Dental Services We Provide
We provide a wide range of periodontal services - both surgical and non-surgical. We have extensive experience in cosmetic procedures - dental implants and impacted teeth.
We offer oral sedation for the comfort of our patients.
Please click on the menu buttons to learn more about each of the procedures.
Comprehensive Periodontal Evaluation
In order to diagnose periodontal disease, you must have a comprehensive examination performed. This is done by placing a periodontal probe within the space between the gum/gingiva and the surface of each tooth. Specific measurements are taken and we then compile the clinical observations with radiographic data to accurately diagnose your condition.
Scaling & Root Planing — Initial Therapy
Usually the first line of treatment for periodontal disease is Initial Therapy. This procedure involves the removal of plaque and calculus, using specialized instruments, from below the gumline. Special medicated mouth rinses, and an electric tooth brush may be recommended to help control infection and healing. If the pockets do not heal after initial therapy, pocket reduction may be needed to reduce pocket depths, making teeth easier to clean.
Periodontal Maintenance Therapy
After you have been treated for periodontal disease, either with root planning or pocket reduction therapy-or both, you will require below gumline maintenance-which will involve plaque removal and polishing. Typically an interval of three months between appointments is effective in maintaining dental health. As in many other chronic conditions, successful long-term control of the disease and prevention of tooth loss depends on continual, and possibly lifetime maintenance.
Cosmetic/Functional Crown Lengthening
If you’re bothered by a “gummy” smile or teeth that you feel are too small, you may want to consider crown lengthening. Also known as a gum lift, this cosmetic dentistry procedure can beautify your smile by exposing more of your teeth. This is a procedure which involves removing excess gum tissue, and possibly some bone, around the teeth to make them look longer. Crown lengthening may also be done for functional purposes. If there’s decay or fracture under the gum line, for example, crown lengthening can help expose more of the tooth’s crown in order to support a filling or porcelain crown.
Pocket Reduction Therapy
For moderate-severe cases of periodontal disease, initial therapy is typically followed by pocket reduction treatment. It involves accessing the root surfaces by a simple reflection of gum tissue, in order to remove all putative periodontal bacteria. Not only are the roots cleaned thoroughly but the affected bone is also made smooth and reshaped, so that the area heals with shallow pockets.
A dental implant consists of two parts: a titanium post that serves as a prosthetic tooth root and a dental crown to replace the tooth above the gumline. When the biocompatible post is inserted into your jawbone, a process called osseointegration occurs, which means that your bone tissue grows tightly around the post to stabilize your custom-designed replacement teeth. This process is usually 3-4 months.
Implants are the only restorative dentistry solution that actually stops jawbone loss while retaining the healthy bone structure crucial for good oral health. And since teeth provide structure for your face and cheeks, implants in place of missing teeth can help you maintain a younger appearance. Moreover, dental implant treatment is the only tooth replacement option that provides the same level of function as natural teeth.
This is a fairly common option to improve your smile. It is also useful in addressing other dental conditions, such as toothbrush abrasion and tooth sensitivity. Dr Jodhan offers all current surgical options, namely connective tissue grafts, tissue bank allografts and free gingival grafts. In many gum grafting procedures, a small piece of tissue is taken from the roof of the mouth and carefully placed at the site where the gums have receded. The tissue is then sutured into position, and allowed to integrate over time.
Guided Tissue Regeneration
Guided Tissue Regeneration (GTR) is a procedure that allows bone and tissue to regrow around a periodontally weak tooth. A major consequence of periodontal disease is diminished bone which eventually leads to loose teeth, and ultimately premature tooth loss. GTR procedures rebuild bone and lost tissue, in order to increase the longevity of the dentition.
A dental implant is essentially an artificial tooth root which is attached to the jaw bone. Eventually, a replacement tooth or bridge will be firmly fixed to this root, restoring complete function to the tooth. The key to a successful and long-lasting implant is the quality and quantity of jawbone to which the implant will be attached. If bone has been lost due to injury or periodontal disease, a sinus augmentation can raise the sinus floor to allow for new bone formation.
Exposure of Impacted Teeth for Orthodontics
An impacted tooth simply means that it is “stuck” and cannot erupt into proper position.
The gum above the impacted tooth is opened to expose the hidden tooth underneath. If there is a deciduous tooth present, it is removed at this time. An orthodontic bracket is bonded to the exposed tooth. The bracket is attached to a miniature gold chain which will be temporarily secured to the orthodontic arch wire. Often the exposed impacted tooth is left completely uncovered. Occasionally the gum is returned to its original position above the impacted tooth with only the fine gold chain remaining visible as it exits a small hole in the gum.
- "I give Dr. Jodhan 5 stars"
- I have known Dr. Nikisha Jodhan for the past one year. She is a wonderful person and a a great periodontist. I have had gingivitis for the past 15 years. Dr. Jodhan took care of my problem last year and deep-cleaned my teeth with so much patience that I was amazed. I am a very restless person by nature, I can't sit still. So when she was cleaning my teeth, I told her to give me a break every 10-15 minutes, and she was very cooperative with me. She also gave me advice for future prevention of gum disease. I give Dr. Jodhan 5 stars and feel lucky to have a great dentist - finally!
- "Saved my smile!"
- I really believe Dr. Jodhan saved my smile! And, while she was a that - she made it the most enjoyable experience possible. Her gentle work was completely pain-free. In addition, her staff was very helpful and frendly. I would rate my visits with the highest possible marks.