An implant can be used to replace a tooth. First, a metal post is implanted, or surgically placed in the bone in the place where the natural tooth had been. Then, bone grows around the post, as healing takes place. Finally, a replacement tooth or crown is attached to the metal post, resulting in a natural-looking restoration. Implants may also be used to secure bridges, removable partial dentures, and complete dentures.

Surgery of the oral cavity at this office includes biopsy of soft tissue, evaluation and repair of torn or injured tissue, extractions of erupted primary or permanent teeth and extraction site preservation.

• Biopsy of soft tissue:
  • The removal and microscopic examination of a small sample of soft tissue for diagnostic purposes. Soft tissue includes the skin, fat, muscle and tendons that surround, connect or support other tissues or organs.  Following the removal of the soft tissue sample, it is sent to the University of Iowa Oral Pathology Department for microscopic evaluation. Results of this evaluation will be discussed with the patient. The microscopic evaluation of the tissue sample is billed through the patients’ medical insurance by the University of Iowa.
• Evaluation and repair of torn or injured tissue: 
  • Placing intraoral sutures following oral trauma
  • Managing pain and infections following oral trauma
• Extractions of erupted primary or permanent teeth:
  • Removal of a tooth from the oral cavity for various reasons
  • We attempt to extract teeth using an atraumatic technique with the goal of preserving bone around the extraction site
• Extraction site preservation:
  • Bone grafting is offered at the time of extraction.
  • Bone grafting may be needed if the patient is wanting an implant following the extraction.
  • Bone grafting can slow the resorption of the bone following an extraction, ensuring that there is adequate bone for implant placement.

Before a surgery begins, the dentist will review your health history. It is important to tell your dentist if you have any illness and/or if you are taking any medication, prescriptions or over the counter medications.

The dentist will explain what to expect during the procedure and will review any post-operative instructions. Local anesthesia is administered and the treatment is completed. Following the procedure, prescriptions for medication will be given if necessary, to relieve local discomfort and prevent infection.

Periodontal therapy focuses on treating disease of the gum tissue and bone supporting the teeth. After a thorough examination involving a periodontal probe (an instrument used to measure the level at which the gums are attached to the teeth), and evaluation of radiographs to determine bone support for the teeth, your dentist will determine if periodontal therapy is needed and if so the proper therapy for you. Periodontal therapy includes:

• Maintenance prophylaxis
• Root planing
• Periodontal Surgery
• Localized therapeutic agents
• Systemic therapeutic agents, such as medications

In the event that there is advanced periodontal disease or the disease is unresponsive to the above therapies, a referral to a periodontal specialist may be made. If your dentist refers you to a specialist, they will work together to provide you with the best and most effective care.

A sealant is a plastic material applied to the chewing surfaces of the back teeth, where decay occurs quite frequently. It will act as a barrier to help protect the areas of the teeth that are prone to decay.

When the teeth are developing, depressions and grooves form in the chewing surfaces of the enamel. These pits and fissures make great places for plaque and bits of food to hide. Sealants decrease the risk of decay by keeping out plaque and food.