Periodontic Services

Periodontic Services

what can we do for you?

At Hilltop Dental LLC protecting the health
of our patients’ gums is an important part of our practice.

Periodontics services

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Our dentist and team are thrilled to provide dental care to patients of all ages.

Let us provide you and your family with the dental care you need to reach and maintain healthy smiles!

Periodontics is the dental specialty focused on the prevention, diagnosis, and treatment of periodontal disease and other conditions that affect the gums and soft tissues of the mouth. Gum disease, also known as periodontal disease, is an infection caused by bacteria in plaque. When plaque builds up on the teeth, the bacteria irritate and inflame the gum tissues. If this condition is not treated in the early stage, called gingivitis, it can develop into periodontitis, which is the more advanced stage of gum disease. Gingivitis is characterized by red, tender, bleeding, and swollen gums, while periodontitis typically involves gum recession and can eventually lead to bone loss and tooth loss. Gingivitis can usually be controlled and even reversed with additional professional cleanings and improved at-home oral care if the condition is diagnosed and treated early; periodontitis, on the other hand, generally requires more involved, frequent treatment. We are pleased to provide high-quality treatment for gum disease at our office to return your smile to good health.

In addition to treatment for periodontal disease, periodontics includes the placement of dental implants. Dental implant placement requires specialized, advanced training for optimal results. To learn more about periodontics and how we can care for your smile, we welcome you to contact us today. Our dentist and team look forward to caring for you!

Periodontal Disease

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If your gums are red, swollen, and tender, come to see our dentist; you may be affected by periodontal disease. Dr. Stephen Kwitnicki will examine your mouth and discuss your circumstances with you to determine the best course of treatment to care for your smile. Please call Stephen Kwitnicki, DDS today if you believe you may benefit from treatment for gum disease in Union, New Jersey.

Gum disease, also called periodontal disease, is a degenerative condition primarily caused by bacteria found in plaque. The bacteria inflame and infect the gum tissues, and when left untreated, can eventually cause the gums to pull away from the teeth. Untreated periodontal disease can result in bone loss, tooth loss, and gum tissue recession.

If your gums are swollen, red, or tender, or if your gums bleed easily, you may have periodontal disease. Other common symptoms of gum disease include loose teeth, painful chewing, persistent bad breath, and receding gums that make your teeth appear longer than normal. Following an exam at our office, our dentist and team will be able to determine whether you suffer from periodontal disease.

The treatment for gum disease is based upon your specific dental needs. Depending on the severity of the condition, our dentist may recommend additional professional dental cleanings, improved at-home oral hygiene, antibiotic treatment, scaling and root planing (deep cleanings), or gum surgery. We strive to help you restore your oral health and halt the progress of the disease. For more information on periodontal treatment, we welcome you to call or visit our office soon. We look forward to caring for your smile!

Scaling & Root Planing

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Scaling and root planing is a deep cleaning of the surface of your teeth above and below the gum line to remove tartar and bacteria that cause gum disease. Dr. Stephen Kwitnicki may suggest scaling and root planing if he observes evidence of advanced gum disease. To set up an appointment with our dentist and to learn more about scaling and root planing in Union, New Jersey, we welcome you to call our friendly team at Stephen Kwitnicki, DDS today.

Scaling and root planing is one of the most common and effective treatments recommended for gum disease before it becomes severe. This is a deep cleaning treatment that includes two main steps:

  • Scaling: In scaling, we remove plaque and tartar (dental calculus) from the tooth surface.
  • Root Planing: This step involves cleaning the roots of the teeth, smoothing the root to remove bacterial toxins.

The goals of scaling and root planing are to remove bacteria, plaque, and tartar, and to halt the progress of the disease. While most scaling and root planing treatments can be completed comfortably without anesthetic, our dentist is happy to offer anesthetic and other comfort options to make certain that you feel at ease during your treatment. The scaling and root planing treatment may be split up into several appointments, in which we treat one section of the mouth at each appointment.

Scaling and root planing may be combined with other types of periodontal therapy, such as antibiotic treatment. For most patients, scaling and root planing is enough to prevent periodontal disease from progressing further. For more information about the benefits of scaling and root planing, and to learn more about the other types of periodontal treatment we offer, please do not hesitate to contact our office.

ARESTIN®

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ARESTIN® is a locally administered antibiotic (LAA) that Dr. Stephen Kwitnicki may recommend using as part of our scaling and planing periodontic treatment. Scaling and root planing is effective at removing tartar and bacteria but is less effective at removing and killing the bacteria deep in the periodontal pockets around your teeth. Using an LAA such as ARESTIN can greatly reduce the bacteria that remain after scaling and planing.

ARESTIN is an antibiotic in powder form. It consists of microspheres that contain the antibiotic treatment. Our dentist will apply ARESTIN to the periodontal pockets where the gum disease bacteria grow. Over time, the microspheres release the antibiotics, killing the bacteria before they can recover, ensuring more thorough treatment. Clinical studies have shown that using ARESTIN with scaling and planing is more effective at treating gum disease and removes more bacteria than scaling and planing alone.

Stephen Kwitnicki, DDS is dedicated to providing you with the most up-to-date service for treating your gum disease. If your gums have been irritating you, do not hesitate to call our office. We will be happy to provide you with the care you need and determine whether ARESTIN in Union, New Jersey, is the proper treatment for your smile. Call us today to learn more!

Canine Exposure

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Sometimes developing canine teeth struggle to break through the gum line and remain impacted in the bone and gum tissue. Our dentist provides a canine exposure treatment to raise the canines above the gum line and avoid the complications that can come with impacted teeth. To learn more about canine exposure in Union, New Jersey, and to schedule an appointment with Dr. Stephen Kwitnicki, we invite you to contact Stephen Kwitnicki, DDS today!

In some cases, a tooth does not break through the gum and remains stuck in the bone and gum tissues. This is known as an impacted tooth. The wisdom teeth, or third molars, are the teeth that most commonly become impacted. These teeth often become impacted because there is not enough room in the dental arch for them to fully and properly erupt. Impacted wisdom teeth are typically removed in order to avoid complications with the health of the teeth, gums, and jawbone.

The second most commonly impacted teeth are the upper canines (also known as the eye teeth). If the canine teeth do not erupt as normal, our dentist will check the position of the adjacent teeth to make certain that the canines have sufficient space to grow in. We may also take X-rays to determine whether the canines are impacted, to check the impacted tooth’s position, and to assess any effects on the neighboring teeth and structures. In most cases, our team will create a treatment plan to expose the impacted canines. To expose an impacted upper canine, our dentist will typically remove the gums that cover the tooth. For some patients, this is enough to allow the tooth to grow in as normal. For others, we will bond an orthodontic attachment to the impacted tooth. This attachment is connected to a small chain that is used to apply gentle force to bring the tooth into position.

For more information about how we can help you with impacted teeth, please call or visit our office today.

oral biopsy

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In some cases, our dentist may notice an oral lesion or abnormality that cannot be diagnosed by a visual examination. A pathologist in a lab can often diagnose these issues by directly examining the tissue in question. Our dentist may take a sample of the suspicious tissue using a biopsy to provide a sample to send to the pathologist.

There are several types of biopsy that our dentist may use.

  • An incisional biopsy is the most commonly used form. The dentist will take a sample of suspicious tissue and healthy tissue together so that the pathologist may compare the two. He or she will then be able to determine if the offending tissue is cancerous or not and where the cancer came from.
  • In an excisional biopsy, the dentist will remove the entire lesion. This is done when the lesion is small and in an easy-to-reach location. The lesion provides the sample for the pathologist and the removal of the entire lesion slows the growth and spreading of the abnormality.
  • A percutaneous biopsy uses a needle to remove a small sample of tissue for the biopsy.
  • A brush biopsy in a non-invasive procedure used when your symptoms don’t call for an immediate, more invasive biopsy. The dentist will use a brush to gently scrape some tissue from the area in question and send that sample to the pathologist for diagnosis.

Dr. Stephen Kwitnicki will discuss these options with you as necessary when you come to Stephen Kwitnicki, DDS. If you notice an abnormality in your mouth, please call us as soon as you can for more information about getting a biopsy in Union, New Jersey. We are dedicated to providing the care your smile needs.

Bone Grafting

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Sometimes the natural bone your teeth sit in is too thin to securely retain a restorative appliance such as an implant. In these cases, our dentist may suggest grafting extra bone tissue into the jaw to form a more secure foundation for implants and other treatments. We invite you to contact us soon at Stephen Kwitnicki, DDS to learn more about getting a bone graft in Union, New Jersey, and to schedule your next appointment with Dr. Stephen Kwitnicki.

A bone graft is an oral surgery procedure that may be required if your jawbone is not dense or thick enough. During a bone graft, we will transplant a piece of bone from another area of your jaw or your body to your jawbone. While we typically see best results with bone taken from your own body, we can also utilize artificial bone material or bone fragments from a tissue bank if needed. Your jawbone then grows together with the grafted bone tissue, creating a stronger, more stable foundation.

You may need a bone graft if your bone density is insufficient to support a dental implant or another type of treatment. While bone grafts are most commonly needed for implant dentistry, they may also be required for certain types of periodontal therapy when bone has been lost due to gum disease. If your jawbone is not strong or thick enough to support a dental implant, our dentist may recommend a bone graft. After a tooth is lost or extracted, the jawbone begins to resorb, or deteriorate, at the site of the tooth extraction. This must be corrected before the dental implant is placed. To learn more about bone grafting and to discover whether dental implants and bone grafting are right for your smile, we invite you to call or visit us today. Our dentist and team are eager

to care for your smile!

Crown Lengthening

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Crown lengthening can be either a cosmetic service, to improve the aesthetic length of your teeth, or a necessary preparation for another treatment. At Stephen Kwitnicki, DDS, Dr. Stephen Kwitnicki will discuss your needs and options to determine the best possible course of action for your oral health. To learn more about crown lengthening in Union, New Jersey, and to set up an appointment with our dentist, we invite you to contact us today!

Crown lengthening is a gum treatment that has both functional and aesthetic purposes. We may recommend crown lengthening if your appearance is affected by what is sometimes called a “gummy smile.” A gummy smile is one in which the teeth appear abnormally short because of excessive gum tissue. The gum tissue may appear too bulky, or it might look like the gums come down over your teeth too far. In most cases, a gummy smile is the result of excessive gum tissue covering teeth that are a normal length and shape. To correct this problem and give you a smile you can show off with pride, our dentist may suggest crown lengthening. During this treatment, we will simply remove a small amount of the gum tissue, revealing more of the tooth structure and giving your smile a more aesthetic appearance. This usually requires just one visit to our office.

We may also recommend crown lengthening to make a restorative or cosmetic dental treatment possible. If the tooth is broken below or very close to the gum line, or if insufficient tooth structure is left for a restoration, our dentist may use crown lengthening to expose more of the tooth so a restoration like a crown or bridge can be placed.

To learn more about the uses and benefits of crown lengthening, we welcome you to contact our office today.

Frenectomy

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At Stephen Kwitnicki, DDS, Dr. Stephen Kwitnicki offers frenectomy service as a way to improve the function of your mouth. A frenulum that is too thick or too short can result in being “tongue-tied” or having receding gums. If you think you may benefit from frenectomy in Union, New Jersey, please call our office today for more information and to schedule your next appointment with our skilled dentist.

 

A frenulum is a small fold of tissue that connects one part of your mouth to another. In some cases, we may need to remove a frenulum to improve the function and health of your smile; this type of treatment is called a frenectomy. The two most common types of frenectomy are lingual frenectomy and labial frenectomy. The lingual frenulum is the frenulum that connects the bottom of your tongue to the floor of the mouth. If this frenulum is abnormally short or thick, it can result in a condition known as ankyloglossia, or tongue tie. This often inhibits you from chewing, eating, and speaking properly. To alleviate these problems, our friendly dentist may recommend frenectomy. A labial frenectomy is used to remove the frenulum that attaches the top lip to your gums above your front teeth. In some cases, this frenulum can cause recession of the gums, contribute to a gap between the upper front teeth, or cause problems for denture wearers.

The frenectomy process is simple and quick. Our dentist can typically complete the removal of a frenulum in just one visit to our office, and we will ensure that you are comfortable during the entire treatment. We will also provide you with care instructions so you can take care of your smile as it heals. We welcome you to call us today for more information and to schedule your next

appointment.

soft tissue grafting

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A soft tissue graft is a restorative service used by Dr. Stephen Kwitnicki to treat receding gums. If you have noticed that your teeth are extra sensitive or look longer than they should be, please give us a call and schedule an appointment with our dentist. We can help diagnose the issue and, as necessary to meet your personal oral health needs, can provide a soft tissue graft in Union, New Jersey. Please contact us today at Stephen Kwitnicki, DDS to learn more!

A soft tissue graft, also called a gum graft, is a graft of gingival tissue. A gum graft may be needed to correct gingival recession or to improve the appearance of an uneven gum line.

During the gum grafting procedure, our dentist stitches grafting tissue onto the area of the gums that needs additional tissue. Based on your particular needs and desires, the tissue graft may be taken from another area of your mouth or from a tissue bank. When using your own tissues, the graft may be taken from the roof of the mouth or from the surrounding gums. Our dentist will help you determine which type of gum graft is best suited to your individual needs. In some cases, we may also use tissue-stimulating proteins to encourage your body’s natural growth abilities and promote faster healing.

Our dentist may recommend a soft tissue graft if you have experienced gingival recession. The gum tissues may recede if your smile is affected by periodontal disease; overaggressive brushing may also cause gum recession. When not treated with a gingival graft, gum recession may eventually lead to tooth loss due to lack of support from the gum tissues. A gum graft can also improve the appearance of your smile. To learn more about how soft tissue grafting can improve the health and beauty of your smile,

we welcome you to contact our office today.

Oclusal Adjustment

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Sometimes the chewing (occlusal) surfaces of a patient’s teeth are misaligned and cause undue wear on the teeth and jaw structure. At Stephen Kwitnicki, DDS, Dr. Stephen Kwitnicki offers occlusal adjustment to patients whose teeth are in need of re-shaping to improve the bite. To learn if you could benefit from an occlusal adjustment in Union, New Jersey, please feel free to contact us today and schedule an appointment with our dentist.

Do you wake up with sore jaws or experience jaw pain when you bite and chew? If so, you may need an occlusal adjustment. An occlusal adjustment corrects the alignment of the bite. Common symptoms that signal the possible need for an occlusal adjustment include:

  • Chronic jaw pain
  • Uneven or excessive tooth wear
  • Chipped or cracked teeth
  • Frequent headaches and migraines
  • The feeling that you have an occasional lopsided or “off” bite while chewing

These are indications that your bite may be off balance or misaligned. Your bite alignment may be off due to factors such as:

  • Loose teeth
  • Teeth that have shifted in your mouth
  • Overcrowded teeth
  • Missing teeth
  • Irregularly shaped teeth

Our skilled dentist will perform the occlusal adjustment by removing any interference in your bite that causes an uneven bite, which in turn causes pain. In most cases, we simply need to make small shaping changes in the tooth enamel (the hard outer layer of the tooth) to achieve a more ideal bite. As the adjustments are minor and the tooth enamel has no feeling, the procedure is very comfortable and typically does not require anesthetic. If you are experiencing jaw pain, we encourage you to contact our office

today to learn more and to set up your next appointment with our team.

Periodontal Splinting

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When gum disease becomes severe, the teeth affected may become loose and hyper-mobile. This can make chewing difficult and painful, and can also increase wear and malfunction in the teeth or in the jaw. These painful symptoms can in turn make the gum disease even worse by irritating the bone or the gum tissue. If you have gum disease and loose teeth, our dentist may recommend periodontal splinting to limit the tooth mobility and promote faster healing from the gum disease. Treatments designed to restore your periodontal tissue work a good deal better with limited tooth mobility, as the loose teeth can irritate the tissue and prevent it from healing properly.

There are a few methods to splint the teeth together. One method is to use a dental bonding material to bond the teeth to each other to reduce the mobility. Often this sort of splint is strengthened by using fiber or mesh worked into the bonding material. Another method is to bond a metal splint to the teeth, and a third bonds dental crowns to each other to form a strong splint.

If you have multiple loose teeth, we encourage you to contact Dr. Stephen Kwitnicki and our team today at Stephen Kwitnicki, DDS to learn more about periodontal splinting in Union, New Jersey. We are eager to provide the care that will help you feel better about

your smile.

Pocket Reduction

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Severe periodontal disease can create deep pockets next to your teeth and fill them with plaque, tartar, and bacteria. Left long enough, these bacteria can wear away the teeth’s supporting ligaments and even the supporting bone. Our dentist, Dr. Stephen Kwitnicki, may recommend pocket reduction in Union, New Jersey, to reduce the size and depth of the pocket, which reduces the available space for the gum disease to grow. If your gums are red and sensitive or if your gums receding, give us a call at Stephen Kwitnicki, DDS.

Osseous surgery is a procedure we may recommend to treat periodontal disease. As the condition progresses, our team strives to reduce the depth of the “pockets” that form between the teeth and the gums. If deep cleanings and other periodontal treatments have not successfully reduced the pocket depth, our dentist may recommend osseous surgery. This procedure is designed to smooth and reshape bone that has been damaged by periodontal disease, as well as to create a shallow pocket that makes it more difficult for bacteria to survive.

During the osseous surgery procedure, we will numb the area and lift the gum tissue away from the teeth and underlying bone. We then thoroughly clean the root surface and smooth the root and the bone surrounding the root. The surface of the bone may have become uneven due to destruction caused by periodontitis, and smoothing and reshaping the bone creates a better surface for the repair and development of healthy tissue. Once our dentist has cleaned the tooth roots and reshaped the bone, we trim the gum tissue to match the new underlying structure and then stitch it in place. In some cases, we may also suggest a bone graft or guided tissue regeneration membrane to supplement the tissue regeneration process.

We invite you to contact our office today to learn more about osseous surgery and how we can help you improve your oral health.

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Call our Office:
(908) 516-2906

25 Franklin Place, 1st Floor
Summit, NJ 07901

Call our Office:
(908) 516-2906

934 Stuyvesant Avenue
Union, NJ 07083

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