Services at Milita G. Borguet D.M.D.
Our Dental Services:
Non-Surgical Periodontal Therapy
In the early stages of periodontal diseases, or as a first stage in treating more advanced disease, it is important to remove the bacteria and tartar that accumulates below the gum line. This allows the gingiva, or gum tissue, to heal and shrink. Sometimes this is accompanied by the administration of a local antibiotic into the space between the gum and the tooth.
Surgical Periodontal Therapy
We can address more advanced situations where there is bone loss and frequently save teeth by creating an environment that you can clean with a toothbrush and dental floss.
Cosmetic Periodontal Plastic Surgery
Many times the gum covers more of the tooth than it should and this can be esthetically displeasing. Other situations include improper position of the gum tissue in many ways that can frequently be corrected.
When a tooth breaks below the gum line, or there is decay that extends below the gum line, your dentist is not able to restore the tooth without us doing this procedure to expose more tooth structure.
There are situations where the gum has receded and the protective pink gum is lost. We can add more gum tissue to make these areas healthy and last longer.
Root Coverage Procedures
We can correct situations where there is recession of the gum where it is esthetically undesirable or there is sensitivity of the tooth by replacing gum tissue with either your own tissue or with Alloderm or Dermis, which is provided by a certified tissue bank.
We can replace missing teeth with dental implants in most circumstances. We work closely with your dentist to determine the optimum course of treatment.
Ridge Augmentation to Reconstruct Lost Bone After Tooth Extraction
After a tooth is extracted, the bone around it starts to recede, both vertically and horizontally. When a significant amount of time has passed, it becomes necessary to rebuild the bone in order to either provide implants to restore this area or to improve aesthetics when a fixed bridge is desired.
We do this in order to prevent the previous item from occurring. Since bone recedes after tooth extraction, we usually recommend placing a bone graft either at the time of extraction or shortly after in order to preserve the bone for later implant placement.
Snoring and Sleep Apnea Treatment with Oral Appliances
Snoring and obstructive sleep apnea are very common disorders. Snoring only disturbs the bed partner, but sleep apnea can be life-threatening. Oral appliances are an effective and comfortable solution and is recommended by the American Academy of Sleep Medicine as a first line treatment for mild and moderate sleep apnea as well as a second line treatment for severe sleep apnea for people who can't tolerate CPAP.
Temporo-mandiular Joint Dysfunction
We treat pain and clicking of the TM Joints utilizing appliance therapy.
We can adjust the way your teeth come together when the relationship of your upper and lower teeth is damaging and traumatic. Sometimes loose teeth are that way due to traumatic forces that can be corrected. Some TMJ disorders can also be addressed by adjusting the bite.
After active periodontal treatment is completed it is essential to be seen every 3 months for maintenance, where the dental hygienist cleans your teeth and Dr. Borguet checks your pockets and tooth mobility, oral cancer and any other concerns. We have hygienists with excellent training and every patient is seen by Dr. Borguet
Oral Sedation Dentistry
Dr. Borguet has been certified to provide oral sedation in a safe environment. I.V. Sedation is also available by appointment.
Genetic Susceptibility Testing in Periodontal Therapy
For several centuries the dental profession has evolved in the recognition and treatment of periodontal disease. Patients arrive at the dental office, receive a diagnosis of existing
periodontal pathology and, hopefully, complete a course of treatment to restore as nearly as possible the original state of health. This has become know as the treatment-based approach to controlling disease.
Genetic testing for periodontal disease susceptibility measures a gene which regulates the production of an inflammation mediator called Interleukin 1B. Each parent contributes chromosomal material to the gene that determines if interleukin 1B will be produced in small or large quantities. Currently, only smoking overrides this genetic risk marker as a predictor of periodontal destruction.
The trade name of this test is PST (for periodontal sensitivity testing). It requires the clinician to do a finger stick on the patient and place 3 drops of blood on a sampling card. (A more recent version allows for saliva samples to be used.) The card is sent to a commercial laboratory in Flagstaff, Arizona where the genetic makeup of the interleukin 1B gene site is determined. Currently the test costs $210.00.
What does a positive test mean in terms of care? A positive test would first advise the clinician that supportive therapy at shortened intervals is essential. Perhaps these patients may need professional polishing at four to six week intervals. It might also indicate a benefit to be gained with the use of connective tissue stabilizing medications, inflammatory reaction suppressants and/or periodic antibiotics as well as organism susceptibility testing. Initial preparation procedures with closer monitoring may be completed first, but where pockets remain surgical care followed by stringent maintenance may be the most effective treatment because it will produce the greatest reduction in Interleukin 1B production.
This is a new process which will require some time to become cost effective, but could prove in the near future to be highly beneficial as a screening tool in predicting disease potential. Prevention (and perhaps gene manipulation) could then be better tailored to individual needs. We look forward to any questions you might have regarding this advance in periodontal diagnosis.
Why Choose Us?
- Practicing Dentistry For 22 Years
- Gentle & Caring
- Friendly and Helpful Office Staff