• 185 Cottage St, Suite 2, Portsmouth, NH 03801

Welcome to our latest news and updates!

Using Cone Beam Technology and a Short Implant to Avoid Bone Grafting in Portsmouth, NH
November 24

Using Cone Beam Technology and a Short Implant to Avoid Bone Grafting in Portsmouth, NH

 Our patient wanted to replace her missing upper molar tooth with a dental implant. Using Cone Beam 3-D (mini-CAT scan) technology, we measured how much bone she had for placing the implant. As you can see in the lower right section of the first image, there was only 6 mm (less than 1/2 inch) available …

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Eliminating Gum Inflammation With A Gingival Graft in Portsmouth, NH
November 17

Eliminating Gum Inflammation With A Gingival Graft in Portsmouth, NH

 Our patient’s gum recession made effective oral hygiene nearly impossible, leading to severe inflammation and discomfort when biting. We performed a microsurgical tunneling graft, covered the exposed root, rebuilt the tissue, and eliminated her pain.

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Covering a Decayed Root With A Connective Tissue Graft in Portsmouth, NH
November 10

Covering a Decayed Root With A Connective Tissue Graft in Portsmouth, NH

 Our patient’s molar had severe recession and beginning decay in the exposed root. Restoring the decay with a filling would not have addressed the gum recession and would have required replacing the filling periodically. Instead, we removed the decay and performed a microsurgical connective tissue graft, which covered the root and will prevent future recession. …

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Gingival Graft and Internal Frenectomy in Portsmouth, NH
November 4

Gingival Graft and Internal Frenectomy in Portsmouth, NH

Our patient’s lower central incisor had severe recession and a high attachment of the lip muscle (frenum) at the lower edge of his gums. Using a microsurgical tunneling technique, we were able to reposition the frenum and restore the lost gum tissue. He is amazed at how painless the process has been and how natural …

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Covering An Exposed Canine Root With A Gingival Graft in Portsmouth, NH
October 27

Covering An Exposed Canine Root With A Gingival Graft in Portsmouth, NH

 Upper canines are often prominent, and gum recession can be caused by routine toothbrushing and even chewing. Our patient was not brushing excessively but nevertheless she wore away her gum tissue and some of the surface of the root (cementum) of her canine. Fortunately, we were able to completely rebuild the lost tissue and cover …

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Perfect Gingival Graft in Portsmouth, NH
October 13

Perfect Gingival Graft in Portsmouth, NH

 We are posting our photos in reverse chronological order. Take a look at the upper “after” photo and try to guess which tooth had the tunneling connective tissue graft performed. Was it the lateral incisor with the tiny reflection at the gum line, or the bicuspid at the rear with a small amount of root …

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Early vs. Late Gum Grafting in Portsmouth, NH
October 6

Early vs. Late Gum Grafting in Portsmouth, NH

 Our patient had mild recession on her canine tooth and severe recession on the adjacent bicuspid tooth. Using a microsurgical tunneling graft, we were able to completely cover the canine. We were able to cover 90% of the bicuspid, but if we had been able to treat the tooth sooner we would have achieved 100% …

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Covering an Exposed Dental Implant With a Gingival Graft in Portsmouth, NH
September 22

Covering an Exposed Dental Implant With a Gingival Graft in Portsmouth, NH

  Our patient was desperate to cover the exposed metal of her dental implant, which she felt was ruining her smile. This is a challenging problem which cannot always be solved. But in her case, using a variation of our usual grafting procedure (a lateral pedicle connective tissue graft), we were able to cover the …

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Replacing a Bridge With Root Coverage Gingival Grafting in Portsmouth, NH
September 15

Replacing a Bridge With Root Coverage Gingival Grafting in Portsmouth, NH

 Our patient had extensive medical problems which prevented her from pursuing dental treatment for several years. Once she could move forward, she was anxious to replace her failed bridge and correct her advancing gum recession. We covered her roots with a connective tissue graft, and her new tissue will prevent future recession. Her talented restorative …

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Covering a Second Molar Root With a Connective Tissue Graft in Portsmouth, NH
September 8

Covering a Second Molar Root With a Connective Tissue Graft in Portsmouth, NH

 Connective tissue grafting around second (12-year) molars is one of the most challenging procedures we perform, due to difficult access and pulling of the cheek muscle. So we were very gratified that we were able to replace the lost gum tissue and cover our patient’s root. This is especially important for second molars since they …

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Covering a Second Tooth While Grafting a Neighboring Tooth in Portsmouth, NH
September 1

Covering a Second Tooth While Grafting a Neighboring Tooth in Portsmouth, NH

 Sometimes we perform a tunneling connective tissue graft for one tooth (in this case, our primary focus was the canine), but while releasing and suturing, we are able to cover the root of an adjacent tooth as well (in this case, the bicuspid behind the canine). This avoids the risk that the additional tooth will …

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Covering Crown Margins with a Gingival Graft in Portsmouth, NH
August 18

Covering Crown Margins with a Gingival Graft in Portsmouth, NH

 Our patient was self-conscious about showing his receding gums and exposed crown margins when he smiled. Using a microsurgical tunneling graft we were able to reconstruct his tissue to cover the roots and prevent future recession. Covering crown margins is challenging, and when we achieve it we are very gratified. So was he. 0 People …

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Microsurgical Grafting for Gum Recession Over a Lower Incisor
August 11

Microsurgical Grafting for Gum Recession Over a Lower Incisor

Our patient had crowded lower incisors which predisposed her left central incisor to recession and a sensitive, exposed root. We were able to restore her attached gum tissue and cover the exposed root with a microsurgical graft. Her sensitivity is now gone. She expects to have orthodontic treatment to align her incisors correctly, and the …

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Microsurgical Gum Grafting in Portsmouth, NH
July 21

Microsurgical Gum Grafting in Portsmouth, NH

First molars are the largest tooth in the mouth and are also common sites for gum recession. Since they are so important for chewing and for stability of the dental arch and occlusion (bite), it is important to preserve their bone and gum tissue. Using a microsurgical connective tissue graft, we were able to return …

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Sinus Lift Bone Grafting in Portsmouth, NH
July 16

Sinus Lift Bone Grafting in Portsmouth, NH

Our patient needed his six-year molar replaced. We routinely take a 3-dimensional image when we plan for implant placement. The virtual implant is in green on the image on the left. As you can see, more than half of the planned implant penetrated his sinus, so a bone graft (sinus lift) was necessary to provide …

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Every patient is unique and we strive to create comprehensive treatment plans tailored to you.

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