Dr. Robert Sorrentino, DMD
Quality Periodontics on Staten Island, NY
Periodontal Treatment and Periodontal Surgery
Initial Oral Examination
Your first visit at our office is very important in establishing your oral health baseline. Dr. Sorrentino will perform a complete periodontal evaluation, an analysis of your occlusion (bite) and a thorough examination of your teeth, their supporting structures and of the oral anatomy.
The Preventive Program
Both natural teeth and teeth with restorations survive best in an oral environment that is clean and where proper oral hygiene is maintained. Our dental hygiene program is designed to help prevent new cavities, preserve teeth that have been restored and manage periodontal disease. At the initial visit with our hygienist, oral hygiene instructions are reviewed, and they are reinforced at subsequent recall visits.
LANAP - Laser Gum Surgery
Our practice offers a minimally invasive periodontal surgery called the LANAP protocol for the safe, effective treatment of gum disease, resulting in less pain, faster recovery, true regeneration of gum tissue for real healing and a healthier mouth. During the LANAP procedure, a dental laser is used to gently remove harmful germs and diseased tissue from the gum pocket, keeping healthy tissue intact.
LAPIP - Laser Dental Implant Surgery
Sometimes dental implants can develop complications for a variety of reasons. The LAPIP laser dental implant surgery procedure has proven success in saving implants and is less invasive, takes less time, and patients experience less discomfort.
Scaling and Root Planing
Periodontal treatment methods depend on the type and severity of the disease. We evaluate the severity of problems for each of our patients and recommend the appropriate treatment. Periodontal disease progresses as the pocket or space between the tooth and gums gets filled with bacteria, plaque, and tartar. This causes irritation to the surrounding tissues, and when they remain, they cause infection and damage to the gums. Eventually they damage the bone that supports the teeth. If the disease is caught in the early stages, known as Gingivitis, and no permanent damage has been done, one to two regular cleanings plus improvements to daily oral hygiene habits (we will provide instructions) may be recommended to resolve the issue. When the disease has progressed to a more advanced stage in which the infection has caused bone loss, treatment options may include scaling and root planing, bone surgery or or other gingival and osseous treatments.
Pocket Reduction Surgery
Pocket reduction surgery (also known as gingivectomy, osseous surgery and flap surgery) is a collective term for a series of several different surgeries aimed at gaining access to the roots of the teeth in order to remove bacteria and tartar (calculus).
The human mouth contains dozens of different bacteria at any given time. The bacteria found in plaque produce acids that lead to demineralization of the tooth surface, and ultimately contribute to periodontal disease.
Periodontal infections cause a chronic inflammatory response in the body that literally destroys bone and gum tissues once they invade the subgingival area (below the gum line). Periodontal disease is a progressive condition which, if left untreated, causes gingival inflammation and bone loss. Pocket reduction surgery is an attempt to alleviate this destructive cycle, and reduce the depth of the bacteria-harboring pockets.
Gum Tissue Grafts
There are three types of gum tissue grafts. Our doctors will evaluate your needs and decide which method is the best fit for you.
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- Connective-tissue grafts:This is the most common method used to treat root exposure. During the procedure, a flap of skin is cut at the roof of your mouth (palate) and tissue from under the flap, called subepithelial connective tissue, is removed and then stitched to the gum tissue surrounding the exposed root. After the connective tissue -- the graft -- has been removed from under the palatal flap, the flap is stitched back down.
- Free gingival grafts:Similar to a connective-tissue graft, free gingival grafts involve the use of tissue from the roof of the mouth. But instead of making a flap and removing tissue under the top layer of flesh, a small amount of tissue is removed directly from the roof of the mouth and then attached to the gum area being treated. This method is used most often in people who have thin gums to begin with and need additional tissue to enlarge the gums.
- Pedicle grafts:In this procedure, instead of taking tissue from the palate, it is grafted from gum around or near the tooth needing repair. The flap, called a pedicle, is only partially cut away so that one edge remains attached. The gum is then pulled over or down to cover the exposed root and sewn into place. This procedure can only be done in people who have plenty of gum tissue near the tooth.
Dental implants are frequently the best treatment option for replacing missing teeth. Rather than resting on the gum line like removable dentures, or using adjacent teeth as anchors like fixed bridges, dental implants are long-term replacements that are surgically placed in the jawbone. Dental implants are composed of titanium metal that "fuses" with the jawbone through a process called "osteointegration". After more than 20 years of service, the vast majority of dental implants first placed in the United States continue to function at peak performance. If properly cared for, dental implants can last a lifetime. The practice of providing dental implants combines the best of modern science and technology, including a team approach spanning several disciplines.
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During both periodontal and dental implant surgery, it may be necessary to perform bone grafting. The bone graft supplements the bone around existing teeth or in the case of implants, in the recipient site of the implant. The goal of the graft is to strengthen bone support for the existing tooth or to create a more stable base for the dental implant.
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Image credit ZimmerBiometDental.com / Puros
Dental implants need bone to hold them in place. When the sinus wall is very thin, it is impossible to place dental implants in this bone. There is a solution called a sinus graft or sinus lift graft. During this procedure, your periodontist enters the sinus from where the upper teeth used to be. The sinus membrane is then lifted upward and donor bone is inserted into the floor of the sinus. The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option other than wearing partial dentures.