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Periodontal Surgery

Periodontal Health is often accomplished through non surgical periodontal treatment, including scaling and root planing (a careful cleaning of the root surfaces to remove plaque and calculus or tartar from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins). Most Periodontists would agree that after scaling and root planing many patients do not require any further active treatment, including surgical therapy. However, the majority of patients will require ongoing maintenance therapy to sustain health. Non surgical therapy does have its limitations, and when it does not achieve periodontal health, surgery may be indicated to restore periodontal anatomy damaged by periodontal diseases and to facilitate oral hygiene practices.  

If you are diagnosed with Periodontal Disease, Dr. Naim may recommend periodontal surgery. Periodontal surgery is necessary when your periodontist determines that the tissue around your teeth is unhealthy and cannot be repaired with non surgical treatment. The following are the four types of surgical treatment most commonly prescribed:

  • Osseous Surgery to eliminate bacterial infection and periodontal pocketing.
  • Regenerative Procedures to regrow lost bone around your teeth. 
  • Crown Lengthening for teeth with deep cavities to facilitate crown placement. 
  • Soft Tissue Grafts to cover gingival recession and treat excessively thin gingival tissues.

When a tooth can not be saved with periodontal treatment, Dr. Naim will advise to have a Dental Extraction or removal of the tooth. Nowadays, teeth are extracted traumatically with a Ridge Preservation Bone Graft to preserve the dimensions of the jawbone in that area for future Dental Implant placement. Often, you may be a candidate to have a Dental Implant placed at the same time as tooth extraction. Dr. Naim will let you know if any teeth need to be extracted and all of your tooth replacement options.

16661 Ventura Boulevard, Suite 308
Encino, CA 91436
(818) 336-1120

Crown lengthening procedures are done when a tooth has had a cavity, fracture or broken below the gum line. The procedure lowers the gum line so that the broken, or carious part of the tooth can be reached and allows a proper dental restoration to be placed on that tooth. The procedure can allow for a broken tooth to be repaired. However, not everyone is a candidate for crown lengthening, and the tooth may need to be extracted, leading to the option of tooth replacement with dental implants. Schedule a consultation with Dr. Naim to see if you can benefit from a Crown Lengthening.  

Periodontal procedures are available to stop further dental problems and gum recession, which can improve the esthetics of your gum line. Exposed tooth roots are the result of gum recession. Perhaps you wish to improve your smile by covering one or more of these exposed roots that make your teeth appear to be too long. Or, maybe you are not bothered by the appearance of these areas, but you cringe because the exposed roots are sensitive to hot or cold foods and liquids. 

Your gums may have receded for a variety of reasons, including aggressive toothbrushing or periodontal disease. You may not be in control of what caused the recession, but prior to treatment your Periodontist can help you identify the factors contributing to the problem. Once these contributing factors are controlled, a soft tissue graft procedure will repair the defect and help prevent additional recession and bone loss.Soft tissue grafts (Connective Tissue Grafts, Free Gingival Grafts) can be used to cover roots or develop gum tissue where absent due to excessive gingival recession. 

During this procedure, your Periodontist takes gum tissue from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity. 

What are the benefits of this procedure?
A soft tissue graft can reduce further recession and bone loss. In some cases, it can cover exposed roots to protect them from decay. This may reduce tooth sensitivity and improve esthetics of your smile.  

Non Surgical Periodontal Therapy 

Periodontal Treatment - Periodontal Surgery by Dr. Sam Naim in Encino, CA

Your gum and bone tissue should fit snugly around your teeth like a turtleneck around your neck. When you have periodontal disease, this supporting tissue and bone is destroyed, forming "pockets" around the teeth. Over time, these pockets become deeper, providing a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets develop even more bacteria, resulting in further bone and tissue loss. Eventually, if too much bone is lost, the teeth will need to be extracted. Your periodontist has measured the depth of your pockets. 

A pocket reduction procedure has been recommended because you have pockets that are too deep to clean with daily at home oral hygiene and a professional care routine. During this procedure, your periodontist folds back your gum tissue and removes the disease causing bacteria before securing the tissue into place. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone.  

What are the benefits of this procedure? 
The direct benefits of Osseous Surgery are to create an oral environment free of gum disease causing bacteria and gingival tissue that is easier to clean by the patient and the dental professional. Reducing pocket depth and eliminating existing bacteria are important to prevent damage caused by the progression of periodontal disease and to help you maintain a healthy smile. Eliminating bacteria alone may not be sufficient to prevent disease recurrence. Deeper pockets are more difficult for you and your dental care professional to clean, so it's important for you to reduce them. Reduced pockets and a combination of daily oral hygiene and professional maintenance care increase your chances of keeping your natural teeth.  

Crown Lengthening Surgery

Soft Tissue Grafts: Connective Tissue Grafts, Soft Tissue Allografts, Free Soft Tissue Grafts

Osseous Surgery for Pocket Depth Reduction to treat Periodontal Disease 



Dr. Sam Naim is a Board Certified, UCLA trained Periodontist & Dental Implant Specialist who specializes in all forms of Periodontal & Dental Implant treatment. Serving the communities of Encino, Sherman Oaks, Tarzana, Woodland Hills, Studio City, Reseda, Van Nuys, Northridge, Los Angeles, Santa Monica, Westwood, Beverly Hills.

Sam I. Naim, DDS, DABP
Periodontics & Dental Implants
Diplomate, American Board of Periodontology

Your periodontist may recommend a regenerative procedure when the bone supporting your teeth has been destroyed. These procedures can reverse some of the damage by regenerating lost bone and tissue. During this procedure, your periodontist folds back the gum tissue and removes the disease causing bacteria. Bone Grafts, membranes, and tissue stimulating proteins (growth factors) can be used to encourage your body's natural ability to regenerate bone and tissue. 

What are the benefits of this procedure?
Eliminating existing bacteria and regenerating bone and tissue helps to reduce pocket depth and repair damage caused by the progression of periodontal disease.  


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