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109 North US HWY 27/441, Lady Lake, Florida-32159

Bone grafting and gum surgeries

What are Regenerative surgeries ?

Periodontal disease (gum disease) is a condition which damages both the gum tissue and the bone that surrounds your teeth. This bone 105s can lead to the loss of teeth if left untreated. The procedure for regenerating bone loss caused by gum disease involves making an incision around the tooth or teeth involved and gently pushing back the gum tissue to gain access to the area needing treatment. After thoroughly cleaning the area free of all plaque and tartar, a bone graft material is placed under the gums. The gums are then sutured back into place. We have bone graft materials on hand, so we do not need to take the bone from you. Over the next few months, the bone that had previously been lost to gum disease will begin to regenerate almost to its original contours

Regenerative procedures are also used in order to place dental implants. In order to place a dental implant, the bone has to be thick enough to support it. Sometimes when the bone is too thin, we can augment the area with a bone graft in an effort to regain the bone thickness needed. This procedure involves placing the bone graft material under the gum tissue to the desired thickness. The bone graft is sometimes mixed with growth factors to help accentuate the healing process. A membrane is then placed over the bone graft and the area is sutured to allow for undisturbed healing. Think of a membrane as a “Band-Aid” that covers the bone to help hold it in place while healing takes place. Approximately, 3-6 months later the bone will have healed enough to support the placement of a dental implant

Regenerative Procedures

Bone Grafting Scenario I

Bone Grafting Scenario II

What is Free Gingival soft tissue Graft ?

A free gingival graft is a dental procedure where a small layer of tissue is removed from the palate of the patient’s mouth and then relocated to the site of gum recession. It is sutured (stitched) into place and will serve to protect the exposed root as living tissue. The donor site will heal over a period of time without damage. This procedure is often used to increase the thickness of very thin gum tissue.

What is an Alloderm Graft ?

An acellular dermal matrix (such as Alloderm) graft uses donated medically processed human skin tissue from Tissue Bank as a source for the graft. The advantage of this procedure is no need for a palatal donor site.

What is Crown Lengthening and why is it done ?

Crown lengthening is a surgical procedure performed by a dentist to expose a greater amount of tooth structure for the purpose of subsequently restoring the tooth prosthetically.[1] This is done by incising the gingival tissue around a tooth and, after temporarily displacing the soft tissue, predictably removing a given height of alveolar bone from the circumference of the tooth or teeth being operated on.

Biologic Width : It is the height between the deepest point of the gingival sulcus and the alveolar bone crest. This distance is important to consider when fabricating dental restorations, because they must respect the natural architecture of the gingival attachment if harmful consequences are to be avoided.

The biologic width is patient specific and may vary anywhere from 0.75-4.3 mm. it is often recommended to remove enough bone to have 3mm between the restorative margin and the crest of alveolar bone.[3][4][5] When restorations do not take these considerations into account and violate biologic width, three things tend to occur:

  • Chronic pain
  • Chronic inflammation of the gingiva
  • Unpredictable loss of alveolar bone
Crown Lengthening Scenario 1 With Bur Tool

Crown Lengthening Scenario 2 With Bur Tool

Crown Lengthening Scenario 4 With Bur Tool