Periodontal Services - Plano, TX | Allen, TX | Frisco, TX

Learn more about the periodontal care we provide

Sedation Dentistry

We want your dental appointment to be a comfortable, positive experience. The first step is to make sure you are relaxed and comfortable. From the relaxing surroundings in our reception area to the soothing environment we have created in our treatment rooms, no detail is too small where your comfort is concerned. Our caring, professional staff is committed to creating a pleasant atmosphere for you. Dr. Cueva has extensive training in various types of sedation. Together you will be able to determine what kind of sedation will be appropriate for you during your treatment.

The most anxious patient may receive intravenous conscious sedation. Other patients just need a little help achieving a relaxed state and nitrous oxide (“laughing gas”) is available when needed to make you more comfortable.

Intravenous (I.V.) Conscious Sedation

Intravenous (I.V.) conscious sedation is the highest level of sedation our office performs. During I.V. sedation, medications are administered through an I.V. line that allows small doses of various medications be administered to produce a state of relaxation, reduced perception of pain, and drowsiness. However, you will not be put to sleep as with a general anesthetic. In addition, local anesthetics will be administered to numb the areas of your mouth to be operated and thus further control pain.

The drugs to be used may include Versed, Nubain, and possibly Phenergan, and Dexametazone. Your vital signs are continuously monitored, while you are sedated, by Dr. Cueva and our staff with our state-of-the-art equipment. After treatment you may have no memory of the surgical procedure. Visit our pages for pre-treatment sedation and post-treatment sedation instructions.

Oral Conscious Sedation

Oral sedation is used for minor procedures for very anxious patients. You will take a small pill approximately one hour prior to the procedure at our office. You will need to have a responsible adult to drive you to the office since you will not be able to drive yourself home. Your escort should be familiar enough with you to assist you in the bathroom if needed. You will be escorted by our staff to a comfortable chair and a small electronic sensor will be placed on your fingertip. This sensor allows us to monitor your vital signs during the entire procedure. When you are relaxed comfortably, Dr. Cueva will begin your dental care. When the doctor is finished with your treatment, your escort will drive you home. You probably will not even remember being at our office.

Am I a Good Candidate for Sedation Dentistry?

Sedation Dentistry is especially useful for adult patients who:

  • Have high anxiety about dental visits
  • Have had traumatic dental experiences in the past
  • Have difficulty getting numb
  • Have a strong gag reflex
  • Have TMJ troubles and cannot open their mouth for extended periods
  • Are afraid of needles
  • Have sensitive teeth
  • Hate the noises and/or smells associated with dental care
  • Simply do not have the time for multiple visits

Dr. Cueva Discusses Sedation Dentistry

Cosmetic Periodontal Surgery

If you’ve ever looked in the mirror and felt that your smile showed too much gum, you might have a “gummy” smile. Cosmetic periodontal surgery is designed to correct aesthetic issues with your gums and enhance your smile’s appearance.

During the procedure, Dr. Cueva will gently remove excess gum tissue that can cause your smile to appear small and gummy. When your procedure is done, your teeth will appear to be the proper length and correctly proportioned. This procedure can be done on just one tooth or on all of them to create a more beautiful smile.

Before After
Before After
Before After

Dr. Cueva Discusses Gum Disease.

Treating Gum Disease

Texas Implant & Periodontic Center provides a variety of surgical and non-surgical services. We pride ourselves on the fact that we are very conservative in our treatment recommendations and limit surgery to the areas where it is absolutely necessary. Many times, the early stages of periodontal disease are best treated with non-surgical periodontal therapy. Even in severe cases, non-surgical periodontal therapy often precedes surgical therapy. This is done to improve the overall tissue quality prior to surgery and also to help limit the areas requiring surgery.

Non-Surgical Treatment

The initial stage of treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line. The tooth roots may also be planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustment.

When deep pockets between teeth and gums are present, it is difficult for Dr. Cueva to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.

Surgical Treatment

Periodontal surgery, or osseous surgery, is used when previous periodontal treatments have been attempted and failed. Overtime, pockets between the teeth will continue to worsen and supporting tissue and bone will be destroyed in the process. Periodontal surgery is performed before this damage becomes so extreme that tooth loss can occur. Osseous surgery is performed in office with sedation. During the procedure, the gum tissue will be folded back from the infected area. The area will be thoroughly cleaned and the disease-causing bacteria removed. In some cases, diseased gum tissue will need to be removed. The area is then replaced and held in place using stitches while the gums heal.

Bone Grafting

Bone grafting is an important periodontal procedure that is often used prior to the placement of dental implants. However, you may also need bone grafting to restore your jawline or to treat periodontal disease. Before your bone graft is performed, your periodontist will utilize Digital X-Rays to determine the extent and scope of bone loss you have experienced. Digital x-rays offer many benefits over traditional x-rays including the better ability for Dr. Cueva to identify problems and to better develop treatment plans.

Bone grafting procedures we offer include:

Guided tissue regeneration

Traditional gum disease treatment has involved the elimination of gum pockets by trimming the infected gum tissue and recontouring the uneven bone tissue around the infection. While this method is still effective, Texas Implant & Periodontic Center also offers guided bone regeneration, also known as guided tissue regeneration.

Periodontal disease left untreated can cause deep pockets of denigrated bone to develop in the jaw. These pockets harbor the bacteria that cause infection and can spread the infection to other teeth. To treat this disease and prevent further damage, Dr. Cueva may recommend the GTR procedure which involves a thorough cleaning of the pocket and a membrane installed between the gum tissue and the pocket in the bone. The membrane is designed to cover the pocket so gum tissue is blocked from growing but slower-growing bone can regenerate and fill the area. Schedule your new patient exam to learn more about the procedure!

Sinus augmentation

The maxillary sinus is located behind your cheeks and top of the upper teeth. When a tooth is lost, the sinus cavity can expand into the area tooth or teeth have vacated. Because the wall between the sinus and the mouth is quite thin, this expansion can make placing a dental implant impossible without a sinus augmentation or sinus lift. During the procedure, the sinus is gently pushed upward into it's proper position. The now vacated area is filled with bone graft material. This material can either be from your own body or donor tissue. Occasionally synthetic materials may be utilized. After the area has completely healed, it is possible to place the dental implant in the newly stabilized bone.

Ridge Augmentation

Teeth are important part of keeping your jaw bone healthy and without them the area will begin to denigrate and resorb. This process can cause the face to appear shrunken in or aged. Placing a dental implant can help prevent this process but if the area has been left untreated, it may not be possible to place a dental implant until ridge augmentation is performed. This procedure is designed to build the bone back up to an acceptible and safe level to place a dental implant

Ridge preservation

If one of our periodontists perform your tooth extraction or sees you shortly after a tooth has been lost, he may recommend having a ridge preservation procedure performed. This procedure is designed to prevent bone resorption and help preserve the natural contours of your jaw bone.

Our Patients tell the story best

Are You Ready To Begin Your Journey to A Beautiful Smile?

Contact our periodontist today to schedule your new patient exam or complete our Appointment Request Form to schedule your appointment online. We look forward to greeting you soon!