727-799-6733 28469 US 19 N #401, Clearwater, FL 33761

surgical procedures 1If you are diagnosed with periodontal disease, periodontal surgery may be recommended. Periodontal surgery is necessary when it has been determined that the tissue around your teeth is unhealthy and cannot be repaired with non-surgical treatment.

Dr. Churney is highly skilled at a variety of surgical procedures to help restore and maintain optimum dental health. These short descriptions are here to assist you in gaining a brief understanding of procedure and the role it plays in your well-being. If there is any additional information you would like on any of the surgical procedures, please don't hesitate to ask!

Gingival Grafting Pre OpPatients of gingival grafting have lost gum tissue levels around teeth, and therefore attachment loss.

The outcome of this procedure can be two-fold. Augmentation of tissue to prevent further movement of tissue, as well as root coverage to cover exposed roots and to level gingival margin.

 

 

 

 

What to Expect

  • Initial exam
  • Photos
  • Surgical procedure is a second appointment

How Well Does It Work

  • Augmentation procedures have a very high success rate.
  • Root coverage procedures are very successful too but may require a revision procedure to obtain total coverage.

What to Expect After Treatment

Discomfort is always a possibility.  This maybe dependent on the donor area involved with the surgical procedure.  These procedures transplant tissue from one area of the mouth (usually the palate) to another area.  In some cases other donor tissue not from the palate can be used with greatly enhance the comfort of the procedure.

 

Sedative Options

  • Local anesthetic can be used in most cases
  • Optional use of I.V. sedation by an oral surgeon is available for patients.

Risks

As with any surgery infection and swelling is possible post operatively.

Gingival Grafting Post OpWhat to Think About

Is there an esthetic component - is the area visable with a smile?  If it is, then can it be covered and what will the appearance be?  The whole surrounding area will be evaluated to make sure there is a balance of gingival tissue to create the proper esthetics in the area.  Will your smile be enhanced due to completion of the procedure?

Altered Eruption / "Gummy Smile" Procedure. Patients sometimes have excessive gum area covering the teeth, which leads to the appearance that the teeth are short.

 

This condition is often referred to as a "gummy smile".  With this procedure, Dr. Churney is able to position tissue to create a more pleasing length and esthetic outcome.

As teeth erupt, the tissue usually pulls back to a level at the enamel and root surface contact point on the tooth.  In many cases the tissue covers the enamel, which leads to the short appearance.  By and by placing tissue at this line the overall appearance of the smile improves.

 

Altered Eruption - "Gummy Smile" Procedure Pre opResults

  • More pleasing esthetic smile
  • Usually minimal discomfort
  • Extremely happy patient with more balanced and natural smile

 

 

 

 

Altered Eruption - "Gummy Smile" Procedure Post opWhat to Expect

  • Initial exam
  • Photos
  • Discussion
  • Surgical procedure a second appointment
  • Post-operative visits are usually at 1 week, 3 weeks and 8 week intervals

 

 

Sedative Options

  • Local anesthetic
  • This is an out-patient procedure

The treatment option called esthetic crown lengthening is available to prepare a tooth for restorative dentistry or to cosmetically enhance your smile.

 

Esthetic Crown Lengthening, Pre OpEsthetic Crown Lengthening & Restorative Dentistry

When decay occurs below the gum line, it may be necessary to remove a small amount of bone and gum tissue. Your primary dentist may ask Dr. Churney for this procedure before he or she makes a new crown for your tooth.

If the front teeth are too short or of uneven length, esthetic crown lengthening might be indicated. Reshaping the gum and supporting tissues will allow your general dentist adequate room to place a quality final restoration.

 

 

 

Esthetic Crown Lengthening, Post OpEsthetic Crown Lengthening & Cosmetic Treatment

Esthetic Crown lengthening is used to correct what's commonly referred to as a "gummy smile."  A gummy smile is apparent when the gum line appears to be creeping down over the teeth, making them appear shorter.

To correct a gummy smile, it is necessary to remove excess gum tissue, therefore allowing more of the natural tooth surface to appear. This procedure creates a more balanced smile, and for many patients, increases confidence.

This procedure is for patients undergoing reconstruction due to a failing tooth.

The removal of the tooth in done in a way that your dentist can restore the area without detection that a tooth is missing.  The benefit of this procedure is that it maintains the ridge shape and size.

Usually this reconstruction procedure is for anterior teeth (can refer to: incisors or canines in either upper or lower jaw), but is not necessarily limited to these teeth.

 

What to Expect

  • Initial exam
  • Discussion of problem
  • Review options as to materials available for use and how used
  • Some form of provisionalization will be completed by your dentist so that when tooth is removed something replaces tooth

Sedative Options

  • Usually carried out under local anesthetic
  • Out-patient procedure
  • Can drive home, no additional ride home is necessary

Post-Operative Care

  • Post-operative care similar to any surgical procedure involving anti-microbial mouth rinse.
  • Specific hygiene instructions.
  • Post-operative medications are given for any discomfort.

frenectomy (also known as a frenulectomy or frenotomy) is the removal of a frenulum, in this case, the thick tissue between the front teeth.

The removal of the frenulum allows for teeth to be moved together with orthodontics, as well as aiding in healthier tissue growth next to front teeth without tension.

Whether or not you will ever need a frenectomy is genetically based. Predisposition to this condition is merely a matter of your family history, and is not disease related!

 

What to Expect

  • Initial exam
  • Photos taken
  • Discussion of cause and effect of problem
  • Separate Surgical appointment
  • Uneventful healing – for school age children usually able to return to school next day following

How Well Does It Work?

  • Incredibly successful at removing tension
  • Allows for healthy tissue growth

What to Expect After Treatment

As with any surgery soreness can be present following the procedure. Minimal changes in everyday life.

Risks

Minimal risk involved. This procedure is necessary in a number of cases for completion of orthodontic care.

 

Points to Consider

Orthodontic treatment as well as genetic traits for this condition.

 

Sedative Options

  • Local anesthetic
  • This is an out patient procedure
  • Able to function normally post-surgery
  • Post-operative medications are usually over-the-counter medications

Eating

  • No biting into foods until after post-operative visits
  • Post-operative visits consist of 1 week suture removal appointment
  • There will be another follow up appointment 3 weeks after surgery

Patients who have suffered bone loss affiliated with periodontal disease.

A way to surgical regenerate supporting structures of the teeth. Usually related to bone structures but can be tissue also. In the past resection was completed but now we have the ability to regenerate and regrow supporting structures of the teeth. Multiple materials will be used and not limited to type of bone graft materials, biologic modifiers and membranes.

 

Why Is It Done

Instead of resection of affected structures, regeneration procedures attempt to rebuild those lost structures of bone.  In this way, we can increase the support of the tooth and recreate the natural contours and environment.

 

What to Expect

  • Initial exam
  • Photos
  • Discussion of options with causes

What to Expect After Treatment

These procedures take time and will see patient at multiple intervals after initial surgical procedure.  Regeneration of bone structure can take up to 12 months and at 6 months radiographs are taken to determine success of regenerative procedure.

 

Risk

As with any surgery there is risk.  Post-operative infection is minimal with proper care, but it is very important to follow proper post-operative instructions especially in regards to hygiene.

 

Follow-ups

Regeneration procedures are followed very closely for especially the first 6 months.  At that time a x-ray is taken to confirm the health of the bone graft as before that is too soon to judge.  Following these procedures it is very important to stay with a closely maintained maintenance pattern of 3 months usually alternating between us and your general dentist.

Osseous surgery is a surgical process to remove diseased tissue and remove the effects of disease to the bone itself.

This surgery requires contour changes to the bone architecture of the area surrounding the teeth.

All ages can be involved but mostly patients that have been through initial periodontal therapy at their general dentist office. Maintainable, disease free, healthy gingival tissues will require continued maintenance alternating between offices to insure health.

 

What To Expect

  • Initial exam
  • Photos
  • Discussion reviewing all options of treatment including etiology/cause of disease,
  • Scheduling
  • Phases of treatment discussed

How Well Does It Work?

Very well, but with todays advances in surgical technique we look to regenerate supporting structures of the teeth rather than resecting them. So even though the surgical process is completed many times we add to this process newer techniques to create a healthier environment.

 

Risks

All surgical procedures have a level of risk involved, from infection to swelling and other difficulties. The percentage of post-surgical difficulties from Osseous surgery is extremely low.

 

What to Expect After Treatment

  • Discomfort is always a possibility after any surgical treatment.
  • There should be minimal changes to your day to day routines.
  • Follow-up appointments will be necessary due to the surgical procedures and sutures involved.

Sedative Options

  • Local anesthetic can be used in most cases
  • Optional use of I.V. sedation by an oral surgeon is available for patients

Points to Consider

What are the goals of treatment? Is there an esthetic component? This is important as following surgical procedures of this type there maybe a change in tissue contour.

Our office uses the Waterlase iPlus and the Epic Diode laser for a Dual Wavelength Deep Pocket Therapy with New Attachment. This technique allows for minimally invasive therapy for moderate to advanced gum disease.  The Waterlase iPlus is a truly all tissue laser being able to be used on both hard and soft tissue and with the addition of the Diode soft tissue laser allows for an excellent response to disease tissue.

How does the Pinhole Surgical Technique (PST) differ from traditional gum grafting?

Traditional gum recession treatments involve the use of donor tissue or soft tissue grafts in order to rebuild the gumline. This soft tissue would be sutured in place and would join with existing gum tissue as it healed.

While this traditional grafting treatment is effective, comparable results with better patient experience can be achieved through the Pinhole® Surgical Technique.

How is Pinhole® Surgical Technique (PST) performed?

During the Pinhole® Surgical Technique, a needle is used to make a small hole in the patient’s existing gum tissue. Through this pinhole, special instruments are used to gently loosen the gum tissue. These tools help expand and slide the gumline to cover the exposed root structure.

There are no grafts, no sutures, and no incisions needed with the Pinhole® Surgical Technique. It simply involves the adjustment of the existing tissue.

What are the benefits of Pinhole® Surgical Technique (PST)?

The benefits of the Pinhole® Surgical Technique are many:

• Less discomfort for the patient after treatment

• Faster recovery for the patient than traditional grafting • No need for uncomfortable sutures

• No need for scalpels or invasive surgical tools

• No need to take donor tissue from the patient’s palate • Excellent, natural-looking, long-lasting results

Churney Periodontics Office Location

DIRECTIONS FROM NORTH
Take US 19 South. Go 1.25 miles after the Curlew intersection and MAKE A U-TURN at Republic Dr./Hammock Pine Blvd. RIGHT TURN into Auctioneer driveway. Follow drive around to back — Suite #401
DIRECTIONS FROM SOUTH
Take US 19 North. Go past Countryside Mall. The next light will be Republic Drive/Hammock Pines Blvd. Travel .25 miles north. TURN RIGHT into Auctioneer driveway after Bob’s Carpet Mart. (Look for the orange roof.) Follow drive around to back — Suite #401
Churney Periodontics Dental Service 28469 US 19 North Suite 401
Clearwater, FL 33761
USA
727-799-6733