Periodontal Plastic Surgery Palo Alto, Menlo Park, Atherton

Saving Teeth with Regenerative / Resective Periodontal Surgery

Regenerative / Resective procedures are what Dr. Kazemi would use to stop the progression of gum disease and regrow gum tissue and bone.  These procedures reduce pocket depth and allow the tissues to repair themselves by eliminating the existing periodontal disease-causing bacteria.

Periodontal pockets are spaces or openings surrounding the teeth under the gum line. These pockets can become filled with infection-causing bacteria and when left untreated, can cause damage to the tooth-supporting structure. Regenerative / Resective periodontal surgery will minimize the growth of this bacteria, and reverse the damage caused by periodontal disease.

Osseous surgery (flap debridement)

Advanced gum disease (periodontitis) damages the ligaments and bone tissue surrounding your teeth and if left unattended, you can be at risk of extreme tooth damage or tooth loss.  If the disease can’t be controlled by non-surgical treatments such as deep cleaning and scaling, then periodontal flap debridement surgery would be the procedure that Dr. Kazemi would recommend to remedy the problem.

The process involves a small incision being made to separate the gums from the teeth. The outer gum tissue is gently folded back to allow access to the tooth roots, supporting ligament, and bone tissue.  The inflamed gum tissue is then removed and the roots, ligament, and bone tissue can be treated, then the incision is closed and the procedure is complete.

Guided Tissue Regeneration (regenerative surgery)

Guided Tissue Regeneration (GTR) is used to repair periodontal defects so that your teeth have more support and stability. In the areas where there are bacterial infections causing hard and soft tissue destruction, this can lead to gaps between the teeth and bone which may require a bone graft.

Guided Tissue Regeneration uses a barrier membrane to direct the growth of new bone in the bony defect and prevents gingival tissue from growing into these defective areas.  This membrane bocks the faster migrating soft tissue cells from growing into the treated area, while allowing the slower migrating bone-producing cells to grow there instead.

The process begins with a minimally invasive approach that Dr. Kazemi uses to open the gum via a flap. Bacteria is removed and the tooth is decontaminated, bone graft particles are placed inside and membrane is placed over it.  Once in place, this membrane provides the environment for the bone to heal and regenerate and therefore save the tooth long term.

For more information about Regenerative / Resective Periodontal surgery or if you would like to schedule an appointment, call us today at (650) 321-3220 or send an email to and let’s discuss your options.


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  • Rating: 5 Dentist Palo Alto, CA - 5 Star Rating by Ramzi Nahas
    “Dr Hakim and staff are awesome. Over the past 10 years, they have treated me and my teeth extremely well! I have gotten everything from crowns, fillings, and cleanings. Dr. Hakim is an excellent dentist!”–Ramzi

  • Rating: 5 Dentist Palo Alto, CA - 5 Star Rating by Lauren Pizzulli
    “I love the team here. Donna always provides great customer service and has remembered me from my first visit. I called today at 9:30am about a problematic tooth and they had me scheduled at 3:45pm. I arrived an hour early and they still saw me right away. They took care of it immediately and, so far, no more pain. I highly recommend Dr. Hakim.”–Lauren

  • Rating: 5 Dentist Palo Alto, CA - 5 Star Rating by Erika Razo
    “Great dental office. First time there and the care was awesome! It’s hard to find a good dental office, but this one is by far one of the best. I am looking forward to my future visits with this office. Their staff is very welcoming and super helpful.”–Erika

  • Rating: 5 Dentist Palo Alto, CA - 5 Star Rating
    “Absolutely phenomenal staff! 1st time visiting and everything went super smoothly. The staff makes you feel comfortable, and Dr. Hakim is so sweet, gentle and super clear. Very unique experience– super glad I was and will continue to have this dental care!”–Anabel

  • Rating: 5 Dentist Palo Alto, CA - 5 Star Rating“As one of your older patients, I am a big fan of Invisalign. I would have never gone through the typical orthodontic procedures for braces. People did not even know that I was wearing anything on my teeth. It never proved to be a problem. I am very, very pleased with the results of Invisalign. I am almost finished and only have good things to say about it.”

  • Rating: 5 Dentist Palo Alto, CA - 5 Star Rating“Dr. Hakim sets the bar for patient care standards. Dr. Hakim’s extraordinary technical dental skills resonate throughout the organization, and each staff member is expected to deliver the same high level of expertise in their own job functions, all the while having the concern of the patient in focus. Each staff member seems to have the best interest of the patients in mind while performing their duties.”–Danielle

  • Rating: 5 Dentist Palo Alto, CA - 5 Star Rating“As someone in the medical profession, I am extremely aware of qualities such as cleanliness, professionalism,respect, HIPPA, etc. I have shopped around for years for the dentist and office that meets all of these qualities. I have found that, with Dr Hakim and her staff. Look forward ( as much as humanly possible) to my next visit.”

  • Rating: 5 Dentist Palo Alto, CA - 5 Star Rating“The office is run very well. My call was answered when I called, and I was able to get an evaluation visit very quickly. Dr. Hakim is very competitive on price. I will be returning for Invisalign treatment.”


  • Rating: 5 Dentist Palo Alto, CA - 5 Star Rating“Painless and friendly. What more do you want?”