Periodontics

At Great Neck & Mid-Island Dental Associates, we provide state-of-the-art periodontal care, in addition to advanced cosmetic dentistry. Since periodontal (gum) disease is a major cause of tooth loss in the U.S., affecting 75% of adults age 35 and older, we recognize the importance of proper diagnosis and treatment. Should you feel nervous about periodontal treatment, our team can discuss sedation dentistry options to ensure you have the most comfortable visit possible.

For any questions regarding periodontal disease, or to schedule a consultation with one of our periodontists, please contact us today.


Periodontal Disease & Treatment

What is Periodontal Disease?

Periodontal disease is caused by a bacterial infection that begins as inflammation of the gums. It can lead to serious issues that may ultimately require reconstructive and cosmetic dentistry. When left untreated, periodontal disease can destroy the gums, bone, and ligaments supporting the teeth. One reason periodontal disease is so widespread among adults is that it is initially a painless condition often going unnoticed for years at a time.

Periodontal Disease Symptoms

Although the beginning of periodontal disease is difficult to detect, as little to no symptoms arise, the progression of the condition can show specific warning signs that you should not ignore. People who suffer from gum disease typically exhibit the following symptoms:

  • Bleeding gums
  • Gum recession
  • Loose teeth
  • Pain
  • Chronic bad breath

Stages of Periodontal Disease

Gingivitis

The earliest form of periodontal disease is gingivitis. Our periodontists can help you develop a comprehensive plan for preventing gingivitis and other stages of periodontal disease. The first symptoms to be aware of are gums that bleed when brushed or flossed. Other signs may be red, swollen, or irritated gums. Usually, proper brushing and flossing can reverse gingivitis.

Periodontitis

As periodontal disease progresses to periodontitis, the most severe form of the condition, symptoms can become more noticeable, and resultant damage may require more in-depth treatments. These signs can include teeth that are loose or separating, change in bite, and chronic bad breath or a bad taste. Anyone experiencing any of these symptoms should contact our offices right away to determine the best form of treatment.

Risk Factors

When it comes to gum disease, there are some factors that can be controlled and others that cannot be. Although age is not a risk factor, older individuals are more susceptible to disease. Common risk factors for developing the disease include the following:

  • Poor oral hygiene
  • Smoking
  • Teeth grinding or bite problems
  • Diabetes
  • Hormone changes
  • Family history of periodontal disease
  • Taking certain medication

If any of these factors apply to you, it is important to take extra care of your oral health, visiting a dental professional on a routine basis.

Our skilled periodontists would be happy to discuss the benefits of periodontal care and cosmetic dentistry treatments with you. For more information about periodontics and your oral health, feel free to contact us today. Make sure to visit our non-surgical and laser treatment pages to learn how you can manage your condition.


Periodontal Health Risks

Our experienced periodontists, Dr. Sam Morhaim and Dr. Navid Baradarian, stress the importance of early detection when it comes to periodontal disease. Although the condition originates in the mouth, the condition can cause further systemic damage if left untreated. This is caused by harmful toxins released in the mouth entering the bloodstream, and recent research has linked inflammation as an influencing factor.

What many people do not realize is that gum disease can become a life-threatening health problem when it is not properly managed. As a result, we recommend treatment begin as soon as possible after detection to prevent worsening of both oral and systemic health.

The Mouth Body Connection

Research has proven that oral manifestations from periodontal disease can link to numerous systemic concerns. In fact, our periodontists have found when patients are diagnosed with the condition, this can help in the detection of underlying health problems they may not realize they had. It has been shown that patients with periodontal disease have a heightened risk of developing the following systemic health concerns:

  • Heart Disease
  • Stroke
  • Diabetes and other metabolic disorders
  • Osteoporosis
  • Pancreatic Cancer
  • Pregnancy Complications

To protect your overall well-being, and lower your risk of developing these health problems, we emphasize proper oral care and hygiene practices to prevent gum disease. Should you develop the condition, our team utilizes advanced technology for detection and laser gum treatment.

Schedule a Consultation

When you take the right precautions to maintain a healthy mouth, you have a better chance of achieving better overall health. If you would like more information about periodontal disease, or if you wish to set up a consultation with one of our skilled periodontists, please contact us today.


Bone Grafting for Dental Implants

Have you decided you would finally like to get rid of your dentures or your bridge and enjoy the freedom and comfort of a dental implant… but your dentist is concerned that you may have lost too much bone structure for a successful implant placement? We can help. If too much bone has been resorbed to support an implant and allow it to properly take hold in your jaw, we have a number of bone grafting procedures to rebuild the bone and support the facial structure.

Bone Grafting After Dental Extractions

When a tooth is lost, so is the support and stimulation that tooth’s roots gave to the bone. And when bone is not stimulated, it begins to shrink or resorb. To preserve your bone and prevent TMJ issues, aging facial collapse, and tooth movement, we recommend bone grafting after every extraction. Bone grafting also increases your chances for future implant placement.

What is Bone Grafting?

Bone grafting is basically the placement of a material, either biological or artificial, into the bone of your jaw to support, augment, and prevent deterioration. The material will integrate into the bone as you heal, providing a strong and healthy platform for dental implants or other replacement options.

What Materials Will You Use?

While a variety of materials exist for bone grafting, including tissue-stimulating proteins, we often use your own bone for optimal outcome. During the months after bone grafting surgery, your body will work to fill in the area with new bone and soft tissue.

The Tutoplast® Process

To ensure the success of your bone grafting, we implement the Zimmer Dental TutoplastⓇ process. The proprietary Tutoplast® Process minimizes risk and assures high tissue quality through a proven, chemical process, developed and refined for over 35 years in more than three million procedures.

This process allows us to better use your own or donor bone. It removes all unwanted materials such as viruses, antigens, and even inactive pathogens, leaving pure bone that has retained its valuable collagen matrix to more effectively allow integration and rebuilding of the bone.


Sinus Lifts (Internal & External)

If the bone in your upper back jaw has deteriorated, or if you have had a tooth extracted from that area, a sinus lift can be a terrific option to help stop bone loss in the sinus area.

What is a Sinus Lift?

A sinus lift, or sinus augmentation, is basically the same procedure as a bone graft, but because of the location, the procedure is a little bit more complex. Sometimes the area that requires grafting can be accessed from inside the mouth. Other times an external access point needs to be made. We will discuss your needs and options with you and find the best, most comfortable, and most convenient way to place your graft. And don’t forget, we have the best sedation methods and anesthetics to keep you completely relaxed and pain-free.


Ridge Augmentation

When teeth are lost, the bone around that tooth begins to deteriorate immediately. A ridge augmentation can recreate the contours of the jaw-bone creating a more pleasing contour and allowing the placement of an implant. If we are extracting a tooth, we can often do a ridge augmentation immediately after the surgery. We  place either biological or artificial material into the area or extraction and cover it with a collagen membrane. The material will integrate into the bone as you heal, providing a strong and healthy platform for dental implants or other replacement options.


Soft Tissue Grafting

Gum recession. Everyone dreads it, but almost everyone experiences it in one form or another. And that recession is not only an unfortunate place for food to get stuck and ruin your smile, it can also lead to sensitivity, tooth decay at the gumline, bone reduction, and even tooth loss. But don’t worry! Our grafting procedures can help repair the recessed gum, cover the sensitive root, and protect you from additional bone loss.

Why Gums Recede

Gum recession can occur for a wide variety of reasons including:

  • Ÿ  Genetic predisposition
  • Ÿ  Gum disease
  • Ÿ  Orthodontics
  • Ÿ  Overly aggressive tooth brushing
  • Ÿ  Poor oral hygiene
  • Ÿ  Smoking or other tobacco use
  • Ÿ  Clenching or grinding of your teeth

How We Can Help

We offer a number of surgical gum grafting procedures to cover the exposed tooth root with new tissue. This tissue can be your own tissue or tissue from a tissue bank. Either way, as the tissue heals, your gum line will look and feel healthier and more attractive.

Connective Tissue Grafting

The most commonly used procedure for treating root exposure, is the connective tissue graft. For this particular graft, we simply cut a small flap in the roof of your mouth and gently remove some donor tissue, known as subepithelial tissue, to cover your gums. The flap we have created is then closed and stitched back into place, covering the donor site. Because your own tissue is used, there are very few risks and most of our patients experience tremendous success.

Chao Pinhole Gum Rejuvenation

Instead of removing tissue from the roof of your mouth and suturing it to the affected gums, Chao Pinhole Gum Rejuvenation allows your existing gum tissue to be maneuvered into place  – without any cutting whatsoever! Instead, a pinhole is made under the lip in the upper portion of your gums. A delicate tool is inserted in the pinhole and used to loosen the tissue from the bone. Once the tissue has been gently loosened, it can be draped over the areas of recession. Collagen strips are applied to support the gum tissue and hold everything in place. You will leave our office looking great, and the pinhole will heal completely in 24 hours.

Our gum grafts can also be used before orthodontic treatment and to prevent root decay. We always keep you comfortable and we offer oral and IV sedation, as well as the more traditional nitrous oxide, to help you stay absolutely relaxed during the entire procedure.


Non-Surgical Treatment

When patients are diagnosed with periodontal disease, our team first considers the potential of non-surgical treatment options. Dr. Sam Morhaim and Dr. Navid Baradarian have a conservative approach to periodontics and use the least invasive options possible to sufficiently treat a patient’s oral health concerns. We make patient safety and comfort a priority and utilize the latest techniques and most advanced equipment available. By doing so, we can significantly improve a patient’s oral health while avoiding the extensive work and often painful experience of traditional surgery.   If you have any questions or concerns regarding our non-surgical treatment methods, please contact us today.

Scaling and Root Planing

Scaling and root planing is often the first step in the treatment of gum disease. This involves a thorough gum and tooth cleaning by a periodontist. During the treatment, plaque and tartar are removed through a scaling process, extending underneath the gum line. Your periodontist may also plane the surface of your tooth root, which smooths it to promote the reattachment of your gums to the tooth’s surface.

Antibiotic Prescription Drug Therapy

Antibiotic therapy is often recommended following scaling and root planing to help control bacterial growth. Our periodontists utilize the antibiotic Arestin®, placing it in periodontal pockets to help maintain a healthy environment that is free of toxins. This helps control infections caused by gum disease and prevent further damage from occurring.

Contact Great Neck and Mid-Island Dental Associates

The details of your treatment will be discussed during your consultation. Depending on the extent of your condition, you may require laser gum treatment. For more details about our non-surgical treatment options, or to schedule a consultation with one of our skilled periodontists, feel free to contact us.


Laser Treatment

With the many advancements in periodontal care, intimidating surgical procedures no longer need to be a concern for patients. Our periodontists, Dr. Sam Morhaim and Dr. Navid Baradarian, strive to stay at the forefront of technology to offer the most efficient gum disease treatment without sacrificing patient comfort. While traditional gum surgery requires extensive work and causes a painful recovery period, laser technology provides a faster, more comfortable treatment process with little to no downtime.

The minimally-invasive nature of laser treatment reduces the need for cutting or using sutures, which limits trauma to the surrounding healthy tissue. In addition to increased patient comfort, laser technology can provide improved results for patients, stimulating healthy tissue regrowth.

For more information regarding our laser treatment options, please schedule a consultation with one of our experienced periodontists to learn which procedure can provide the best results for your condition.

Biolase Waterlase Er,Cr:YSGG

The Waterlase Er,Cr:YSGG® system by Biolase utilizes a laser in combination with air and water to provide a virtually pain-free treatment. The technology is used in a variety of procedures, including gingivectomies, crown lengthening, amalgam tattoo removal, pigmentation correction, and abscess removal.

KaVo Diode Laser

Our team of hygienists utilizes the diode laser by KaVo in the combination procedure of scaling and root planing and bacterial reduction. The technology allows for gentler, more precise treatments. Patients typically experience less discomfort, faster healing, and minimal bleeding.

Periolase® MVP-7™

The PerioLase® MVP-7™ laser is used exclusively at our practice for the LANAP Nd:YAG™ protocol. Our periodontists have undergone extensive training in this advanced laser gum treatment and are certified by the creators of LANAP Nd:YAG™, Millenium Dental Technologies, Inc., to perform the procedure.

Having different laser devices available allows our team to employ the proper wavelength for a patient based on the type of treatment being performed. If you would like more information about our laser technology, or if you would like to schedule a consultation, please contact us today.


Frenectomy

Your mouth is a wonderful and complex part of your body. Inside are all kinds of mysterious folds and flaps – like your frenum. Your frenum is a muscle that connects your lips, cheek, or tongue to the jawbone.

Sometimes this tissue pulls on, or grows between, your top front teeth, causing a gap or a space. If that space is closed with braces, without addressing the frenum, the gap will often reopen.

Other times the frenum can become too tight or restrictive and cause problems such as speech impediment, difficulty nursing in babies, or difficulty with denture fit and comfort. It can even affect the health of the gums, which could lead to gum disease, bone loss, tooth decay and eventually tooth loss.

Our laser frenectomy services solve any of these issues without the use of a scalpel or sutures.

What Exactly is a Frenectomy?

To correct the problems caused by constricted frenum tissue, and to keep your teeth in a stable position, we will use a laser to gently trim the muscle, removing the pressure.

A frenectomy performed with the laser takes only a few minutes to comfortably release the tension, help your gap stay closed after orthodontic treatment and allow complete freedom of movement, all with less bleeding and very little swelling.


Tooth Exposure

Your teeth – one day they just start coming in, making your smile complete and letting you eat and talk with ease. But on occasion, that doesn’t happen. Sometimes they don’t show up in your mouth the way we expect them to. They are there, growing, but never erupt from the gum!

When a tooth is caught in your gum tissue it can also keep your other teeth from erupting properly and leave a space that looks and feels unattractive. Worse, if it is not addressed, it can cause damage to the roots of neighboring teeth resulting in tooth loss and other medical and cosmetic problems.

Because we prefer to help you keep your natural teeth, and use them to fill the spaces whenever possible, Great Neck and Mid-Island Dental Associates offer an uncovering procedure that is usually completed in tandem with braces.

The Benefits of Tooth Exposure

The primary benefit of tooth uncovering is, of course, that we use your own, natural tooth to fill the gap in your smile. This is important because your tooth roots support your gum, keep it stimulated, and also keep the rest of your teeth in a healthier position.

The Tooth Uncovering Procedure

A tooth exposure is just what it sounds like – uncovering a tooth that is impacted or covered by gum tissue. When the process – including your braces – is complete, you will be smiling a whole, comfortable smile with all your own teeth!


Crown Lengthening

Crown lengthening is a beneficial procedure for both restorative and cosmetic dentistry purposes. Patients who have excess gum tissue covering their teeth can particularly benefit from the treatment. It can enhance the appearance of your smile by making short-looking teeth appear full size. Additionally, crown lengthening is a useful procedure when a tooth is being prepared for porcelain crown. When utilized during the restoration process, the procedure contributes to an improved fit and provides increased support for the crown.

As they strive to employ the latest in dental technology, our skilled periodontists, Dr. Sam Morhaim and Dr. Navid Baradarian, are proud to offer virtually painless crown lengthening with the use of the Waterlase Er,Cr:YSGG® system. This advanced laser technology by BioLase re-contours gum tissue with optimal precision through a relatively quick treatment process.

If you have any questions regarding crown lengthening or our advanced Waterlase Er,Cr:YSGG technology, we encourage you to contact us to schedule a consultation.


LANAP Nd:YAG™

The Laser Assisted New Attachment Procedure, better known as LANAP Nd:YAG™, is cleared by the U.S. Food and Drug Administration to treat moderate to severe gum disease.

LANAP Nd:YAG™ is a minimally invasive procedure, and because of this, it can be performed on a wide range of patients, including those with conditions that may complicate the healing process, such as diabetes and hemophilia, as well as people who have dental implants. The technology offers a faster and more comfortable treatment process for patients suffering from the effects of periodontal disease.

Dr. Sam Morhaim and Dr. Navid Baradarian are certified by Millenium Dental Technologies, Inc., the makers of LANAP Nd:YAG™, to perform this laser procedure. Having undergone specialty training on the device, they are able to provide optimal results with safety and patient comfort in mind.

PerioLase® MVP-7™

Our experienced periodontists utilize the advanced PerioLase® MVP-7™ laser technology for the LANAP Nd:YAG™ procedure. This device offers precise treatment for bacterial infections in the gums via a less invasive procedure when compared to traditional gum surgery. It is guided between the gum and tooth to remove damaged tissue, while also stimulating growth of new, healthy tissue. The PerioLase® MVP-7™ laser is able to target infected tissue without affecting surrounding, healthy tissue.

LANAP Nd:YAG™ Media Coverage

Since LANAP Nd:YAG™ is being recognized as a revolutionary gum disease treatment, various media sources have covered its potential. See below to learn more about the procedure:

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If you would like to learn more about LANAP Nd:YAG™, or if you would like to schedule a consultation with one of our skilled dental professionals, please contact us today.


Chao Pinhole Gum Rejuvenation

The Easy, Suture-Free Treatment for Receding Gums

Receding gums. Not only can they dull your smile, they are unhealthy and unattractive. If you have them, you certainly know how embarrassing it is to smile with food stuck in those little pockets! Even worse, the areas of recession and exposed roots are extremely sensitive.

Until recently, the only way to treat receding gums was through gum grafting surgery, a procedure that is invasive, time consuming, and which leaves you with conspicuous sutures at the gumline.

Now, thanks to special, advanced training, the doctors at Great Neck Dental can treat and reshape receding gums without any grafting, suturing, or stitching! This breakthrough method is called the Chao Pinhole Gum Rejuvenation, and it is revolutionizing the way we treat dental recession.

Why Choose Chao Pinhole Gum Rejuvenation?

Those who suffer from gum recession can attest to how painful and embarrassing it can be. It can also lead to decay and even tooth loss if left untreated.

Treating receding gums is essential to lasting good health and an attractive smile, and the Chao Pinhole technique removes the biggest objections to gum reconstructive surgery – the grafting and suturing.

Because the procedure is done through a pinhole, it requires no stitches, and since there is no pain or swelling, several areas can be treated at one visit.

The Benefits of the Chao Pinhole Gum Rejuvenation

  • No bleeding.
  • No prickly stitches.
  • No loss of connective gum tissue.
  • The results are immediate, and incredibly attractive.

How the procedure Works

Traditional methods for treating gum recession include removal of tissue from the roof of your mouth. This tissue is then sutured to the gum area to be treated.

Instead of this invasive procedure, the Chao Pinhole Gum Rejuvenation allows the already present gum tissue to be maneuvered into place without cutting. A pinhole is made under the lip in the upper portion of your gums, and a delicate tool is inserted in the pinhole and used to loosen the gum tissue from the bone. This tissue is then draped over the areas of recession. Collagen strips are applied to support the gum tissue and hold everything in place. The tiny pinhole will heal on its own in 24 hours, but the results are instantly beautiful.