When addressed early in the disease process, the first choice of treatment is nonsurgical. Dr Sazima and his team will provide oral hygiene training and microbials to enable the patient’s own skilled and consistent prevention and maintenance at home. Triclosan toothpaste and powered irrigation devices are also recommended and can be provided where indicated. In the office setting regularly scheduled prophylaxis, scaling and root planning to deep clean areas not readily accessible to the patient are advised.
Dr Sazima can provide conscious sedation during your procedure with nitrous oxide or oral sedation. The services of a dental anesthesiologist can also be arranged to provide IV sedation in cases where high anxiety is a concern. Procedures done under sedation are easily arranged, safe, pain free, and more work can be completed at each appointment.

Gum recession occurs when the tissue pulls away from the tooth, exposing more of the tooth or even the root. You might see the effects in your smile or back teeth, or feel sensitivity to hot or cold food and beverages. This recession exposes teeth to more bacteria which can cause root decay and damage the bone supporting the teeth, which in turn makes the recession worse and continues in a harmful cycle.
Soft tissue or gum grafts, are the primary surgical treatment for this recession. They involve using a purified animal-based collagen or taking gum tissue from the roof of your mouth or other site and using it to cover the exposed roots of one or more teeth. There is no scarring or discoloration on the outside of the gums, and the health and appearance of your teeth compromised by recession are restored.
Pockets in the gum around teeth are frequently a hallmark of periodontal disease, and it’s important to reduce or eliminate these pockets as they collect bacteria and contribute to increasing tissue and bone loss. The most common surgical procedure to address this is flap surgery, or pocket depth reduction.
During this procedure, Dr. Sazima makes small incisions in the gum to create a flap, which is gently pulled back to expose the root of the tooth and allow for more thorough removal of plaque and bacteria from the area. If bone loss is present, he’ll perform a bone graft at that time to strengthen and grow new bone. Strong and healthy bone is critical in keeping teeth healthy and in place.