Patient Services

Dr Adrian Pawlowski Office Photo 3

Our non-surgical periodontal treatments are safe and effective in arresting the progression of periodontal disease. These treatments utilize medications to change the way susceptible individuals react to bacteria.  The medications are combined with calculus removal through scaling and root planing.

Periodontal Maintenance

Our periodontal maintenance program is more than a regular dental cleaning. We constantly monitor the stability of the gums and the susceptibility to recurrence of disease. Periodontal disease is an inherited trait in most instances and therefore never really goes away. A susceptible individual is always susceptible. We can, however, manage the disease to the point where you wouldn’t know a person had gum disease.

We use digital photographs, digital x-rays, perio probings and clinical evaluations to monitor your gums and keep them in top shape. When the gums show signs of regression, we immediately institute therapy to correct the situation. Therapy may include medications, deep cleaning, or sometimes identifying contributing factors such as diabetes or certain classes of drugs that cause gum disease. Treat yourself to our periodontal maintenance program. You’ll find it a refreshing change from the run of the mill “shoe shine” that you’ve experienced in the past.

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Scaling and Root Planing

Scaling and root planing continues to be our basic therapy in the management of gum disease. We’ve known for years that the bacteria in dental calculus cause the gums to be inflamed and bleed easily. Removal of this calculus is the second step in the fight against gum disease, preceded only by the taking of medications. Our skilled hygienist scales below the gum line until the roots have smooth surface.

One of the main goals of scaling and root planing is for pocket depths to go down. Pockets are depths measured in millimeters with a probe. Normal pockets are 1 to 3 millimeters in depth. Periodontal disease is usually associated with deeper pockets of 5mm or more.

When gum inflammation is properly suppressed with medications, scaling and root planing is not a painful process. It is normally carried out simply with local anesthetics to numb the gums. For some people, however, local anesthesia is not sufficient to guarantee a comfortable, pain-free experience.  For these individuals we offer all of our services, including scaling and root planing, with IV, intra-muscular or oral sedation. Your comfort is our number one concern.

PERIODISEASE

Dental Implants

What is a dental implant?

A dental implant is a surgical-grade titanium post that is strategically placed in the jawbone below the gum surface. The bone bonds directly to the post forming a secure foundation for your new teeth.  For more information on dental implants click here.

Implant Case

In-office Sedation

We offer in-office Intravenous, Intramuscular, or Oral sedation for our patients to ease surgery procedures. This will help you reach a more comfortable state while we care for you.  Patients with dental fears may find our sedation options helpful for cleanings as well.

Dental Fears Patients

Dr. Pawlowski sees many dental fears patients. This is a more common fear than most people realize and can be intense for some. Our staff and doctor are aware of the special needs dental fear patients require. We first perform a noninvasive exam and then explain the treatment plan, which will often include a combination of pre-visit calming medications and sedation dentistry while you’re here. We understand the dentist’s office is not everyone’s favorite place. We want to make sure that you are comfortable. Don’t fear, we’re here to help!

Bone Grafting and Bone Regeneration

Dr. Pawlowski provides many kinds of bone grafts for his patients.  It is essential to have enough bone to support your natural teeth as well as any implants.  There are many kinds of bone graft materials and procedure options we use to meet your individual needs.  When you come in for your consultation Dr. Pawlowski will assess bone levels and determine if a bone graft is necessary.

Gum Grafting

When recession occurs, it is important to provide root coverage for the tooth through gum grafting.  Dr. Pawlowski performs many gum grafts and achieves great results.  Dr. Pawlowski takes tissue from the tuberosity (where your wisdom teeth were) and grafts it over the areas affected by recession.  This technique does not require painful tissue harvesting from the palate, and as a result the healing is much easier on the patient.  If there is not enough tissue present in the mouth, Dr. Pawlwoski uses another technique known as allografting.   Allograft is actual human tissue which has been processed and preserved. We activate it with a special solution and use PRP (Platelet Rich Plasma) when we apply it. It is completely safe and recommended for those wanting faster healing time and a less invasive surgery.

GARYYYYYY

Gingivectomy

Sometimes teeth have too much gum coverage resulting in a gummy smile.  If this is the case, you may need a gingivectomy.  In this procedure, Dr. Pawlowski simply removes the excess gum  and allows you to achieve a beautiful smile!

Gingivectomy

Sinus Lift

Implants cannot be placed when the sinus is too low. After taking a special 3D CAT scan x-ray in our office, Dr. Pawlowski may determine you need this if you are considering implants for upper teeth.

Sinus Lift

Wisdom Teeth Extractions

As we age, wisdom teeth generally can erupt at the rear of the mouth. The first sign is pain. This can cause various problems such as crowding, decay, infection and inflammation. Avoid this by having your wisdom teeth removed. Also, Dr. Pawlowski can extract teeth that are deep beneath the surface, that are already broken or that have other problems.

WISDOM TEETH

Osseous Surgery

This option will reduce pocket depth around teeth. Untreated periodontal disease eventually will affect the bone below the gum line. Dr. Pawlowski will remove this unhealthy bone to stimulate healthy bone growth. This eliminates the places where infection occurs, ultimately reducing pockets and preventing tooth loss.

osseous-surgery

Crown Lengthening

This procedure brings the gum down in order to expose more bone. Your general dentist may request this be done so that they have space to prepare a crown. Once the gum is removed, your general dentist can successfuly place a crown for the tooth.

Crown Lengthening3D CBCT Imaging

Before some surgical procedures, Dr. Pawlowski often needs a CAT scan to provide a 3D image of the surgery site for proper planning.  We can take a CAT scan right here in our office.  This allows Dr. Pawlowski to have very detailed information including bone levels and nerve location.  Dr. Pawlowski will sit down with you and review your CAT scan to show you exactly what he proposes for treatment.

CAT SCAN MACHINE

 

 

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