Discover Our Wide Range of Services
We offer quality dental services with a team of specialists.
Our emphasis is on maintaining compromised teeth and/or restoring esthetics and function using dental implants. Arresting periodontal disease and preventing recurrence is our goal for every patient. This involves daily dental hygiene, proper nutrition, periodic cleanings and check-ups. It may not be where we start with every new patient, but that is what we want to attain and maintain, especially with all the evidence linking dental health to overall health.
During your first visit, a comprehensive examination will be completed. This exam will include necessary x-rays allowing us to diagnose the condition of your mouth, teeth and gums. In most instances your dental condition will be determined at this visit and a suitable treatment plan will be discussed with you.
Dr. Buyers practice provides a variety of 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.
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.
Dental implants are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that teeth appear natural and that facial contours will be preserved. The implants themselves are tiny titanium posts that are placed into the jawbone where teeth are missing. The bone bonds with the titanium, creating a strong foundation for artificial teeth. In addition, implants can help preserve facial structure, preventing the bone deterioration that occurs when teeth are missing.
These procedures are a predictable way to cover unsightly, sensitive, or exposed root surfaces and to prevent future gum recession. If you are unhappy with the appearance of short unsightly teeth this can be greatly improved by a combination of periodontal procedures by Dr. Buyer and cosmetic dentistry by your dentist.
Although your teeth appear short, they may actually be the proper length. The teeth may be covered with too much gum tissue. We can correct this by performing the periodontal plastic surgery procedure, crown lengthening.
When the recession of the gingiva occurs, the body loses a natural defense against both bacterial penetration and trauma. When gum recession is a problem, gum reconstruction using grafting techniques is an option.
When there is only minor recession, some healthy gingiva often remains and protects the tooth, so that no treatment other than modifying home care practices is necessary. However, when recession reaches the mucosa, the first line of defense against bacterial penetration is lost.
Crown lengthening (or crown exposure) is required when your tooth needs a new crown or other restoration. The edge of that restoration is deep below the gum tissue and not accessible. It is also usually too close to the bone or below the bone.
The procedure involves adjusting the level of the gum tissue and bone around the tooth in question to create a new gum-totooth relationship. This allows us to reach the edge of the restoration, ensuring a proper fit to the tooth. It should also provide enough tooth structure so the new restoration will not come loose in the future. This allows you to clean the edge of the restoration when you brush and floss to prevent decay and gum disease. The procedure takes approximately one hour.
Traditionally, gum disease is treated by eliminating the gum pockets. The infected gum tissue is trimmed away and uneven bone tissue re-contoured. Although this is still an effective way of treating gum disease, new and more sophisticated procedures are used routinely today.
Guided tissue bone regeneration regenerates the previously lost gum and bone tissue. Most techniques utilize membranes that are inserted over the bone defects. Some of these membranes are bio-absorbable and some require removal. Other regenerative procedures involve the use of bioactive gels.
Bone grafting can repair implant sites with inadequate bone structure due to previous extractions, gum disease, or injuries. The bone is either obtained from a tissue bank or your own bone is taken from the jaw, hip, or tibia (below the knee.) Sinus bone grafts are also performed to replace bone in the posterior upper jaw. In addition, special membranes may be utilized that dissolve under the gum and protect the bone graft and encourage bone regeneration. This is called guided bone regeneration or guided tissue regeneration.
Major bone grafts are typically performed to repair defects of the jaws. These defects may arise as a result of traumatic injuries, tumor surgery, or congenital defects. Large defects are repaired using the patients own bone. This bone is harvested from a number of different sites depending on the size of he defect. The skull (cranium), hip (iliac crest), and lateral knee (tibia) are common donor sites. These procedures are routinely performed in an operating room and require a hospital stay.
Careful management of extraction sockets after tooth extraction prevents unsightly bone loss and provides a better cosmetic outcome for tooth replacement.
Laser Assisted New Attachment Procedure is an FDA approved alternative to traditional gum surgery. This approach minimizes the appearance of longer looking teeth, eliminates sutures, reduces after treatment temperature sensitivity and is more comfortable than traditional approaches to therapy. The laser kills the causative bacteria in the sulcus and in the tissues surrounding the teeth. Recent studies show new attachment is regenerated with this protocol. It is an alternative to traditional scalpel and suture gum surgery. Dr Buyer currently is the only fully credentialed periodontal laser trained dentist is Southwest Virginia.
This is a less invasive procedure to create more bone volume in the posterior maxilla for dental implants. The sinus membrane is hydraulically lifted to allow for bone augmentation and implant placement under local anesthesia. Often times, the lift and implant can be placed at the same time which eliminates a second procedure. Dr Buyer is the only periodontist with 10 years of experience using this technique in Southwest Virginia.
Cone beam computerized tomography (CBCT) gives a very precise picture of the bone volume and density to support dental implants. This technology delivers more predictable restorative solutions to missing teeth and images pathology to allow for more precise operative plan. CBCT is significantly less radiation exposure (1/5 to 1/10) than traditional medical CAT scans. Dr. Buyer was the first periodontist in Southwest Virginia to routinely use CBCT. He has CBCT technology in his Blacksburg and Roanoke offices.
Sedation allows for patients with anxiety or patients requiring long and/or complicated dental surgical procedures to be treated in a comfortable manner. Dr. Buyer completed 6 months of rotations in medicine and general anesthesia. He complies with all required federal and state credentialing requirements to deliver IV sedation to patients in an outpatient surgery center.
This technology allows for a more expedited dental implant process. It has the potential of revolutionizing seamless dental care between the general dentist and the specialist. Dr. Buyer invested in this emerging technology in 2018.