommended when moderate to severe periodontitis is present. It involves surgically accessing the root surfaces of the teeth for debridement (cleaning). It also involves contouring the bone surrounding the teeth. The gingiva may also need to be trimmed in the process. Most patients whom undergo scaling and root planning (deep cleaning) first, and whom still show active periodontitis (deep pockets), may be recommended for this procedure.

A surgical technique involving trimming the soft tissue (gingiva) of the last molar in the arch.

A surgical procedure that is performed when the roots of the teeth need to be accessed for treatment.

Regeneration:

 A surgical procedure aimed at regenerating the structures lost due to disease around a tooth. There are several modalities of this treatment including use of biologics with or without a bone graft and membrane.

 A surgical procedure where binding tissue is cut or modified.

A surgical procedure that involves exposing additional tooth structure to either provide more tooth surface for a final restoration or to eliminate inflammation around a previously placed restoration. This is typically performed by trimming the gingiva and bone surrounding the tooth.

A surgical procedure aimed at exposing additional tooth structure for esthetic reasons such as a “gummy smile”. It involves trimming excess gingiva and bone.

A surgical procedure that involves trimming the gingiva to expose more tooth structure.

  • When a tooth/teeth are missing, or when a tooth is planned for an extraction, dental implants are sometimes the replacement of choice. A dental implant is a biocompatible metal screw that is placed into the bone of the jaw or skull to support a dental prosthesis, such as a dental crown, bridge, or denture. This is a surgical procedure involving accessing the bone and utilizing several specialized drills for osteotomy. Once the correct dimension is achieved, a dental implant is placed. Patients typically heal anywhere between 3-6 months before a final restoration can be placed. 

When a front tooth is missing or planned for replacement with a dental implant, a provisional crown may be a fixed temporary replacement option during the time the implant is healing. This temporary crown can be placed during the implant surgery or after. The benefit of planning a provisional is that it stands as a fixed temporary replacement and it will help achieve the best esthetic outcomes.

When a tooth is impacted (hidden under the gums/bone) and the orthodontic plan is to expose the tooth, this surgical procedure is often necessary. It involves removal of soft tissue or a gingival flap and oftentimes the removal of bone to uncover the tooth. A bracket with chains is then bonded onto the exposed tooth surface where it will be connected to the orthodontic wire to facilitate tooth movement into the arch.

When there is a lack of gingiva around teeth, implants, or ridge areas, a soft tissue graft may be recommended. Autogenous grafts (self grafts) such as a free gingival graft (FGG) and a connective tissue grafts (CTG) can be used for covering recessions around teeth or thickening the soft tissue around a tooth or implant. It can also help widen the band of keratinized gingiva (light pink gums) and deepen the vestibular area for improved denture retention. The location where autogenous grafts are harvested may vary, but oftentimes it is taken from the palate, (roof of the mouth). Another option that may be indicated is an allograft (human donor graft). This type of graft is safe to use for the same reasons as autogenous grafts.

Regeneration:

 A surgical procedure aimed at regenerating the structures lost due to disease around a tooth. There are several modalities of this treatment including use of biologics with or without a bone graft and membrane.

 A surgical procedure where binding tissue is cut or modified.

A surgical procedure that involves exposing additional tooth structure to either provide more tooth surface for a final restoration or to eliminate inflammation around a previously placed restoration. This is typically performed by trimming the gingiva and bone surrounding the tooth.

A surgical procedure aimed at exposing additional tooth structure for esthetic reasons such as a “gummy smile”. It involves trimming excess gingiva and bone.

A surgical procedure that involves trimming the gingiva to expose more tooth structure.

  • When a tooth/teeth are missing, or when a tooth is planned for an extraction, dental implants are sometimes the replacement of choice. A dental implant is a biocompatible metal screw that is placed into the bone of the jaw or skull to support a dental prosthesis, such as a dental crown, bridge, or denture. This is a surgical procedure involving accessing the bone and utilizing several specialized drills for osteotomy. Once the correct dimension is achieved, a dental implant is placed. Patients typically heal anywhere between 3-6 months before a final restoration can be placed. 

When a front tooth is missing or planned for replacement with a dental implant, a provisional crown may be a fixed temporary replacement option during the time the implant is healing. This temporary crown can be placed during the implant surgery or after. The benefit of planning a provisional is that it stands as a fixed temporary replacement and it will help achieve the best esthetic outcomes.

When a tooth is impacted (hidden under the gums/bone) and the orthodontic plan is to expose the tooth, this surgical procedure is often necessary. It involves removal of soft tissue or a gingival flap and oftentimes the removal of bone to uncover the tooth. A bracket with chains is then bonded onto the exposed tooth surface where it will be connected to the orthodontic wire to facilitate tooth movement into the arch.

When there is a lack of gingiva around teeth, implants, or ridge areas, a soft tissue graft may be recommended. Autogenous grafts (self grafts) such as a free gingival graft (FGG) and a connective tissue grafts (CTG) can be used for covering recessions around teeth or thickening the soft tissue around a tooth or implant. It can also help widen the band of keratinized gingiva (light pink gums) and deepen the vestibular area for improved denture retention. The location where autogenous grafts are harvested may vary, but oftentimes it is taken from the palate, (roof of the mouth). Another option that may be indicated is an allograft (human donor graft). This type of graft is safe to use for the same reasons as autogenous grafts.

DrSardenberg-Periodontist-MilwaukeeWisconsin
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Dr. Juliana Sardenberg-Melcher

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