2020 SW 27th Avenue
Miami, FL 33145
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November 21, 2011

I’m interested in the LANAP procedure and was wondering if you do consultations so that I can learn more about how it works and whether or not it’s right for me.

Yes we do consultations for LANAP on a daily basis.  Since we have a multidisciplinary approach to treating periodontal disease it is important to know about contributing factors to your tissue breakdown such as genetics, medical history,smoking, grinding teeth during sleep. etc. We would begin with  a dental history discussion with either myself or Dr Lamas. This allows us to understand more about what has led up to your decision to consider LANAP. Many patients are fearful of gum surgery so we compare and contrast  traditional periodontal surgery with LANAP during the treatment conference appointment. You would then be escorted to the examination room where we will take your medical history, your blood pressure and perform a comprehensive periodontal exam including intra-oral photos, bacterial testing and necessary films. At that point we would know whether LANAP is a realistic consideration for you. After careful study of your case,  a detailed appointment plan would then be formulated and presented at a subsequent treatment conference visit. Despite our many years of experience, we find it very valuable for our patients to understand existing conditions, risks of delaying or not having treatment and have us explain treatment alternatives as well as  answer any questions from you, loved ones or even your current dentist.

October 4, 2009

Can bonding fix my receeding gums?

Filed under: Tissue Regeneration and Gum Recession — Tags: , , — Dr. John Paul Gallardo @ 1:30 pm

Actually, bonding may play an important role in the treatment of a receding gum line but only after evaluating for the possibility of gingival grafting has been evaluated for. Bonding alone will NOT stop the continued process of recession and will NOT correct the “elongated” tooth appearance that characteristically results from the gingiva receding away. By first providing a sound, biological barrier for root coverage as can be provided through the more advanced grafting procedures, the condition is actually reversed.  Some of these techniques can actually be performed without taking tissue from the roof of your mouth.

Because more tissue thickness can result than what was originally present over the root, the likelihood of a complete reoccurrence is significantly reduced. Because gingival grafts are intended to adhere to the root surface of the tooth, notches in the enamel known as abfraction lesions may have to be corrected with a tooth colored bonding procedure in addition to grafting for the best overall result. The best initial step is usually for the patient to visit us for an examination to discuss options as well as realistic expectations as treatment recommendations can vary from case to case.

Dr. Gallardo

 
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