Is crown lengthening painful?

During the procedure you should feel no pain at all. Local anesthesia ensures the surgical site is completely numb, and sedation is available if needed. After the procedure, you may experience some tenderness in the treated gums, bone, and teeth. Over-the-counter pain medication is typically sufficient to manage any post-operative discomfort.

Who performs crown lengthening?

Crown lengthening is performed by a periodontist. At Rockland Dental Specialists, Dr. Shalom Mintz, our board-certified periodontist and implantologist, performs crown lengthening for both cosmetic and restorative indications.

How long does crown lengthening recovery take?

The gums and bone require at least four to six weeks to heal fully before any further dental work can take place. Some cases may require a longer healing period depending on the extent of tissue removed.

What is a gummy smile and can crown lengthening fix it?

A gummy smile occurs when excess gum tissue is visible above the upper front teeth when smiling. Crown lengthening exposes the full anatomical crown of the teeth, creating a more balanced and proportionate smile.

Can crown lengthening be done on a single tooth?

Yes. When performed for restorative reasons it is typically done on a single tooth. Cosmetic crown lengthening often addresses multiple front teeth at once to create a balanced result.

When is crown lengthening necessary before a dental crown?

Crown lengthening is needed when decay or a fracture extends below the gumline, leaving insufficient tooth structure for a crown to grip securely. Removing gum and bone tissue creates the access needed to place a well-fitting, durable restoration.

What are the different types of dental implants?

Dental implants can replace a single tooth, support a multi-tooth bridge, or anchor a full-arch restoration using as few as four to six implants. They can also stabilize removable dentures and partials.

Why should I choose a periodontist for dental implants instead of a general dentist?

Periodontists complete three additional years of specialized training in bone, gum tissue, and implant placement. At Rockland Dental Specialists, Dr. Shalom Mintz and Dr. David Peto are board-certified periodontists and implantologists.

What happens during the dental implant procedure?

The process begins with 3D imaging and a consultation, followed by surgical implant placement into the jawbone under local anesthesia. After several months of osseointegration, a crown is attached to complete the restoration.

Do I need a bone graft before getting a dental implant?

Not every patient requires a bone graft. It is needed when there is insufficient jawbone volume to securely anchor the implant. Our team evaluates bone density using cone beam CT imaging during your consultation.

What is osseointegration, and why does it matter?

Osseointegration is the process by which the jawbone fuses to the titanium implant, creating a stable permanent anchor. This biological bond gives implants their strength and distinguishes them from bridges or dentures.

Can dental implants fail, and what causes failure?

Dental implants have a high success rate, but failure can occur due to insufficient bone, uncontrolled gum disease, smoking, or poor oral hygiene. Early intervention by a periodontist can often prevent full failure.

How do I care for a dental implant once it is placed?

Care for an implant like a natural tooth: brush twice daily, floss around the crown, and maintain regular periodontal cleanings. Monitoring for peri-implantitis is essential for long-term implant health.

Are dental implants in New City covered by insurance?

Coverage varies by plan. Some plans provide partial coverage, particularly for teeth lost due to injury or medical conditions. Rockland Dental Specialists offers complimentary insurance verifications and custom payment plans.

What are the signs of periodontal disease?

Common signs include red, swollen, or bleeding gums, persistent bad breath, receding gums, loose teeth, and deep pockets between the teeth and gums. In smokers, visible signs may be minimal even when disease is present.

Can periodontal disease be reversed?

Early-stage gum disease (gingivitis) can be fully reversed with professional cleaning and improved home care. More advanced periodontal disease cannot be reversed, but it can be controlled and stabilized through periodontal treatment and ongoing maintenance.

Will a gum infection go away on its own?

No. Periodontal infections do not resolve without treatment. Without intervention, the infection progresses, destroying the bone and tissue that support the teeth, and can contribute to systemic health conditions.

How is periodontal disease connected to overall health?

Periodontal disease is associated with increased risk for heart disease, stroke, diabetes complications, and has been linked to Alzheimer's disease. The bacteria and inflammation from untreated gum disease can enter the bloodstream and affect the rest of the body.

What are the stages of periodontal disease?

Periodontal disease progresses from gingivitis (reversible gum inflammation) through mild, moderate, and severe periodontitis, each involving increasing levels of bone and tissue loss around the teeth.

Can a periodontist place dental implants?

Yes. Periodontists are among the most qualified providers for dental implant placement because of their specialized training in the bone and gum tissue that support implants. At Rockland Dental Specialists, Dr. Shalom Mintz and Dr. David Peto are board-certified periodontists and implantologists.

Do I need a referral to see an oral surgeon?

No referral is required in most cases. You can contact Rockland Dental Specialists directly to schedule an oral surgery consultation.

Does a tooth extraction remove the root?

Yes. A standard tooth extraction removes the entire tooth including the root. The root is not left behind in the jaw.

What is wisdom teeth removal, and when is it necessary?

Wisdom teeth removal is the surgical extraction of the third molars. It is recommended when they are impacted, causing crowding, pain, infection, or damaging adjacent teeth.

What is IV sedation, and is it safe for dental procedures?

IV sedation delivers sedative medication through a vein, producing a deeply relaxed state during the procedure. It is safe when administered by trained oral surgeons and is commonly used for wisdom tooth removal and implant procedures.

What is an oral biopsy, and should I be concerned?

An oral biopsy removes a small sample of abnormal tissue for laboratory analysis. Most oral growths are benign, but biopsy is the only definitive way to rule out cancer. Early evaluation is always recommended.

What should I expect during recovery from oral surgery?

Recovery varies by procedure. Most patients experience some swelling and discomfort for several days. Following post-operative instructions — including rest, soft foods, and prescribed medications — supports faster healing.

When should I see an oral surgeon instead of my general dentist?

You should see an oral surgeon when a procedure requires advanced training, hospital privileges, IV sedation, or management of complex medical conditions. Impacted teeth, facial trauma, and atypical infections are examples.

LANAP stands for Laser-Assisted New Attachment Procedure. It is an FDA-cleared laser treatment for periodontal disease that uses a specific wavelength of laser energy to target diseased tissue while leaving healthy tissue intact.

How is LANAP different from traditional gum surgery?

Traditional gum surgery requires cutting the gums with a scalpel and suturing them back. LANAP uses laser energy instead, with no cutting, no sutures, and significantly less post-operative pain and recovery time.

Can LANAP treat advanced periodontal disease?

Yes. LANAP is specifically designed for moderate to advanced periodontal disease. It can address deep pockets and bone loss that have not responded adequately to scaling and root planing alone.

Who is a good candidate for LANAP?

Most adults with chronic periodontal disease are candidates for LANAP. It is particularly beneficial for patients who are medically compromised, on blood thinners, or who have anxiety about traditional surgery.

What should I expect during a LANAP procedure?

The procedure is performed under local anesthesia. The laser fiber is inserted into the periodontal pocket to remove diseased tissue and bacteria. Most patients return to normal activity within a day or two.

Can LANAP regenerate lost bone?

Yes. LANAP is one of the few periodontal treatments with clinical evidence supporting bone regeneration around treated teeth, not just stabilization of existing bone.

How does LANAP compare to osseous surgery for treating gum disease?

Both treat periodontal disease but through different approaches. LANAP is minimally invasive with faster recovery. Osseous surgery involves cutting and reshaping bone. The right choice depends on disease severity, anatomy, and patient health.

How do I know if I need LANAP or scaling and root planing?

A periodontal evaluation including X-rays and pocket depth measurements determines the extent of disease. Scaling and root planing is the first-line treatment. LANAP is typically recommended when disease is moderate to advanced or has not fully responded to non-surgical care.

Frequently Asked Questions About Sinus Lifts

Why do I need a sinus lift before getting a dental implant?

When upper back teeth are missing for an extended period, the sinus cavity can expand downward, leaving insufficient bone height to support a dental implant. A sinus lift adds bone to the area, creating the foundation needed for a stable, long-lasting implant. Without adequate bone volume, an implant would lack the support required to function properly over time.

How long does a sinus lift procedure take?

Most sinus lift procedures take between one and two hours, depending on whether one or both sides are being treated and whether the implant is placed during the same visit. Your periodontist will review your specific treatment plan in advance so you know exactly what to expect on procedure day.

Is a sinus lift painful?

The procedure is performed under local anesthesia, so you should not feel pain during surgery. You may sense pressure or movement, which is normal. After the procedure, most patients experience mild to moderate discomfort similar to a sinus headache, which is typically managed with prescribed or over-the-counter pain relievers.

How long is recovery after a sinus lift?

Gum tissue generally heals within approximately two weeks, while the underlying bone graft requires several months to fully integrate before an implant can be placed. During recovery, patients are advised to avoid blowing their nose, strenuous activity, and pressure on the surgical site to protect the graft material.

Does insurance cover sinus lift surgery?

Coverage varies depending on your dental insurance plan. Some plans cover sinus lifts when deemed medically necessary for implant placement, while others may not. Our team offers complimentary insurance verifications and can help you understand your benefits and explore payment plan options before moving forward.

Can a sinus lift and implant be placed at the same time?

In some cases, yes. If sufficient existing bone is present to provide initial implant stability, both procedures can be performed in a single visit. When bone loss is more significant, a staged approach allows the graft to fully mature before implant surgery. Your periodontist will determine the right approach based on your 3D imaging results.

Sinus Lift New City, NY

What is a Sinus Lift?

A sinus lift is a surgical procedure that lifts the floor of the maxillary sinus cavity in order to make room for a dental implant. Sinus lift procedures take place in the upper jaw, in the region of molars or premolars. The maxillary sinus cavity is an air space above the upper back teeth and behind the cheekbones. It serves to lighten the skull and humidify and filter the air we breathe.

When the upper back teeth, which sit below the sinus cavity, are missing, the sinus often enlarges (called pneumatization) and shortens the amount of bone available in the upper jaw. Sometimes this can happen while the teeth are in the roots. Molars have 3 roots, and sometimes the sinus grows downward between the roots. This loss of bone affects the surgeon’s ability to replace the missing tooth with a dental implant.

The inside of the sinus cavity is lined with a thin membrane, which can be lifted in order to accommodate a bone graft that provides enough height and width of bone to support a dental implant. Your surgeon can manipulate this membrane through a small “window” on the cheek side of the upper jaw (called a lateral window) or through the surgical opening for the dental implant (sometimes referred to as a “bump”).

Reasons for Needing Sinus Lift Surgery

Several reasons may lead to the need for a sinus lift before undergoing dental implant surgery. Inadequate bone height in the upper jaw, often due to bone loss from periodontal disease, tooth loss, or anatomical issues, is one of the most common reasons. If your jawbone lacks enough bone to support a dental implant, a sinus lift may be necessary to ensure successful implant placement. Also, if the maxillary sinus is too close to the jawbone, this could further complicate the implant procedure.

You may also need a sinus lift if trauma or previous dental work compromised the bone structure. In such cases, your oral surgeon will assess the available bone and determine whether a sinus lift is a viable option for you.

Postoperative Care for Sinus Lifts

After undergoing a sinus lift, patients will need to follow specific postoperative care instructions to ensure optimal healing. This includes avoiding strenuous activities, refraining from blowing the nose, and taking prescribed medications as directed. Keeping the surgical site clean and managing discomfort through recommended pain relief strategies are also essential.

The Importance of Follow-Up Visits with Your Dentist

Follow-up visits with the dentist are important after a sinus lift procedure. These appointments allow the dental specialist to assess the healing of the bone graft and the condition of the sinus membrane. Based on the progress observed during these visits, the dentist will determine the appropriate timeline for proceeding with dental implant surgery, if needed.

What does the Sinus have to do with Dental Implants?

When we replace missing teeth with dental implants, the long-term stability directly correlates to the size of the dental implants. Logically, you would never want to place a large molar-sized crown on top of a short, narrow implant. The goal of dental implants is to replace the tooth’s root and support normal chewing forces. We achieve more stability with a long, large-diameter implant, but this is possible only when enough jawbone is present. By lifting the floor of the sinus cavity, we are capable of increasing the height of bone and placing a longer, more stable dental implant.

Why do Some Implants Require a Sinus Lift?

In general, the longer an upper back tooth is missing, the greater chance there is for enlargement of the sinus cavity. Many people wait longer than the recommended time frame after a tooth extraction to proceed with the dental implant, which decreases the available bone height. Certain anatomical variations also predispose some people to lower sinus floors than others.

When planning the replacement of a missing tooth with a dental implant, we place a high priority on pre-operative planning. Our planning includes, when indicated, a three-dimensional image, which allows us to take precise measurements of the bone in the site of the proposed implant and foresee the need for a sinus lift procedure. We base the decision on the current height of bone available as compared to the most favorable size of the dental implant, which is necessary to bear that tooth’s chewing force.

What Can I Expect from a Sinus Lift Procedure?

During the sinus lift procedure, you should not feel any pain. Local anesthetic provides numbness to the site of surgery. It’s important to note that local anesthetic does not remove the sensation of pressure, so you may feel tapping or pushing behind your cheekbone.

Some sinus lift surgeries will require stitches, and others do not. If the sinus lift procedure takes place in conjunction with the placement of the dental implant, you probably will not need any stitches. If your jaw requires a lateral “window” sinus lift, the surgeon will use stitches to close the surgical site.

After the procedure, you may have post-operative discomfort and pressure-type pain, like a sinus headache. A dull throbbing or ache is normal, and your surgeon will help you manage any pain with medication.

How Long is the Recovery from a Sinus Lift?

The healing of the gum tissues takes about two weeks in healthy adults. Gums close and return to normal much more quickly than the underlying bone. After this initial healing phase, you can return to normal eating, drinking, brushing and flossing.

The underlying bone requires a longer healing period. It takes several months for your natural bone to grow into the grafted bone material. Your surgeon will monitor this closely with dental x-rays. This healing time can take three to six months. This is the same length of time required for the bone to firmly attach to the dental implant.

Only after your surgeon confirms the stability of the dental implant can you proceed with building the crown atop the implant and resuming normal chewing in this area.

Sinus Lift Procedures at Rockland Dental Specialists

Rockland Dental Specialists offers expert dental care in the New City, NY area, including dental implants, bone grafting, and sinus lifts. Board-certified endodontists Dr. Lisa Nava Cohen & Dr. Rachel Snyder, and board-certified periodontist and implantologist Dr. Shalom Mintz are here to bring you the best oral care possible with their more than two decades of combined experience. They are passionate about helping patients maintain their overall oral health. Contact us today at (845) 259-2500 to speak with one of our team members about the services we offer or book an appointment online here.

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