Orthodontic Procedures:

A number of periodontal procedures may be necessary to ensure the health of your gum and bone tissue before and after orthodontic therapy. Additionally, some procedures may be necessary in order for your orthodontist to reach your teeth or hold them in their desired position     

Orthodontic Tooth Uncovering


In order for an orthodontist to move your teeth to the desired positions, they must all be exposed above the gum line. Occasionally, some teeth remain imbedded in the bone or gum and do not show themselves in the mouth.  Should this be the case, a simple procedure can provide a small window through the gum and bone making the tooth visible. An orthodontic bracket can then be glued to the tooth, allowing for this tooth to be moved to its proper location.


After achieving anesthesia in the area to be treated, a small “window” is made through the gum and bone, exposing the tooth for orthodontic therapy. This procedure usually takes less than 1 hour. Unless sedation is used for the procedure, the patient can typically return to school or work immediately.


For information regarding frenectomy please click here.

Gingival Grafts – Mucogingival Procedures

For information regarding gingival grafts please click here.

Soft Tissue Grafts

For information regarding soft tissue grafts please click here.

Supracrestal Fiberotomy


During orthodontic therapy, the fibers that attach to the tooth and help hold its position are stretched. When orthodontic therapy is completed, these fibers may pull back, opposing the desired tooth location. In order to relieve this backwards tension, a “Fiberotomy” may be performed at the completion of your orthodontic treatment to detach these fibers.


After achieving anesthesia around the treatment teeth, without opening the gum tissue, we will detach the fibers between the gum and bone tissues. No sutures are typically needed for this procedure.

Orthodontic Dental Implants


Orthodontic therapy often utilizes leverage from teeth in the mouth to move other teeth from one position to another. More recently, Orthodontic Dental Implants (a small post made of titanium), have been utilized to achieve the same effect. These posts can be placed in a number of locations accessible to the orthodontist. Once the implants are in place, wires or bands attached to the teeth can be connected to the implants.  Use of these devices often shortens the time needed to move the teeth. The implants are removed when treatment is complete.


After achieving anesthesia at the treatment site, the small implant is placed in a predetermined area. The procedure is usually short (less than 1 hour) and typically the patient can return to their daily routine immediately.