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

Welcome to our latest news and updates!

January 14

Long-term Success of Gum Grafting in Portsmouth, NH

Now that we have been here for 5 years we are starting to see long-term follow-ups of our microsurgical grafting process. These align with voluminous research which has concluded that this process yields the most esthetic, long-lasting improvement when treating gum recession. Other techniques may be easier for the surgeon, but they have never been …

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January 7

Gum Grafting to Cover an Exposed Root and Crown Margin in Portsmouth, NH

Our patient was referred due to recession involving her molar and bicuspid teeth. Using a microsurgical tunneling grafting technique, we were able to rebuild her lost gum tissue to cover the exposed roots and prevent future recession. We were even able to cover most of the margin on the molar crown!As you can see, she …

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January 4

The Perio Perspective: Root Fractures

The Perio Perspective WInter 2020 “Things fall apart; the centre cannot hold.” WB Yeats, The Second Coming Our job is to save teeth. This means preserving gingiva, alveolar bone, periodontal ligament, cementum, enamel and dentin. But nothing lasts forever. So our second duty is to restore lost tissues. In doing so, one of our challenges …

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December 31

Smile Makeover Using a Microsurgical Grafting Procedure in Portsmouth, NH

Our patient was embarrassed at the staining and “long in the tooth” appearance of her upper left front teeth. We were able to completely restore a healthy, attractive gumline using a microsurgical tunneling grafting technique. She is back to smiling with confidence, knowing that her new tissue will be stable in the future.

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December 23

Bone Regeneration Without Gum Surgery in Portsmouth, NH

                              Here’s a quiz: Take a look at the periapical images above, then guess which technique was used to regenerate an impressive amount of bone on the distal of the canine: LANAP? Bone grafting? Arestin? Emdogain? The answer is none of the …

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December 17

Teeth in One Day in Portsmouth, NH

Our patient had severe periodontal disease, with loose and shifting teeth. His upper left canine spontaneously fell out before he consulted with us!We were able to remove his upper teeth, place 5 implants, and attach a fixed prosthesis in one morning. He is thrilled to have a solid, comfortable bite, and his smile has given …

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December 10

Root and Crown Margin Coverage Using a Microsurgical Gum Graft

Our patient was unhappy about the root decay and patchwork silver filling around the edge of her crown. We were able to remove the filling and the decay and rebuild the missing gum tissue with a microsurgical connective tissue graft. This will prevent further gum recession and allowed her to avoid making a new crown. …

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December 10

Removal of Decay and Root Coverage With a Tunneling Connective Tissue Graft

Our patient had a deep notch and decay in the root of her bicuspid tooth. In the past this would have been treated with a white plastic (composite) filling. These fillings need periodic replacement and allow for continuing gum recession, which can eventually cause loss of the tooth. We prefer to remove the decay and …

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December 3

Root Coverage With Gingival Grafting is More Predictable With Early Intervention

This a routine example of the near-perfect result we can predictably achieve from a tunneling connective tissue graft. Why? Because, as we have stressed before, the patient was referred to us early during the recession process. This meant that the papillae (the triangles of gum tissue between the teeth) had not yet been lost. Once …

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November 26

Bone Grafting to Salvage a Periodontally Diseased Tooth in Portsmouth, NH

As much as we appreciate dental implants to replace missing teeth, we especially love to save natural teeth when possible. Our patient’s bicuspid tooth had severe bone damage due to periodontal disease. Rather than extracting it, we removed the disease-causing bacteria and rebuilt the bone with a bone graft. The tooth now has a good …

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November 20

Pedicle Gingival Graft in Portsmouth, NH

Our patient’s gum tissue was sore and inflamed so he brushed it aggressively hoping to cure it by himself. This made the inflammation worse and eventually caused a callous to form. Using a modified microsurgical grafting procedure (lateral pedicle flap and connective tissue graft), we were able to remove the callous, cover the exposed root, …

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November 14

Root Coverage with a Gum Graft in Portsmouth, NH

Here is another example of tunneling connective tissue grafting. We now take it for granted that we can predictably cover exposed roots and prevent future recession with a minimally invasive, minimally painful procedure. But this was not possible until recently. Less predictable, more painful, and less esthetic procedures are still done, but not by us!

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November 5

Re-establishing Gingival Contours in Portsmouth, NH

In addition to covering exposed roots and preventing future gum recession, tunneling gum grafting re-establishes the natural contour of the gum tissue. Our patient disliked both the exposed roots and the rolled appearance of his gum tissue around his incisors and canine. He was very happy that microsurgical grafting could address both concerns and achieve …

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October 29

Gum Recontouring and Grafting in Portsmouth, NH

Our young patient had a canine tooth that was impacted in her palate. It was surgically uncovered and brought into place with orthodontic treatment. The result was excellent except that the tooth was left with recession and an exposed root. There were also vertical scars in the gum tissue where the surgery had been performed. …

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October 17

Should You Get Crown Lengthening?

Crown Lengthening Does a gummy smile have you feeling insecure about your smile? Perhaps…

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

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