Surgical Services

Dr. Dean's practice provides a variety of surgical services. He prides himself on the fact that he is very conservative in his treatment recommendations and limits surgery to the areas where it is absolutely necessary. Periodontal procedures are available to regenerate the bone and gum tissue to it's original function and cosmetic appearance.

Cosmetic Periodontal Surgery

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 apperance of short unsightly teeth this can be greatly improved by a combination of peridontal procedures by Dr. Dean and cosmetic dentistry by your dentist.


Short teeth and
unsightly crowns

After Periodontal work
and new crowns
Patient unhappy with size
and color of her teeth

After Periodontal Crown
Lengthening and Cosmetic

Gum Grafting Procedures
(Subepithelial connective tissue grafts)

When recession of the gingiva occurs, the body loses a natural defense against both bacterial penetration and trauma. When gum recession is a problem gum reconstruction using grafting techniques is an option.

When there is only minor recession, some healthy gingiva often remains and protects the tooth, so that no treatment other than modifying home care practices is necessary. However, when recession reaches the mucosa, the first line of defense against bacterial penetration is lost.

In addition, gum recession often results in root sensitivity to hot and cold foods as well as an unsightly appearance to the gum and tooth. Also, gum recession, when significant, can predispose to worsening recession and expose the root surface, which is softer than enamel, leading to root caries and root gouging.


Recession of Gum Tissue

Recession repaired with
Gum Grafting

Lower tooth with a lot
of recession threatening
the tooth
Gum Recession repaired

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.

The gingival graft procedure is highly predictable and results in a stable healthy band of attached tissue around the tooth.