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

Welcome to our latest news and updates!

Dr. David Summits Mount Kilimanjaro!
March 8

Dr. David Summits Mount Kilimanjaro!

 Last Friday Dr. David summited Mount Kilimanjaro! While many were enjoying school break and going on relaxing vacations, Dr. David travelled to Tanzania with his eldest son Paul for a huge shared challenge. It was a unique lifetime experience for both of them.Happy Tanzanian Tuesday!

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Connective Tissue Grafting for Root Coverage Using Tunneling Technique in Portsmouth, NH
February 22

Connective Tissue Grafting for Root Coverage Using Tunneling Technique in Portsmouth, NH

Our patient came to us with tooth sensitivity so severe that even breathing cold air was painful. Roots that become exposed due to gum recession often have thermal sensitivity. We started with a connective tissue graft using the tunneling technique on her lower right and her symptoms improved dramatically. The procedure and recovery were smooth …

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Replacement of a Fractured Incisor With a Bone Graft, Dental Implant, and Highly Esthetic Crown in Portsmouth, NH
February 15

Replacement of a Fractured Incisor With a Bone Graft, Dental Implant, and Highly Esthetic Crown in Portsmouth, NH

 Our patient was distraught about fracturing her upper right central incisor. It was extracted at another office as an emergency, and unfortunately a bone graft was not placed. This allowed her jawbone to atrophy, as you can see on the first 3-D image. Since the remaining bone was too thin for placement of a dental …

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Root Coverage with a Microsurgical Graft in Portsmouth, NH
December 14

Root Coverage with a Microsurgical Graft in Portsmouth, NH

 Canine (eye) teeth have large roots since they are essential to preserving the stability of all the teeth around them. This causes them to bulge outward and predisposes them to gum recession. The solution is to reinforce the tissue and cover the exposed root with a microsurgical tunneling graft. Our patient was very gratified to …

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Gum Grafting in Portsmouth, NH
November 30

Gum Grafting in Portsmouth, NH

 Our patient had severe gum recession and abrasion of her lower right lateral incisor and canine. Using a microsurgical tunneling graft we were able to reconstruct her lost gum tissue and cover her exposed, sensitive roots. She has promised to stop brushing so hard and is happily eating hot and cold food again.

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

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