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.

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.