Treatments

Information on the procedures we offer our patients

TREATMENT FOR PERIODONTAL DISEASE

Periodontal disease is a progressive disease that causes loss of the supporting structures of the teeth - primarily bone. One of the keys in treatment of periodontal disease is early detection and treatment. The earliest form of the disease, known as gingivitis, is very treatable. Once the disease progresses into periodontitis, bone loss results and treatment needs to be more aggressive in order to eradicate bacteria and bacterial deposits on the teeth.Periodontal disease can be treated in several ways, however, most methods fall into one of two categories - surgical or non-surgical. Truthfully, the recommendation of treatment options will depend on a number of factors. Most of the time non-surgical therapy is used as a first-line of treatment in order to reduce the necessity for surgical treatment. There are several methods of non-surgical therapy, however, the primary goal is to remove any bacterial deposits (calculus or tartar) from the roots of the tooth, as they act like a "splinter under your fingernail" and are a constant source of irritation. No matter what course of treatment that is necessary and you choose, removal of these bacterial deposits IS A MUST!

 

"Dr. Arora restored my teeth to a healthy condition. Thank you, doctor."

Irene L Travis

 

Types of non-surgical therapy:

• Scaling and Root Planing (deep cleaning) - This is a necessity, even if patients will eventually need surgical therapy. It is absolutely necessary to remove the bacterial deposits (calculus or tartar) so that the irritation to your gums and bone loss does not persist.

• Laser Therapy - Lasers have been used in both medicine and dentistry for over 20 years, and have been proven to be safe. In dentistry, there are many types of lasers that are used, some of which are used in the treatment of Periodontal Disease. In the right situation, it can be effective alongside other treatments. However, there are many situations where laser therapy is not the best option.

• Local Antibiotics (Arestin) - Localized antibiotics, usually in the form of a chip or powder that is inserted into a periodontal pocket are a form of "adjunctive" therapy that is meant to be used after deep cleanings to improve the results obtained or attempt to further treat pockets that did not respond to deep cleaning. These are NOT meant to be used without removing bacterial deposits (calculus or tartar) - in fact, using them by themselves may "trap" the calculus on the root surface and result in an abscess, which is a highly active and painful type of infection that must be treated surgically.

Types of surgical therapy:

• Pocket Reduction - This procedure is meant to remove deposits from the roots of the teeth that cannot even be reached through deep cleanings, remove unhealthy tissue, and to recontour the bone to mimic "healthy" bone structure.

 

"This is one of the best Perio offices I have worked with. And love the dental hygienist there. Very happy with Dr. Aurora's help and the very together office staff."

Margo Stebbing

 

• Guided Tissue Regeneration - This procedure actually allows your body to build back support on teeth where it has been lost next to teeth in the past. It replaces bone and the supporting structures for teeth and can be helpful to gain lost support in isolated areas. Bone grafts, and growth factors are commonly used to enhance the overall result. .

DENTAL IMPLANTS

Dental implants have been in successful use since the 1970's, and have been increasing in predictability ever since. They are certainly one of the most predictable procedures in dentistry, approaching nearly 100% success! One of the keys to success is choosing a qualified surgeon that has been through proper training, including a specialty residency program focusing on the placement of dental implants. Experience and utilizing the latest techniques and technology are critical in ensuring you receive the best possible care and the greatest results. Not all Periodontal care is the same, call us today to experience the difference.


HOW DO THEY WORK?

Dental implants are a miracle of modern science. It was discovered that the human body can actually bond to Titanium permanently.Dental implants replace the roots of missing teeth and help to restore chewing function and the beauty of natural teeth.
Not only do implants provide for replacement of missing teeth, they also prevent bone loss. When you lose teeth, you typically lose the bone that has been holding a tooth in place because your body isn't using that bone anymore. When you choose to replace a missing tooth with a dental implant, that bone is maintained over time, allowing you to keep a fuller smile and better chewing ability

"Dr. Arora is a 'maestro' with teeth, implants and emergency fixes.  His staff is attentive, courteous and fun.  They provided me with new teeth after a 'trip and fall' at my office and now that they are in place, I feel like a new man.  I highly recommend Dr. Arora as extremely knowledgeable, friendly and able and willing to explain, clearly, the procedures his patients will be undergoing, why and how and what difficulties they might face and available alternative choices for procedures.  I recommend him without reservation as being 'the man for the job"

Steve N.

AFTER CARE

One of the precepts of periodontal training is long term follow-up and care.  It is very important when choosing a surgeon to find out the level of follow-up care. Periodontists follow patients for years after providing dental implant therapy, catching any problems early in the process.  Many clinicians only place the implants and do not specialize in the long-term maintenance of those implants.  You may see them again, but, only if it's too late!

One of the reasons why WE  have a great reputation is because we stand behind our work. We are happy to help patients any way we can to give them the best long term result.


GUM RECESSION

Do you have teeth that are extremely sensitive, with root showing or gums receding? There are new solutions to this old problem. Now, periodontists are able to predictably cover gum recession without having to use tissue from the roof of your mouth. What this means to you is a less painful procedure with all of the predictability of conventional treatment.

TREATMENT

Gingival recession can be the result of many different processes. It occurs when the gum pulls away from the tooth, resulting in root exposure. Recession can occur in individuals of all ages and can lead to root cavities, SENSITIVITY, Unattractive smile and able all TOOTH LOSS.

Why is it important to treat recession?
Aside from being an esthetic issue that can affect your smile, recession ultimately means that the bone on that tooth has also receded. Together with both gum and bone loss, support for the tooth will greatly diminish and leave the patient at risk for tooth loss. Treating recession helps to guard against future recession and ultimately further bone loss. In addition to bone loss, recession can also lead to:
• Unattractive smile
• Root sensitivity
• Loss of supporting bone
• Tooth decay
• Risk of future TOOTH LOSS


Traditional Methods

The traditional methods of gum grafting will involve harvesting the patient's own tissue from the roof of the mouth and transplanting that in the treatment areas. This method provides excellent functional support for patients with thin gums and are in need of "thickening" the gum tissue around the affected teeth.This method of correction often results in an excellent esthetic result.

Having gone to another periodontist in Auburn, I was prepared for the worst but found the BEST. Best office staff and best dentist ever. Everyone is so kind and gentle and cheerful. I had an Alloderm gum graft and it was basically pain free. My husband watched me go through the process with a smile (VERY unusual for me) and decided he wanted to go to Dr. Arora also. I highly recommend him.

Vicki M.

Modern Techniques

At our office we use the most up to date techniques for soft tissue grafting procedures such as ALLODERM Tunneling Technique and Platelet Rich Plasma (PRP).

ALLODERM Tunneling Treatment is performed to cover single or multiple teeth using high-powered magnification, extra fine sutures which are nearly invisible without the need to harvest your tissue from the roof of the mouth. It is designed to reduce patient discomfort by not using tissue transplanted from the roof of your mouth but instead with a donor tissue called ALLODERM.

It is important to know that there are many good treatment options available, however the ideal one depends on the situation. Whatever is the right option for you, feel confident knowing that we have the expertise with all types of gum procedures, and will take the time to thoroughly go through the benefits of the option that is best for you.


ESTHETIC CROWN LENGTHENING

For people who are not happy with their smile, esthetic crown lengthening can make a world of difference. There are times where gum tissue has grown over part of the tooth, making the tooth appear short. Many patients feel shy and less confident and they try not to smile because of it.

"I was referred to Dr. Arora to have a crown lengthening done. I have a bridge that was too tight in one area. I'd never been to a periodontist before and was not sure what to expect. I wholeheartedly recommend this office to anyone needing this type of care. Dr. Arora is such a nice guy, personable and very patient to explain any procedures he may be needing to do. He explained to me what I needed and then took the time to answer all questions that I had. His dental assistant Debbie was so helpful and also attentive to my questions and needs. Very little pain involved which surprised me as I had visions of great discomfort. Dr. Arora put me at ease about the process. As an RN I give this office 5 stars, not something I give easily! It is good to  know they are there if I need further work done by a periodontist. Great job!"

Loretta M.

During the dental crown lengthening procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, or to several teeth to expose a natural, broad smile.

Crown lengthening may also be recommended to make other restorative procedures, such as crowns or veneers. The combination of crown lengthening along with crowns or veneers is a life changing experience for many of our patients, as they are proud and more confident with their new smile.


RIDGE AUGMENTATION (BONE GRAFTING)

Many patients have their teeth removed before they decide they want a dental implant, and others have bone loss already at the time the tooth was removed due to existing infection. When this happens, the jawbone reduces in size (called atrophy) in the area of the future dental implant. This means additional procedures may be needed to make the implant successful long term; oftentimes, more bone needs to be added prior to the implants being placed. Fortunately, dental implants are an option for these patients today because of the advances in bone grafting procedures. For these patients, the bone grafting is necessary prior to the implants being placed, but allows patients to have implants who could not have them before. These procedures could be performed on a single missing tooth site site to the entire ridge. With our advanced technology, patients will have minimal down time after the procedure.

Bone grafting is very technique sensitive, and therefore you want a clinician performing the procedure who has the appropriate experience and training, as well as all the appropriate materials available to perform the procedure efficiently, while minimizing discomfort for the patient. We have expertise in these types of procedures. There are many techniques available now, some of them include:
• GRB “Guided Bone Regeneration”
• Block Grafts
• Ridge Split Procedure/ Ridge Expansion
• Ridge Preservation after tooth extraction
 

 
If you are considering dental implants, please give us a call. We are happy to discuss your treatment options with you, and help you find the option that best suites your needs, and to answer any questions you have regarding bone grafting procedures.

 

"My procedure was more extensive than most, 4 extractions, cleaning out a massive infection, bone graphs and dental implants. I also am extremely sensitive to tooth pain. Dr Arora and his staff made sure I was completely comfortable and pain free throughout the entire process. Dr Arora himself called me the day after surgery (on a weekend) to be sure I was doing ok. The staff is very knowledgeable and personable as well and treat you like family. I can only give the absolute highest recommendations to Grass Valley Periodontics!! Thank you!"

Nate Moran

 

During the dental crown lengthening procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, or to several teeth to expose a natural, broad smile.

Crown lengthening may also be recommended to make other restorative procedures, such as crowns or veneers. The combination of crown lengthening along with crowns or veneers is a life changing experience for many of our patients, as they are proud and more confident with their new smile.

SINUS LIFT / AUGMENTATION

A key to implant success is the quality and quantity of the bone where the implant is to be placed. When patients lose their upper back teeth, there will be a greater chance for them to have less bone in their upper jaw due to the anatomy of the skull, and a natural process that occurs after the tooth is removed, called pneumatization.

During sinus augmentation procedure, Dr. Arora will gently raise the sinus floor to the appropriate height. He will then fill the area with bone graft material. This will assist in building bone as a support to allow an implant to be placed. Depending on the patient’s case, the implant can either be placed the same day as the sinus lift, or after the first procedure has fully healed.
 

 

TEETH IN A DAY

 

 
In the past, When a smile was bad, dentures were the only solution. However, We can give you a permanent solution in a single day. Also known as All-on-4, New Teeth in a Day is a breakthrough solution that replaces poor dental health or removable dentures with customized dental implants that are comfortable and aesthetically superior, giving you a more confident comfortable smile. In the past this would normally take several visits to complete, Now We can perform extractions, place dental implants and place fixed teeth in merely hours.

First, we’ll set up a consultation, so you know exactly what you’re going to get. Then, we’ll capture a 3D CT scan to determine exactly where your new teeth are going to go. The day of surgery, patients will be in a deep, relaxed sleep while we perform any extractions and place all implants, all at once. It’s one day that will transform the rest of your life.
 

BIOPSIES

According to the American Cancer Society, there will be an estimated 48,330 people that will be diagnosed with oral cavity or oropharyngeal cancer in 2016. An estimated 9,570 people will die of these cancers. The cancers occur most often in the tongue, tonsils, oropharynx, the gums, or the floor of the mouth; however, oral cancer can appear in any part of the mouth.

As such, we provide our patients with ORAL CANCER EXAM as a preventative measure. In addition to the oral cancer exams, we also perform and recommend biopsies if they find any abnormal tissue or lesions during an examination. A biopsy is a procedure in which we remove an abnormal piece of tissue and send it to an oral pathology lab STRATA Dx for evaluation and proper diagnosis and to rule out that it is cancer related.  After we receive the results back, we will discuss it with you and any necessary treatment. The lesions are benign the majority of the time but is best to take precautions as it always best to treat sooner rather than later.

If you notice any of of the abnormalities below, it is important to schedule an evaluation as soon as possible:

  • White patches of the oral tissue
  • Red and white patches
  • A sore that fails to heal and bleeds easily
  • Difficulty chewing or swallowing
  • A mass or lump in the neck
  • An abnormal lump or thickening of the tissues of the mouth
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