Osseous Surgery

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.

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.

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.

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.

Oral Pathology

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

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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.

Guided Tissue Regeneration

Our Services

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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.

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.

Soft Tissue Grafting

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. 

Crown Lengthening

​​​​​ShastaPeriodontal Associates

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Periodontal Maintenance

Scaling and Root Planing