Periodontal Therapy Center Excellence in Periodontal Surgery

Procedures Performed

The following procedures are all provided for your convenience. For more information on a particular procedure, please contact us at (352)596-1771.


On occasion, teeth are severely damaged by gum disease or extensive decay. Those teeth may require removal. Treatment of damaged teeth involves their removal using special surgical techniques appropriate for each individual case.
The tooth may be removed in whole, or in some cases it may be made into sections, and each section is then individually removed. Usually the extraction procedure is uneventful and quickly performed. In most cases, normal activites can be resumed within a few days depending on the degree of difficulty and the number of teeth removed.

Instructions are given as to how to care for the extraction site and the patient is also given an appointment to return to see the doctor for a final evaluation.
Our practice also performs extractions of the 3rd molars, or wisdom teeth.


This procedure is used to smooth shallow craters in the bone due to mild to moderatebone loss. After gaining access to the damaged bone with flap surgery.  Dr. Hameroff will reshape the bone around the tooth to decrease the craters.  This makes it harder for bacteria to accumulate and grow. 


In many instances bone loss or tissue loss due to periodontal disease can be reversed.


Tiny fragments of bone or artificial materials are placed into area of lost bone. These grafts act as a platform on which bone can regrow, restoring stability to your teeth.


Soft tissue is added to reinforce thin gums or to fill in areas where gums have receded. Grafted tissue, usually taken from the roof of your mouth or a synthetic material, is sultured in place over the affected area. In some cases, exposed tooth roots may be covered to improve appearance.

An endostal implant is a biocompatible material designed and fabricated to fit into the bone of the mandible or maxilla with permucosal extensions which provide support and attachment of a prosthesis. This may be a complete upper or lower arch or unilateral appliance.





Non-surgical therapy removes plaque and calculus by controlling the growth of bacteria and by treating conditions that encourage the gum disease. This type of treatment may be all thats needed, especially when periodontal disease is caught early. Your periodontist may ask you to talk with a general dentist, who may provide some forms of non-surgical therapy. You may also need to have certain procedures, such as replacing worn fillings that can accumulate plaque, taken care of before periodontal therapy can begin.Scaling is a type of cleaning that removes plaque and calculus from the teeth at and slightly below the gumline.
Root planning smooths the root surface, so the supportive tissue can better re-attach to the tooth surface. Your periodontist may use local anesthesia , because this procedure goes deeper than regular cleaning.
Because bacteria causes periodontal disease, you may receive antibiotics. These may be in pill form or to be applied directly to the infected area in the form of tiny fibers. An antibacterial mouth rinse also may be prescribed to help control plaque and to restore the tooth.

This procedure is used to smooth shallow craters in the bone due to mild or moderate bone loss. After gaining access to the damaged bone with flap surgery, Dr. Hameroff will reshape the bone around the tooth to decrease the craters. This makes it harder for bacteria to accumulate and grow.

                    CROWN LENGTHENING
Many times, when a tooth requires a crown the top surface is extrememly decayed or badly broken. Your dentist may require more tooth exposed so that the new crown will have a stronger seal retention. A crown lengthening is a simple surgical procedure. The immediate area surrounding the tooth will be numbed. An incision in the tissue is made to reveal the tooth and supporting bone.
Adjustment of the bone area will be performed. Several sutures will be placed and will dissolve on their own. A sedative dressing will then be placed to aid in the healing of the surgical site.
A prescription for pain will be given as well as instructions for care of the area. You will return to Dr. Hameroff's office in approximately one week for a check. After healing, your dentist can restore the tooth.