Some forms of periodontal disease can be treated through non-surgical periodontal treatment, including scaling and root planing (a careful cleaning of the root surfaces to remove plaque and calculus [tartar] from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins), followed by adjunctive therapy such as local delivery antimicrobials and host modulation, as needed on a case-by-case basis.

Non-surgical therapy does have its limitations, however, and when it does not achieve periodontal health, surgery may be indicated to restore periodontal anatomy damaged by periodontal diseases and to facilitate oral hygiene practices.


Periodontal surgery is necessary when the tissue around your teeth is unhealthy and cannot be repaired with non-surgical treatment. Following are the four types of surgical treatments most commonly prescribed:

Pocket Reduction Procedures

The infected gum tissue is trimmed away and uneven bone tissue re-contoured. Bone regeneration techniques may be advised during this procedure to gain further attachment.

Regenerative Procedures

Guided Tissue Bone Regeneration "regenerates" previously lost gum and bone tissue. Most techniques utilize membranes, which are inserted over the bone defects.

Crown Lengthening

Crown lengthening (or crown exposure) may be required when your tooth needs a new crown or other restoration. The edge of that restoration may be deep below the gum tissue and not accessible.Crown lengthening involves adjusting the levels of the gum tissue and bone around the tooth in question to create a new gum-toŠtooth relationship. This allows us to reach the edge of the restoration, ensuring a proper fit to the tooth. It should also provide enough tooth structure so the new restoration will not come loose in the future.

Soft Tissue Grafts

When there is recession of the gums around the tooth, this may cause significant loss of structural support to the tooth structure. A gingival graft is designed to solve these problems. A thin piece of tissue is taken from the roof of the mouth or gently moved over from adjacent areas to provide a stable band of attached gingiva around the tooth. Other sources of graft tissue taken from external sources are also available. The gingival graft may be placed in such a way as to cover the exposed portion of the root. The gingival graft procedure may result in a stable healthy band of attached tissue around the tooth.


If you've already lost a tooth to periodontal disease or other reasons, you may be interested in dental implants the permanent tooth replacement option.

When it comes to replacing one or more teeth in your mouth, a dental implant is often the treatment of choice and is also one of the most conservative treatments for tooth replacement. Implants are biocompatible posts that replace the roots of your missing teeth. They are physically and biologically designed to attach to your jaw bone and become the foundation for a natural looking restoration.

Your new tooth or teeth will have excellent stability and strength, and will look and feel like your natural teeth.

Implants are prescribed to replace a missing tooth or teeth.

An implant post is surgically placed into the area where the tooth is missing. In a few months bone will fuse to the implant.

A customized crown or bridge is permanently cemented to the implant.

Implants restore the natural beauty, function, and health of teeth.


These procedures are a predictable way to cover unsightly, sensitive, or exposed root surfaces and to prevent future gum recession. If you are unhappy with the appearance of short unsightly teeth, this can be greatly improved by a combination of periodontal procedures by Dr. Mathews and cosmetic dentistry by your dentist

Crown Lengthening

Although your teeth may appear short, they may actually be the proper length. The teeth may be covered with too much gum tissue. We can correct this by performing the periodontal plastic surgery procedure, crown lengthening.

During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to more than one tooth to even your gum line and to create a beautiful smile.

Soft Tissue Grafting

It is used to cover unattractive tooth roots, reduce gum recession, and protect the roots from decay and eventual loss.

Ridge Augmentation

Bone grafting following tooth loss can preserve the socket/ridge and minimize gum and bone collapse. There is less shrinkage and a more esthetic tooth replacement for either an implant crown or fixed bridge around the replacement teeth.