Periodontal Treatment

Our office offers surgical and non-surgical treatment of gum diseases. Depending on the nature and extent of the periodontal disease, Dr. Shabany will recommend the proper course of therapy that would produce the optimum results.

Scaling and Root Planing
Bone Grafting/Tissue Regeneration
Gum Grafting
Costmetic Periodontal Procedures
Supportive Periodontal Care
Implants & Associated Procedures

Scaling and Root Planning
The removal of hard and soft deposits from tooth surfaces. These deposits (Plaque and Calculus [tartar]) cause irritation and infection of the gums and bone loss around the teeth. Scaling and Root Planing requires the use of ultrasonic and hand instruments for proper removal of plaque and calculus and is usually performed under local anesthesia.
Bone Grafting/Tissue Regeneration
This surgical procedure replaces bone that has been lost around the teeth as a result of advancing gum disease. Various types of bone grafting materials are used including synthetically derived bone, the patient's own bone, human or non-human freeze-dried bone. Often a "membrane" or "barrier" is used to help contain the graft within the prepared bone site and help the graft to heal properly.
Gum Grafting (Soft Tissue Grafting)
A surgical procedure designed to add "protective" gum around the root of a tooth. Protective gum is often lost as a result of recession of the gum or trauma. Most often, the protective gum used for the graft is taken from another area of the patients own mouth where the protective-type gum is abundant. This may also be done with donor tissue, in some cases. Once the graft heals, the area will continually maintain the new protective gum. Gum grafts are very predictable and usually need to be done only once.
Aesthetic/Cosmetic Periodontal Surgery
A large percentage of our practice is devoted to cosmetic periodontal surgery. This type of surgery consists of cosmetically enhancing the gums(gingiva) and/or jaw bone to create a more pleasing smile. We usually work closely with your dentist to create the "perfect" smile.
Root Coverage Procedures
These types of gum grafts are designed to cover the roots of teeth that have been exposed due to recession or trauma. These procedures are often done as cosmetic procedures in areas of esthetic concern.
Crown Lengthening
This surgical procedure is designed to assist your restorative dentist in getting a restoration (cap or filling) to properly fit your tooth. When decay or tooth fracture extends beyond the gum line, your dentist may require more tooth structure be exposed so that he or she may properly restore the tooth. This procedure may also be done to improve a "gummy" smile as a cosmetic procedure.
Supportive Periodontal Maintenance
Once your gums have been brought back to health it is imperative that a maintenance schedule be designed to fit your needs. Typically your teeth will be cleaned, scaled, and polished every three months. Three month-intervals help keep the plaque levels around the gums minimal and thus significantly reduces your risk of re-infection. This also allows us to monitor your oral health closely, and address any problems as quickly as possible. Without proper maintenance re-infection may be possible.
Dental Implant Surgery
Dr. Shabany has advanced training in surgical placement of dental implants and the bone grafting porcedures that may be required for successful placement.
Sinus lift Augmentation
Implant Site Development
Implant Maintenance

Sinus Lift Augmentation
Often the sinuses will enlarge in size following loss of the upper back teeth. This may not allow for placement of dental implants in the upper back areas of the mouth since the sinus is an air filled space and dental implants need to be surrounded by solid bone. A sinus lift augmentation/graft is a surgical procedure that replaces the sinus cavity into its original position and replaces the bone that has been lost as a result of the enlarged sinus. This new bone graft typically takes 9-12 months to heal before the dental implants can be placed into the grafted bone. In certain cases, we are able to place the implant(s) simultaneously with the sinus lift augmentation procedure.
Implant Site Development
When a tooth needs to be removed due to infection it is not uncommon to have lost bone from around the infected tooth. In these cases various types of bone grafting can be done at the same time the tooth is removed to facilitate the placement of a dental implant at a later date.
Implant Maintenance
Once your dental implant restoration is completed it is important to keep the area clean and infection free. Dental implants can accumulate plaque and tartar just as teeth can. Whether you have just one tooth replaced by an implant or several a professional cleaning schedule will be necessary to keep your implants healthy. The time interval for these professional cleanings will be determined by your individual needs.
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