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

Welcome to our latest news and updates!

Gum Grafting With or Without an Adjacent Tooth
June 24

Gum Grafting With or Without an Adjacent Tooth

                  Missing teeth have many consequences. Several studies have confirmed that a second premolar occlusion is minimally adequate for function and to prevent fractures due to excessive occlusal forces on the remaining teeth. However, other sequelae can result from missing molars. One of these is trauma to …

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Long-term Success of A Tunneling Gingival Connective Tissue Graft in Portsmouth, NH
June 23

Long-term Success of A Tunneling Gingival Connective Tissue Graft in Portsmouth, NH

We love seeing long-term results of our tunneling connective tissue grafts. Here is a two-year follow-up. As decades of research have shown, these grafts are very stable as long as the patient does not brush too hard or more than twice a day. And they are esthetically indistinguishable from original tissue.

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Interceptive Gum Grafting and Frenectomy in Portsmouth, NH
June 9

Interceptive Gum Grafting and Frenectomy in Portsmouth, NH

Our young patient had early recession, but very thin tissue with a muscle attachment (frenum) that was pulling his gum tissue away from his bicuspid tooth. We placed a tunneling connective tissue graft and covered the exposed root. Of equal importance, we repositioned the frenum away from the tooth and augmented the attached tissue to …

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Two-year Follow-up to Gum Grafting in Portsmouth, NH
June 2

Two-year Follow-up to Gum Grafting in Portsmouth, NH

Many years of research have shown that the tunneling connective tissue graft provides the best and longest-lasting result when treating gum recession and exposed roots. We saw our patient today, two years after we treated her canine and bicuspid teeth. The results remain perfect.

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Gingival Grafting With Enamel and Root Defects
May 27

Gingival Grafting With Enamel and Root Defects

Believe it or not, you can brush your teeth so vigorously that you wear away not only your gum tissue and root surfaces, but also your enamel, which is the hardest substance in your body. We cannot cover damaged enamel with a gum graft, so today’s case shows as perfect a result as we could …

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Gum Grafting for Multiple Teeth in Portsmouth,NH
May 19

Gum Grafting for Multiple Teeth in Portsmouth,NH

Here is another example of how we can push the limits of tunneling connective tissue grafting. When there is enough palatal donor tissue, we can treat multiple teeth at one time. Our patient had enough tissue for us to cover four exposed roots and to increase the amount of attached tissue in order to prevent …

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Connective Tissue Graft for Severe Recession in Portsmouth, NH
May 19

Connective Tissue Graft for Severe Recession in Portsmouth, NH

Our patient got to us a little too late. His gum tissue had receded severely and become inflamed and uncomfortable, and he had lost the triangle of gum tissue between his central incisors (papilla), leaving a black triangle. This made it impossible for us to totally cover the exposed root. Nevertheless, we and he were …

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Smile Makeover With Gum Grafting in Portsmouth, NH
May 12

Smile Makeover With Gum Grafting in Portsmouth, NH

Our patient hated his sensitive, stained, exposed roots. He was amazed at the result of the microsurgical grafting procedure we performed for his upper right canine and bicuspid and was eager to return for the upper left. He loves his ability to once again eat ice cream and his new smile.

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Gum Grafting of Multiple Teeth in Portsmouth, NH
May 5

Gum Grafting of Multiple Teeth in Portsmouth, NH

The gold standard for rebuilding lost gum tissue and covering exposed roots requires use of donor tissue from the patient’s palate. The size of the palate restricts how many teeth can be treated at one time. We and our patients are always happy if we can treat three or more teeth at once and still …

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Gum Grafting to Treat Recession and Decayed Roots
April 21

Gum Grafting to Treat Recession and Decayed Roots

Our patient came in with sensitive, decaying roots of her lower left bicuspid teeth. After removing the decay, we used a microsurgical (tunneling) grafting technique to restore the normal position of the gum tissue, cover the exposed roots, and prevent further recession. This avoided the need for white plastic (composite) fillings that would need periodic …

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April 18

Emergency Care During the Coronavirus Pandemic

As many of you know, dentists have been asked to suspend routine procedures and hygiene appointments until the beginning of May. We currently plan to resume normal operations on Monday, May 4. Meanwhile, we remain available for treating urgent and emergency problems until then, and have taken all necessary precautions for maintaining the safety of …

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Cosmetic Smile Makeover Via Esthetic Crown Lengthening
April 7

Cosmetic Smile Makeover Via Esthetic Crown Lengthening

With so much worry in the air these days it is great for us to have given our young patient something to be happy about. We saw him before the stay-at-home guidance and performed esthetic crown lengthening, which established ideal contours for his gum tissue and teeth. While he is stuck at home he can …

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Covering An Exposed Lower Incisor Root With A Gingival Graft In Portsmouth, NH
March 31

Covering An Exposed Lower Incisor Root With A Gingival Graft In Portsmouth, NH

Over the years we have found that lower incisors can be the most challenging teeth we treat with gingival connective tissue grafting. This is because of pulling by the lower lip during speaking and eating, which repeatedly displaces the graft during the critical healing period. So we (and our patients) are very gratified when we …

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Coronavirus Precautions So We Can Safely Treat Patients With A Dental Emergency in Portsmouth, NH
March 24

Coronavirus Precautions So We Can Safely Treat Patients With A Dental Emergency in Portsmouth, NH

This is one of the new ultra-high-filtration air purifiers operating around the clock in our reception area and treatment rooms. We will spare no effort to keep our patients and our team healthy and safe while we continue to see patients for necessary treatment that cannot be postponed. We have treated several patients with pain …

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Replacing Missing Bicuspid Teeth With a Sinus Lift Bone Graft and Dental Implants in Portsmouth, NH
March 17

Replacing Missing Bicuspid Teeth With a Sinus Lift Bone Graft and Dental Implants in Portsmouth, NH

Our patient was missing several back teeth, and the increased chewing forces on her remaining teeth caused her upper right second bicuspid (the last tooth on the x-ray on the left) to fracture. Because her molars had been missing for several years, her sinus had expanded into her upper jaw. We rebuilt her lost bone …

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

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