Surgical Dentistry

"We strive to improve your oral health and smile because you deserve it."

Surgical Dentistry

These procedures are a predictable way to cover unsightly, sensitive, or exposed root surfaces and to prevent future gum recession. If you are unhappy with the appearance of short unsightly teeth this can be greatly improved by a combination of periodontal procedures by Dr. Hosseini and cosmetic dentistry by your dentist.

Although your teeth appear short, they may actually be the proper length. The teeth may be covered with too much gum tissue. We can correct this by performing the periodontal plastic surgery procedure, crown lengthening.

Chao Pinhole® Surgical Technique

Dr. Hosseini is a noted specialist in periodontics and dental implantology. He uses the most advanced equipment and techniques to ensure you get the best possible treatment. This includes advanced training in dental implant placement, bone regeneration procedures, cosmetic gum procedures, laser therapy, and periodontal therapy.

The Chao Pinhole® Surgical Technique (PST®) is a scalpel-free, suture-free procedure for treating gum recession.

This procedure, invented and patented by John Chao, D.D.S., is performed by making a small hole with a needle in the gum tissue. Using specially designed instruments, the gum tissue is loosened and guided over the receded part of the tooth. Since there is no incision or suturing, patients can expect minimal post-operative symptoms (pain, swelling and bleeding). Most patients also are pleasantly surprised by the instant cosmetic improvement.

To learn more about the Pinhole Surgical Technique, please contact our office. We are conveniently located in San Antonio and Pleasanton, Texas.

before-after

Gum Grafting Procedures

When significant, gum recession can predispose to worsening recession and expose the root surface, which is softer than enamel, leading to root caries and root gouging. A gingival graft is designed to solve these problems. A thin piece of tissue is taken from the roof of the mouth or gently moved over from adjacent areas to provide a stable band of attached gingiva around the tooth. The gingival graft may be placed in such a way as to cover the exposed portion of the root.

After Gums

After

Before Grafting

Before

Crown Lengthening

Crown lengthening (or crown exposure) is required when your tooth needs a new crown or other restoration.  The edge of that restoration is deep below the gum tissue and not accessible.  It is also usually too close to the bone or below the bone. The procedure takes approximately one hour.

When the procedure is completed, sutures, and a protective bandage are placed to help secure the new gum-to-tooth relationship.  You will need to be seen in one or two weeks to remove the sutures and evaluate your healing.

Guided Tissue Regeneration

Traditionally, eliminating the gum pockets by trimming away the infected gum tissue and by re-contouring the uneven bone tissue treats gum disease. Although this is still an effective way of treating gum disease, new and more sophisticated procedures are used routinely today.

Most techniques utilize membranes that are inserted over the bone defects. Some of these membranes are bio-absorbable and some require removal. Other regenerative procedures involve the use of bioactive gels.

Osseous Surgery

One of the most common surgical procedures, incisions are made around the tooth, and the gum tissue is pulled back slightly. This provides access to thoroughly remove all plaque and calculus. Irregularities of the bone caused by the disease are smoothed over and the tissue placed at a higher level around the tooth, closer to the bone. When the procedure is completed, “dissolving” sutures are used. A protective dressing often is placed around the necks of the teeth to cover the surgical area and to help secure the new gum-to-tooth relationship.  You will need to be seen in 10-14 days to remove any remaining sutures and evaluate your healing.

IV Sedation

Comprehensive Dentist, Dr. Amir Hosseini knows how some patients can be worried when going to the dentist. If fear has kept you from going to the dentist lately, Dr. Hosseini may be the answer you have been waiting for. Sedation dentistry offers an excellent way to provide a safe, anxiety-free, dental experience to those who are afraid of the dentist. One major benefit on going to a sedation dentistry is many people feel that the procedure only lasted a few minutes, when actually the procedure could have gone for hours!

Here are some advantages associated with sedation dentistry:

  • Anxiety is alleviated.
  • Few side effects.
  • More can be accomplished during each visit.
  • No needles.
  • No pain.
  • Perfectly safe.
  • Procedures seem to take less time.

 




We are a San Antonio periodontist specializing in Dental Implants, Laser Assisted Periodontal Therapy, All-On-4 and Gum Grafting and we surgically treat the communities of San Antonio & Pleasanton, TX.