CSDSpecialized Consultations

This is perhaps the most important aspect of your office visit because it involves the evaluation and complete assessment of your total health needs. After introductions, we listen to your particular needs and concerns. We then comprehensively evaluate your diagnostic information via a Panoramic or CT Scan and collect further data from study models, digital photos and a thorough oral examination.

Your results are discussed in an open and trusting environment based on the optimal dental standards. You are now informed and empowered to make the next step toward your total health and wellness.

Our mutual relationship with our patients ensures the following:

  • A high degree of professionalism, skill and competence
  • Our team is dedicated to your overall health
  • The highest effort to make your visits as comfortable as possible
  • Fees that are fair and just for the services provided

Our website is designed to answer the most common questions patients have before seeing us. If you have any additional questions before coming in, please do not hesitate to contact us by clicking here.

However, to make an appointment, kindly take a few minutes to complete an online request form. This gives us the necessary information for our patient coordinator to contact you to confirm your appointment.

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CSD Dental Implants

Dental ImplantsDental implants are great options to replace your natural teeth. Learn about the surgical process, types of artificial teeth, and benefits of the procedure.

If you have gaps in your smile where your permanent teeth used to reside, you may find that more is missing from your life than just teeth. You may also miss out on good nutrition and even social engagements.
It doesn't have to be that way, though. Dental implants are often a good option to fill the gaps left by tooth loss. Many people find that dental implants are more comfortable, efficient and secure than are dentures or bridgework.
Here's a look at the dental implant surgery procedure.
Dental implants aren't the same thing as artificial replacement teeth. Dental implants are actually threaded metal cylinders that serve as the roots of missing teeth. The implant, sometimes called a post or cylinder, is surgically implanted in the jawbone beneath the gum tissue. An abutment, or extension, is attached on top of the metal cylinder. Finally, a realistic-looking artificial tooth (crown) is attached to the abutment, creating a three-piece device that completes your smile. You may have one tooth replaced with dental implant surgery or many.
Most healthy adults with missing teeth are able to have dental implants. Your Periodontist can help you decide if dental implants are a good option for you. In general, dental implants may be right for you if you:
  • arrow Have one or more missing teeth
  • arrow Have a jawbone that's reached full growth 
  • arrow Have adequate bone to secure the implants, or are able to have a bone grafting procedure
  • arrow Have healthy oral tissues
  • arrow Are generally healthy
  • arrow Are unable or unwilling to wear full or partial dentures
  • arrow Want to improve your speech and confidence
  • arrow Are willing to commit several months to the process

Dr. Major has been in actively involved with dental implants since 1989 and has successfully placed over 1,000 implants.
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CSD Gum Treatment

PeriodontitisScaling and root planning represents the “nuts and bolts” of gum treatment. As a patient this treatment is valuable to you because it removes bacteria from beneath your gums. Removal of the bacteria causes your gums to reattach itself to the tooth structure thereby strengthening your bones and teeth. The result is reduced pockets and other indicators of health: fresh breath, lack of bleeding, puffiness and redness.

This involves the use of local anesthetic (lidocaine) and the systematic deep cleaning and irrigation of your infected roots.

Scaling and Root Planing is perhaps the most common procedure performed in a Periodontist practice due to the fact that most adults require this treatment at some point in their life-time.
Scaling and Planing

If you have pocket depths of over 3mm and/or your gums bleed or are swollen then you may require this simple, painless but effective treatment.
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CSD Cosmetic Gum Surgery

Your gum tissue is like a frame that provides form and shape to the top of your tooth. A less than attractive smile results when the integrity of the gum is compromised or the actual gum between your teeth becomes weak. Usually due to poor hygiene (gum disease), you actually begin to lose gum tissue. Cosmetic dentistry provides many cosmetic solutions such as composite resin bonding, crowns, and veneers to create a great smile. These solutions are usually part of an overall strategy which may involve cosmetic gum surgery. Used to correct a 'gummy smile' (a significant portion of your gum is exposed when you smile), cosmetic gum surgery is the procedure of lengthening your teeth from the neck of the tooth upwards. Your teeth then appear to be longer and much less gum is seen when you smile. Long in the Tooth

The "Long in the Tooth"
Smile - Cosmetic gum surgery, or periodontal plastic surgery, can correct almost any deformity or gingival problems preventing you from a beautiful smile. As we age, our gums may shrink and recede which makes our teeth look longer. While this is often age-related, it can also occur due to a bad bite. A Periodontist can correct this to such an extent, that you'll have a very youthful appearing smile.

Gummy SmileThe "Gummy Smile" - This is a problem where your teeth appear to be too short. Gum sculpting is often the solution. To solve this, Dr. Major uses a laser to remove the excess tissue of your "gummy" smile, which then exposes more of your tooth.

Your gums provide form and shape to your teeth. When the gums between your teeth become weak, the result is usually an unattractive smile. You can even lose gum tissue due to gum disease. Cosmetic gum surgery can be used in conjunction with other cosmetic dentistry procedures to restore your smile to its original beauty.
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The "Long in the Tooth" Smile - Cosmetic gum surgery, or periodontal plastic surgery,

CSD Crown Lengthening Surgery

Crown LenghteningBefore placing a crown, your general dentist must first prepare your tooth. Sometimes there is not enough tooth structure above the gum line to accept a new crown. "Crown lengthening" provides more tooth structure for your crown. This ensures a more stable crown with less resulting gum irritation.

Periodontal procedures are available to lay the groundwork for restorative and cosmetic dentistry and/or to improve the esthetics of your gum line.

You may have asked your periodontist about procedures to improve a "gummy" smile because your teeth appear short. Your teeth may actually be the proper lengths, but they're covered with too much gum tissue. To correct this, your periodontist performs crown lengthening.

During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile. Dr. Major may also recommend crown lengthening to make a restorative or cosmetic dental procedure possible. Perhaps your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.

What are the benefits of this procedure? Whether you have crown lengthening to improve function or esthetics, patients often receive the benefits of both: a beautiful new smile and improved periodontal health – your keys to smiling, eating and speaking with comfort and confidence.
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The "Long in the Tooth" Smile - Cosmetic gum surgery, or periodontal plastic surgery,

CSD Crown Lengthening Surgery

Crown Lenghtening
During his 18 year career Dr. Major has remained on the cutting edge of dentistry in general and Periodontics and Implants in particular. This exposure coupled with his continued search for knowledge and education, Dr. Major has assisted many dentists over the years through lectures, study clubs, conferences and personalized consultations. This has afforded many general dentists the opportunity to raise the bar of their understanding and appreciation for Periodontics and Dental Implants. He enjoys teaching and sharing information to encourage further collaboration among colleagues and their patients. In this vain, he has coined this motto, “If a dentist says that he/she can do everything for a patient, watch out patient!”

Dr. Major is convinced that an open line of communication between patient, general dentists and specialists result in a winning situation for the patient and continued growth and development for the dentist.

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The "Long in the Tooth" Smile - Cosmetic gum surgery, or periodontal plastic surgery,

CSD Crown Lengthening Surgery

Pocket Elimination SurgeryYour bone and gum tissue should fit snugly around your teeth like a turtleneck around your neck. When you have periodontal disease, this supporting tissue and bone is destroyed, forming "pockets" around the teeth.
Over time, these pockets become deeper, providing a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets collect even more bacteria, resulting in further bone and tissue loss. Eventually, if too much bone is lost, the teeth will need to be extracted.

Dr. Major is convinced that an open line of communication between patient, general dentists and specialists result in a winning situation for the patient and continued growth and development for the dentist.

Dr. Major has measured the depth of your pocket(s). A pocket reduction procedure may be recommended because you have pockets that are too deep to clean with daily at-home oral hygiene and a professional care routine.

During this procedure, Dr. Major folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. In some cases, 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.

What are the benefits of this procedure?

Reducing pocket depth and eliminating existing bacteria are important to prevent damage caused by the progression of periodontal disease and to help you maintain a healthy smile. Eliminating bacteria alone may not be sufficient to prevent disease recurrence. Deeper pockets are more difficult for you and your dental care professional to clean, so it's important for you to reduce them. Reduced pockets and a combination of daily oral hygiene and professional maintenance care increase your chances of keeping your natural teeth – and decrease the chance of serious health problems associated with periodontal disease.
BulletBone Grafting
Bone Grafting

Unfortunately, severe periodontal infection dissolves parts of your jawbone. This bone loss can eventually lead to the loss of your teeth. The first step of treatment is to remove the periodontal disease, which halts the bone loss. Then Dr. Major repairs the damage that has occurred. In many cases, various bone grafting techniques can be used to re-grow some of the lost jawbone.

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The "Long in the Tooth" Smile - Cosmetic gum surgery, or periodontal plastic surgery,

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