Dr. Deborah Ruprecht is a specialist in Periodontics and Implant dentistry. She is devoted to high quality Dentistry with the priority of personal and individual care to her patients. She understands we all have different needs and concerns related to our health. Taking the time with you to discuss the many parameters of treatment such as schedules, finances, treatment priority, benefits, risks and alleviating any fears of past or present dental history is time well spent in developing a plan that fits your dental concerns and lifestyle.
Dental Implants and Extractions
- Dental Implants – a surgical component that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, facial prosthesis or to act as an orthodontic anchor. The basis for modern dental implants is a biologic process called Osseo-integration where materials, such as titanium, form an intimate bond to bone. The implant fixture is first placed, so that it is likely to Osseo-integrate, then a dental prosthetic is added. A variable amount of healing time is required for Osseo integration before either the dental prosthetic (a tooth, bridge or denture) is attached to the implant or an abutment is placed which will hold a dental prosthetic.
- Extractions - are the removal of teeth from the dental alveolus (socket) in the alveolar bone. Extractions are performed for a wide variety of reasons, but most commonly to remove teeth which have become unrestorable through tooth decay, periodontal disease or dental trauma; especially when they are associated with toothache.
- Osseous Surgery – sometimes referred to as pocket reduction surgery or gingivectomy, refers to a number of different surgeries aimed at gaining access to the tooth roots to remove tartar and disease-causing bacteria. Osseous surgery is used to reshape deformities and remove pockets in the alveolar bone surrounding the teeth. It is a common necessity in effective treatment of more advanced periodontal diseases. The ultimate goal of osseous surgery is to reduce or eliminate the periodontal pockets that cause periodontal disease.
- Gingival Grafts – a generic name for any of a number of surgical periodontal procedures whose combined aim is to cover an area of exposed root surface with grafted oral tissue. The covering of exposed root surfaces accomplishes a number of objectives: the prevention of further root exposure decreased or eliminated sensitivity, decreased susceptibility to root caries, and cosmetic improvement. These procedures are usually performed by a dental specialist in the field of gingival tissue, known as a Periodontist.
- Frenectomy - is the removal of a frenulum, a small fold of tissue that prevents an organ in the body from moving too far. It can refer to frenula in several places on the human body. It is related to frenuloplasty, a surgical alteration in a frenulum. Done mostly for orthodontic purposes, a Frenectomy is either performed inside the middle of upper lip, which is called labial Frenectomy, or under the tongue, called lingual Frenectomy. Frenectomy is a very common dental procedure in the dental world and is performed both on children and adults.
- Ridge Preservation – Ridge or socket preservation involves a surgical procedure that is done at the same time as the extraction. It minimizes bone shrinkage and allows a better outcome for tooth replacement with an implant or a tooth supported bridge. The hole left by the removal of the tooth is covered by a protective membrane. A bone replacement graft may also be used to help prevent bone shrinkage.
- Crown Lengthening – is a surgical procedure performed by a dentist to expose a greater amount of tooth structure for the purpose of subsequently restoring the tooth prosthetically. This is done by incising the gingival tissue around a tooth and, after temporarily displacing the soft tissue, predictably removing a given height of alveolar bone from the circumference of the tooth or teeth being operated on.
- Sinus Augmentation - is a surgical procedure which aims to increase the amount of bone in the posterior maxilla (upper jaw bone), in the area of premolar and molar teeth, by sacrificing some of the volume of the maxillary sinus. When a natural tooth is lost, whether through dental decay, periodontal disease or dental trauma, the alveolar process begins to remodel. The edentulous (toothless) area is termed a ridge, which over time usually loses both height and width. Furthermore, the level of the floor of the maxillary sinus gradually becomes lower. Overall, this leads to a loss of volume of bone which is available for implantation of dental implants, which rely on Osseo-integration. The goal of the sinus lift is to graft extra bone into the maxillary sinus, so more bone is available to support a dental implant
Patient Anxiety Relief and Modalities
Deep sedation by Board Certified Anesthesiologist for Mild Monitored Sedation
Nitrous Oxide(laughing gas).
Local Anesthetics (Numbing Agents)