- Dental ExaminationDuring your first visit, Dr. Boretsky will review your complete medical and dental history with you. You will then be given a complete oral and periodontal exam. Dr. Boretsky will examine your teeth and gums, checking for signs of disease. Dr. Boretsky will also measure your periodontal "pocket depths" by using a small measuring instrument, much like a ruler. These readings help Dr. Boretsky assess the health of your gums. X-rays (radiographs) may also be taken to check for possible bone loss.
- X-rays
- Teeth CleaningIf Periodontal Disease is caught in its earliest stage, Gingivitis and no damage has been done, one to two regular cleanings will be recommended. You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings.
- CrownsSome people have teeth that look too "short" due to the relationship between their teeth and gums. This creates a "gummy" smile. A procedure called "gum contouring" is often used to remove excess gum tissue and expose more of the crown of the tooth. In fact, your gum line can be carefully sculpted to create just the right proportion between gum tissue and tooth surface -- and the result is a better looking smile.
- Bridges
- Root Canal Treatment
- Periodontal Surgery1. Discomfort and Medications: Periodontal surgery, like other surgical procedures, may be associated with varying degrees of discomfort. This depends on the procedure involved and individual differences. If pain medications have been prescribed, it is usually best to take first dose while the surgical site is still anesthetized ('numb"). All medications should be taken strictly as prescribed. Variations from the prescribed regimen can effect healing and the success of your procedure.
- Deep CleaningScaling and Root Planing is a common non-surgical treatment for periodontal disease. By using special instruments, Dr. Boretsky removes bacteria and infection from the unhealthy deep pockets around the teeth below the gum line. This is often referred to as a "deep cleaning".
- DenturesApproximately 42% of Americans over the age of 65 are missing all of their natural teeth.Dental implants preserve the jawbone, which can prevent premature aging.Dental implants can provide great stability for a lower denture, thereby enhancing chewing ability and helping patients avoid embarrassment.In many cases, dental implants can completely eliminate the need for dentures.
- Dental ImplantsScientific research has shown that the presence of certain marker bacteria is associated with periodontal disease activity. Knowing the infection level at any given time helps clinicians make the most appropriate risk assessment for gum disease, further tooth loss and can assist in monitoring tooth implant sites. Importantly, the absence of bacteria may be indicative of good oral health. The DMDx® test detects the eight most important bacteria associated with periodontal disease activity. The test improves patient care by providing key information to you dentist to help...
- Oral Surgery
- Gum SurgeryLaser Periodontal Treatment is about as easy as erasing a blackboard — there’s no cutting, no scraping and no suturing. Compared to traditional gum surgery, There is much less discomfort with LASER PERIODONTAL THERAPY.
- Osseous SurgeryAfter LANAP, most patients experience new root surface coating (cementum) and new connective tissues (periodontal ligament) formation (collagen) on tooth roots, preventing tooth loss. Pocket depth reduction is excellent and comparable to that achieved by conventional resective osseous or pocket reduction surgery, but without the gingival recession normally associated with osseous surgery. Significant post-operative reduction in gingival indices, gingival inflammation, and bleeding on probing are also desirable results of LANAP
- Ridge Augmentation
- Bone GraftingIn LANAP surgery, a variable pulsed Neodymium:Yttrium-Aluminum-Garnet (Nd:YAG) dental laser is used by a trained and certified dentist or periodontist to treat the periodontal pocket. The laser energy selectively removes diseased pocket epithelium and pathogenic bacteria (p. gingivalis) from the underlying connective tissue. The necrotic epithelium is stripped from the connective tissue at the histologic level of the rete pegs and rete ridges. Since the laser energy is quite selective for pocket epithelium, the underlying pleuripotential connective tissue is spared, thereby permitting healing and regeneration rather than formation of a pocket seal by long junctional epithelium. In periodontics it is a process through which cementum-mediated periodontal ligament new attachment to the root surface in the absence of long junctional epithelium is achieved for the treatment of moderate to severe gum disease (including gingivitis and periodontal disease ). Stimulation of existing stem cells permits the formation of new root surface coating (cementum) and new connective tissue (periodontal ligament) formation (collagen) on tooth roots. The paradigm of periodontal healing in the absence of guided tissue regeneration barriers (GTR) or bone grafting materials (allografts) has finally been successfully challenged in the twenty first century.
- Teeth Whitening
- Cosmetic Dentistry
- General Dentistry