Periodontal Procedures


eriodontics is a specialized area of dentistry that focuses on the health, esthetics, prevention and treatment of conditions and diseases that affect the teeth and surrounding tissue. Dr. Kay and his team deliver a broad range of treatments designed to optimize your oral health:

  • Patient Care
  • Dental Implants
  • Crown Lengthening
  • Gum Grafting – rebuilding lost tissue
  • Bone Grafting – rebuilding lost bone
  • Periodontal Cleaning and Maintenance
  • Scaling and Root Planning

    Dr. Kay believes creating a great smile starts with feeling good about the level of care you receive from your dental treatment provider.
    Dr. Kay believes creating a great smile starts with feeling good about the level of care you receive from your dental treatment provider.

    Dr. Kay and his team are committed to staying current with the latest technological advancements and treatment solutions in oral health. They use only the best, most proven treatments to advance the quality of your care. Dr. Kay works closely with your dentist to develop a specialized treatment plan – one that delivers the functional and aesthetic results you desire.

    Advancements in dental implant technology mean real patient benefits such as shorter waits to replace missing teeth and shorter recovery times post surgery. Advances in oral anesthesia and dental imaging mean minimal to no discomfort for periodontal services. Better technology means improved patient care and comfort – something Dr. Kay and his staff are firmly committed to.

    Dr. Kay stands by the products that he uses, whether for implant dentistry or any other aspect of his practice. He uses only well-researched, thoroughly tested and approved products that have a proven track record with patients. Likewise he uses original components, as our patient you are assured that you are getting the best available products on the market.

    Your first visit is a face-to-face consultation with Dr. Kay. Together, you and him will review your medical and dental history and records, take an X-ray if necessary, and Dr. Kay will examine your teeth, gum and jaws. Dr. Kay will discuss and explain any treatment and procedure with you in detail so you are comfortable and fully understand what to expect. Any treatment or procedure will be scheduled after the consultation is completed.

    Between four to six weeks after your initial therapy is completed, Dr. Kay will evaluate your condition to determine how healing is progressing and to determine if additional treatment is recommended. Treatment may consist of periodontal surgery, non surgical treatment (antibiotics or other medications), and preventive maintenance visits. The post therapy follow-up is extremely important to confirm short term improvement and determine the long term potential that can be obtained with further treatment.

    Dr. Kay believes in delivering the absolute best treatment for the most reasonable price. Cost of service will depend on what treatment you need. As a courtesy, your insurance benefits can be predetermined. For your convenience, you can also pay by credit and debit cards. Dr. Kay and his staff will do whatever they can to make the process as pleasant, comfortable and stress-free as possible.



    Dental implants are replacements for lost or missing teeth. A dental implant is surgically placed in your jawbone to replace the root of your tooth and provide the necessary structure to support a replacement tooth or bridge. In some cases, the gums or bone may require treatment first in order to provide sound support for the dental implant(s).

    Two stages to implant treatment completion

    1. Dr. Kay places the implant.
    2. Approximately six weeks alter your new tooth, bridge or denture is inserted at your dentist’s office.

    Dental implants provide you with replacement teeth that look and feel just like your own. They are more stable than non-implant methods (i.e. dentures) and will help you chew your food properly, speak better, even help preserve the natural contours of your face and jaw. With proper care, diligent oral hygiene and regular professional cleanings, dental implants can last you a lifetime.



    Crown lengthening is a common, routine surgical procedure to either help repair a broken tooth or to create a healthy, attractive smile. You will be able to eat better, speak better, and smile with confidence.

    Functional Crown Lengthening Surgery
    Functional Crown Lengthening is performed when a tooth is decayed or broken below the gum line. The purpose is to create a space between the bone surrounding the broken/decayed tooth and the gum tissue so the tooth/teeth can be properly repaired or restored. Dr. Kay gently lifts and rolls back the gum, and re-shapes the gum tissue and sometimes the surrounding bone to expose an adequate amount of healthy tooth.

    Aesthetic Crown Lengthening Surgery
    This cosmetic procedure improves a “gummy” smile, evens out the gum line, or makes “short” teeth appear longer. With aesthetic crown lengthening surgery, the gum is carefully peeled back to create a “gum flap”. Excess bone and tissue are reshaped to expose more of the natural tooth and/or create a uniform gum line so all your teeth appear to be the same size. Even if only one tooth is involved, Dr. Kay will also treat the surrounding teeth to ensure a straight, natural smile.


    Gum grafting can eliminate sensitivity when eating, prevent further decay or tooth loss, and improve the esthetics of your smile.
    Gum grafting can eliminate sensitivity when eating, prevent further decay or tooth loss, and improve the esthetics of your smile.

    Gum grafting reverses a receding gum line by covering the exposed tooth root surface. Dr. Kay only uses minimally invasive procedures employing nonautogenous grafts, which are synthetic or natural materials that are compatible with living tissue. They cause less rejection and patients undergo less stress during the procedure making the entire process more comfortable. Rebuilding the lost tissue around an exposed tooth root will eliminate any sensitivity when eating, prevent further decay, damage or tooth loss, and improve the esthetics of your smile.


    Bone grafting is a surgical procedure that replaces missing bone for a stronger, healthier jaw.

    Gum disease, cavities, injury and infection can all lead to bone loss in the jaw. Dental Bone Grafts or Bone Grafting Surgery is performed to rebuild and regenerate lost dental bone. It helps promote new bone growth and supports the jaw in preparation for implants to restore the appearance and the functionality of your mouth.

    The gums are gently folded back and the area is cleaned thoroughly to remove disease-causing bacteria. Isolating and protecting the clean bone area from overlying gum tissue encourages your body’s natural ability to form new bone. Eliminating accumulated bacteria and regenerating living bone will help reduce any pockets that have formed in the surrounding tissue and repair the damage caused by the progression of gum disease.

    The purpose of bone grafts is to get your own bone to grow into the repair site. There are a variety of methods to build bone from using bone harvested from the patient’s own body to using donor bone or a synthetic source material. Dental bone grafts and membranes are inserted over the bone defects. Some of these membranes will naturally dissolve over time while others require removal after the healing process is completed.


    Regular cleanings can help keep teeth and gums healthy by removing plaque and bacteria.
    Regular cleanings can help keep teeth and gums healthy by removing plaque and bacteria.

    Good oral hygiene is essential for healthy teeth and gums. Healthy teeth enable you to speak and chew properly, look good, feel well, and enjoy the confidence of a beautiful smile. It is also important to your overall health and wellness as gum disease can cause other significant health problems. An ongoing periodontal cleaning and maintenance program will prevent or stop the progression of gum disease.

    The main cause of gum disease is bacterial plaque – a sticky, clear film that forms on your teeth. Toxins (or poisons) produced by plaque bacteria constantly attack your gums and teeth. If plaque is not removed, it hardens into a rough deposit called calculus or tartar. Brushing will not get rid of it, only professional cleaning by a trained dental hygienist using special instruments can remove tartar. The longer plaque and tartar remain on your teeth, the more damage they can cause.

    The good news is gum disease is preventable. Daily oral care, including proper brushing and flossing will keep plaque to a minimum, but it won’t completely prevent it. No matter how careful you are in cleaning your teeth and gums, bacterial plaque can cause a recurrence of gum disease quickly after your last professional cleaning. To keep your teeth and gums healthy, a dental professional must regularly check for potential hidden problems and remove the hardened plaque.


    This non-surgical therapy helps prevent gum disease by removing bacterial build up around the teeth and below the gum line. Scaling and Root Planing (deep cleaning) is performed by a licensed dental hygienist specially trained to remove tartar below the gum line, and clean and smooth the root surface to facilitate the healing process. It may require two to four appointments to be effective.


    Freezing (local anesthesia) is used to ensure your comfort during treatment as gum tissues are delicate and may be tender. Scaling scrapes off plaque and tartar. Root planing creates a smooth, clean and healthy root surface that allows the gums to reattach to the teeth. The smoother the surface, the less likely bacteria can accumulate and form plaque. Root planing removes irritants, much like removing a splinter from your finger. Generally, there is little to no discomfort after the procedure and your gums will actually feel better.

    There are limitations to what scaling and root planing can accomplish. If deep pockets have formed in the gums, the more difficult it is to remove the accumulated plaque and calculus. Also, back teeth are more difficult to reach and more difficult to effectively clean and detoxify. An ongoing program of diligent oral hygiene and regular professional maintenance can be a big help in preventing future tooth and gum problems.