Services | Daniel A. Shalkey DDS

Surgical Services

Implant Placement:
A dental implant restoration can replace a missing tooth. It comes in three parts. First, we cut a channel and place a titanium artificial root in the jawbone. After healing we place an abutment into the implant. Finally a crown is placed over the abutment. (click for more about dental implants)

Guided Implant Surgery:
When indicated we order a three dimensional radiograph called a cone beam CT. This allows us to see how the implant will best fit in the available bone. We can even order a surgical guide that will guide the implant placement precisely when space is limited.

Extractions:
We do all types of extractions under local anesthesia. We will refer patients who want to go to sleep to have teeth removed.

Root Canal Surgery:
This is needed approximately 5% of cases where standard root canal therapy has not solved the original problem with the tooth. After surgical access to the root end we remove the root end and place a filling into the remaining root structure.

Root Coverage and Gingival Graft Surgery:
When the gum has receded such that the root of the tooth is exposed a gingival graft may be able to restore all or most of the tissue.

Crown Lengthening Surgery:
In some cases it is possible to restore a tooth with inadequate tooth structure by surgically uncovering a few more millimeters of the tooth.

Periodontal Surgery:
When indicated we can use surgical access to clean the root surface more thoroughly and even improve bony defects around roots with various graft materials.

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The first photo shows a lower left first molar with gum recession over the front root.  The second photo shows the excellent result after gingival grafting. Root exposure on two front teeth and a final photo after a graft to cover the roots. Implant case: first photo shows articulated stone casts with a clear plastic guide showing where the teeth need to be, next is a photo of the implants in place, then a photo of the implants restored with crowns, then an x-ray of the implants restored with crowns. Crown lengthening: a before photo of a lower bicuspid broken off at the gum line. The second photo shows the increased amount of tooth showing after a crown lengthening surgery was done. This was done to facilitate exposing enough tooth structure to retain a crown. This is a case where we sent the patient out for a three dimensional scan and had a precise surgical guide made.  The films show before and after implant placement and restoration.