# Toronto North Periodontics - Dental Implants Teeth In A Day > Toronto North Periodontics specializes in Dental Implants and Teeth in a Day, Gum Grafting and Crown Lengthening. Restoring smiles with advanced technology. ## Main ### Gallery Source: [https://torontonorthperiodontics.ca/photo-gallery/](https://torontonorthperiodontics.ca/photo-gallery/) # Photo Gallery [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/2024-08-14-6.jpg) [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/2024-08-14-4.jpg) [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/2024-08-14-3.jpg) [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/2024-08-14-2.jpg) [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/2024-08-14-1.jpg) [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/2024-08-14.jpg) [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/2024-08-14-8.jpg) [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/2024-08-14-5.jpg) ### Before and after Source: [https://torontonorthperiodontics.ca/before-and-after/](https://torontonorthperiodontics.ca/before-and-after/) # Before and after [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2025/03/03.png) [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2025/03/02.png) [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2025/03/01.png) ### Videos Source: [https://torontonorthperiodontics.ca/videos/](https://torontonorthperiodontics.ca/videos/) # Videos ## Playlist 14 Videos ![Bone Grafting](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/osseous-surgery-3.jpg) #### Bone Grafting 6:51 ![Tooth Replacement - Full Arch](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/tooth-replacement-options-single-1.jpg) #### Tooth Replacement - Full Arch 0:16 ![Tooth Replacement - Multiple Teeth](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/supportive-periodontal-therapy-3.jpg) #### Tooth Replacement - Multiple Teeth 0:16 ![Tooth Replacement - Single Tooth](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/supportive-periodontal-therapy-6.jpg) #### Tooth Replacement - Single Tooth 3:50 ![Overview of Implant Placement](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/frenectomy-1.jpg) #### Overview of Implant Placement 3:13 ![What are Dental Implants?](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/frenectomy-1.jpg) #### What are Dental Implants? 2:48 ![Periodontal Regeneration](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/frenectomy-1.jpg) #### Periodontal Regeneration 2:48 ![Impacted Canine Exposure](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/frenectomy-1.jpg) #### Impacted Canine Exposure 2:48 ![Gum Grafting](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/frenectomy-1.jpg) #### Gum Grafting 2:48 ![Frenectomy](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/frenectomy-1.jpg) #### Frenectomy 2:48 ![Gingivectomy](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/osseous-surgery-6.jpg) #### Gingivectomy ![Osseous Surgery](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/osseous-surgery-6.jpg) #### Osseous Surgery ![Crown Lengthening](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/osseous-surgery-6.jpg) #### Crown Lengthening ![Supportive Periodontal Therapy](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/osseous-surgery-6.jpg) #### Supportive Periodontal Therapy Tab #1 Tab #1 This video will discuss 3 different types of bone grafting procedures that are used to regenerate missing bone before implant placement: 1) socket preservation, 2) lateral ridge augmentation, and 3) sinus augmentation Tab #1 Tab #1 This video will discuss implant and denture options for replacing a full arch of missing teeth Tab #1 Tab #1 This video will discuss implant, bridge and denture options for replacing multiple missing teeth Tab #1 Tab #1 This video will discuss implant, bridge and denture options for replacing a single missing tooth Tab #1 Tab #1 This video will discuss the planning process for implant placement and restoration. For more information, please visit the following online link to an article published in Oral Health, one of our national dental journals, (https://www.oralhealthgroup.com/features/stepwise-approach-restoring-failed-maxillary-anterior-tooth/). Tab #1 Tab #1 This video will discuss the background on dental implants, prosthetic devices that are inserted into the jawbone, which serve as replacements for the roots of natural teeth Tab #1 Tab #1 This video will discuss regeneration procedures which are used to restore lost supporting hard and soft tissue, and can reverse some of the damage caused by periodontal disease For more information, please visit the following online link to an article published in Oral Health, one of our national dental journals (https://www.oralhealthgroup.com/features/improved-long-term-treatment-outcomes-of-teeth-with-deep-pockets-and-reduced-periodontal-support-by-periodontal-regenerative-surgery/). Tab #1 Tab #1 An impacted tooth is one that fails to erupt in a normal fashion, or one that only erupts partway into the mouth. Canine teeth are the second most common teeth to become impacted, following third molars. A canine tooth may become impacted on either the facial or palatal aspect. Palatal impactions are more common. The overall incidence of a maxillary canine tooth impaction is about 1%. Surgical exposure followed by orthodontics to bring the previously impacted tooth into proper alignment is the recommended treatment. Tab #1 Tab #1 This video will discuss soft tissue grafting procedures which may be indicated in order to reconstruct missing gum tissue, and to help protect your teeth For more information please visit the following online link to an article published in Oral Health, one of our national dental journals (https://www.oralhealthgroup.com/features/soft-tissue-grafting-improve-aesthetics-reduce-dentinal-hypersensitivity-improve-prognosis-compromised-teeth-augment-edentulous-ridges-prior-placement-implants/) Tab #1 Tab #1 This video will discuss the indications for either a lingual or labial frenectomy procedure Tab #1 Tab #1 This video will discuss the indications for a gingivectomy procedure, which may be either for cosmetics, or to help manage medication-induced gingival overgrowth Tab #1 Tab #1 This video will discuss the indications for and goals of pocket reduction surgery, which is done to help arrest advanced periodontal disease Tab #1 Tab #1 This video will discuss the indications for and goals of pocket reduction surgery, which is done to help arrest advanced periodontal disease Tab #1 Tab #1 This video discusses scaling and root planing, which is the least invasive and most cost-effective manner in which we can maintain periodontal health, or healthy gums and teeth. ### Refer a patient Source: [https://torontonorthperiodontics.ca/referral/](https://torontonorthperiodontics.ca/referral/) # Refer a patient [ ](https://torontonorthperiodontics.ca/wp-content/uploads/2025/01/24-01-19-Referral-Pad.pdf) ### [ Download Referral Pad ](https://torontonorthperiodontics.ca/wp-content/uploads/2025/01/24-01-19-Referral-Pad.pdf) Click here to download referral pad [ ![](https://torontonorthperiodontics.ca/wp-content/uploads/2024/08/referral-pad-dr-valentin-dabuleanu.png) ](https://torontonorthperiodontics.ca/wp-content/uploads/2025/01/24-01-19-Referral-Pad.pdf) ### Periodontal Services Source: [https://torontonorthperiodontics.ca/periodontal-services/](https://torontonorthperiodontics.ca/periodontal-services/) [Skip to content](#content) [ Refer a Patient ](/referral) [ (647) 925-5925 ](tel:%28647%29925-5925) Menu [ ![](https://torontonorthperiodontics.ca/wp-content/uploads/2024/07/Group-46.png) ](https://torontonorthperiodontics.ca) Menu [ Book an Appointment ](https://torontonorthperiodontics.ca/book-an-appointment-today/) # Periodontal Services ![](https://torontonorthperiodontics.ca/wp-content/uploads/2024/10/Vector-45.png) [Supportive Periodontal Therapy](#supportive) [Crown Lengthening to Expose Caries](#crown-lec) [Crown Lengthening to Expose Natural Tooth Structure](#crown-lengthening-natural) [Crown Lengthening for Esthetics](#crown-lengthening-esthetics) [Osseous Surgery](#osseous-surgery) [Gingivectomy](#gingivectomy) [Frenectomy](#frenectomy) [Connective Tissue Graft](#connective-tissue-graft) [Free Gingival Graft](#free-gingival-graft) [Impacted Canine Exposure](#impacted-canine-exposure) [Periodontal Regeneration](#perio-regeneration) ## SUPPORTIVE PERIODONTAL THERAPY **Also known as:** * Non-Surgical Periodontal Treatment * Maintenance Therapy * Dental prophylaxis * Teeth Cleaning ![](https://torontonorthperiodontics.ca/wp-content/uploads/2024/07/233333.webp) Scaling and root planing (SRP) is the least invasive and most cost-effective manner in which we can maintain periodontal health, or healthy gums and teeth. This treatment involves careful cleaning of the root surfaces to remove trapped plaque and calculus (tartar) from within the pockets. Local anesthetic may be administered, when indicated, in order to allow the procedure to be as comfortable and pain-free as possible, and to allow the dental cleaning instrument, or curette, to access the deepest part of each pocket (Figures 1-4). The majority of disease-causing bacteria are removed with this treatment. In certain cases, a Periodontist may recommend further cleansing of pocket immediately after with a local antimicrobial solution such as Chlorhexidine (Peridex™). In other cases, this same solution may be prescribed as a mouth rinse for a 2-week period, and in combination with a 1-week oral antibiotic regimen. Continuous maintenance therapy on a 6-month recall is sufficient to sustain gum health for most patients. For patients with periodontal disease, a 4-month or 3-month recall may be recommended until the periodontal condition is stabilized. After a consultation with Dr. Valentin Dabuleanu, a tailor-made treatment plan will be made that best suits your specific needs. **Why is Scaling and Root Planing so important?** The main cause of gum disease is bacterial plaque, an adherent whitish film that continuously reforms on our teeth. The bacteria in this plaque produce toxins that constantly attack our teeth and gums (Figures 1-2). Unless plaque is removed, it will harden into a rough crystal-like deposit called calculus, also known as tartar. Thorough daily brushing and flossing techniques are effective in minimizing the formation of calculus, but they will not completely prevent it. Regardless of how effective we are at brushing and flossing, bacterial plaque will cause a recurrence of gum disease 2-4 months after the last SRP. Periodontal disease is the most common cause of tooth loss in adults. Your natural teeth can be kept for a lifetime by carefully following the guidelines of a maintenance program recommended by Dr. Valentin Dabuleanu. You will be able to keep dental costs down by preventing future problems if you stick to a recommended SRP schedule. This commitment will help you maintain better oral health for a lifetime. ## References 1. [**Genco R, et al. Risk factors for periodontal disease. Periodontology 2000\. 2013; 62: 59-94.**](https://www.ncbi.nlm.nih.gov/pubmed/23574464) 2. [**Video on Supportive Periodontal Therapy**](https://www.youtube.com/watch?v=RHs2vVvGnKM&t=26s) ## CROWN LENGTHENING TO EXPOSE CARIES Crown lengthening may be indicated in order to make a restorative dental procedure possible, such as a dental filling. A tooth may sometimes be decayed below the gum line. Crown lengthening may be indicated in order to adjust the gum and bone level to expose the entire extent of the decay so it can be restored (Figures 1-3). This allows the dentist to apply a well-adapted restoration, so that the tooth does not experience repeat decay in the future. This procedure also allows the patient to clean the edge of the restoration, with regular brushing and flossing, in order to help prevent repeat decay from occurring in the future. A crown lengthening procedure takes approximately one hour. It may be done with local anaesthetic alone, or in combination with sedation (see “[Sedation](https://www.dabuleanu-dental.com/patient-information)”). Most patients are back at work one day after having had crown lengthening. The majority of healing takes place during the first week, and patients may then resume most of their normal eating and oral hygiene practices (see “[Post-Operative Instructions](https://www.dabuleanu-dental.com/patient-information)”). The tissue underneath continues to mature however, and full healing of the gums takes 4-6 weeks. The tooth or teeth receiving treatment will look noticeably longer afterwards (Figures 4-6). Dr. Valentin Dabuleanu will see you for a 1-week and 6-week post-operative check before your dentist places the final dental restoration. [**Video on Crown Lengthening Surgery**](https://www.youtube.com/watch?v=YDOc0M7K8SE) [ Book an Appointment ](https://torontonorthperiodontics.ca/book-an-appointment-today/) ![](https://torontonorthperiodontics.ca/wp-content/uploads/2024/07/CL-Caries.webp) ## CROWN LENGTHENING TO EXPOSE NATURAL TOOTH STRUCTURE Crown lengthening may be indicated in order to make a restorative dental procedure possible, such as a dental crown. A tooth may sometimes be broken below the gum line, or it may have insufficient sound tooth structure for a restoration, such as a crown or bridge. Crown lengthening may be indicated in order to adjust the gum and bone level to expose more of the natural tooth so it can be restored. This helps to prevent the restoration or crown from becoming loose in the future. This procedure also allows the patient to clean the edge of the restoration, with regular brushing and flossing, in order to help prevent decay and gum disease from occurring in the future (Figures 1-3). A crown lengthening procedure takes approximately one hour. It may be done with local anaesthetic alone, or in combination with sedation (see “Sedation”). Most patients are back at work one day after having had crown lengthening. The majority of healing takes place during the first week, and patients may then resume most of their normal eating and oral hygiene practices (see “Post-Operative Instructions”). The tissue underneath continues to mature however, and full healing of the gums takes 4-6 weeks. The tooth or teeth receiving treatment will look noticeably longer afterwards. Dr. Valentin Dabuleanu will see you for a 1-week and 6-week post-operative check before your dentist places the final crown. [**Video on Crown Lengthening Surgery**](https://www.youtube.com/watch?v=YDOc0M7K8SE) ![](https://torontonorthperiodontics.ca/wp-content/uploads/2024/07/CL-Natural.webp) ## CROWN LENGTHENING FOR ESTHETICS Patients may sometimes report that they have a “gummy smile” because they feel their teeth appear short. Other times, they may notice unevenness between the heights of 2 adjacent teeth. Dr. Valentin Dabuleanu will be able to assess whether the teeth involved are in fact the proper length, but just covered by too much natural gum tissue. This unevenness may be corrected with a crown lengthening procedure. During the procedure excess gum and bone tissue is reshaped to expose more of the natural tooth that is visible. This can be done on either one or several teeth as needed to re-create harmony to the smile line. A crown lengthening procedure takes approximately one hour. It may be done with local anaesthetic alone, or in combination with sedation (see “[Sedation](https://www.dabuleanu-dental.com/patient-information)”). Most patients are back at work one day after having had crown lengthening. The majority of healing takes place during the first week, and patients may then resume most of their normal eating and oral hygiene practices (see “[Post-Operative Instructions](https://www.dabuleanu-dental.com/patient-information)”). The tissue underneath continues to mature however, and full healing of the gums takes 4-6 weeks. The tooth or teeth receiving treatment will look noticeably longer afterwards. Dr. Valentin Dabuleanu will see you for a 1-week and 6-week post-operative check before your dentist places the final dental restoration or crown. [**Video on Crown Lengthening Surgery**](https://www.youtube.com/watch?v=YDOc0M7K8SE) ![](https://torontonorthperiodontics.ca/wp-content/uploads/2024/07/CL-Esthetics.webp) ## OSSEOUS SURGERY **Also known as:** * Non-Surgical Periodontal Treatment * Maintenance Therapy * Dental prophylaxis * Teeth Cleaning Our bone and gum tissue should fit snugly around our teeth, the same as when we wear a turtleneck sweater around our necks. When periodontal disease is advanced, however, this supporting tissue and bone is destroyed, resulting in loosening of the gum and bone attachment, and the formation of deep pockets. Periodontal disease is the most common cause of tooth loss in adults. A periodontal pocket reduction procedure may sometimes be recommended if your pockets are too deep to clean with daily home oral hygiene and a professional hygiene maintenance care (Figure 1). During this procedure the gum tissue is folded back, and deeply trapped plaque and calculus containing disease-causing bacteria are removed (Figure 2). The irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone (Figure 3). The gum tissue is then secured into place (Figure 4). **Osseous surgery may be indicated for those affected by severe periodontal disease. The specific goals of this treatment are:** 1. To reduce of eliminate the pockets that cause periodontal disease 2. To reduce bacterial spread – bacteria from the mouth have the potential to spread throughout the body and cause other life-threatening conditions such as cardiovascular disease and lung cancer (see [The Mouth-Body Relationshi](https://www.dabuleanu-dental.com/periodontal-conditions)p) 3. To prevent bone loss – the recontouring of damaged bone helps to prevent the bone loss around teeth from progressing 4. To facilitate home care – as the pocket deepens, it becomes nearly impossible to effectively clean with brushing and flossing, and even with professional dental cleanings. Osseous surgery will reduce the pocket, making it easier to maintain, thereby preventing further disease ![](https://torontonorthperiodontics.ca/wp-content/uploads/2024/07/Oss-Sx.webp) A pocket reduction procedure takes approximately one hour. It may be done with local anaesthetic alone, or in combination with sedation (see “[Sedation](https://www.dabuleanu-dental.com/patient-information)”). Most patients are back at work one day after having had pocket reduction. The majority of healing takes place during the first week, and patients may then resume most of their normal eating and oral hygiene practices (see “[Post-Operative Instructions](https://www.dabuleanu-dental.com/patient-information)”). The tissue underneath continues to mature however, and full healing of the gums takes 4-6 weeks. You will be seen for a 1-week and 6-week post-operative check. **Patients who receive osseous surgery to help keep their teeth may notice the following:** 1. Teeth may look and feel longer 2. There may be more spaces (embrasures) between teeth, underneath the contact area (Figures 5-6) 3. Teeth may be sensitive for a period of about 1-month. Sensitivity fades over time, and can be managed with desensitizing toothpastes such as Sensodyne© ProNamel© (https://www.pronamel.ca) 4. Teeth may feel slightly loose (mobile) for a period of about 1-month. This is temporary, as they firm up again during the healing process Reduced pockets and a combination of daily home oral hygiene as well as professional hygiene maintenance care will help those affected by severe disease to keep their natural teeth. [**Video on Osseous Surgery**](https://www.youtube.com/watch?v=clVOwJ5RSGw&t=1s) ## GINGIVECTOMY The gum tissue may sometimes become overgrown and thicken to the point that it covers the tooth surface, making the tooth itself look short. Certain medications can cause this condition. It may also be caused by inflammation due to gum disease. A gingivectomy may be offered to eliminate this excess gum tissue. The following are indications for a gingivectomy: 1. Cosmetics – Teeth are normal in size and shape, however there is too much overlying gum. Adjusting the gum line will make the teeth look longer, and more proportional 2. Function – Drug-induced gingival overgrowth may occur after taking the following classes of medications. The excess gum tissue creates deep pockets that harbor periodontal disease-causing bacteria: 1. Anti-seizure 2. Organ transplant 3. High blood pressure – specific types only A gingivectomy procedure takes approximately one hour. It may be done with local anaesthetic alone, or in combination with sedation (see “[Sedation](https://www.dabuleanu-dental.com/patient-information)”). Most patients are back at work one day after having had gingivectomy. The majority of healing takes place during the first week, and patients may then resume most of their normal eating and oral hygiene practices (see “[Post-Operative Instructions](https://www.dabuleanu-dental.com/patient-information)”). The tissue underneath continues to mature however, and full healing of the gums takes 4-6 weeks. Dr. Valentin Dabuleanu will see you for a 1-week and 6-week post-operative check. [**Video on Gingivectomy**](https://www.youtube.com/watch?v=CeWfAO4cI0A) ![](https://torontonorthperiodontics.ca/wp-content/uploads/2024/07/CL-Natural.webp) ## FRENECTOMY We have naturally occurring muscle attachments in our mouths, which connect our upper and lower jaws to the muscles of speech and eating. These muscle attachments are located on both the outer and inner aspect of our jaws. A prominent lingual muscle attachment, or frenum, can occur between the under-surface of the tongue and the inner aspect of the gum of the lower front teeth. This condition is commonly known as a “tongue-tie” (Figure 1). It will significantly restrict movement of the tongue and can affect speech. It can even make basic home oral hygiene techniques such as brushing and flossing more challenging. A frenectomy may be indicated in order to eliminate this prominent frenum. Tongue posture, tongue mobility, *[Content truncated]* *4 more main links available on the website* ## Optional ### About Source: [https://torontonorthperiodontics.ca/#about](https://torontonorthperiodontics.ca/#about) - About the organization *Additional content available at [https://torontonorthperiodontics.ca/#about](https://torontonorthperiodontics.ca/#about)* ### Blog Source: [https://torontonorthperiodontics.ca/blogs/](https://torontonorthperiodontics.ca/blogs/) - Latest articles and updates *Additional content available at [https://torontonorthperiodontics.ca/blogs/](https://torontonorthperiodontics.ca/blogs/)* ### Contact Source: [https://torontonorthperiodontics.ca/contact/](https://torontonorthperiodontics.ca/contact/) - Contact information *Additional content available at [https://torontonorthperiodontics.ca/contact/](https://torontonorthperiodontics.ca/contact/)*