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

Welcome to our latest news and updates!

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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Gingival Grafting and Frenectomy in Portsmouth, NH
June 8

Gingival Grafting and Frenectomy in Portsmouth, NH

 Our patient’s lower four incisors had recession due to her thin gum tissue and pulling by the stringlike muscle attachment from her lower lip to her gumline (frenum). Using a microsurgical tunneling technique, we were able to restore the lost gum tissue and position the frenum away from the gumline to prevent recurrence of her …

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Internal Frenectomy and Tunneling Gingival Graft in Portsmouth, NH
June 1

Internal Frenectomy and Tunneling Gingival Graft in Portsmouth, NH

 We often see gum recession around lower incisor teeth. This is due to thin gum tissue which is common in this area, and pulling of the gums by the frenum, which is a stringlike muscle attached to the lower lip. Using a microsurgical technique we can move the frenum away from the edge fo the …

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Charity Extraction Day in Portsmouth, NH
May 18

Charity Extraction Day in Portsmouth, NH

 Once again this year, we will offer a day of service to people who are down on their luck and in pain. We are so grateful to the Seacoast community and are eager to give something back. 2Luis Rodriguez and 1 other

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Gingival Grafting With Alloderm in Portsmouth, NH
May 11

Gingival Grafting With Alloderm in Portsmouth, NH

        One of the procedures that we are proudest of is gingival grafting for root coverage. Like all procedures, there are varying levels of difficulty with these procedures. Today’s case is an example of a high degree of difficulty. Our patient had severe recession and lack of attached gingiva of #3, 4, and …

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Covering An Exposed Crown Margin With A Microsurgical Gum Graft In Portsmouth, NH
May 11

Covering An Exposed Crown Margin With A Microsurgical Gum Graft In Portsmouth, NH

 Our patient hated her smile due to the exposed, stained root above the crown on her left central incisor. Using a microsurgical tunneling graft, we were able to slide new gum tissue under her existing tissue and then reposition it over the root, all in a single visit. This will prevent future recession and eliminated …

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

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