Bone Grafting Goes Minimally Invasive

Much like how knee surgery of the past has been updated with a less invasive approach involving small incisions and laparoscopic tools, so has bone grafting for the oral cavity. Dr. Lauren Anderson is S.M.A.R.T (Subperiosteal Minimally invasive Aesthetic Ridge augmentation Technique) certified and trained by its founder Dr. Ernesto Lee. With this technique, Dr. Lauren Anderson is able to offer less invasive options to predictably regenerate lost bone. S.M.A.R.T. indications include bone growth prior to implant placement (congenitally missing teeth, ridge atrophy, trauma etc.) and jaw expansion for orthodontic patients who do not have adequate bone thickness to allow for tooth movement.  

bone grafting

In the above image, please note the before and after grafting radiographic images of a patient seeking implant therapy. The jaw bone is surrounded by cortical bone shown as a curved white line (upper image) and is insufficient for implant placement, the new jaw bone as the larger area of white to the lateral of the initial outline (lower image) now a surplus of bone noted for ideal implant placement.  This case, courtesy of Dr. Ernesto Lee, is an example of the results that are routinely reached with this grafting technique. The patient reported little to no discomfort and minimal swelling after the procedure. Bone requires 6 months to heal prior to the next phase of therapy, implant placement. 

For a consultation with Dr. Lauren Anderson or to see if you are a candidate for this new grafting technique, please contact Anderson Periodontal Wellness at (248) 480-4910.

How a Periodontist Can Make You a Stronger Candidate for Dental Implants

It’s exciting- the prospect of having replacement teeth implanted, restoring both function and esthetics to your smile. But just a few simple words, “you aren’t a good candidate for dental implants,” can dash hopes of smiling confidently again and again enjoying foods you could no longer eat after losing your natural teeth.

However, a periodontist can offer you more advanced solutions to regrow lost bone and allow dental implants to be placed. These are some of the things an experienced periodontist in Bloomfield Hill, MI can do to keep your help you become a stronger candidate for dental implants.

The Standard Bone Grafting Process

Your jawbone is made of living tissue. The roots of natural teeth, which are housed in the jawbone, keep the bone stimulated. But when teeth fall out or are knocked out, the area once stimulated by natural teeth begins to deteriorate.

Bone grafting after extraction can help preserve areas susceptible to bone loss and can even regenerate new bone tissue.

After you’ve been giving a local anesthetic, your periodontist will fold back a small flap of your gum to access the area of the jawbone threatened by deterioration. Your periodontist will pack bone particles into the area.

Within a few months, usually about three to six, the graft material will be absorbed and replaced with new bone growth.

Advanced Grafting Solutions

Below are some of the many advanced bone grafting solutions offered at Anderson Periodontal Wellness:

Ridge preservation – the procedure helps save bone after a tooth is lost or pulled. The socket is packed with natural bone particles to minimize bone loss during the healing process. This, many times, prevents the need for more invasive grafting in the future by preserving the natural anatomy.

Guided tissue regeneration – biocompatible membrane is placed over a bone graft, helping your periodontist manage the regeneration of bone and gum tissue.

S.M.A.R.T – much like a soft tissue graft can be tunneled under your gum for root coverage, Dr. Lauren Anderson is trained to perform minimally invasive SMART procedures to reach bone growth through a similar tunnel in the gum.

Block grafting – in extreme cases of bone loss, bone from the side of your jaw or chin can be moved to the area of deficit. This bone can harbor dental implants after 6 – 9 months of healing.

Bone Morphogenic Protein (BMP) Growth Factors – a supplemental technique that leverages growth factors and new bone material to quicken regeneration time and predictably guide tissue growth.

More on Bone Grafting in Bloomfield Hills, MI

Reserve a time to talk with a Dr. Lauren Anderson DDS, MS to learn more about your options for getting dental implants in Bloomfield Hills, MI. Please reach Anderson Periodontal Wellness by phone at (248) 480-4910.

Got You Covered: Periodontal Techniques for Gum Recession

When the gums begin to pull away from the teeth, exposing tooth roots and making teeth look longer, turn to a dentist who specializes in treating recession- a periodontist. Find out how a periodontist in Bloomfield Hills, MI can treat your gum recession and restore your smile.

What Makes Gum Surgery Worth It?

Appearances aren’t everything, but they can go a long way in elevating your quality of life knowing the foundation structures of your teeth are stable. Most gum recession cases are treated for health reasons and as an added benefit, esthetics improve.

Check out some of the top benefits of having your gum recession treated:

  • Corrects high risk problematic dental anatomy
  • Prevents further recession
  • Can lower teeth sensitivity to hot and cold temperatures
  • Protects the roots of teeth, which helps protect teeth from decay
  • Improves smiles and can boost confidence
  • Promotes a healthier mouth in general

A Look at Gum Grafting Procedures

Take a look at some of the advanced solutions you’ll find at Anderson Periodontal Wellness:

Coronally advanced flap technique – using small vertical incisions to the gums, the periodontist will carefully advance the gum to cover exposed tooth roots.

Tunneling – this minimally invasive technique entails creating a thin tunnel in the gums, near the site of the gum recession. Graft material is inserted into the tunnel, which is drawn out to cover the exposed tooth roots.

Free gingival graft – this technique involving using donor tissue from another area of the mouth to graft onto the area where your gums are receding.

Keep in Mind

There are many techniques an experienced periodontist can perform to stop gum recession and restore the esthetics of your smile. To get the most of your investment, proper long-term oral hygiene practices are critical. Brushing and flossing techniques will be reviewed to help best maintain your new smile!

Gum Recession in Bloomfield Hills, Mi

Reserve a time to talk with a Dr. Lauren Anderson DDS, MS to learn more about your options for correcting your gum recession in Bloomfield Hills, MI by contacting Anderson Periodontal Wellness by phone at (248) 480-4910.

The Top 3 Benefits of Full Arch Implants

full arch implants

Full arch implants are a lot like dentures, only they are secured to your jaw with implant posts instead of being attached to your gums with paste. If you’re trying to decide between implants and dentures, it’s important to realize there are benefits to both options. Your periodontist can help you understand which option will fit your long-term goals and preferences better, but to help you make your final decision, here are three unique benefits full arch implants offer.

  1. Natural Look and Feel

When it comes to replacing your teeth with an option that looks and feels most like real teeth, nothing compares to dental implants. They are composed of three parts: implant posts, abutments and a prosthetic. The implant posts are embedded in your jaw bone and provide the final prosthesis with impressive strength. The abutment is attached to the top of the post and becomes the base piece for the attractive prosthetic piece. Once your surgical site has fully healed, your new implant arch will feel completely natural and comfortable.

  1. Prevent Bone Erosion

Most tooth replacement options aren’t able to prevent erosion in the jaw because they don’t provide stimulation to the bone. Implants are the exception to this rule. Since they literally become part of the jaw bone after they are placed, they strengthen it and stimulate it to prevent it from eroding.

  1. Dietary Freedom

No one likes to be restricted in their dietary choices, but some tooth replacement options aren’t sturdy enough to handle chewy, sticky and/or crunchy foods. Fortunately, full arch implants are so durable and reliable that they completely restore your dietary freedom. If you’re looking forward to enjoying corn-on-the-cob and other delicious foods this summer, now is the time to get your set of implants.

Find Out if You’re a Candidate

Some people may not be candidates for implants, so you’ll need to visit your periodontist for a consultation before scheduling your procedure. To set up an appointment with Dr. Lauren Anderson today, call Anderson Periodontal Wellness during regular business hours.

Find Your Smile with Esthetic Crown Lengthening

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Meet our patient FD. He presents with clinically healthy teeth and no disease, however, does not like the “spacing of his teeth and difference in size of the teeth”. FD, as part of a comprehensive multi-specialty approach, was referred to Dr. Anderson to make the teeth more proportional to allow for the general dentist to have the proper foundation for esthetic crown work. Dr. Anderson diagnosed FD with “altered passive eruption” where the gum and bone did not properly contract after tooth eruption resulting in short teeth and uneven gingival architecture or “gum line”. Dr. Anderson completed the crown lengthening procedure in an hour allowing FD to return to work the same day.

Please see above for before (left) and after crown lengthening with Dr. Anderson and final crowns with his general dentist (right).


As a diplomate and board certified periodontist, Dr. Lauren Anderson provides services involving dental implants, periodontics, tooth loss, implantology, crown lengthening, cosmetic dentistry, and plastic surgery in Birmingham, Troy, Bloomfield Hills, West Bloomfield, Troy, Ferndale, Royal Oak, and surrounding Oakland County, Michigan. To schedule your consult please call (248) 480-4910

Do You Need DNA or Genetic Testing?

DNA - Genetic Dental Testing

Testing can help your periodontist better determine the etiology or “cause” of your condition.  Advanced testing can provide information on bacteria, fungi, viruses and genetic markers that increase your risk for advanced oral and systemic diseases.

How does this work?

Testing is easy!  There are two testing methods depending on which test is required. 1. Patients rinse for 15 seconds with a saline solution, expectorate or “spit” into a vial which is then sealed and sent in for analysis. 2. A thin paper point is placed in the periodontal pocket or “gum pocket” for 15 seconds, then sealed and sent in for analysis.

Please see the above for example forms that are returned with your results. These results can provide recommendations on medications and treatment protocol tailored to your specific case. After you are treated, these tests can not only verify the stability status but detect a relapse prior to symptoms or deteriorating clinical signs.

Ask Dr. Anderson if you would benefit from bacterial, fungal, viral or genetic testing.

Dr. Anderson provides the following tests:

  • Bacterial: micro-IDentplus, MyPerioPath, MyPerioID, DNA DrugMap, OraRisk CT/NG
  • Viral: OraRiskHPV Complete Genotyping, OraRisk HSV, OraRisk HPV 16/18/HR
  • Fungal: OraRisk Candida
  • Genetic: Celsus One

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Can My Medication Cause Oral Problems?

Before and After Treatment by Dr. Lauren Anderson

Medications can cause problems in your mouth that may affect the gingiva (gums) and underlying structures of your teeth.   This is called “drug induced gingival overgrowth” and can be caused by medications used to treat three conditions.

  1. Hypertension (high blood pressure) patients taking calcium channel blockers (Amlodipine, Verapamil, etc).
  2. Epilepsy (seizure) patients taking anticonvulsant medications (i.e. Phenytoin, Levetiracetam, etc.).
  3. Medically compromised patients taking immunosuppressants (i.e. cyclosporine, azathioprine, etc.) for a variety of health issues.

Patients taking these medications are at a higher risk for gingival (gum) enlargement where tissues grow due to improper collagen metabolism.  This can cause a variety of problems including periodontal diseases (gingivitis and periodontitis), caries (cavities), and other infections. Not all people on these medications develop problems, however, a screening with your periodontist will clarify your unique situation. If gingival overgrowth is detected by your periodontist and is negatively affecting your oral health, your periodontist will work with your primary care doctor to alter the medication dose or possibly switch your medication if medically safe. There are serious health implications associated with terminating these medications and it is not advisable to alter your regimen without discussing your situation with your periodontist and primary doctor.   Ask Dr. Anderson if you feel you are having issues with your medication.

Periodontal Patient Case Study

Above, before (left) and 3 months after (right) treatment with Dr. Anderson.

Meet JK a 51 year old female with epilepsy (seizures) and type 2 diabetes.  She was diagnosed with epilepsy at 8 years of age and has been managed with Phenotyin since then. Her seizures have been controlled, however, she has suffered with gingival overgrowth due to this medication and subsequently developed severe periodontal disease and caries (cavities) due to her enlarged gingiva.   JK was uncomfortable with her smile since her 20’s did not know her appearance was caused by her medication.  Dr. Anderson worked with her primary care doctor to find another effective seizure medication that does not affect her gums and removed excess gingiva to reveal her teeth under her gums. JK has now been treated and is now confident smiling!

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