Periodontal Care You Can Trust
At Perio Inland, we offer a range of advanced periodontal services to patients of all ages throughout Upland, CA and San Bernardino, CA. Our periodontists have the skills and knowledge necessary to provide every patient with the highest quality of care. With a warm and welcoming environment, our patients feel comfortable and can ask any questions they may have about their treatment.
Services we offer include, but are not limited to:
Designed for patients who need to replace missing oral structures (missing teeth).
What is Implant Dentistry?
Implant dentistry is the dental specialty that focuses on restorative procedures that replaces missing teeth with ones that look, feel, and perform like their own. Implant dentistry involves the surgical placement of one or more artificial tooth roots known as dental implants.
What are Dental Implants?
Implants are natural looking replacements for missing teeth. The implant itself is a titanium post that attaches to your jawbone. This post provides an anchor for your general dentist to place crowns, bridges or other restorations such as a denture. Implants are great for patients who are unable to wear dentures, since a bridge can be fixed to implants.
Dental implants begin with an evaluation by your general dentist who will decide if you are a good candidate for this procedure. The part of your natural tooth that is visible is the "crown." Your tooth root is embedded in your jawbone giving the tooth a stable foundation which allows you to bite and chew. A dental implant is a substitute, or replacement tooth root, which provides a stable foundation for a replacement crown.
Here are some facts related to dental implants:
- Are the most advanced tooth replacement system ever devised
- Help preserve the jawbone to prevent the appearance of premature aging
- Missing teeth causes bone shrinkage, while implants help preserve the jawbone
- Are placed/restored in the doctor's office with minimal discomfort
- Improve comfort, appearance, speech
- Have a 95% or greater success rate
What other Implant Dentistry procedures are available?
For successful implant placement, it is vital that the patient have sufficient jawbone. Inadequacies in the upper or lower jaw can cause problems in anchoring the implant, and also cause an unattractive indentation in the jaw line near the missing teeth. These inadequacies may have been the result of periodontal disease, wearing dentures, developmental defects, injury or trauma.
A procedure called Ridge Augmentation is performed to correct the problem. First, the implant dentist will lift the gum away from the ridge to expose the bony defect. The defect is then filled with bone or bone substitutes to build up the ridge (also known as bone grafting). The patient's own bone can be used (autogenous grafting) by harvesting the live bone from another part of the human anatomy and then be fixated to the needed site. The incision is closed and allowed to heal. The jaw bone usually will be allowed to develop for about 4 to 12 months before implants can be placed. For some patients, the implant can actually be placed at the same time the ridge is modified. A new technology we have been implementing is the use of BMP (Bone Morphogenic Protein) to change mesenchymal cells to bone forming cells. We can regenerate bone like we never could in prior years, and the added benefit is that we don't have to harvest bone from a second site, thus reducing discomfort.
Am I a Candidate for Dental Implants?
Anyone in reasonable health and with adequate jaw bone is a candidate for dental implants. Implant patients can be in their teens or be mature adults in their seventies and eighties.
What is Sedation and How will it Affect Me?
Conscious Sedation: Today more than ever, patients are aware of the importance of periodontal health and the potential consequences of untreated disease. Despite this increased awareness, patient anxiety and fear concerning treatment can sometimes get in the way of optimal periodontal care. In addition to new treatment options that use refined techniques and improvements in local anesthesia, conscious sedation is available to make your treatment more pleasant and comfortable.
Your periodontist may have recommended conscious sedation as the preferred method of anxiety control to ensure that you are comfortable and relaxed during your procedure. Conscious sedation is a safe, drug-induced state in which you are conscious and pleasantly relaxed, yet free of fear, anxiety and apprehension. The use of conscious sedation by an appropriately trained periodontist is safe and effective, and will help you feel comfortable and confident during your periodontal treatment; it is different than general anesthesia and does not carry the inherent risks associated with general anesthesia.
Conscious sedation may be administered through a number of different methods and medications. Your periodontist will explain your options and describe the one that's best for you. Conscious sedation is available to make your periodontal care relaxed, and your road to periodontal health full of smiles.
Patients can choose from the following options when undergoing dental treatment:
Oral ingestion of sedation medication. This route may or may not be effective, depending on the individual. The patient is able to respond during the procedure and normal response returns as the effects of the sedative wears off. Patients may choose to maintain full awareness during the procedure with just local anesthetic, without the use of any form of sedation.
Commonly called "laughing gas," nitrous oxide provides relaxation but the patient is still generally aware and able to respond. This gas can be used during routine cleanings, but is generally not recommended for periodontal surgical procedures, including implants.
Intravenous conscious IV sedation medications are administered directly into the blood stream. You will be able to respond during the procedure. Your ability to respond normally returns when the effects of the sedative wear off. Doctors that administer this sedation are highly trained and licensed by the state of California to administer IV conscious sedation in a safe manner with a 40 year history of safe administration.
If the patient chooses sedation, the patient is required to arrive with a companion who can drive the patient home after the procedure. At the completion of the dental procedures, the patient will be allowed to recover from the effects of the sedation before being allowed to go home with the companion. The patient should not drive or operate machinery while taking narcotic pain medication for 24 hours after the procedure.
Sedation dentistry is ideal for people who have:
- A high level of fear or anxiety
- Suffered past traumatic dental experiences
- Associated systemic health problems i.e. history of heart ailments including heart attack
- Difficulty in getting numb
- An overactive gag reflex
- Very sensitive teeth
- Complex dental problems that require a long, time involving procedure
- A fear of needles and shots
- A strong dislike of the noises, smells and taste associated with dental care
- TMJ (Temporal-Mandibular Joint) related difficulties where it is uncomfortable to open their mouth for extended periods
Types of Periodontal Procedures:
This is the procedure used to treat disease or repair defects in the tissues around the teeth or surrounding areas. This surgical procedure involves gaining access to the diseased root surface to be able to clean the surfaces with actual visualization of the root surface. Sharp or uneven bone can be smoothed out or bone grafting of bony defects can be accomplished at this time. The tissues are then sutured and the area is protected by a pack (which is removed in about one week).
Periodontal Laser Therapy
The use of Laser Periodontal Therapy and LANAP (Laser Assisted New Attachment Procedure), is becoming more accepted as an adjunct to treating periodontal disease. We have acquired the only FDA approved laser device to be used for the patented LANAP procedure. This ND:YAG laser is the only laser that has had research showing bone and support structure regeneration.
Laser Periodontal Therapy is not designed to be a cure all for periodontal disease, since there are some limitations to its effectiveness (as with all forms of treatment).
A Soft Tissue Graft
A procedure to replace lost soft tissue as a result of recession. Healthy gum tissue is removed from the palate or taken from another donor source and attached to the area where the gum has receded. This added tissue reseals and protects the tooth and underlying bone from further recession, bone loss and from decay.
The complete removal of a tooth from the mouth. Some extractions require cutting into the gums and removing supporting bone and/or cutting the tooth into sections prior to removal. If implants are desired, then bone minerals are grafted into the socket to preserve as much of the native bone as possible. After several months, an implant can be placed into that site.
Crown lengthening adjusts the gum and bone levels to expose more of the tooth. This is done many times to expose a cavity that is at or below the gum-line to allow the general dentist to access the cavity for a filling or a crown. Periodontal plastic surgical crown lengthening is a periodontal surgical procedure to make shorter looking teeth to appear normal in length by removing excess gum tissue.
What is bone grafting?
Bone grafting is a surgical dental procedure where the bone loss around the teeth is restored.
What is bone grafting used for?
Bone grafting procedures are used to reverse jaw bone loss caused by periodontal disease and tooth loss. Grafting is also used to build up the bone to allow for the placement of dental implants. As mentioned previously, we have been having great success in rebuilding jaw bone with Bone Morphogenic Protein, that previously had been judged too deteriorated to accommodate implants.