Periodontal Procedures

Crown Lengthening

Periodontal procedures are available to lay the groundwork for restorative and cosmetic dentistry and/or to improve the aesthetics of your gum line. Your teeth may actually be the proper lengths, but they are covered with too much gum tissue. Crown lengthening is a procedure to correct this condition. During this procedure, excess gum and bone tissue is re-shaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile. Crown lengthening can make a restorative or cosmetic dental procedure possible. Perhaps your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.


Gum Lift

A gum lift may be performed to create a more even gum line. Patients with a gummy smile can quickly and safely have unwanted tissue removed, thus exposing more tooth to shape a more attractive smile.


Soft Tissue Grafting

Root exposure resulting from gingival tissue recession may pose multiple problems for patients:

  • Undesirable Aesthetics
  • Root Sensitivity
  • Impaired Oral Hygiene
  • Increased Caries Susceptibility
  • Teeth May Become Loose

A gingival tissue graft will restore the proper gum tissue structure around the tooth.



If a patient has an excess amount of tissue that connects the lower and upper lips to the jaw and gum line, a frenectomy procedure is performed to remove the excess tissue.


Periodontal Sinus Lift

The human skull has several cavities or air spaces called sinuses. When the sinus is enlarged and intrudes on areas where we want to place dental implants, bone or bone growth stimulation material is placed into the sinus. This procedure only affects the maxillary sinuses, which are located just over the molar teeth in the upper jaw. The side of the maxillary sinus is opened and the bottom is raised so it will fill in with bone. Several months later, dental implants can be placed in solid bone. An “Osteotome Lift” is a surgical procedure that raises the floor of the sinus directly over where the implant is placed. This can be done without actually opening the sinus.


Laser Periodontal Surgery

Are you looking for a dentist who specializes in laser gum surgery in Modesto, CA? Look no further than Dr. Openshaw!

You may need surgery for severe gum disease (periodontitis) if it cannot be cured with antibiotics or root-planing and scaling. At Dr. Openshaw’s office we offer a treatment that is called LANAP. Laser Assisted New Attachment Procedure. It is Laser Periodontal Therapy. Laser Periodontal Therapy is a laser-based approach to gum disease using a free running pulsed laser requiring specific knowledge and skills.

To you the patients this means: less pain, less bleeding, less swelling, less tissue removed, less down time, and less recovery time which is decidedly less costly to you and your employer. The reasons we use Laser Periodontal Therapy are to: remove only the diseased tissue without removing any of the healthy tissue, maintain the height of the tissue around teeth, minimize pain and discomfort to the patient, get a closure of the periodontal pocket wound and allow healing to take place. Controlling periodontal disease makes it possible to save and restore otherwise hopeless involved teeth.

Dr. Openshaw will start by numbing your gums with a local anesthetic. Then he will use the laser to target unhealthy tissue and bacteria. After the procedure you will wear removable splints. This will protect your gums while they heal. You can eat soft foods and drink cool or slightly warm liquids while your gums are healing. It usually takes a few days or weeks for the gums to heal. You can return to your normal activities after the anesthetic wears off.

Most gum surgeries are fairly simple and are not too uncomfortable. You can take ibuprofen (such as Advil or Motrin) or acetaminophen (such as Tylenol) to reduce pain. After LANAP, it will be easier for you to keep your teeth and gums clean.

The contour or shape of your gums may change.

Laser gum surgery is necessary when the gums have pulled away from the teeth, creating deep pockets. The pockets make it hard to clean away plaque. If you maintain good dental care after surgery, the laser treatment likely to help stop gum disease. Your gums should become pink and healthy again.

After you have your Laser gum surgery in our Modesto, CA office, please be aware that harmful bacteria can be introduced into the bloodstream. Gum tissue is also at risk of infection. You will need to take antibiotics before and after surgery.

For more information about laser gum surgery in Modesto, CA, please feel free to call our office or email us.