Drs. Buchholz and colleagues
Oral Surgery Specialists
Areas of expertise: endodontics
out-patient surgery

Procedures performed to prevent or remedy anatomical, embryologic, traumatic or disease-based defects to the gingiva, the alveolar mucosa or the alveolar bone are referred to as mucogingival or plastic periodontal surgery.
Mucogingival surgery

  • Frenectomy
    A frenectomy is the removal of the frenulum and is necessary if the frenulum impedes oral hygiene, irritates the gingiva due to tractive forces or causes a diastema (a gap between two teeth).
  • Free mucous membrane grafts
    Free mucous membrane grafts are used to create or augment the attached gingiva and can be performed in combination with the extraction of disturbing frenulums.
  • Excision of the lingual frenulum
    In ankyglossia patients, we sever the lingual frenulum to restore the unimpeded function of the tongue and prevent speech impairment.
  • Vestibular extension
    Deepening of the oral vestibule of the maxilla or mandible in combination with a free mucous membrane graft to create new alveolar mucosa that can grow together with the alveolar bone.

Plastic periodontal surgery

  • Recession coverage
    In case of hypersensitivity, progressing gingiva atrophy, risk of caries, or aesthetic requirements, defects in the neck of the tooth can be remedied using diverse methods including the tunnel technique, coronal or lateral advanced flaps, or envelope technique in combination with a graft of connective tissue.
  • Alveolar ridge augmentation
    To enhance aesthetics, defects in soft tissue, for example, in the area of a bridge can be remedied by augmenting the alveolar ridge with a free gingiva graft or a free or stalked connective tissue graft.
  • Crown enlargements
    In the case of deep caries or short tooth stumps, retaining the crown frequently requires the crown to be enlarged. This enlargement also can help increase the biologic width or make the gingiva margin more harmonious.
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