WHAT IS A FREE GINGIVAL GRAFT?

A free gingival graft is a periodontal surgical procedure used to increase the amount of attached gum tissue (keratinized gingiva) around a tooth or dental implant. This type of graft is often recommended for patients with thin gums, gum recession, or to help stabilize the gum tissue and prevent further recession. During the procedure, a small piece of tissue is typically taken from the roof of the mouth (palate) and transplanted to the area where more gum tissue is needed.

WHY IS A FREE GINGIVAL GRAFT NEEDED?

Gum recession can expose the tooth root, leading to increased sensitivity, risk of cavities, and aesthetic concerns. Thin or insufficient gum tissue may also make the area more prone to further recession, especially with aggressive brushing or orthodontic movement. A free gingival graft helps reinforce the area, providing a stronger, more protective band of gum tissue.

SIGNS YOU MAY NEED A FREE GINGIVAL GRAFT:

• Gum recession exposing tooth roots
• Thin or fragile gum tissue
• Increased tooth sensitivity near the gumline
• Difficulty cleaning due to gum discomfort or bleeding
• Worsening gum recession over time
• Prior to orthodontic treatment in areas with insufficient gum thickness

HOW A FREE GINGIVAL GRAFT WORKS:

1. Assessment & Planning: The dentist or periodontist evaluates the area needing grafting and discusses the procedure.
2. Tissue Harvesting: A small section of tissue is taken from the palate (or occasionally a tissue bank).
3. Transplantation: The tissue is carefully sutured to the area lacking gum thickness or coverage.
4. Healing Process: Over the next few weeks, the graft integrates with the surrounding tissue, improving both function and appearance.

BENEFITS OF A FREE GINGIVAL GRAFT:

• Increases the thickness of gum tissue
• Helps stop the progression of gum recession
• Reduces tooth sensitivity
• Enhances aesthetics, especially in visible areas
• Creates a more stable environment for future dental work (such as braces or implants)

POST-SURGICAL CARE & HEALING:

• Avoid brushing or flossing near the graft site until advised by your dentist
• Eat soft foods and avoid spicy or crunchy items during the healing period
• Use prescribed mouth rinses or medications as directed
• Attend all follow-up appointments to monitor healing and graft success

LONG-TERM GUM HEALTH MAINTENANCE:

• Practice gentle but thorough brushing and flossing techniques
• Avoid tobacco use, which impairs healing and contributes to gum disease
• Continue regular dental visits for cleanings and checkups
• Use a soft-bristled toothbrush and non-abrasive toothpaste
• Ask your dentist if a nightguard or other protective devices are recommended

At Dental Choice, we prioritize your gum health as a vital part of your overall oral well-being. Our experienced team provides expert evaluation and treatment for gum recession, including free gingival grafts tailored to your unique needs. If you're noticing signs of gum recession or have been advised to consider a graft, we’re here to answer your questions and guide you through every step of the process. Schedule your consultation today—we’re committed to restoring and protecting your smile.

WHAT IS OSSEOUS RESECTIVE SURGERY (ORS)?

Osseous Resective Surgery (ORS), also known as pocket reduction surgery, is a periodontal surgical procedure designed to treat advanced gum disease by reducing the depth of periodontal pockets and reshaping the underlying bone. These deep pockets, caused by periodontitis, can harbor harmful bacteria that cannot be reached by regular brushing or flossing. ORS helps create a healthier, more maintainable environment around the teeth by removing infected tissue and smoothing the bone around the tooth roots.

WHY IS ORS NEEDED?

When periodontal pockets become too deep, they allow plaque and tartar to accumulate below the gumline. This buildup leads to chronic infection, bone loss, and eventually tooth loss if left untreated. ORS is performed when non-surgical treatments, such as scaling and root planing, are no longer effective in managing periodontal disease.

SIGNS YOU MAY NEED OSSEOUS RESECTIVE SURGERY:

• Deep periodontal pockets that do not respond to non-surgical treatment
• Persistent gum inflammation or bleeding
• Loose teeth due to bone loss
• Difficulty maintaining oral hygiene in deep pocket areas
• Visible gum recession and root exposure
• Changes in bite or shifting of teeth

HOW OSSEOUS RESECTIVE SURGERY WORKS:

1. Evaluation & Planning: Your dentist or periodontist will assess the severity of your periodontal disease using X-rays and pocket depth measurements.
2. Surgical Access: The gums are gently lifted to expose the tooth roots and underlying bone.
3. Tissue & Bone Reshaping: Infected tissue and tartar are removed, and irregular areas of bone are smoothed to eliminate deep pockets and prevent bacterial traps.
4. Gum Repositioning: The gums are repositioned and sutured to allow for easier cleaning and healing.

BENEFITS OF OSSEOUS RESECTIVE SURGERY:

• Reduces periodontal pocket depth
• Improves gum and bone health
• Enhances ability to clean teeth effectively
• Helps stop the progression of gum disease
• Preserves natural teeth
• Creates a more stable oral environment for future restorations or orthodontics

POST-SURGICAL CARE & HEALING:

• Follow specific instructions from your dental provider regarding brushing and rinsing
• Use any prescribed mouth rinses or medications to prevent infection
• Eat soft foods and avoid chewing near the surgical site for the first few days
• Attend all follow-up visits to ensure proper healing and monitor your gum health

MAINTAINING GUM HEALTH AFTER ORS:

• Brush twice daily with a soft-bristled toothbrush
• Floss carefully and consistently
• Avoid tobacco use, as it delays healing and worsens gum disease
• Keep up with professional cleanings and periodontal maintenance visits
• Use any recommended antimicrobial mouthwashes

At Dental Choice, we’re committed to protecting your oral health by offering advanced solutions for gum disease, including Osseous Resective Surgery. Our experienced dental professionals will evaluate your condition and guide you through the best treatment options to restore your gums and preserve your natural teeth. If you’re experiencing signs of periodontal disease or have been advised to consider surgery, we’re here to help. Schedule your consultation today and take the next step toward a healthier smile.

WHAT IS BONE GRAFTING & DENTAL IMPLANT TREATMENT?

Bone grafting and dental implants are advanced procedures used to restore your oral health, function, and smile after tooth loss. When a tooth is lost, the jawbone in that area begins to shrink due to lack of stimulation. Bone grafting is a surgical procedure that rebuilds or strengthens the jawbone, making it possible to place a secure and long-lasting dental implant. A dental implant is a titanium post that replaces the root of a missing tooth and supports a crown, bridge, or denture for a natural-looking and functional restoration.

WHY ARE BONE GRAFTING & IMPLANTS NEEDED?

Tooth loss can lead to bone deterioration, shifting of nearby teeth, bite problems, and changes in facial appearance. Dental implants are the gold standard for tooth replacement, but they require sufficient bone for proper support. If the jawbone is too thin or soft to hold an implant, bone grafting may be necessary to rebuild the foundation.

SIGNS YOU MAY NEED BONE GRAFTING & IMPLANTS:

• Missing one or more teeth
• Difficulty chewing or speaking clearly
• Bone loss visible on X-rays
• Jawbone too thin or soft to support an implant
• Dentures that no longer fit comfortably
• Sunken facial appearance due to bone loss

HOW BONE GRAFTING & IMPLANT PLACEMENT WORKS:

1. Consultation & Imaging: Your dentist evaluates your oral health using X-rays or 3D imaging to assess bone volume and plan treatment.
2. Bone Grafting (if needed): Bone material—either from your body, a donor source, or synthetic— is added to the jawbone to rebuild the area. Healing may take several months.
3. Implant Placement: Once the graft has healed (or if no graft is needed), the dental implant is surgically placed into the jawbone. Over time, it integrates with the bone through a process called osseointegration.
4. Final Restoration: After the implant fully integrates, a custom-made crown, bridge, or denture is attached to restore your smile.

BENEFITS OF BONE GRAFTING & DENTAL IMPLANTS:

• Restores function for chewing and speaking
• Prevents bone loss and maintains facial structure
• Provides a strong, stable foundation for tooth replacement
• Looks, feels, and functions like natural teeth
• Long-lasting and durable solution
• Does not affect neighboring teeth like traditional bridges

POST-SURGICAL CARE & HEALING:

• Follow your dentist’s instructions for managing discomfort, swelling, or bleeding
• Eat soft foods and avoid chewing on the surgical site
• Take all prescribed medications as directed
• Maintain good oral hygiene while avoiding the surgical area
• Attend all scheduled follow-up visits

MAINTAINING YOUR IMPLANTS LONG-TERM:

• Brush and floss daily, just like with natural teeth
• Visit the dentist regularly for professional cleanings and check-ups
• Avoid smoking, which can hinder healing and increase implant failure risk
• Use a nightguard if you grind your teeth
• Follow your dentist’s recommendations for at-home care

At Dental Choice, we believe everyone deserves a healthy, confident smile. Our team is highly experienced in both bone grafting and dental implant procedures, offering customized treatment plans tailored to your specific needs. Whether you’re missing a single tooth or require a full-mouth restoration, we’re here to help you rebuild your smile from the foundation up. Schedule your consultation with us today and take the first step toward restoring your oral health and quality of life.

WHAT IS A GINGIVECTOMY OR FRENECTOMY?

A gingivectomy is a minor surgical procedure that removes excess or overgrown gum tissue to improve gum health, enhance the appearance of the smile, or create better access for cleaning. It is often used to treat gum disease or correct a “gummy” smile.

A frenectomy is the removal or adjustment of a frenum—a small fold of tissue inside the mouth. This procedure is performed when the frenum is too tight or restrictive, causing problems with speech, gum health, or tooth movement.

Both procedures are quick, safe, and performed under local anesthesia, with minimal recovery time.

WHY ARE THESE PROCEDURES NEEDED?

GINGIVECTOMY may be recommended for:

• Overgrown or inflamed gum tissue due to gum disease or medication
• A “gummy smile” where too much gum shows when smiling
• Deep pockets between teeth and gums that trap bacteria
• Improving access to decayed areas for dental restorations

FRENECTOMY may be recommended for:

• A lip-tie or tongue-tie (restrictive frenum) that limits movement
• Speech difficulties in children or adults
• Gum recession caused by a pulling frenum
• Difficulty with orthodontic treatment or denture fit

SIGNS YOU MAY NEED A GINGIVECTOMY OR FRENECTOMY:

• Excessive or uneven gum tissue
• Trouble keeping the gumline clean
• Speech challenges or restricted tongue movement
• Gaps between teeth caused by a tight frenum
• Gum pulling or recession near a frenum
• Discomfort when speaking, eating, or moving the tongue or lip

HOW THESE PROCEDURES WORK:

GINGIVECTOMY:

1. Evaluation: Your dentist will assess the health and shape of your gums.
2. Tissue Removal: Under local anesthesia, small amounts of excess gum tissue are carefully trimmed and reshaped.
3. Healing: The area is cleaned, and a protective dressing may be applied. Healing typically takes 1–2 weeks.

FRENECTOMY:

1. Evaluation: Your dentist will examine the frenum and determine whether it is contributing to symptoms.
2. Frenum Release: The frenum is gently cut or removed using a laser or scalpel.
3. Healing: Minimal sutures may be placed. Healing is fast, often within a few days.

BENEFITS OF A GINGIVECTOMY OR FRENECTOMY:

• Improved oral hygiene and gum health
• Enhanced smile appearance
• Reduced risk of gum disease
• Relief from speech, feeding, or orthodontic complications
• Greater comfort with tongue or lip movement
• Better fit for braces, dentures, or restorations

POST-PROCEDURE CARE & RECOVERY:

• Use any prescribed mouth rinses or medications to support healing
• Avoid spicy, hot, or crunchy foods for a few days
• Gently brush around the surgical area as directed
• Apply ice packs and take over-the-counter pain relief if needed
• Return for any follow-up appointments as scheduled

MAINTAINING YOUR RESULTS:

• Maintain a healthy oral hygiene routine with brushing and flossing
• Keep up with regular dental cleanings and checkups
• Follow any recommendations for speech therapy or orthodontics, if applicable
• Monitor the area for any signs of irritation or regrowth

At Dental Choice, we’re committed to providing comfortable, effective treatments that improve both the health and appearance of your smile. Whether you or your child need a gingivectomy, frenectomy, or a full evaluation of gum and oral tissue health, our experienced team is here to help. Schedule a consultation today and take the next step toward a healthier, more confident you.

WHAT IS SURGICAL CURETTAGE?

Surgical curettage is a periodontal procedure used to treat moderate to advanced gum disease (periodontitis) by removing infected soft tissue from inside the gum pockets. This helps reduce inflammation, eliminate bacteria, and promote healing of the gums. Unlike a regular dental cleaning, surgical curettage targets the inner lining of the gums to help reattach healthy tissue to the teeth and prevent further progression of periodontal disease.

WHY IS SURGICAL CURETTAGE NEEDED?

When gum disease progresses, bacteria accumulate in deep pockets between the teeth and gums. These pockets harbor infected tissue that cannot be removed with brushing, flossing, or even routine cleanings. If left untreated, the infection can lead to gum and bone loss, and eventually tooth loss. Surgical curettage is performed when non-surgical methods like scaling and root planing are not enough to stop the disease.

SIGNS YOU MAY NEED SURGICAL CURETTAGE:

• Persistent gum inflammation or bleeding
• Deep gum pockets that remain after initial treatments
• Red, swollen, or tender gums
• Loose or shifting teeth
• Bone loss visible on dental X-rays
• Gum tissue not reattaching properly after scaling and root planing

HOW SURGICAL CURETTAGE WORKS:

1. Diagnosis & Assessment: Your dentist or periodontist measures gum pocket depth and evaluates gum health.
2. Anesthesia: Local anesthesia is used to ensure comfort during the procedure.
3. Tissue Removal: Infected inner gum lining and diseased tissue are carefully removed from the pocket.
4. Pocket Cleaning: The area is thoroughly cleaned to remove bacteria, plaque, and tartar.
5. Healing: The procedure encourages reattachment of the gum to the tooth and reduction of pocket depth.

BENEFITS OF SURGICAL CURETTAGE:

• Reduces the depth of gum pockets
• Helps stop the progression of gum disease
• Promotes healing and reattachment of healthy tissue
• Improves the success of future cleanings and maintenance
• May reduce the need for more invasive surgery later on
• Helps preserve natural teeth

POST-PROCEDURE CARE & RECOVERY:

• Mild discomfort or swelling may occur; use recommended pain relief as needed
• Follow instructions for oral hygiene around the treated area
• Use antimicrobial rinses as prescribed to reduce bacterial buildup
• Eat soft foods and avoid chewing in the treated area for a few days
• Attend follow-up appointments to monitor healing progress

MAINTAINING GUM HEALTH AFTER SURGICAL CURETTAGE:

• Brush gently twice a day with a soft-bristled toothbrush
• Floss daily to prevent plaque buildup between teeth
• Avoid tobacco products, which slow healing and worsen gum disease
• Stay on schedule with professional periodontal maintenance visits
• Discuss any recurring symptoms with your dentist right away

At Dental Choice, your periodontal health is a top priority. Our team is experienced in treating gum disease with advanced techniques, including surgical curettage when needed. If you’ve been struggling with persistent gum issues or haven’t responded to non-surgical care, we’re here to help. Contact us today to schedule an evaluation and take the next step toward a healthier, more confident smile.

What Is Distal Wedging?

Distal wedging is a minor surgical procedure used to remove the excess gum tissue—often called a "gum flap"—that covers or hangs over the back (distal) part of the last molar, usually the wisdom tooth area. This gum flap can trap food and bacteria, making it difficult to clean and leading to discomfort or infection.The procedure is designed to reshape and reduce the tissue behind the last molar, creating a cleaner, healthier environment for your gums and teeth.

What to Expect During Treatment

Distal wedging is typically performed under local anesthesia, so you’ll be awake but comfortable throughout the procedure. Here's what the process usually involves:

• Assessment: Your dentist or oral surgeon will examine the area and possibly take X-rays.
• Anesthesia: Local anesthetic is applied to numb the area.
• Tissue Removal: The excess gum tissue is carefully trimmed and shaped to eliminate the flap.
• Suturing: Stitches may be placed to help the tissue heal in a more natural contour.
• Recovery: Healing usually takes about 1–2 weeks. You'll receive instructions on how to care for the area and manage any discomfort.

Signs You May Need Distal Wedging

You might benefit from distal wedging if you experience:

• Persistent irritation or swelling behind your last molar
• Pain while chewing or brushing in that area
• Food frequently getting trapped under the gum flap
• Bad breath or bad taste despite good oral hygiene
• Recurrent infections or inflammation (pericoronitis)

These symptoms are often linked to an overgrowth of gum tissue that traps bacteria and debris, leading to chronic issues.

Benefits of Distal Wedging

• Improved Oral Hygiene: Easier access for brushing and flossing behind the last molar
• Reduced Risk of Infection: Eliminates a common source of bacterial buildup
• Pain Relief: Alleviates discomfort caused by trapped food or inflamed tissue
• Preventive Care: Helps avoid more serious gum problems or infections later on
• Quick Recovery: Most patients heal quickly with minimal downtime

What Is Guided Bone Regeneration?

Guided Bone Regeneration (GBR) is a specialized dental surgical procedure that helps stimulate natural bone growth in areas where bone volume is lacking. It is commonly used to rebuild bone in the jaw to prepare for dental implants or to correct bone defects around existing teeth caused by gum disease or trauma. The procedure involves placing a bone graft along with a barrier membrane over the area where bone loss has occurred. This barrier protects the bone graft and prevents soft tissue from growing into the area, allowing the bone to regenerate over time.

What to Expect During Treatment

Guided Bone Regeneration is typically performed under local anesthesia, sometimes with sedation if needed. The treatment process generally includes:

• Evaluation & Imaging: Your dentist or oral surgeon will use X-rays or 3D imaging to assess bone volume and determine the best approach.
• Bone Graft Placement: A biocompatible grafting material (either synthetic, donor, or from your own body) is placed in the area of bone loss.
• Barrier Membrane Application: A protective membrane is secured over the graft to isolate it from the surrounding tissue.
• Healing Period: The membrane stays in place as the bone regenerates over several months—typically 4 to 9 months.
• Follow-Up Procedures: Once healing is complete, additional dental treatments like implants can be performed.

Signs You May Need Guided Bone Regeneration

• Have insufficient jawbone to support a dental implant
• Experienced bone loss after tooth extraction or trauma
• Have gum disease (periodontitis) that caused bone defects around teeth
• Are planning full or partial dentures but lack adequate bone support
• Have facial collapse or sunken appearance due to jawbone loss

Benefits of Guided Bone Regeneration

• Enables Dental Implants: Provides the strong, stable foundation needed for long-lasting implant success
• Restores Facial Structure: Rebuilds natural bone contours and facial aesthetics
• Improves Oral Health: Helps treat and stabilize bone loss caused by gum disease
• Preserves Jaw Strength: Prevents further bone deterioration after tooth loss
• Minimally Invasive with High Success Rate: Modern GBR techniques are safe, predictable, and well-tolerated

What Is Sinus Lift Surgery?

Sinus lift surgery—also known as a sinus augmentation—is a specialized dental procedure that adds bone to the upper jaw in the area of the molars and premolars. This is done by lifting the sinus membrane upward and placing bone graft material into the space beneath it, helping to increase bone height in the back of the upper jaw.This procedure is often necessary when there isn't enough natural bone to support a dental implant due to factors like bone loss, anatomy, or previous tooth extractions.

What to Expect from the Treatment

Sinus lift surgery is typically performed by a periodontist or oral surgeon under local anesthesia, and sometimes with sedation. The procedure includes:

• Initial Evaluation: 3D imaging (such as a CBCT scan) is used to assess sinus position and bone volume.
• Accessing the Sinus: A small incision is made in the gum tissue to expose the bone.
• Lifting the Sinus Membrane: A small window is created in the bone, and the sinus membrane is gently lifted upward.
• Placing the Bone Graft: Bone graft material (from your body, a donor, or synthetic source) is placed in the space created.
• Healing & Recovery: The grafted bone needs time to integrate—typically 4 to 9 months—before an implant can be placed.

Post-surgery, patients may experience minor swelling or sinus pressure for a few days, but discomfort is usually minimal and well managed with medication.

Signs You May Need a Sinus Lift

You may be a candidate for sinus lift surgery if:

• You’ve been told you don’t have enough bone height in the upper jaw for dental implants
• You’ve lost teeth in the upper back jaw (especially molars or premolars)
• You have large sinus cavities that leave little room for implants
• Bone has resorbed (shrunk) over time after tooth loss or gum disease
• You’re planning for a full arch restoration or implant-supported dentures in the upper jaw

Benefits of Sinus Lift Surgery

• Makes Implants Possible: Creates the bone support needed for safe, long-lasting dental implants
• Restores Jawbone Volume: Rebuilds natural bone structure lost to resorption or sinus expansion
• Improves Stability & Function: Supports better chewing, speaking, and long-term oral health
• Prevents Further Bone Loss: Encourages new bone growth and helps maintain facial contours
• Customized to You: Procedure is tailored to your unique anatomy and dental goals

Schedule Your Consultation Today

If you’ve been told you don’t have enough bone for implants in the upper jaw, a sinus lift might be the key to restoring your smile. Your dental specialist will guide you through imaging, planning, and treatment to ensure a safe and successful outcome.