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All-on-X implants are a modern solution for replacing an entire arch of teeth using as few as four strategically placed implants, designed to restore your smile with precision and durability. Located conveniently in Frederick, MD, our advanced implant technology provides a comfortable, lasting alternative to traditional dentures. What Are All-on-X Dental Implants? All-on-X dental implants are an innovative solution for patients needing a fixed full-arch restoration, a permanent alternative to traditional removable dentures. This advanced procedure uses dental implants to securely anchor a full arch of prosthetic teeth, offering greater comfort, stability, and a natural appearance compared to dentures. The term “X” refers to the number of implants used to support the arch, which typically ranges from four to six depending on individual needs. These implants act like artificial roots, providing a strong foundation designed to last for decades. Unlike removable dentures, All-on-X implants remain fixed in place, giving patients the confidence to eat, speak, and smile without worry. This procedure is ideal for those seeking both function and aesthetic improvement, combining advanced dental technology with personalized care for optimal results. It is well-suited for restoring oral health and quality of life with a solution that feels almost indistinguishable from natural teeth. Why Choose All-on-X Implants? Here’s why this treatment stands out. Key Benefits Permanent solution for missing teeth. Improved bite strength and function compared to dentures. Aesthetics: Provides a natural-looking smile with stable, long-lasting results. Efficiency: Requires fewer implants to support a full arch, streamlining the process. Bone preservation: Prevents future bone loss with strategically angled implants designed for optimal support. How They Compare to Traditional Implants and Dentures Cost: All-on-X implants offer a cost-effective solution by using fewer implants for complete arch restoration, unlike traditional single implants. Stability: More stable and secure compared to removable dentures, which can shift or loosen over time. Treatment time: Faster results with All-on-X implants due to their streamlined procedure. The All-on-X Implant Process at Our Frederick Office Diagnostic Surgery Same Day Results Final Restoration Diagnostic During your initial consultation, Dr. Towe will determine if All-on-X is the appropriate treatment for you based on your current health and specific smile goals. She will then plan each step of your treatment digitally using 3D CT scans and intra oral scans. Virtual pre-surgical planning the procedure allows us to achieve consistent and ultra-precise results. Dr. Towe only uses high-quality implant posts and recommends using the longest-lasting and most aesthetically appealing restoration materials for your final smile. Surgery Dr. Towe relies on her extensive expertise and experience to complete smile-transforming surgeries every day. After making you comfortable with IV sedation, she’ll remove any remaining decayed teeth before placing a minimum of four durable titanium posts per jaw. These titanium posts are placed in strategic positions to support a full jaw of teeth. Same Day Results After the titanium posts are placed, Dr. Towe will work with your general dentist to attach a temporary bridge to the posts so that you can leave with a full mouth of beautiful and securely fixed teeth that same day! These will function just like real teeth until you receive your final bridge. Final Restoration After checking that your implants have successfully healed in the jaw bone, your temporary bridge will be replaced with a custom-designed and durable final bridge. The final bridge provides long-term function and beauty. You will finally have a brand new smile! Who is a Candidate for All-on-X? We understand that every patient’s situation is unique. All-on-X implants are an innovative solution designed for specific needs, particularly for: Patients missing most or all of their teeth who are looking for a permanent, reliable replacement. Denture wearers seeking a more stable and comfortable alternative to traditional dentures. Individuals with some degree of bone loss, as angled implants can often bypass the need for extensive grafting. Cost of All-on-X Implants The cost of All-on-X implants can vary depending on several factors, including: Number of implants required to securely anchor the restoration. Bone grafting needs, which may be necessary for patients with insufficient bone structure. Type of restoration selected, such as material and design specifics. We understand that this is a meaningful investment, which is why we offer flexible financing options and payment plans to make advanced dental care more accessible. Our goal is to help you achieve a restored smile while staying within your budget. Why Patients Trust Advanced Implants & Periodontics Proud to be a trusted name in Frederick, MD for advanced dental care, our practice is led by highly skilled periodontists with advanced training in the latest techniques and technology, ensuring every patient receives exceptional care.  Beyond expertise, our warm and supportive team is dedicated to creating a comfortable, patient-focused environment, so you always feel at ease. Our emphasis on precision and compassion ensures that you’re in capable, caring hands. Frequently Asked Questions How many implants are used in an All-on-X treatment? The “X” in All-on-X refers to the number of implants placed, usually four to six per arch. The exact number depends on your bone structure and treatment needs. Will I have teeth the same day as the surgery? In most cases, yes. Many patients leave their procedure with a set of temporary teeth attached to the implants, so you never go without a smile. How long does it take to heal after All-on-X implants? Initial healing usually takes about 1–2 weeks, but full integration of the implants with your jawbone can take several months. During this time, you’ll wear temporaries before your final custom prosthetic is placed. Are All-on-X implants painful? Most patients report minimal discomfort thanks to sedation options and precise surgical techniques. Any soreness after surgery is typically managed with medication and eases quickly. How long do All-on-X implants last? With proper care, All-on-X implants can last decades or even a lifetime. Regular checkups, cleanings, and good oral hygiene are essential for long-term success. What should I expect if I get all-on-X dental implants? Your damaged teeth will be extracted to make room

A dental implant is a small post placed in your jaw to replace the root of a missing tooth. It creates a sturdy base for a crown, bridge, or full-arch restoration, providing a tooth that functions, looks, and feels just like a natural one. Unlike dentures, implants don’t move or slip. You can eat, speak, and smile with full confidence. They’re often made from titanium, a biocompatible metal that bonds with your bone over time. In short: dental implants are the closest thing to getting your real teeth back. Dental Implants Quick Highlights: Permanent, fixed solution for missing teeth Restores chewing, speech, and confidence Preserves jawbone and facial structure Long-lasting with proper care See patient transformations in our smile gallery How Do Dental Implants Work? Dental implants work by bonding with your jawbone, creating a strong, permanent foundation for new teeth. This process is called osseointegration, a natural fusion between the implant and bone. Once healed, the implant acts just like a natural tooth root. From there, it supports different types of restorations depending on your needs: A crown for a single missing tooth A bridge for several missing teeth Implant-supported dentures for added security and comfort Or a full-arch solution like All-on-X implants to replace all teeth in a single arch For patients with severe bone loss, advanced options like zygomatic dental implants may be recommended, offering support even when traditional implants aren’t possible. The result? A stable, natural-feeling smile that restores confidence and function. Who Should Consider Dental Implants? If you’re missing teeth (or tired of dentures that don’t stay put), dental implants could be your answer. They’re designed for adults who want a lasting solution that feels like their natural smile. You may be a good candidate if you: Have one or more missing teeth Struggle with loose, uncomfortable dentures Have bone loss from gum disease, injury, or long-term tooth loss Want a fixed, long-term solution without worrying about slipping or adhesives Even if you’ve been told in the past that implants weren’t an option, that may have changed. Dr. Melanie Towe uses advanced techniques, including bone grafting and zygomatic implants, to help more patients qualify, even in complex cases. Am I a Candidate for Dental Implants? Not sure if our dental implants are right for you? A consultation will give you the answers. It’s a full assessment of your oral and overall health to ensure long-term success.  Jawbone Strength and Gum Health Healthy bone and gums are key for implant stability. During your visit, we’ll check if your jaw has enough volume to support an implant. If not, bone grafting or other regenerative techniques may be recommended. 3D Imaging for Precision Placement We use advanced 3D imaging to map your mouth in detail. This helps us plan exactly where implants should go, improving comfort, success, and aesthetics. Review of Your Medical History Your healing ability matters. We’ll review any chronic conditions like diabetes, medications, or smoking history to ensure your body can properly heal after implant surgery. Solutions for Bone Loss and Gum Disease Even if you have bone loss or past gum disease, it’s not necessarily a barrier. Many patients still qualify after proper treatment. Learn more in our Dental Implant FAQs. How Long Do Dental Implants Last? Dental implants are built to last, often 20 years or more. In many cases, they can last a lifetime. But like any investment in your health, their longevity depends on how well you care for them. The titanium post placed in your jaw is exceptionally durable and resistant to wear. It won’t decay like a natural tooth. However, the health of the surrounding bone and gum tissue plays a crucial role in maintaining the implant’s long-term security. Here’s what helps dental implants last: Daily oral hygiene practices, like brushing, flossing, and using a water flosser, can help prevent infections around the implant. Regular checkups. We recommend cleanings every 3–6 months to keep the area healthy and detect any issues early. Gum health maintenance. Inflammation around an implant (called peri-implantitis) is one of the top reasons for implant failure. Preventive care is key. We also support long-term success through advanced gum disease treatment. If you’ve had a history of periodontal issues, we’ll create a personalized care plan to protect your results for the long haul. How Much Do Dental Implants Cost? You probably wonder, “How much do dental implants cost?” The truth is that it varies based on the type of implant, the number of teeth being replaced, and whether additional procedures (such as bone grafting) are needed. At our Frederick, MD practice: A single dental implant starts at a competitive rate based on clinical needs Full-arch solutions like All-on-X average around $25,000  While implants are an investment, they often last decades, making them more cost-effective than bridges or dentures over time. We also offer recommendations on financing options to make care accessible. Frequently Asked Questions What is a dental implant & how does it work? A dental implant is a small metal post (usually titanium) surgically placed in the jawbone to act as a replacement tooth root. The implant gradually bonds with the bone through a process known as osseointegration. Once healed, it supports a crown, bridge, or full-arch prosthesis, providing a stable, natural-looking result. How painful is getting a dental implant? Getting a dental implant is typically less painful than most people expect. The procedure is done under local anesthesia so that you won’t feel discomfort during placement. Mild soreness afterward is common and usually managed with over-the-counter pain relievers. Many patients say recovery is easier than a tooth extraction. What is the downside to dental implants? The main drawbacks are the need for surgery and healing time. Implants also require sufficient bone and good overall health. They may not be covered entirely by dental insurance. In rare cases, complications like infection or implant failure can occur, especially without proper hygiene or follow-up care. How long do dental implants last? Dental implants are among the

Get clear, honest answers to all your questions about dental implants. Understanding Dental Implants What are dental implants? Dental implants are small titanium posts that replace the roots of your missing teeth. When inserted into the jawbone, they integrate with the bone to provide a solid base for crowns, bridges, or full-arch restorations. They look, feel, and function like natural teeth, and help preserve your jawbone and smile long-term. What are All-on-X dental implants? All-on-X is a full-arch implant system that replaces all of your upper or lower teeth using just four to six implants. It’s designed for patients who need a complete smile restoration, and in many cases, it can provide teeth in one day with a same-day temporary bridge. This solution is fixed, secure, and looks completely natural. All-on-X is especially helpful for patients with bone loss, offering long-term results without the need for traditional dentures or extensive grafting. What are zygomatic dental implants? Zygomatic implants are a specialized type of dental implant used when there isn’t enough bone in the upper jaw for traditional implants. Instead of anchoring into the jawbone, they’re placed into the cheekbone (zygoma), which is denser and provides strong support. They’re ideal for patients with severe bone loss who want to avoid bone grafting and still qualify for full-arch implant solutions. Are dental implants safe? Yes, dental implants are regarded as a very safe option. They’re made from biocompatible materials (like titanium) that naturally bond with your jawbone. When placed by an experienced provider, complications are rare, and long-term success is high. How long have dental implants been used? Dental implants have been successfully used for over five decades. Modern dental technology and surgical methods have made implants more dependable, comfortable, and natural-looking than ever before. What is the success rate for dental implants? Dental implants have a success rate of 97% to 98% when placed correctly and maintained with good oral hygiene. That makes them one of the most predictable and durable options in modern dentistry. What to Expect During the Procedure Is the dental implant procedure painful? No, most patients are surprised by how comfortable the procedure is. This procedure can be done under oral sedation or IV sedation. Afterward, some mild soreness is normal and usually manageable with over-the-counter medication. Will I be without teeth after the procedure? No, you won’t be left without teeth. In most cases, we place a temporary tooth or restoration so you can speak and smile confidently while your implant heals beneath the surface. Are dental implants as strong as natural teeth? Absolutely, dental implants are designed to function like natural teeth, and in many cases, they’re even stronger. They restore almost all your natural chewing power and don’t shift or loosen like dentures can. Candidacy and Considerations Is there an age limit for dental implants? No, there’s no strict age limit. Most healthy adults can receive implants, regardless of their age, whether in their 30s, 60s, or even 80s. We do need to wait until jaw growth is complete, so dental implants aren’t recommended for children or teens. Who is a good candidate for dental implants? You’re most likely a good candidate if you’re missing one or more teeth, have healthy gums, and enough jawbone to support an implant. Even if you’ve been told you’re not a candidate in the past, treatments like bone grafting may make implants possible. What are the advantages of dental implants? Dental implants look, feel, and function like real teeth. They help preserve your jawbone, prevent surrounding teeth from shifting, and eliminate the need for removable appliances. What are the disadvantages of dental implants? While dental implants are highly effective, they do involve surgery and healing time. Cost can be a factor; however, most insurance plans now cover implants, making them more accessible than ever. Rarely, complications like infection or implant failure may occur, but these can often be resolved with proper care and follow-up. Living With Implants Will my dental implants need special care? No, implants don’t require special tools or products. You care for them like natural teeth, brush twice daily, floss, and regularly see your dentist. Consistent hygiene is the key to long-term success. How do I care for my dental implants? Use a soft-bristled toothbrush and non-abrasive toothpaste. Floss daily, or use a water flosser if preferred. Avoid smoking and keep up with professional cleanings every 3–6 months to prevent complications like gum inflammation or bone loss. Implant Alternatives and Options Can dentures be turned into implants? No, dentures themselves can’t be converted into implants. However, you can replace removable dentures with implant-supported options that offer more comfort and stability, like All-on-X full-arch restorations. Are dental implants removable like dentures? No, dental implants are fixed in your jawbone. They stay permanently in place and function like natural tooth roots. The prosthetic teeth they support can be fixed or removable, depending on the treatment plan. How do implants help if I already wear dentures? Implants can anchor your dentures to eliminate slipping, improve chewing, and restore confidence. If you qualify, we can replace your dentures entirely with fixed implant-supported bridges for a more natural feel. Can I get metal-free dental implants? Yes, metal-free implants made from zirconia are available. While not as common as titanium, they can be a good alternative for patients with metal sensitivities or who prefer a non-metal option. Cost and Value How much do dental implants cost? The cost of dental implants varies depending on your needs. Factors include how many teeth you’re replacing, whether you need bone grafting, and the type of restoration used. At our Frederick, MD practice: A single implant typically starts at a competitive rate based on clinical needs Full-arch solutions like All-on-X average around $25,000 for direct patients Dental implants are a long-lasting solution and can often be more budget-friendly over time compared to dentures or bridges. To make treatment more accessible, we also provide flexible financing options.

Quick Highlights Deep cleaning below the gum line to remove plaque and calculus Smooths tooth roots to help gums reattach and heal Effective for gingivitis through moderate periodontitis Gentle, comfortable treatment with local anesthesia Often combined with advanced therapies (PRF, LANAP) for enhanced results Prevents gum recession, bone loss, and future surgery   What Is Scaling and Root Planing? Scaling and root planing is a deep dental cleaning that treats gum disease by removing plaque and tartar from below the gum line and smoothing the tooth roots. This non-surgical procedure helps reduce gum inflammation, stops infection from spreading, and encourages the gums to heal and reattach to the teeth. Scaling and root planing is often the first step in reversing early to moderate periodontal disease, helping many patients avoid more invasive surgery later. When Is Scaling and Root Planing Needed? Scaling and root planing is needed when gum pockets are 4 mm or deeper and regular cleanings can’t reach harmful buildup. It’s a key treatment for preventing gum disease from causing permanent damage. You may need this deep cleaning if: You have gingivitis or early signs of periodontal disease You’ve been diagnosed with moderate to severe periodontitis, where bacteria begin breaking down bone and gum tissue You notice persistent plaque, tartar, or gum inflammation even with daily brushing and flossing What Happens During the Procedure? Scaling and root planing is a deep cleaning performed under the gums to treat periodontal disease. It’s typically done in one or two visits, depending on severity. Here’s what to expect step-by-step: 1. Exam and Diagnosis We start by examining your gums and taking X-rays. This includes: Measuring pocket depth (4 mm or deeper indicates concern) Evaluating bone loss, gum health, and tooth mobility This step helps determine the number of areas that need treatment. 2. Scaling: Removing Plaque and Tartar We use ultrasonic scalers and hand tools to gently remove: Plaque, tartar, and bacteria beneath the gumline Buildup in deep gum pockets that regular cleanings can’t reach This reduces the source of inflammation and infection. 3. Root Planing: Smoothing Tooth Roots Next, we smooth the root surfaces to: Make it harder for bacteria to return Encourage gum tissue to heal and reattach to teeth Reduce pocket depth and stabilize your teeth 4. Antibacterial Therapy (If Needed) For moderate to advanced cases, we may apply: Antibacterial rinses or Localized antibiotics, such as Arestin®, directly into pockets These help speed healing and reduce future infection. 5. Home Care and Maintenance After your visit, we’ll give you tips to heal faster, including: Using a soft toothbrush and avoiding hard foods Returning for regular maintenance cleanings every 3–4 months  Consistent home care helps prevent disease from returning. Benefits of Scaling and Root Planing Scaling and root planing help stop gum disease and protect your oral and overall health. It’s one of the most effective non-surgical treatments for reversing early-stage periodontal problems. Here are the key benefits: Reduces gum inflammation and bleeding by removing the bacteria that cause infection Stops harmful bacteria from spreading to the bone, bloodstream, and other areas of the body Slows or reverses bone loss, helping preserve natural teeth and avoid extractions Improves breath and reduces stains by removing hidden plaque and tartar buildup According to ADA and clinical sources, early periodontal therapy like this not only treats gum disease but can reduce systemic health risks as well. Boost Healing with Advanced Therapies Scaling and root planing is a powerful first step, but sometimes, your gums need a little extra help to fully heal. That’s where advanced therapies come in. We often pair your deep cleaning with one or more of the following to improve healing and long-term results: Platelet-Rich Fibrin (PRF): This uses your own blood to create a concentrated healing serum. It’s completely natural and helps your tissue recover faster with less inflammation. LANAP® laser treatment: If your gum pockets are deeper or more stubborn, we may use a gentle dental laser to disinfect the area and encourage your gums to regenerate. Antibacterial rinses or local antibiotics: In some cases, we’ll place medication directly into deeper pockets to eliminate bacteria and keep things clean as you heal. Ongoing maintenance or surgery, if needed: For more advanced gum disease, we might recommend a minor surgical procedure or regular maintenance visits to prevent it from coming back. What If Left Untreated? When gum disease isn’t treated early, it  doesn’t go away on its own. It gets worse. Without a deep cleaning like scaling and root planing, bacteria stay trapped below your gums. Over time, they break down the bone and tissues that hold your teeth in place. Here’s what can happen if treatment is delayed: Bone and gum attachment starts to break down, often without any pain at first Gums begin to recede, exposing sensitive tooth roots and affecting your smile Teeth may loosen or shift, and eventually may need to be removed Advanced cases often require gum surgery or even dental implants to restore what was lost The earlier you treat gum disease, the more of your natural smile you can save, and scaling and root planing is one of the best tools we have to do that. Why Choose Our Frederick, MD Practice? When it comes to your gum health, experience and comfort matter. At our Frederick office, you’re in expert hands from start to finish. Here’s why so many patients in Frederick, Urbana, Middletown, and nearby communities choose us for scaling and root planing: Your care is led by Dr. Melanie Towe, a board-certified periodontist with advanced training in gum and implant therapy We personalize every treatment plan to fit your needs, not a one-size-fits-all approach Our modern, welcoming office is designed to keep you comfortable throughout your visit You’ll find complete care here, from deep cleanings to laser treatment to dental implants (no need to bounce between providers) Whether you’re catching gum disease early or coming in with more advanced symptoms, we’re here to help you get back to a healthier,

Advanced Care Through Technology Advanced Implants and Periodontics champions advanced technology and its integration in dental practice. We are able to provide patients just like you with more precise and reliable procedures, shorten treatment and recovery time as well as decrease discomfort after surgery. Intraoral Scanner Our state-of-the-art Medit intraoral scanner creates fast and accurate impressions of a patient’s mouth and teeth in lifelike colors. The scan replaces conventional impression techniques, creating a more comfortable experience for patients. Compared to taking a conventional impression, scanning patients is fast and easy which helps reduce the time a patient needs to spend in a dental chair. Intraoral scans also allow precise digital planning of your case before the procedure. Guided Implant Surgery Using the most advanced digital technology available, Dr. Towe and Dr. Shoff can accurately and efficiently plan and perform guided dental implant surgeries. Using data from your CBCT scan and intraoral scan, a customized surgical template is made specific to your jaw and unique treatment plan. Guided implant surgery can then be performed faster and safer than traditional unguided procedures. Laser Dentistry – LANAP® protocol: Our doctors offer an FDA-cleared laser periodontitis treatment called the LANAP protocol. This is a less painful and more successful treatment alternative to traditional gum disease surgery. Proven Results The LANAP protocol is the only scientifically proven laser treatment that results in true periodontal regeneration, growth of new bone and gum tissue reattachment. The specific laser we use during LANAP treatment can target the bacteria causing gum disease without damaging the surrounding healthy gum tissue. This allows the gums to heal without the need for scalpel or sutures. Dr. Towe and Dr. Shoff have completed the advanced training required to become certified in this technique. Piezosurgery® This device is used for extractions, sinus lifts and ridge augmentation surgeries to preserve soft tissue and bone, reduce postoperative discomfort and expedite healing for patients. Patient Benefits:   Soft tissue is protected in lateral sinus lift surgery; the risk of perforation is reduced by 80% Less swelling after surgery with PIEZOSURGERY® Faster and better osseointegration after implant site preparation with PIEZOSURGERY® Faster and less traumatic post-operative recovery iCam 4D The iCam 4D is revolutionizing the workflow for multi-implant restorations. This exciting new technology has tremendous benefits for the patient including improved comfort due to the quality of the fit of the final restoration. The iCam 4D is a hand held “camera unit” consisting of four cameras and one projector. lt combines photogrammetric and structured Light scanning techniques to capture 3D data. lt uses the ICamBodies, high precision mechanical parts with a unique proprietary target arrangement, to determine the position and orientation of implants. The position and orientation computed for one implant is called an “ICamPosition”. The ICamBodies are replaced by Imetric at regular intervals to assure that they always meet the necessary precision requirements. It is the only technology that guarantees predictable and acute results. Platelet-rich fibrin (PRF) Platelet-rich fibrin (PRF) is a substance taken from your own blood that helps to promote healing. Since PRF is taken from your own blood, it is highly biocompatible and there is an extremely low risk of allergies, reaction, or adverse side effects. When applied to the treatment site, PRF helps to stimulate the healing process and acts as a bioactive band-aid. PRF is composed of various essential healing components, including: White blood cells – help to decrease the risk of infection Platelets – help to attract growth factors and clot the blood Fibrin – helps to clot the blood by binding platelets together Cytokines – proteins with anti-inflammatory properties Stem cells – can help regenerate any type of tissue Dental CT scan (Cone Beam) Computed tomography (CT or CAT scan) takes images of the internal structures of our bodies. We are pleased to be able to offer our patients state-of-the-art 3D dental imaging. Our Green X CT machine incorporates pano, ceph, CBCT and model scan which allows our doctors to capture detailed images to determine and visualize the precise location of your teeth and vital structures, such as nerves, sinuses, and blood vessels. With CT scans we are able to improve diagnostic accuracy, which enhances treatment planning and increases patient safety achieving a full mouth 3D image at a lower radiation dose compared to standard imaging. 3D Printer Harnessing the power of heat and a closed-loop process, the Einstein 3D Printer allows us to fabricate a variety of dental applications, from surgical guides, dental prostheses, and occlusal guards. The secret to the Einstein printer series is in its DNA. Proprietary NanoFit 385 technology ensures that every application features stunning clarity, perfect fit, and an impressively natural-looking finish. Einstein hits on all the key features essential to superior 3D printing: accuracy, speed, and versatility. We can print your same day full arch teeth right here in our office. InstaRisa Our InstaRisa technology uses a combination of a facial and intraoral scanner and allows for digitizing the patient to enhance treatment planning. We are able to three-dimensionally plan after the initial intake data is captured, saving multiple appointments and costly remakes. Patients are able to preview their smile prior to treatment and rest assured that the outcome will be predictable. Our doctors have completed advanced training to become InstaRisa Certified Providers. Advantages of Advanced Technology More accurate diagnoses Minimally invasive procedures Less pain and bleeding More precise, predictable results Quicker treatment times More efficient appointments Better understanding of your treatment

TREATING GUMMY SMILE CAN GIVE YOU A STUNNING SMILE When the gums show too much above your top teeth, this is called a gummy smile. There is too much show of the gums and the teeth look excessively short or small. The dental term for this is excessive gingival display; you can see more than two millimeters of the upper gum during a full smile. Gummy smiles can make patients feel self-conscious or less attractive when smiling. The good news is that a gummy smile can be treated easily and effectively. Minimally invasive procedures such as aesthetic crown lengthening to remove excess gum, or lip repositioning can improve your smile. Then you can smile again with confidence. Did you know: About 10 – 15% of all people have a gummy or gingival smile? Interestingly, this condition is more common in women than men.

What is Bruxism: Bruxism is the medical term for unconscious teeth clenching and grinding, either while awake or asleep. Patients with bruxism can experience headache, earaches, facial pain, and even migraines. Bruxism damages the teeth leading to increased tooth sensitivity, flattening, chipping or fracture of the teeth and jaw joint (TMJ) problems. Patients who grind their teeth while asleep often wake up with a sore jaw. Chronic clenching can lead to hypertrophy of the masseter muscle (the muscle responsible for eating and clenching), giving the appearance of a wide face or square jaw. Treatment Options for Bruxism: Botox (Botulinum Toxin Type A) Treatment of bruxism involves using dental devices such as a “nightguard” or bite block to prevent the teeth from contacting one another. These dental devices help prevent damage to the teeth but do not change the fact that patients are still physically clenching and grinding. In order to decrease the clenching, grinding and reduce the biting force exerted on the teeth, we have recently started using Botox (Botulinum Toxin Type A) to decrease the excessive muscle activity of the jaw. Botox treatment can provide pain relief and help prevent dental problems related to bruxism. It can also soften the appearance of the jaw line, help prevent damage to the TMJ (temporomandibular joint) and decrease TMJ associated headaches. The masseter muscle is injected with a small volume of Botox to decrease the overactivity of the muscle. This helps to normalize the clenching force of the jaw and relieve the bruxism. The effect of Botox lasts for approximately three to four months, after which the procedure can be repeated. Patients are often advised to continue use of their night guard, and both of these measures can provide effective relief.

Learn More: Medical technology has been advancing at a breakneck pace for the past several decades, and dentistry hasn’t been left behind. Dental professionals are constantly looking for the newest forms of treatments and technology that will aid in providing their patients with the best possible care, and we’re going to introduce you to some of the newest advancements that have been made. VELscope This technology employs a special form of light that our dentists use to detect dental abnormalities. VELscope is particularly effective in the detection of disease and cancer in its earliest stages as part of an oral screening. Digital X-Rays A common concern of patients is the amount of radiation they’re exposed to during a dental exam. The newest forms of imaging technology employ digital x-rays, which not only employs 90% less radiation than traditional x-rays but provides viewable films to the dental staff immediately. These images are able to be zoomed in on for highly accurate assessments of dental health. Invisalign For decades braces have been the go-to method of straightening misaligned teeth. While effective, braces are uncomfortable and unsightly. Invisalign is an innovation in this area of dental care that provides the benefits of braces while remaining nearly invisible. Additionally, Invisalign can be removed when eating, removing dietary restrictions associated with braces. Laser Dentistry Past techniques for whitening, reducing tooth sensitivity, tumor removal, and filling cavities have often been uncomfortable for the patient, and time-consuming. New innovations in laser technology have created painless alternatives that also aid in eliminating harmful bacteria. Dental Implants Traditional dentures are often ill-fitting, uncomfortable, and prone to embarrassing mishaps like slippage. Modern dental implants provide prosthetic teeth that are nearly indistinguishable from normal teeth and are long-lasting. HealOzone This innovation uses ozone (O3) to rapidly kill bacteria and fungus painlessly. It also makes a great tool for detecting tooth decay and suppressing it before it becomes more advanced. DIAGNOdent This cutting-edge technology is capable of detecting cavities in places that traditional x-ray techniques can’t locate. By employing DIAGNOdent your dentist ensures that no early signs of cavities go unnoticed, saving you time and money on future dental treatments. Intraoral Camera This tool employs a special camera that provides well-defined and precise images of places difficult to see in a patient’s mouth with traditional imaging. Just one more tool to aid your dentist in a thorough and accurate assessment of your dental condition. These are just some of the technologies that have been brought into common use in recent years in our dental offices. Every year we keep an eye out for new methods of treating our patient’s dental concerns by improving visibility, reducing discomfort, and aiding us in providing complete and thorough assessments. If you have any questions about the technology your dentist is using in your exams, don’t hesitate to ask! Curious patients are educated patients, and we love to encourage our patients to be knowledgeable about their dental care.

Learn More: Periodontists treat their patients with the most conservative measures possible, but sometimes surgery is necessary to facilitate oral health and aesthetics. Some of the reasons your periodontist may recommend gum surgery include: To restore gum tissues lost to periodontal disease. Also known as guided tissue regeneration, this procedure is often combined with bone grafting to help support the teeth. To cosmetically improve your gum line. Known as mucogingival surgery, this procedure grafts soft oral tissues into the gum line to fill in areas that have become recessed. The gum grafts conceal exposed tooth roots to allow for a more aesthetically pleasing appearance. To prepare your teeth for dental restorations. The purpose of this type of gum surgery is to reveal more of the tooth’s root, effectively lengthening the crown of the tooth. Crown lengthening is reserved for patients who have decay below the gum line or have inadequate tooth structure to support a dental restoration. Did you know… That your jaw bone and gums should naturally hug the roots of each tooth, encircling the base of the crown to hold it in place? But when gum disease is allowed to progress, the gums can recede and begin to create ‘pockets’ around the teeth that will only become deeper with time. As bacteria proliferate in these pockets, patients experience further bone and tissue loss. Gum surgery is often the most conservative solution for patients with advanced gum disease – otherwise leaving the option of eventually having the teeth extracted. Frequently Asked Questions Am I a candidate for gum surgery? Gum surgery may be right for you if you need crown lengthening for a restoration, you want to cosmetically enhance your gum line, or you have 3mm or greater pockets around your teeth due to periodontal disease. To find out more about gum surgery and your options for treatment, schedule an appointment with your periodontist. What should I expect during a gum surgery? Gum surgery is an in-office procedure performed under local anesthesia. Most patients feel no discomfort during the procedure, and you may be under mild sedation for its duration. Will I need to follow any special instructions following my gum surgery? Although the surgery itself should not be uncomfortable, you will experience sore and swollen gums in the days immediately following the procedure. Use a cold pack to reduce swelling in the hours after the treatment, and consume only a soft diet for the first few days after the procedure. Your periodontist may prescribe pain medication as well as antibiotics to ensure your recovery is free of complication. Be sure to keep the surgical site clean, and schedule a time to return to your periodontist’s office if you have sutures that need to be removed.

Before Insertion Placement Result Previous Next Learn More! Your smile is an important part of your appearance. And though the size, shape and color of the teeth are most frequently associated oral cosmetics, the gums play an essential role too. When gingival tissues begin to recess, your teeth may look oversized and uneven. Soft tissue grafting is often used to restore the gum line using a bio-compatible grafting material that is attached to the gums to protect the tooth surface. The resulting augmentation produces restored dental symmetry and eliminates a ‘toothy’ smile. Did you know: That gum recession can be more than just a cosmetic problem? The enamel below the gum line is more prone to decay and tooth sensitivity when exposed. A receding gum line can put your long-term dental health at risk – potentially causing cavities, bone loss, additional gum recession, and even tooth loss. Frequently Asked Questions Am I a candidate for soft tissue grafting? Generally, soft tissue grafting is recommended once the gingival tissue has reached the mucosa. However, you may be a candidate for soft tissue grafting if you have noticeable gum line recession that is a source of embarrassment, is a risk to your oral health. What should I expect during a soft tissue grafting procedure? If you decide to undergo soft tissue grafting, your procedure will take place in your oral health provider’s office. The grafting site will be numbed, and the existing gum tissue will be loosened to make room for the graft. The grafting material is sutured in place, and you will return home the same day as your procedure. How long is the recovery period following soft tissue grafting? It is normal to experience some soreness and swelling at the grafting site after your procedure. However, this will subside after a few days as your tissue graft continues to heal. Be sure to follow your post-procedural guidelines exactly as ordered by your oral surgeon, and take any prescriptions as instructed. Sutures usually dissolve or will be removed within a few days, and you should notice a significant improvement in the appearance of your gums within a few weeks. Keep in mind, however, that soft tissue grafts take several months to completely heal.