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

Welcome to our latest news and updates!

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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Root Decay And Coverage With a Gingival Graft in Portsmouth, NH
March 10

Root Decay And Coverage With a Gingival Graft in Portsmouth, NH

Our patient had exposed roots with early decay of three teeth, including a molar crown. We were able to remove the decay, place a connective tissue graft, and cover all three roots. This avoided the need for two white fillings and a new crown, and prevented future recession or decay. Placing white fillings on exposed …

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Gum Grafting for Multiple Teeth in Portsmouth, NH
March 3

Gum Grafting for Multiple Teeth in Portsmouth, NH

The most common type of gum recession that we see involves only one or two teeth. But some people have multiple adjacent teeth with recession. Correcting this is more complex, so we and our patients are especially gratified when we can achieve it with microsurgery, which involves minimal discomfort and an ideal esthetic and functional …

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Saving a Tooth With a Bone Graft
February 25

Saving a Tooth With a Bone Graft

Periodontal disease destroys the bone that holds teeth in place and eventually causes tooth loss. Using a combination of conservative surgery, a bone graft, and a growth factor, we were able to eliminate our patient’s periodontal disease and restore the lost bone around his molar. We are advocates of implant therapy when it is indicated, …

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Covering a Decayed Root With a Microsurgical Gum Graft in Portsmouth, NH
February 18

Covering a Decayed Root With a Microsurgical Gum Graft in Portsmouth, NH

Our patient had sensitive, exposed roots and was unhappy about the appearance of the staining and beginning decay of her bicuspid tooth. We were able to restore her lost gum tissue and cover her roots with a microsurgical tunneling gum graft. She did not need to have her roots restored with a plastic filling, which …

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Covering Multiple Exposed Roots With a Microsurgical Gingival Graft in Portsmouth, NH
February 11

Covering Multiple Exposed Roots With a Microsurgical Gingival Graft in Portsmouth, NH

When conditions are favorable we can perform a tunneling gum graft on three teeth in one procedure. It is very challenging for us, so both our patient and we were thrilled that we could restore her lost gum tissue and completely cover her exposed roots in a single visit.

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Gum Grafting for a Canine in Portsmouth, NH
February 4

Gum Grafting for a Canine in Portsmouth, NH

Canine teeth often have recession because they bulge outward slightly, and because they are at the corner of the dental arch where it is easy to scrape the area when brushing. We are able to restore the lost tissue with a microsurgical gingival graft, as we did for our patient. But the need for grafting …

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Bone Grafting to to Preserve Esthetics
February 4

Bone Grafting to to Preserve Esthetics

            Our patient had a bicycling accident and avulsed #10, as you can see in the first periapical image. Unfortunately he did not see his dentist until the next day, at which point it was too late to re-implant the tooth. However, his dentist astutely wondered whether anything should be …

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Gum Grafting with Alloderm Cadaver Tissue in Portsmouth, NH
January 21

Gum Grafting with Alloderm Cadaver Tissue in Portsmouth, NH

Using a microsurgical technique, we can perform a gingival connective tissue graft with minimal post-operative discomfort. Nevertheless, we occasionally have a patient who has heard that an older technique (free gingival graft) is painful and declines to allow us to use their palatal tissue as the donor for the graft. In these situations we use …

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

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