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

Welcome to our latest news and updates!

November 29

How to Stay Medically and Dentally Healthy

 The Perio Perspective Fall 2021 “Be careful about reading health books. You may die of a misprint.” Mark Twain Mark Twain was partly wrong. While health books are often misleading, based on unsubstantiated theories, and subject to fashion, nevertheless there is a body of rigorous research showing how to live a longer and healthier life. …

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Covering an Exposed Incisor Root With a Gingival Graft in Portsmouth, NH
November 16

Covering an Exposed Incisor Root With a Gingival Graft in Portsmouth, NH

 Our patient did not come to see us until her lower gums had receded and black triangles had opened between all her teeth. In addition, she had severe recession of her right incisor. Once black triangles are this large, they cannot be closed with gum grafting. But using a microsurgical technique, we were able to …

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Covering An Exposed Crown Margin With A Gingival Graft in Portsmouth, NH
November 2

Covering An Exposed Crown Margin With A Gingival Graft in Portsmouth, NH

Our patient was self-conscious about the exposed metal margin of her crown, which was visible when she smiled. Using a microsurgical grafting process we were able to cover the margin and prevent recession and re-exposure in the future. She is back to her normal, smiling self.

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Protecting Root and Bone Around a Canine Tooth in Portsmouth, NH
October 7

Protecting Root and Bone Around a Canine Tooth in Portsmouth, NH

 Our patient’s upper left canine tooth was crowded outside of her adjacent lateral incisor. When this occurs, the gum tissue recedes quickly due to abrasion from chewing and brushing. The underlying bone is also compromised. Using a tunneling connective tissue graft, we were able to rebuild the lost gum tissue, cover the exposed root, and …

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Gum Grafting to Restore and Protect Exposed Roots in Portsmouth, NH
September 28

Gum Grafting to Restore and Protect Exposed Roots in Portsmouth, NH

  When tooth roots become exposed by recession, first they build up a brown stain, and then they begin to decay. Since roots have no enamel, restoring the decay with a white filling is only a temporary fix, since the decay usually begins again soon. The gold standard treatment is to cover the roots with …

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Implant-supported Smile Makeover in Portsmouth, NH
September 21

Implant-supported Smile Makeover in Portsmouth, NH

 Our patient had a long history of patchwork treatment that seemed to never end and had failed when we saw her. Using a comprehensive approach including implants, crowns, and bridgework, we were able to construct a solution that is esthetic, strong, and long-lasting. She is amazed at the result.

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Restoring A Symmetric Smile With Composite Filling Removal and Connective Tissue Grafting in Portsmouth, NH
September 14

Restoring A Symmetric Smile With Composite Filling Removal and Connective Tissue Grafting in Portsmouth, NH

  Our patient was unhappy about her lopsided smile and sensitive teeth due to the gum recession around her upper right canine and two adjacent incisors. First we removed the plastic restorations on the roots, which were promoting more recession. Then, using a microsurgical tunneling procedure, we were able to rebuild her lost tissue, eliminating …

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Closing Gumline Spaces Between Teeth in Portsmouth, NH
September 7

Closing Gumline Spaces Between Teeth in Portsmouth, NH

Here is another example of a tunneling microsurgical gum graft where were able to not only cover the exposed roots and prevent further recession, but also fill in the black triangles between the teeth. It is very difficult to achieve this, so we are always gratified when we can. And our patient is very happy …

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August 25

Single-implant Overdentures in Portsmouth, NH

We are advocates of full-arch implant rehabilitation. We have seen hybrids transform many patients from being dental cripples to being fully restored, with dramatic improvements in esthetics, comfort, and function. These are especially significant in the mandible, since most mandibular dentures are useless. However, many patients either cannot (or choose not to) afford this therapy. …

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Closing Black Triangles Between Teeth in Portsmouth, NH
August 17

Closing Black Triangles Between Teeth in Portsmouth, NH

 Our patient had recession around her lateral incisors and very thin gum tissue. We performed a microsurgical tunneling connective tissue graft and repositioned her frenum (the stringlike attachment between and below her central incisors), and leveled the uneven incisal (biting) edges of all her incisors. After she healed, the new tissue was healthy and firm, …

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Covering A Crown Margin and Root With A Tunneling Gingival Graft in Portsmouth, NH
August 3

Covering A Crown Margin and Root With A Tunneling Gingival Graft in Portsmouth, NH

 One of our greatest challenges with gum grafting is covering exposed crown margins. Our patient had a bridge with a missing left central incisor and advancing recession of his remaining right central incisor. He hated his smile and the sensitivity of his exposed root. Using a microsurgical tunneling grafting technique we were able to cover …

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Covering an Exposed Furcation With a Gingival Graft in Portsmouth, NH
July 7

Covering an Exposed Furcation With a Gingival Graft in Portsmouth, NH

Molar teeth have 2 or 3 roots, and bone and gum tissue normally seals off the notch between them. When gum recession occurs the notches become exposed and collect debris and plaque, which can cause infections and jeopardize the tooth. As you can see in the first photo, our patient’s notch was exposed. Using a …

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Periodontal Microsurgery in Portsmouth, NH
June 29

Periodontal Microsurgery in Portsmouth, NH

 We are posting photos of a recent example of microsurgical grafting in reverse order. If you look at the first photo, it is impossible to see that a graft was ever needed or performed. The second photo taken prior to treatment proves that it was actually done, and that the results are as close to …

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Sinus Bone Grafting and Implant Placement in Portsmouth, NH
June 22

Sinus Bone Grafting and Implant Placement in Portsmouth, NH

Our patient needed her upper six-year molar extracted and replaced with an implant. As you can see in the upper x-ray, her roots and the resulting socket after extraction extended into her sinus. Using a conservative approach, we were able to place a bone graft into the floor of the sinus without opening a window …

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Covering An Exposed Crown Margin in Portsmouth, NH
June 15

Covering An Exposed Crown Margin in Portsmouth, NH

 We routinely cover exposed roots with a microsurgical graft when gum recession occurs, but covering the edges (margins) of crowns is very challenging. So we – and our patient – were gratified that we could not only restore her lost gum tissue but make her crown look like a natural tooth.

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

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