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

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Covering an Exposed Dental Implant With a Gingival Graft in Portsmouth, NH
September 22

Covering an Exposed Dental Implant With a Gingival Graft in Portsmouth, NH

  Our patient was desperate to cover the exposed metal of her dental implant, which she felt was ruining her smile. This is a challenging problem which cannot always be solved. But in her case, using a variation of our usual grafting procedure (a lateral pedicle connective tissue graft), we were able to cover the …

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Replacing a Bridge With Root Coverage Gingival Grafting in Portsmouth, NH
September 15

Replacing a Bridge With Root Coverage Gingival Grafting in Portsmouth, NH

 Our patient had extensive medical problems which prevented her from pursuing dental treatment for several years. Once she could move forward, she was anxious to replace her failed bridge and correct her advancing gum recession. We covered her roots with a connective tissue graft, and her new tissue will prevent future recession. Her talented restorative …

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Covering a Second Molar Root With a Connective Tissue Graft in Portsmouth, NH
September 8

Covering a Second Molar Root With a Connective Tissue Graft in Portsmouth, NH

 Connective tissue grafting around second (12-year) molars is one of the most challenging procedures we perform, due to difficult access and pulling of the cheek muscle. So we were very gratified that we were able to replace the lost gum tissue and cover our patient’s root. This is especially important for second molars since they …

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Covering a Second Tooth While Grafting a Neighboring Tooth in Portsmouth, NH
September 1

Covering a Second Tooth While Grafting a Neighboring Tooth in Portsmouth, NH

 Sometimes we perform a tunneling connective tissue graft for one tooth (in this case, our primary focus was the canine), but while releasing and suturing, we are able to cover the root of an adjacent tooth as well (in this case, the bicuspid behind the canine). This avoids the risk that the additional tooth will …

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Covering Crown Margins with a Gingival Graft in Portsmouth, NH
August 18

Covering Crown Margins with a Gingival Graft in Portsmouth, NH

 Our patient was self-conscious about showing his receding gums and exposed crown margins when he smiled. Using a microsurgical tunneling graft we were able to reconstruct his tissue to cover the roots and prevent future recession. Covering crown margins is challenging, and when we achieve it we are very gratified. So was he. 0 People …

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Microsurgical Grafting for Gum Recession Over a Lower Incisor
August 11

Microsurgical Grafting for Gum Recession Over a Lower Incisor

Our patient had crowded lower incisors which predisposed her left central incisor to recession and a sensitive, exposed root. We were able to restore her attached gum tissue and cover the exposed root with a microsurgical graft. Her sensitivity is now gone. She expects to have orthodontic treatment to align her incisors correctly, and the …

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Microsurgical Gum Grafting in Portsmouth, NH
July 21

Microsurgical Gum Grafting in Portsmouth, NH

First molars are the largest tooth in the mouth and are also common sites for gum recession. Since they are so important for chewing and for stability of the dental arch and occlusion (bite), it is important to preserve their bone and gum tissue. Using a microsurgical connective tissue graft, we were able to return …

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Sinus Lift Bone Grafting in Portsmouth, NH
July 16

Sinus Lift Bone Grafting in Portsmouth, NH

Our patient needed his six-year molar replaced. We routinely take a 3-dimensional image when we plan for implant placement. The virtual implant is in green on the image on the left. As you can see, more than half of the planned implant penetrated his sinus, so a bone graft (sinus lift) was necessary to provide …

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

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