Our Services
Dental Implants
Titanium implants that replace missing tooth roots, providing a permanent foundation for crowns, bridges or implant - supported dentures.
Dental Implants are the gold standard for replacing missing teeth. A titanium post is placed directly into the jawbone, where it integrates with the bone through osseointegration over three to six months.
Once healed, the implant supports a custom crown, bridge, or denture that looks, feels, and functions like a natural tooth. Unlike conventional bridges, implants preserve adjacent teeth and prevent bone resorption at the extraction site.
Dr. Sandlas performs the surgical phase of implant placement and works closely with your referring dentist, who provides the final restoration. Single implants, multiple implants, and full-arch implant solutions are all available.
Soft Tissue / Gum Grafts
Gingival grafting procedures that cover exposed roots, reduce sensitivity, and restore a healthy, even gumline.
Gum recession exposes root surfaces, increasing sensitivity and the risk of decay. Soft tissue grafting — also called gingival augmentation — adds tissue to areas of recession to protect the root and improve aesthetics.
The most common technique uses a small amount of connective tissue harvested from the patient's own palate. Donor (allograft) tissue is also available and equally effective, eliminating the need for a second surgical site.
Results are both functional and cosmetic: root coverage reduces sensitivity, halts further recession, and creates a more natural, symmetrical gumline. Long-term stability is excellent, with most grafts remaining stable for decades.
Bone Grafting
Procedures that rebuild lost jawbone volume, creating the foundation needed for successful dental implant placement.
When a tooth is lost, the surrounding bone begins to resorb. Bone grafting rebuilds this lost volume using bone material from the patient, a donor, or a synthetic source, which integrates with existing bone over several months.
Common procedures include socket preservation (performed at extraction to prevent bone loss), ridge augmentation (to rebuild width or height in areas of significant resorption), and sinus lifts for the upper posterior jaw.
All grafting procedures are performed in-office under local anaesthesia, with sedation available. Most patients return to normal activities within a few days. Cone-beam CT imaging guides precise treatment planning.
Extractions
Surgical removal of compromised, impacted, or strategically hopeless teeth, with socket preservation to protect future implant sites.
When a tooth cannot be saved, extraction by a specialist ensures the procedure is performed with precision and the surrounding bone and soft tissue are preserved for future restoration.
Dr. Sandlas routinely performs socket preservation grafts at the time of extraction, placing bone graft material into the socket to maintain ridge volume and optimise conditions for a future implant.
Surgical extractions of impacted teeth, fractured roots, and teeth with complex anatomy are managed in-office with local anaesthesia and optional IV sedation for patient comfort.
Crown Lengthening
Surgical reshaping of the gum and bone to expose more tooth structure, enabling restorative work or improving a gummy smile.
Crown lengthening is performed when insufficient tooth structure is exposed above the gumline — either because a tooth has fractured, decay extends below the gum, or a crown margin needs to be repositioned.
The procedure involves removing a small amount of gum tissue and, where necessary, bone, to expose the required amount of tooth. This creates the biological width needed for a stable, long-lasting restoration.
Aesthetic crown lengthening can also correct a 'gummy smile' by reshaping the gumline to reveal more of the natural tooth, creating a more balanced, proportionate appearance.
Sinus Lift
A bone augmentation procedure for the upper posterior jaw that creates the vertical bone height required for implant placement.
The maxillary sinuses sit directly above the upper back teeth. When these teeth are lost, the sinus can expand downward, leaving insufficient bone height for implants. A sinus lift addresses this by elevating the sinus membrane and placing bone graft material beneath it.
The lateral window technique is used for cases requiring significant bone augmentation. A minimally invasive crestal approach is used when only a small amount of additional height is needed.
After a healing period of four to nine months, the grafted bone is mature enough to support implants. Dr. Sandlas may place implants simultaneously with the sinus lift when adequate primary stability can be achieved.
Periodontal Disease Treatment
Non-surgical and surgical therapies to halt gum disease, eliminate infection, and restore a healthy periodontium.
Periodontal disease is a bacterial infection of the gum and bone supporting the teeth. Left untreated, it leads to progressive bone loss and, ultimately, tooth loss. It is also linked to systemic conditions including cardiovascular disease and diabetes.
Non-surgical treatment — scaling and root planing — removes bacterial deposits from root surfaces and is effective for mild to moderate disease. Surgical options including osseous surgery and pocket reduction are recommended when non-surgical therapy is insufficient.
Ongoing periodontal maintenance is essential after active treatment. Dr. Sandlas coordinates a co-management schedule with your referring dentist to ensure disease is controlled and monitored long-term.
Periodontal Regeneration
Advanced surgical procedures using bone grafts and barrier membranes to regenerate bone and attachment lost to periodontal disease.
Periodontal regeneration aims to rebuild the bone, cementum, and periodontal ligament destroyed by disease — not merely to arrest its progression. This is achieved through guided tissue regeneration (GTR) and guided bone regeneration (GBR) techniques.
The procedure involves placing a bone graft and a resorbable membrane at the defect site. The membrane excludes faster-healing soft tissue, allowing the slower-growing bone and periodontal ligament cells to repopulate the area.
Regenerative procedures are most predictable in contained, angular bone defects. Cone-beam CT imaging and careful case selection are essential to achieving optimal outcomes.
IV Sedation
Intravenous conscious sedation for anxious patients or complex procedures, providing a relaxed, comfortable surgical experience.
IV sedation delivers sedative medication directly into the bloodstream, producing a deeply relaxed state within seconds. Patients remain conscious and able to respond to instructions, but most have little or no memory of the procedure afterward.
Sedation is available for any surgical procedure at our office and is particularly beneficial for patients with dental anxiety, a strong gag reflex, or those undergoing multiple procedures in a single visit.
Dr. Sandlas is trained and licensed to administer IV sedation. Patients are monitored continuously throughout the procedure and must arrange for a responsible adult to drive them home afterward.