Access referral forms for Upland, CA office or San Bernardino, CA office.

State-Of-the-Art Gum Disease Treatment

Your smile represents who you are. That’s why at Inland Periodontics, we provide a wide range of comprehensive services to treat gum disease and help you maintain the health, integrity, and beauty of your smile.

With offices in the cities of Upland and San Bernardino, CA, we treat patients throughout San Bernardino County and the neighboring communities.

Woman during a periodontal laser therapy procedure

Periodontal Laser Therapy

We are proud to offer patients the option of Periodontal Treatment utilizing the only FDA approved laser for treating Periodontal Disease. This means: less pain, less bleeding, less swelling, less tissue removed, less downtime and recovery time! Periodontal surgery WITHOUT blades and sutures!

Laser Periodontal Therapy and the Laser Assisted New Attachment Procedure (LANAP) has been shown to remove diseased tissue without removing healthy tissue, maintaining as much tissue around the teeth in order to:

  • preserve tissue by minimizing gum recession and spaces between teeth
  • minimize and eliminate teeth sensitivity
  • minimize pain and discomfort compared to conventional periodontal surgery/pocket reduction and bone regeneration surgery.

Dental Implants & Gum Disease Treatments

1. LANAP

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.

LANAP is a treatment for gum disease. This groundbreaking laser therapy targets the source of inflammation without pain or removing tissue. One device holds seven different pulsations, each with its distinct tissue interactions. The laser helps to decrease pocket depths, allows the body to combat infection without a scalpel or suture, and promotes regeneration of supporting gum tissue.

LANAP not only removes gum disease, but it also helps with patients’ anxieties surrounding dental surgeries. Patients experience less pain, sensitivity, swelling, and bleeding. With little downtime after treatment, healing after LANAP is more comfortable than any other periodontal operation.

2. IMPLANTS

For patients who need a missing tooth replacement, implant dentistry focuses on restoring teeth to look, feel, and perform like new. Implant dentistry involves the surgical placement of one or more artificial tooth roots known as dental implants. These natural-looking replacements are made of a titanium post that attaches to your jawbone, which allows you to bite and chew. Dental implants serve as a substitute or replacement of a tooth root. A crown, bridge, or denture will be placed on top of the anchor to restore the tooth’s appearance and function.

3. GUM GRAFTING

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 decay.

4. CROWN LENGTHENING

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 access for a filling or a crown. Periodontal plastic surgical crown lengthening will make shorter teeth appear more lengthy by removing excess gum tissue.

5. OSSEOUS SURGERY

Bone Grafting
Bone grafting is a surgical, dental procedure through which the bone loss from periodontal disease around the teeth is restored. Grafting is also used to build up the bone to allow for the placement of dental implants. We have been having great success in rebuilding jaw bone which previously had been judged too deteriorated to accommodate implants with Bone Morphogenic Protein.

Ridge Augmentation
When patients have an inadequate amount of jawbone for an implant, ridge augmentation is performed to correct the problem. Here is the step-by-step process of the treatment.

  • Our dentist will lift the gum away from the ridge to expose the bony defect.
  • The defect is filled with bone or bone substitutes from somewhere else on the patient’s body.
  • The incision is closed and allowed to heal.
  • Once the jawbone is fully developed (4 to 12 months), the implant can be placed.

Bone Morphogenic Protein
For some patients, the implant can 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), which changes mesenchymal cells to bone-forming cells. It allows us to regenerate bone like never before, and there’s no need to harvest bone from a second site, thus reducing discomfort.

6. Tooth Extraction

A tooth extraction is the complete removal of a tooth from the mouth. Some extractions require removing supporting bone and/or cutting the tooth into sections before 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.

Sedation Dentistry

While more and more patients are aware of the health benefits of preventing periodontal disease, it doesn’t make the anxiety and fears surrounding procedures any less disconcerting. Our practice offers refined techniques and improvements in our sedation methods, which will make your treatment more pleasant and comfortable.

Sedation might be right for you if you experience the following:

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
Complex dental problems that require a long procedure
A fear of needles and shots
A strong dislike of the noises, smells, and taste associated with dental care
If the patient chooses sedation….
The patient is required to arrive with a companion who can drive the patient home after the procedure.
After 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.

Conscious Sedation/IV Sedation

Our conscious sedation method will put you in 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. While it is different than general anesthesia, it does not carry the inherent risks associated with general anesthesia. Sedation will be administered directly into the bloodstream. 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 safely.

Oral Ingestion of Sedation Medication

With oral ingestion, the patient can respond during the procedure. Normal responses return as the effects of the sedative wear off. Patients may choose to maintain full awareness during the procedure with just local anesthetic, without the use of any form of sedation.

Nitrous Oxide “Laughing Gas”

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 usually not recommended for periodontal surgical procedures, including implants.

To request an appointment with any of our doctors, please contact either our Upland, CA office at 909-949-2881or our San Bernardino, CA office at 909-383-0625.

Upland Office

Our Location

440 North Mountain Ave, Suite 309
Upland, CA 91786

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Office Hours

Monday - Thursday 8:00 am – 5:00 pm

Doctors

Mark J. Kunihira, DDS
Daniel D. Newbold, DDS
Thaer Alqadomui, DDS, MS
Daniel M. Kunihira, DDS
Christopher Pham, D.D.S.
San Bernardino Office

Our Location

164 W. Hospitality Lane, Suite 10
San Bernardino, CA 92408

Phone

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Office Hours

Monday, Wednesday, Thursday: 7:00 AM – 5:00 PM
Tuesday: 7:30 am – 5:00 pm
Friday by appointment only

Doctors

Daniel D. Newbold, DDS
Caitlyn K. Affrunti, DDS, MS
Daniel M. Kunihira, DDS