Before                                         After

This is a periodontal procedure to correct and stop further thinning or receding gum tissue.  This can also improve the esthetics of your gum line.

Dental Implants

Lesions, discoloration in oral cavity tissue, or painful tissue in the mouth should not be ignored.  Oral pathology is the study of diseases in the oral cavity.  A periodontists is trained to recognize, biopsy and advise patients about oral pathology.

This procedure helps lay the groundwork for restorative and cosmetic dentistry and can improve the esthetics of your gum line.  During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth.

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Oral Pathology

If periodontal disease is caught in its early stages it can be treated non-surgically.  This involves a special cleaning called scaling and root planing.  Using special instruments, plaque and tartar down to the bottom of the periodontal pocket are carefully removed.  The tooth's root surfaces are also cleaned and smoothed.  This helps the gum tissue to heal and reattach to the tooth.

Your bone and gum tissue should fit snuggly around your teeth like a turtleneck fits around your neck.  When you have periodontal disease, this supporting tissue and bone is destroyed, forming "pockets" around the teeth.  Over time, these pockets become deeper, providing a larger space for bacteria to live. This causes even more bone loss until such time teeth become mobile and infected to the point they must be extracted.  Osseous surgery helps to eliminate these pockets and stop the progression of periodontal disease.

Scaling and Root Planing

Soft Tissue Grafting

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​​​ShastaPeriodontal Associates

This procedure is performed in conjunction with osseous surgery.  It can repair some of the damage that has been done by regenerating lost bone and tissue and providing stability for function and esthetics.

Once periodontal disease is brought under control with treatment, it is very important that you get periodontal maintenance care on a regular basis, every three months is usually recommended and is based on years of clinical research.  Periodontal maintenance is deeper than a normal cleaning and is designed to help the periodontal patient control their periodontal disease. 

Derrick Castro, D.D.S., M.S.       Jeffrey Fleming, D.D.S., M.S.        Steven Borchers, D.D.S.

   Before                                                After

Dental implants are becoming an increasingly popular method for replacing missing teeth.  In this procedure, titanium supports are surgically fused with your jawbone and act as an anchor for naturally looking false teeth.  Dental implants are not only used for individual tooth replacement, but can also be used when replacing multiple teeth, as an alternative to dentures, or in conjunction with bridge placement.

Periodontal Maintenance

Osseous Surgery

Crown Lengthening

Guided Tissue Regeneration