Treatment Options

Treatment choices include:

  • Root Planing and Scaling, which is one of the most effective ways to treat gum disease when it is caught in its early stage, before it has progressed to significant bone loss. This is a thorough cleaning and removal of the disease -causing deposits on your teeth called tartar and is done by a dental hygienist.
  • Pocket Reduction Treatment (PRT) is without a doubt the most successful and time tested treatment for moderate and advanced cases of periodontal disease available today! PRT is so effective because it involves the complete removal of tartar and the recontouring of the bone that supports the teeth to bring it back to the healthy shape that it is supposed to have. Pocket Reduction Treatment is very beneficial when pockets are 5mm or greater. With PRT the diseased pockets are very predictably reduced by 50%! This allows your toothbrush to keep the now healthy pockets clean and leads to long term periodontal health!
  • Bone Grafting/Bone Regeneration is a very valuable procedure done at the same time as Pocket Reduction Treatment where Dr. Chapman places a special material into indentations in the bone caused by periodontal disease that commonly occur next to teeth. Bone grafting helps to re-build some of the bone that supports the teeth.
  • Soft Tissue Grafts including: Connective Tissue Grafts which help to cover up the exposed root surfaces of teeth and can be a cosmetic problem as well as cause sensitivity; Free Gingival Grafts, which move healthy gum tissue from one part of the mouth to another, and Pedical Grafts, which shift gums to cover areas where healthy tissue is needed.
  • Implants are the most natural, most functional, best looking replacements for lost teeth that dentistry has today! 95% of all implants are successful for a lifetime.  Think of an implant as a man-made tooth root that your dentist places a crown (cap) on. Alternatives include a bridge where your dentist drills down on the teeth next to a space and the bridge is glued onto those teeth replacing the lost tooth in between. This can lead to tooth decay (cavities) on those teeth, and can also put too much pressure on those teeth in some cases leading to additional tooth loss. Another option is a partial denture, an appliance that you take out at night and put back in in the morning. Many patients find that partials are cumbersome and difficult to chew with, not to mention unsightly.
  • Ridge Preservation is done to help decrease the natural loss of bone that will occur after a tooth has been extracted. This is commonly done in an area where an implant is to be placed.
  • Ridge Augmentation may be recommended if the bone where an implant is to be placed is too narrow and needs to be widened.
  • Crown lengthening is the lowering of the gum around a tooth, most often done so that your dentist can gain access to a cavity or fracture below where the gumline was.
  • Cosmetic surgery is done to help reveal a beautiful smile where patients have too much gum tissue covering their teeth giving the appearance of very small teeth. This is a simple procedure that can have a dramatic effect on a persons smile!
  • Frenectomy is another easy procedure where excess gum tissue is removed from between the upper two front teeth that may be causing a spece to exist. This is usually requested by an orthodontist who is trying to straighten teeth and close gaps between them.
  • Fiberotomy is the easiest of all procedures and is done at the request of an orthodontist to assist in the long term maintenance of straighter teeth.