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

Welcome to our latest news and updates!

September 24

Covering Multiple Exposed Roots With a Tunneling Gingival Connective Tissue Graft in Portsmouth, NH

We and our patient were very happy that we were able to cover three adjacent roots with a tunneling connective tissue graft. As the number of teeth with recession and root defects increases, achieving a perfect result like this one becomes very challenging. Fortunately, we have performed thousands of these microsurgical procedures and can often …

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September 17

Gingival Graft for A Canine in Portsmouth, NH

Gum recession caused by overbrushing results in a smooth, shiny root surface at first. The root gradually stains brown and then decays over time. Our patient was young so the root was still shiny and white. We were able to intercept his recession early and cover the root with a microsurgical tunneling graft before root …

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September 10

Lingual Fenestration Repair Via Lateral Sliding Pedical Graft in Portsmouth, NH

Our patient developed a painful hole (fenestration) in her gum tissue due to a retainer that pressed too hard on the tissue on the inside (lingual) of her lower incisor. This problem is becoming more common with the rise of do-it-yourself orthodontic treatment via the Smile Direct Club. It can also be caused by a …

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September 10

Root Coverage to Restore an Ideal Gumline in Portsmouth, NH

The ideal position of the gumline on upper first bicuspid teeth is slightly lower than the ca…

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September 10

Full-arch Implant Rehabilitation in Portsmouth, NH

Our patient was in constant discomfort and was humiliated by his severely decayed dentition …

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September 10

Gum Graft for a Canine in Portsmouth, NH

We never get tired of covering canine roots! These are the most important teeth in your mouth…

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September 3

Tunneling Connective Tissue Gum Grafting in Portsmouth, NH

Here is another example of a patient who scrubbed his teeth so often that he caused gum recession and notching of the roots of his canine and bicuspid teeth. We were able to convince him to brush with less force, and never more than twice daily. Then we restored him to an ideal condition with …

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August 28

How to Avoid Needing Gum Grafting

When patients brush their teeth vigorously or more than twice daily, they often cause gum recession and notching of the exposed roots of their teeth. We can restore the normal health and position of the tissue with microsurgical grafting, as we did for our patient. But it would be better not to need treatment. We …

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August 20

Gum Graft for a Canine in Portsmouth, NH

We never get tired of covering canine roots! These are the most important teeth in your mouth. Because they are at the corners of your dental arch, their gum tissue tends to get stripped away by toothbrushing or chewing. We are grateful to be able to restore ideal gum health and positioning using microsurgical grafting …

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August 14

The Perio Perspective

The Perio Perspective Summer 2019 What’s In a Name? Periodontal disease is an enigma. Its exact causes are not known, although many of its risk factors are. Its progress in each individual is unpredictable. It depends as much on the behavior of the patient as on treatment. It tends to be episodic, with erratic patterns …

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August 13

Full-arch Implant Rehabilitation in Portsmouth, NH

Our patient was in constant discomfort and was humiliated by his severely decayed dentition and missing teeth. In one day, we removed his upper teeth, placed five implants, and inserted a fixed prosthesis. We also placed an implant in his lower central incisor site. He was amazed to be free of pain and proud of …

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August 2

Covering an Exposed Implant Crown Margin With a Tunneling Connective Tissue Graft in Portsmouth, NH

      A common problem with crowns in the esthetic zone is grey show-through or actual exposure of restorative margins. This occurs with implants as well as natural teeth. The cause is inadequate bone and/or attached gingiva buccal to the restoration, or overzealous toothbrushing, or both. It is more common in patients with a …

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July 30

Covering an Exposed Implant Crown Margin With a Tunneling Connective Tissue Graft in Portsmouth, NH

Our patient hated seeing the grey line where her implant crown met her gums. This happens when the bone or gum tissue around an implant is thin and is not augmented by grafting prior to placing or restoring the implant. Covering the exposed metal crown margin once the recession occurs is very challenging, but in …

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July 23

Gingival Grafting and Frenectomy to Cover an Exposed Incisor Root in Portsmouth, NH

Treating gum recession of a lower incisor is challenging due to the pulling action of the lip. For our patient, we reduced the excessive pulling force while adding attached gum tissue and completely covering the root. This is most predictably achieved via a microsurgical tunneling graft, which we have successfully performed hundreds of times.

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July 16

Root Coverage to Restore an Ideal Gumline in Portsmouth, NH

The ideal position of the gumline on upper first bicuspid teeth is slightly lower than the canine tooth in front of them. This is challenging to achieve, but most predictable with a microsurgical tunneling grafting technique, which we used here. In addition to restoring the proper amount of attached gum tissue, were were able to …

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

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