Pre-Prosthetic Surgery

These procedures are utilized in preparation for your dentist to complete your planned dental treatment. Pre-prosthetic surgery varies in nature from enhancing aesthetics to providing a healthy foundation to support your future dental restorations.

Crown Lengthening

For information regarding crown lengthening please click here.

Gingival Grafts – Mucogingival Procedures

For information regarding gingival grafts please click here.



Teeth are extracted (removed) for a variety of reasons including cavities, fractures, infections, severe bone loss, improper location in the jawbone, among others. When teeth are removed, the space that is left may cause other teeth to shift or move from their existing location. Dr. Cohen will discuss appropriate options for tooth replacement, should the extraction site be in a location that may affect shifting of other teeth.


After appropriate anesthesia is achieved in the treatment area, your tooth can be removed without pain. The anesthesia allows pressure sensation during tooth extraction. In many cases, teeth can be removed without opening the gum tissue at all. Every effort is taken to remove the tooth as conservatively as possible, so as to not disturb the supporting bone structure.

In some cases, we may wish to prevent the bone shrinkage that occurs after a tooth is removed. If this is the case, Dr. Cohen will discuss Extraction Site Preservation with you prior to tooth removal.  This can be performed simultaneously with the extraction (see the Extraction Site Preservation section).

Extraction Site Preservation

For information regarding extraction site preservation please click here.

Ridge Augmentation (Soft and Hard Tissue)

For information regarding ridge augmentation please click here.

Soft Tissue Grafts

For information regarding soft tissue grafts please click here.


For information regarding frenectomy 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.