Our state-of-the-art facility is equipped with the most advanced equipment available in the USA including the latest lasers, surgical devices and advanced 3D scanning equipment. We are committed to providing the most advanced treatment for your comfort and safety. Laser Dentistry- LANAP® protocol:Our doctors offer an FDA-cleared laser periodontitis treatment called the LANAP protocol, a less painful and more successful treatment alternative to traditional gum disease surgery. 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 using 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. Benefits of LANAP® treatment: Less Discomfort– Patients report less discomfort during and after the procedure compared to traditional gum surgery treatment. More Rapid Healing– the LANAP® protocol is minimally invasive and allows faster healing. Most patients have little or no down time. Reduction in Gum Bleeding and Inflammation– The laser detoxifies the gums by targeting bacteria without injuring healthy tissue. Little to No Gum Recession–There is no cutting or suturing of the gums and therefore there is minimal gum shrinkage. This preserves your beautiful smile and reduces the chance of the teeth becoming sensitive to heat and cold. Safe for patients with Health Concerns – The LANAP® protocol is safe for patients with health concerns such as HIV, diabetes, hemophilia and for those taking blood thinners. Saves Teeth and Dental Implants– This technique has allowed patients to keep their natural teeth and dental implants when traditional treatments have failed. LANAP, or Laser Assisted New Attachment Procedure, is a form of periodontal therapy used to treat periodontitis. Unlike traditional surgeries, which involve the removal of both diseased and healthy gum tissues, LANAP specifically targets infected areas of the gums – leaving healthy tissues behind. LANAP works using the Periolase® laser, which is FDA approved for periodontal treatment. This flexible laser emits energy at varying pulsating frequencies, effectively removing periodontal infections and facilitating the regeneration of the gums in areas where they have pulled away and recessed from the teeth. Did you know… That LANAP periodontal treatments have many advantages over traditional surgery? In addition to only targeting diseased tissues, LANAP features: Rapid recovery Minimal discomfort Decreased bleeding Infection removal Reduced inflammation Frequently Asked Questions Am I a candidate for LANAP? Patients who benefit from LANAP have been diagnosed with a periodontal disease with pocket depths between 5 and 6 millimeters. You may also benefit from LANAP if you have advanced periodontal pockets that are inoperable or that have become infected against despite a previous periodontal treatment. For more information about LANAP and whether it is right for you, schedule a periodontal consultation with our office today. What should I expect during LANAP treatment? Patients undergoing LANAP are made comfortable using a local anesthetic. Your periodontist will use a laser to gently removed diseased gum tissues from the pockets surrounding your teeth. After the infection is eliminated, your teeth will be cleaned, and the laser will be used once more to help your gums form clots in the pockets. What should I expect after undergoing LANAP? Following your treatment, you should be able to return to work immediately. If you are like most patients, you’ll experience much less swelling and discomfort than you would with traditional flap surgery, and your gums will bleed less following the procedure. You will be given special instructions for keeping the treatment site clean and free of debris, and you may need to follow a special diet in the days following your procedure. Because the clots are sensitive in the first week following LANAP treatment, you’ll also need to avoid brushing your gum line for the first several days after your procedure.

Learn More! There is a wide range of procedures at the disposal of periodontists for the treatment of periodontal diseases and conditions. When multiple treatment choices are available, the American Academy of Periodontology supports the use of the most minimally invasive and cost-efficient option. Often, this means that patients can undergo non-surgical treatments to restore periodontal health. Examples of non-surgical periodontal treatments include: Scaling and Root Planing – This procedure is used to remove bacteria and built-up tartar from deep within the gum pockets surrounding the teeth. It usually involves supplemental therapy, such as the use of topical antibiotics. Did you know… That periodontal disease is a serious epidemic throughout the U.S.? Although the disease is not contagious, it can be found in half of all adults over the age of 30. According to the Centers for Disease Control, periodontal disease can range from mild (gingivitis) to severe (periodontitis). Approximately 16 percent of Americans have either the mildest or most severe forms of periodontal disease, leaving about 30 percent with a moderately advance case of the disease. Frequently Asked Questions Am I a candidate for non-surgical periodontal treatment? Only your periodontist can tell you if you are a candidate for non-surgical periodontal treatment. However, non-surgical treatments are typically only available to patients with mild to moderate periodontal disease. Schedule a consultation with your periodontist to find out if non-surgical treatment is right for you. What should I expect during a non-surgical periodontal treatment? Your experience will vary depending on the type of treatment you receive. If you have especially mild periodontal disease, you may be given a custom-fitted tray delivery system for use at home. However, many patients undergo in-office scaling and root planing. During this procedure, you’ll be given a local anesthetic to prevent discomfort, and a small probe will be used to remove tartar and smooth the tooth’s root to prevent bacteria build-up. Will I need to follow any special instructions following non-surgical periodontal treatment? In the days following your scaling and root planing treatment, you may experience heightened tooth sensitivity. Use a sensitivity toothpaste and try to eat only soft foods to prevent pain. If you were prescribed antibiotic, be sure to take it according to your periodontist’s instructions.

Learn More! The wisdom teeth are the final four teeth to erupt from the gums – usually sometime between age 17 and 25. Ideally, the teeth emerge without complication. But according to the American Association of Oral and Maxillofacial Surgeons, as many as 9 in 10 Americans have at least one wisdom tooth that is impacted. Even if the teeth all erupt normally, they may cause overcrowding or grow in at an angle that can be problematic in the future. For that reason, many people elect to have their wisdom teeth removed to prevent infection, crowding, and other complications. Did You Know? That wisdom teeth may need to be removed even if they have not yet caused any problems? Even wisdom teeth that erupt normally may still be vulnerable to decay over time. Because of the location of wisdom teeth at the back of the mouth, many patients find it difficult to clean and floss all surfaces of the teeth each day. Although complications may not appear immediately, wisdom teeth may begin causing problems in middle to late adulthood. Frequently Asked Questions: Do I need my wisdom teeth removed? You may need your wisdom teeth removed if you have one or more impacted wisdom teeth or if you are having difficulty adequately cleaning those that have emerged. It is recommended that all young adults be evaluated by our surgeon. A consultation and x-ray can reveal impaction, damage to neighboring teeth, signs of decay, gum disease, or perceived complications with future wisdom tooth eruption. What should I expect during a wisdom teeth removal? Your wisdom teeth removal will likely be performed in your oral surgeon’s office. Most removals take only minutes to perform, but you’ll be under anesthesia or sedation to prevent discomfort. Once the teeth are removed, the gums are sutured shut. Keep in mind that you will need a responsible driver to take you home following the extraction, as it will not be safe for you to drive after being heavily sedated. Will I need to follow any special instructions following my wisdom teeth removal procedure? Yes. You’ll need to keep the extraction site clean and free of debris for the first couple of weeks after the wisdom teeth removal. You’ll also need to take all medications exactly as prescribed by your surgeon. Avoid sucking through a straw for the first several days after surgery, and notify your surgeon if you experience fever or discomfort that worsens after a few days.

Diabetes People with diabetes are more likely to have periodontal disease than people without diabetes. This is because diabetics (with higher blood sugar) are more susceptible to contracting infections and have a lower healing capability. Periodontal disease worsens diabetes by making it more difficult to control blood sugar, even with medication. Treatment of periodontal disease has been shown to result in better blood sugar control, and improvement of diabetes. Heart Disease Researchers have found that people with periodontal disease are almost twice as likely to suffer from coronary artery disease as those without periodontal disease. People who have periodontal disease have a pathway through which oral bacteria can enter their bodies: through infected gums. Bacterial plaque in our arteries increases the risk of heart disease by contributing to systemic inflammation, clot formation and narrowing of our coronary arteries (heart blood vessels). Stroke Studies have pointed to an association between periodontal disease and stroke. In one study, people diagnosed with a shortage of oxygen to the brain (acute cerebrovascular ischemia) were found more likely to have an oral infection. The treatment and prevention of periodontal disease is an important factor in controlling and preventing both heart disease and stroke. Osteoporosis Recent studies have revealed an association between osteoporosis and bone loss in the jaw. Bone loss of the jaw results in weaker foundation for teeth, leading to increased risk for tooth loss. Estrogen deficiency following menopause has been suspected to link to osteopenia/osteoporosis and oral bone loss. Nutrition and exercise is extremely important in slowing down or preventing osteoporosis. If you are suffering from osteoporosis, please contact our office to find out how periodontal disease and nutritional supplements can influence osteoporosis. Pregnancy Problems Pregnancy causes changes in hormones, which can result in increased susceptibility to periodontal disease. During pregnancy, there is likely an increase chance of bleeding and swelling of the gums (pregnancy gingivitis). More frequent cleanings are recommended during this period to reduce inflammation and prevent the development of periodontal disease. Recent evidence suggests that periodontal disease, if untreated, can cause preterm birth and low birth weight babies. Periodontal disease triggers increased levels of biological fluids that induce labor. Pregnant women who have periodontal disease may be many times more likely to have a baby that is born too early or too small. All infections, including periodontal disease, are cause for concern for pregnant women and pose a risk to the health of the baby. We advise all pregnant women to please contact our office for an evaluation and professional cleaning. We want to help you have the healthiest baby possible. Respiratory Disease Researches have shown that periodontal disease can increase respiratory infections in two ways. Periodontal bacteria in oral cavity can be inhaled into the lungs and cause direct infection, increasing the risk of allergies, breathing problems, and pneumonia. Periodontal disease can also result in systemic inflammation by altering the lining of the lungs and increasing susceptibility to lung conditions or breathing problems such as asthma or emphysema.Treatment of periodontal disease with frequent tooth cleanings and home care can reduce complications relating to chronic breathing disorders.

IV Sedation Oral Sedation Nitrous Oxide Local Anesthesia IV Sedation Intravenous (IV) sedation refers to the administering of an anti-anxiety drug through the blood during your dental treatment. IV sedation dentistry is sometimes referred to as ‘twilight’ or ‘sleep’ dentistry. If you suffer from dental anxiety, this is one of the best options for you because the sedative helps you to relax and feel at peace. Please feel free to contact us if you have any questions! Oral Sedation This option delivers anti-anxiety drug in pill form. The pill will help you feel calm, relaxed, and somewhat groggy. The stress and anxiety of the dental procedure fade away. Nitrous Oxide Also called “laughing gas,” will keep you alert but calm for the duration of your procedure. You inhale the gas through a mask before your treatment begins. Local Anesthesia This form of anesthesia is injected directly into the treatment site to numb the area. Learn More! The use of sedation in dentistry has revolutionized the way patients view dental visits. Patients who once were afraid or anxious about even the most routine dental procedures now visit the dentist with confidence. Sedation is typically administered to healthy individuals who need help relaxing or managing treatment anxiety. Reasons for needing sedation may include lengthy procedure times, dental phobias, or fear caused by negative experiences in the past. Did you know… That here are three different types of sedation dentistry? You can opt for sedation administered in one of the following ways: Oral Sedation – A pharmacological agent administered prior to treatment to alleviate anxiety and help patients relax. Inhalation Sedation – Also known as laughing gas, nitrous oxide offers a euphoric feeling that makes dental treatments more pleasant. IV Sedation – This is a deep sedation reserved for patients who want little or no memory of their dental visits. Frequently Asked Questions Should I choose sedation dentistry? Only you and your dentist can determine if sedation is right for you. Because sedation covers a spectrum of treatments, you will need to consult with your dentist to discuss whether light, moderate or deep sedation best meets your needs. Your eligibility for sedation will depend on your age, health, and any other medications you may be taking. What should I expect if I am sedated for my dental procedure? That depends on the type of sedation you undergo. Oral sedation is relatively simple and involves taking a prescribed medication about an hour prior to your procedure. You’ll feel more relaxed, yet completely aware of your surroundings during treatment. If you choose nitrous oxide, you’ll be instructed to inhale the gas at the beginning of your appointment. Additional nitrous can be administered throughout your procedure to keep you in a state of euphoria. At the conclusion of your treatment, you’ll be given oxygen to help ‘snap’ you out of your sedated state. If IV sedation is right for you, you’ll be instructed to avoid foods and beverages the night before your treatment. A sedative will be administered to you intravenously prior to your procedure, causing you to fall into a deep sleep. A dental anesthesiologist will monitor you throughout the procedure and adjust dosage as needed. Are there any precautions I need to take after being sedated? Depending on the type of sedation you undergo, a licensed driver may need to drive you home from your dental appointment. If you undergo IV sedation, you may need to be supervised for several hours following the procedure.

Tooth extractions are routine dental procedures used to remove decayed, damaged or otherwise problematic teeth. Dentists usually make every effort to preserve natural teeth, although sometimes an extraction is necessary. Although the procedure is performed in a dentist’s or oral surgeon’s office, it is considered surgery. Depending on which teeth are removed, they may be replaced with a dental implant or another oral prosthetic. Did You Know? Platelet-rich fibrin (PRF) is a substance taken from your own blood that helps to promote healing.  When applied after a tooth extraction, PRF helps to stimulate the healing process and acts as a bioactive band-aid. Frequently Asked Questions Do I need a tooth extraction? There are several reasons why you could need a tooth extraction. The most common cause of tooth extractions is severe tooth decay and cavities. However, many patients also undergo extractions for impacted teeth – particularly wisdom teeth. Other causes for extraction include advanced periodontal disease, cracked teeth, and teeth that are severely malformed. Although many circumstances that require extraction are unavoidable, some could be prevented with regular visits to the dentist for exams and cleanings. However, only your dentist can tell you if you need a tooth extraction. To determine if an extraction is needed, schedule an appointment with our office today. What should I expect during my tooth extraction appointment? If you and your dentist decide to extract one or more teeth, you will be scheduled to return for oral surgery at a later date. You will be given a local anesthetic to prevent pain during the procedure, and you may be prescribed medications to help manage pain in the hours following your extraction. Depending on the nature of your extraction and other factors, such as whether your teeth are impacted, you may also be sedated or given general anesthesia during your procedure. What type of post-treatment care will I need to follow? We place platelet-rich fibrin (PRF) around the extraction site in order to improve local blood supply, enhance healing, and shorten the recovery process. Nevertheless, post-operative care following a tooth extraction is essential for healing and preventing complications. You will be instructed to avoid certain foods and also keep the surgical site clean at all times. If you are prescribed an antibiotic, it is important that you complete the course of treatment to prevent infection. Finally, you may be advised to avoid smoking or drinking through a straw, as doing so may delay the healing process and cause a condition known as ‘dry socket.’

Learn More! Ridge and sinus augmentations are surgical dental procedures used to fill in areas of the gum line and underlying bone that have deteriorated as a result of tooth loss or extraction. Specifically, a ridge augmentation refers to the reconstruction of degenerated or underdeveloped gums, and a sinus augmentation refers to an enhancement of the amount and consistency of the maxillary jaw bone by lifting the sinus floor and grafting bone into the jaw line. These state of the art procedures are capable of restoring a natural appearance to, as well as making it possible for some patients to qualify for dental implants. Did you know: That tooth loss is not the only reason for getting a ridge or sinus augmentation? Many patients have deteriorated gum lines or inadequate jaw bone support caused by oral diseases, such as periodontal disease, or a physical trauma to the face. Others experience bone atrophy caused by prolonged denture wear. By grafting in bone and building up the gum line, a dentist can make it possible for a patient’s jaw and gums to support permanent dental implants. Frequently Asked Questions Am I a candidate for sinus or ridge augmentation? You may be a candidate for a sinus or ridge augmentation if you have been denied dental implants in the past due to inadequate supporting tissues. You may also qualify if your receded gum line is a source of insecurity or embarrassment. To find out more about sinus and ridge augmentations and whether you qualify, contact your dentist for a consultation today. What should I expect during a sinus or ridge augmentation? Ridge augmentations begin with the administration of a local anesthetic used to numb treatment areas and prevent pain. Graft material will then be placed into the tooth socket where the missing tooth once was. Your dentist will then pull surrounding gum tissue over the graft material and suture it shut. Sinus lift augmentations are similar, except your dentist will instead make an incision to expose the sinus floor and use hard graft materials to build up the sinus floor. The site will be sutured shut and allowed time to heal before additional treatments, such as a dental implant, are completed. Will I need to follow any special instructions following my procedure? It is normal to experience some swelling and discomfort following your procedure though these symptoms should subside within a few days.

Learn More! Guided implant surgery is a method that allows dentists to plan your implant surgery on a computer using Computerized Tomography (CT) as opposed to traditional panoramic x-rays that offer the dentist a limited approach during the planning and execution of the oral surgery. This technique ensures a more accurate process from plan to execution. Did you know: Guided implant surgery uses CT imaging to diagnose you before the surgery and develop a treatment plan. Generally, you can expect to first have a cat scan, go through treatment planning with your dentist, and then go through the implant surgery. Frequently Asked Questions: What are the benefits of guided implant surgery? There are a variety of benefits to guided implant surgery. This method of treatment is far less invasive. The time spent under anesthesia is usually much less than traditional dental implant surgery. Because this surgery is usually flapless, the recovery time is typically shorter. While traditional implant surgery requires extensive bone grafting, guided implant surgery helps minimize the amount of grafting needed. What is the guided implant procedure like? The guided implant procedure works in three steps, after the initial visit and planning session. A surgical implant will be created to guide the dentist in the procedure. He/she will grind any rough edges down using a bur and disinfect it. Once this is done they will secure the surgical implant using a bite index and secure it using the anchor pin. Finally, they’ll remove the soft tissue using a tool called a tissue punch. The doctor will then begin drilling into the bone to prepare it for the implants and then place a provisional restoration that was created prior to the surgery.

  Learn More! For decades, dentures have been the go-to solution for missing tooth replacement. These dental prosthetics are carefully crafted for a shape and appearance that is unique to each patient. As technology has improved, dentures have been made to look more natural than ever – often undetectable to other people. But despite their versatility and effectiveness, one feature has been problematic for denture wearers: the fit. Even though dentures are designed to fit snugly over the gum line, the bone beneath it inevitably deteriorates over time. This causes dentures to slip, slide and even come out when talking or chewing. Fortunately, the use of dental implants has changed the way people wear dentures, making them more secure and easier to wear than ever before. Dental implants are titanium rods placed within the jaw bone in place of a natural tooth root. The bone fuses to the implant, forming an anchor for tooth prosthetics, such as dentures. When patients choose implant retained dentures, they get the flexibility of a denture with the permanence of an implant. Did you know: That 30 million people in America are currently missing all of their teeth – either in their upper jaw, lower jaw, or both? Many of these people are candidates for complete implant retained dentures. But partial dentures are common too. In fact, 178 million people in the U.S. are missing at least one tooth, qualifying most for an implant retained crown. Frequently Asked Questions: Am I a candidate for implant retained dentures ? Implant retained dentures are a solution for many, but not all patients. If you are missing one or more teeth, contact our office to schedule a consultation. To qualify for dental implants, you must have adequate bone structure to support the implant. How long does it take to get an implant retained denture? Because dental implants and dentures are custom-made to fit each patient, it can take several weeks or months before the process is complete. After an initial consultation, an appointment will be made to remove any teeth than need to be replaced and begin inserting implants into the jaw. A mold will be taken of the newly fitted implants, which a dental lab will use to fabricate dentures for the patient. If there are any natural teeth remaining, the dentures will be created to mimic their shape, size and color. I don’t have enough bone to support an implant retained denture. What options are available to me? If the jaw bone that once supported your missing teeth has already eroded, you may still be able to qualify for dental implants by undergoing a bone grafting procedure. During this treatment, the jaw bone is built up to sustain an implant. For more information about implant retained dentures and whether they are right for you, contact our office.