Sometimes the teeth are quite small in relation to the gum tissue. This can create an unattractive “gummy” smile. An uneven gum line can also be distracting. The gum line, and the bone just beneath the gum line, can be lowered to change the appearance of your smile. This can create a more even gum line or make the teeth appear longer. “Gingival (gum) contouring” is the process of re-contouring the gum only. “Crown lengthening” refers to re-contouring of both gum and supporting bone. A local anesthetic is administered and the excess gum and bone tissue is gently re-contoured to expose more of your natural teeth.


Soft Tissue Augmentation or periodontal plastic surgery, is a generic name for any of a number of periodontal surgical procedures in which the gumtissue is used to cover exposed root surfaces or merely to augment the band of keratinized tissue.


A dental implant is a titanium post (like a tooth root) that is surgically positioned into the jawbone beneath the gum line that allows your dentist to mount replacement teeth or a bridge into that area. Dental implants also benefit general oral health because they do not have to be anchored to other teeth. As a dentist specialist, Dr. Pumphrey and Dr. Shuster spent 3 additional years of training to specialize in the field of implants.

Zirconia dental implants are typically marketed as a non-metal, “ceramic” material that is white in color like natural teeth and has all the same advantages as traditional titanium implants.


Periodontal disease is very common in adults. It is caused by all of the bacteria in our mouth that forms plaque on our teeth. Without routine brushing and flossing, it continues to build up, forming tartar.

People with periodontal disease can have red and swollen gums that bleed quite easily. It may be hard for them to eat because their teeth are so sensitive. They may be missing teeth. Some people with periodontal disease have very bad breath.

We diagnose periodontal disease by examining your teeth. We also use a probe to look for any problem areas. X-rays are also necessary to diagnose the disease.

A good professional cleaning is necessary to remove the tartar from your mouth and underneath your gums. If your periodontal disease is bad, you may need to follow up your brushing and flossing with antibacterial mouthrinse. You may even need to use an antibacterial gel or start on oral antibiotics to help to get rid of the disease. Sometimes surgery is necessary to help with the deep pockets of infection.

Once your periodontal disease is under control, good home care with brushing and flossing should help keep it from coming back.


The Chao Pinhole® Surgical Technique (PST) is a scalpel-free, suture-free procedure for correcting gum recession. Through a small hole made by a needle, the use of specially designed instruments gently loosen the gum tissue and glide it over the receded part of the tooth. Since there is no cutting or stitching, patients can expect minimal post-operative symptoms (pain, swelling and bleeding). Most patients also are pleasantly surprised by the instant cosmetic improvement.


Sedation dentistry is the discipline in dentistry that manages pain and anxiety through the use of local anesthesia, sedation, and general anesthesia. For patients who suffer anxiety when visiting the dentist, it is sometimes necessary to administer sedative medications before a treatment.


Usually, when you lose a tooth, it is best for your oral health to have it replaced. Missing teeth can affect your “bite” as well as your ability to speak and chew. Their loss can increase the burden on your remaining teeth and can cause muscle pain in your jaws and headaches. And of course, losing a tooth can affect your appearance. The following information reviews replacing missing teeth with an implant retained denture.Although many patients have no problem wearing an upper denture, some people find it difficult to wear and eat with lower dentures. Several implant-supported replacement options are available if you are missing all of your lower teeth.


If you have swollen, bleeding gums, you may have periodontal disease. The sooner we eliminate this menace in your mouth, the better. Periodontal disease, commonly known as gum disease, is caused by bacteria in plaque. When plaque and tartar (hardened plaque) accumulate on the teeth, the bacteria can cause infection and inflammation in the gums. Left untreated, periodontal disease can cause serious loss of teeth and bone, and it has recently been linked to heart disease, stroke, obesity, as well as premature and low-weight babies.


It is believed that by creating a small amount of trauma, bone growth is stimulated, and should aid the braces or an Invisilign type treatment option in moving the teeth more quickly. A Periodontist manipulates gums and bones into shapes that allow the teeth to slide more easily into their desired positions. When accompanied by active treatment, research suggests that it can cut treatment in braces up to 50 percent or 2 to 3 times faster, cause no further recession and prevent less post-orthodontic movement of teeth.


Osseous surgery is an effective treatment for periodontal disease. Also known as pocket reduction surgery or gingivectomy. Simply put, it is a procedure that removes deformities or pockets within the alveolar bone that surround the diseased teeth.


A bone graft is a surgical procedure used to fix problems with lack of bone in certain areas of the mouth. Bone grafting, or transplanting of bone tissue, is beneficial in fixing bones that are damaged from trauma, or loss of bone. It’s also useful for growing bone around an implanted device or for implant placement in the future.


A key to implant success is the quantity and quality of the bone where the implant is to be placed. The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. If you’ve lost bone in that area due to reasons such as periodontal disease or tooth loss, you may be left without enough bone to place implants. Sinus lift surgery can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants. Several techniques can be used to raise the sinus and allow for new bone to form.