Saving Natural Teeth Treatment

Teeth that have lost bone and gum tissue can be regenerated with the addition of bone grafts, gum tissue grafts, and natural growth factors. 

At our Midtown Manhattan periodontal practice,we use the highest quality of bone graft materials, most often sterile bovine bone, to act as a scaffold that helps stimulate your own body to grow bone back. 

We also harness growth factors and soft tissue grafts that we take from your own blood. We draw your blood and spin it in a centrifuge to harvest your own growth factors from the body. Platelet derived growth factor (PDGF) is released by the platelets in your blood, often referred to as  nature’s wound healer. 

This PDGF is combined with bone and gum tissue grafts to stimulate your own stem cells and promote the regrowth of lost bone and gum tissue.

Additionally, we use advanced lasers that both stimulate your own stem cells to turn on and  efficiently remove bacteria around the teeth and gums. 

The combination of laser therapy, advanced bone graft materials, and specialized surgical techniques allow us to  rebuild lost bone and gums that were not possible even a decade ago.

After your bone and gum tissue rebuilding is complete, it is essential to closely follow post-operative instructions and maintain excellent home hygiene. 

Professional cleanings will be increased initially,as the same bacteria that originally caused your bone and gums loss can repopulate safely. 

You will receive specific home care instructions and specialised  hygiene products to use daily. We will also customize a professional tooth cleaning schedule tailored to your unique treatment and case type. 

You are an integral part to a successful treatment outcome.

Your natural teeth have stronger attachments to the bone and gum tissues compared to dental implants and they can better withstand bacterially induced diseases to a higher degree. 

Dental implants, when exposed to the same oral infections, will lose gum and bone tissue faster than your own teeth. 

Additionally, your natural teeth are supported by periodontal, ligaments, which help absorb chewing forces and protect against breakage, a feature that may cause implant parts to break. 

As your jawbone naturally grows and shifts over time, your natural teeth adjust accordingly, maintaining their proper alignment with the gums and bone.. 

In contrast, dental implants are fixed rigidly into your bone, meaning that over time, the position of the gums and bone change around them so the implants can start to show through the bone and gum tissue leading to metal exposure, long looking teeth, grey shadowing in the implant area, and other dental implant complications.

Not always. Teeth that appear severely damaged, loose, or affected by bone loss may still be preserved in some cases. Preserving natural teeth is often worth trying because it helps maintain jawbone support, chewing function, and overall oral health. A periodontal evaluation helps determine whether enough tooth, bone, and gum support remain to make preservation a realistic option.

Sometimes. A badly decayed tooth may still be preserved if enough healthy tooth structure and supporting bone remain and infection can be controlled. A specialist assessment is needed to determine whether preservation is possible or if other treatment is required.

In many cases, yes. Teeth affected by bone loss may still be preserved if infection is controlled and enough healthy tooth structure remains. A periodontal evaluation is needed to determine whether treatment can restore stability and long-term support.

When possible, preserving a natural tooth is often preferred because it maintains jawbone support, chewing function, and natural bite mechanics. However, each case is unique, and treatment decisions are based on long-term stability and overall oral health.

A tooth may be labeled “hopeless” when there is advanced bone loss, infection, or structural damage. Modern periodontal care has expanded what can be treated, and some teeth once considered hopeless may still be saved after specialist evaluation.

In some cases, yes. Saving teeth treatment may help stabilize and preserve natural teeth that would otherwise be recommended for extraction. Whether this is a safe and predictable alternative depends on the condition of the tooth, the amount of remaining bone and gum support, and overall oral health. A specialist evaluation is needed to determine the best option.

Yes. A second opinion from a periodontist can help determine whether a tooth can be stabilized or preserved before extraction is considered. In some cases, this can prevent unnecessary tooth removal.

Loose teeth may become more stable if the underlying cause, such as infection or bone loss, is treated. The ability to regain stability depends on how much support can be restored and how the tooth responds over time.

Saving teeth treatment is often completed in stages rather than a single visit. The length of treatment depends on the severity of disease, healing response, and the need for ongoing monitoring and follow-up care.

In some cases, preserving natural teeth can delay or avoid the need for dental implants. The goal of treatment is to maintain natural teeth whenever it is safe and predictable to do so.

If a tooth cannot be saved, treatment planning focuses on protecting the remaining teeth and supporting overall oral health. Replacement options are discussed only after preservation is no longer a viable option.

A periodontist specializes in the health of the gums and bone that support the teeth. This training allows for a more detailed evaluation of whether a tooth can be preserved and which approach offers the best long-term outcome.

No. Root canal treatment addresses infection inside the tooth, while saving teeth treatment focuses on the gums and bone that support the tooth. In some cases, both treatments may be needed to preserve a natural tooth, and care is coordinated with the appropriate specialist.

An endodontist focuses on treating problems inside the tooth, such as infected nerves, and commonly performs root canal treatment. A periodontist specializes in the tissues that support the teeth, including the gums and jawbone, and treats conditions like gum disease, bone loss, and gum recession. For issues involving the health and stability of the gums and bone, a periodontist is typically the appropriate specialist.