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Periodontal Surgery

Kokomo Dental Implants | Kokomo Periodontist | Kokomo Periodontics

Dr. Ay-Yeung, Dr. Paez, and their happy All-On-Four Dental Implant patient

Periodontist in Kokomo, Dr. Au-Yeung, DDS, MSD 

A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease, and in the placement of dental implants. Periodontists are also experts in the treatment of oeal inflammation.  Dr. Au-Yeung attended Indiana University's 36 month Periodontics Residency Program, where he recieved his Master's of Science in Dentistry (MSD) Degree and a Certificate in Periodontics. At PPIC, an affiliate of Ladd Dental Group, we are proud to be one of the few dental implant specialist in the Kokomo & Peru communities.

The Dangers of Periodontal Disease

A clean mouth is a healthy mouth, free of disease. Gingivitis and periodontitis are gum diseases that are caused by bacteria. These microbes are developed from dental plaque that is not brushed or flossed away. When left on the tooth, they irritate the adjacent gums. Eventually, a pocket of infection forms in your gum line after constant exposure to these germs. Left untreated, this infection will spread and begin to eat at the soft and hard tissues in your mouth.

Dental Implants 

Dental Implants provide individuals with increased flexibility, freedom, and confidence. Dr. Au-Yeung went to three additional years of school to specialize in the placement of dental implants and additional periodontal surgeries. Because implants fuse to your jawbone, they provide stable support for artificial teeth. Dentures and bridges mounted to implants won't slip or shift in your mouth — an especially important benefit when eating and speaking. This secure fit helps the dentures and bridges — as well as individual crowns placed over implants — feel more natural than conventional bridges or dentures.

For some people, ordinary bridges and dentures are simply not comfortable or even possible, due to sore spots, poor ridges or gagging. In addition, ordinary bridges must be attached to teeth on either side of the space left by the missing tooth. An advantage of implants is that no adjacent teeth need to be prepared or ground down to hold your new replacement tooth/teeth in place.

To receive implants, you need to have healthy gums and adequate bone to support the implant. You must also commit to keeping these structures healthy. Meticulous oral hygiene and regular dental visits are critical to the long-term success of dental implants.

Dental implants are built to last. That makes them your best long-term, cost-effective solution. Traditional, tooth-supported dental bridges only last five to seven years, and with proper care often more than 10 years, but at some point they may need to be replaced. Those costs can really add up over time. While dental implants may need periodic adjustments, they can last a lifetime when properly placed and cared for over time by your local dental implant expert. 
Dental implants also allow you to enjoy life without worrying about your teeth!  There is no need for you to stay home or feel uncomfortable in public, embarrassed because your smile looks different, or worry that missing teeth will limit your ability to join in the fun. And you certainly don't need to worry like you do with removable dentures or tooth-supported replacement teeth could loosen or fall out when you talk, eat or laugh. Teeth restored with dental implants are teeth that let you, not your teeth, lead your life. Skilled dental implant experts can offer many wonderful success stories! 

Bone loss to the jaw is one of the most serious consequences of missing teeth. It begins as soon as a tooth is lost, when the natural stimulation for bone growth created by the force of teeth chewing can no longer occur. The result can be dramatic—the width of the bone can reduce by 25% in the first year alone after tooth loss. 

Bone grafts are derived from one of four possible sources: the patient, another human being, an animal or synthetic materials. The source used will depend on whichever the dentist believes will work best in the patient’s situation. Donor tissue from another person or animal is thoroughly disinfected and safe for grafting.

The graft itself acts more as a platform for nearby bone to grow upon; the new bone growth will eventually replace the graft material, which is made up of the minerals calcium, phosphorous and hydroxyapatite. The dentist may also cover the graft with collagen membranes to guide the regeneration, or synthetic material that acts with other biologically active molecules in the body to promote healing. These materials are eventually absorbed by the body.

Not all grafting procedures are alike—the particular approach taken will depend on the location in the mouth, the degree of bone loss, and whether the grafting takes place immediately after removing a tooth (extraction) or if some time has passed since tooth loss.

In the case of tooth extraction, one option would be for the dentist to fill the site with bone-grafting materials after removing the tooth and before suturing the gum in place. Immediate grafting can limit bone loss during gum healing and facilitate a future dental implant procedure. If the tooth has been missing for some time and the remaining bone is insufficient, the dentist will make an incision in the gum tissue to expose the bone, place and secure the graft along with any planned membranes or growth factors, and then suture the incision closed. Procedures like this are usually performed with local anesthesia.

In cases involving the back of the upper jaw, where bone is insufficient vertically, a surgeon may also utilize the sinus cavity just above it as a grafting site. This sinus can be accessed through the future implant site or laterally through the cheek-side wall of the sinus. There are many more types of bone grafting procedures, from saving teeth threatened by periodontal (gum) disease to repair of traumatic injuries, all of which have similar post operative needs.

After a grafting procedure, patients may experience only mild discomfort for a few days, usually managed with anti-inflammatory, non-steroidal medications like ibuprofen. As a precaution against infection, an antibiotic may also be prescribed.

All-On-Four Dental Implants 

Dental implants transform your smile from one with missing or failing teeth, to one that allows you to regain full mouth functionality. Dental implants will not only completely restore your teeth and facial structure, but will also restore your self-confidence and quality of life.
We’re proud to offer the innovative and technologically-advanced All-on-4 (AO4) dental implant technique at our clinics. If you wear dentures or have missing or failing teeth, the All-on-4 procedure is the optimal solution. The procedure is proven and cost-effective, and it will give you a functional, healthy smile for life! 
All-on-4 dental implants offer the following benefits:
Get fully-functioning, new teeth in a short amount of time   
Improve your appearance 
Eat foods without reservation  
Get a long-lasting smile
Eliminate health issues associated with failing teeth  
Easily care for your teeth      
Read on to discover the benefits of replacing your missing teeth with All-on-4 Dental Implants:
Get Immediate Results:
With as few as four dental implants, you can replace your dentures and have a permanent implant-supported bridge in as little as one day. Experience a dramatic improvement in chewing ability, teeth stability and overall comfort right away.
Improve Your Appearance:
The All-on-4 procedure takes 20 years off of your smile! The procedure helps preserve the jawbone and prevent further deterioration of the facial structure associated with missing teeth and a lack of the root system that supports them. Dental implants decrease wrinkles caused by missing bone and tooth structure, which helps you look younger!
Eat What you Want, When You Want, Where You Want:
Your overall eating habits will improve with the All-on-4 procedure. You’ll be able to enjoy your favorite foods again, instead of avoiding them in public or at home.
Get a Long-Lasting Smile:
The All-on-4 dental implant procedure creates a permanent set of teeth with a non-removable implant-supported retained bridge. Your dental implants never have to be removed, and your teeth can last a lifetime. 
Enhance Your Overall Quality of Life:
With All-on-4 dental implants, your new teeth will feel and function just like real teeth. You’ll have greater comfort and confidence when smiling, speaking, and eating. Overall you’ll look better, feel better, and have a renewed outlook on life.
Eliminate Health Issues Associated with Failing and Missing Teeth:
The All-on-4 dental implant procedure helps create a healthier mouth and a healthier body by helping reduce the chance for periodontal disease, a bacterially-induced chronic infection and inflammatory disease. Periodontal disease has been linked to heart attacks, strokes, Alzheimer’s disease, diabetes and other chronic diseases. Because dental implants restore your mouth to a more natural state, they may help fend off periodontal disease. With routine brushing and flossing, dental implants help enhance your overall health.
Easily Care for Your Teeth:
Another All-on-4 implants benefit is ease of care. With daily brushing and flossing, as well as regular visits to your Dental Associates hygienist and dentist, your new teeth will stay clean and healthy.  


If your teeth appear small or misshapen because of large gums, our cosmetic periodontal procedure can help. We remove the surplus tissue, sculpting the look of your smile without the need for caps or implants. Grafts can also be applied to even out your gum line.


If your teeth appear small or misshapen because of large gums, our cosmetic periodontal procedure can help. We remove the surplus tissue, sculpting the look of your smile without the need for caps or implants. Grafts can also be applied to even out your gum line.

Ladd Dental Group's trusted periodontic team, PPIC

Having healthy gums is crucial. Our periodontist, Dr. Au-Yeung, at Ladd Dental Group & PPIC are trained with comprehensive knowledge of dental hygiene and periodontal procedures. Whether you need preventative periodontitis care, cosmetic tissue removal, or dental implants we have the team and training to help you get a perfect, healthy smile.
Dr. Au-Yeung and the PPIC team are in the act of placing a dental implant. You can see Dr. Au-Yeung applying monitored torque to his implant inserter because the goal of dental implant placement is to apply the correct amount of force and load on each implant, while making sure the implant placement is on target. Dr. Au-Yeung placed four mandibular dental implants on Friday, all of which were applied with 70 Ncm of pressure! The PPIC is tremendously experienced in placing dental implants, so give them a call today at 764-455-0085, to see if Dental Implants are right for you!
Dr. Au-Yeung is shown discussing a few of the oral and anatomical factors that determine if a patient is a good candidate for dental implants.  Cone-Beam Computed Tomography (CBCT) scans are usually the best tool for determining whether or not a patient fits the criteria and indications to support dental implants.  Dr. Au-Yeung has a tremendous amount of experience placing dental implants, and he is a board certified periodontist, which makes him a dental implant specialist.  We believe having a periodontal specialist like Dr. Au-Yeung practicing in Kokomo is a huge value add for all of our Ladd Dental patients and to the Kokomo, Peru and surrounding communities at large.
Dental Group in Central Indiana providing affordable general, family, and specialized dental care.