Serving Patients in Rochester NY For 25+ years
Periodontists, Roxanne Lowenguth, DDS, MS and James J. Infantino, DDS specialize in the prevention, diagnosis, and treatment of gum disease and related oral health conditions. Our practice takes a personalized approach with each patient to ensure their treatments meet their specific oral health needs. To develop your individual treatment plan, we will carefully examine your mouth and teeth, consult with you and your referring dentist, and then make an informed recommendation for the best dental services for your individual needs. We will spend time with you to review your options and help you select the plan that most fits your needs and budget.
Committed to Helping Save & Maintain Your Natural Teeth
We strive to help you save your natural teeth. We believe that maintaining your teeth is the best possible goal our patients should have. With proper care and education, periodontal treatment is extremely successful in saving teeth. Our team makes it simple and predictable. While implants are good solutions when teeth can’t be saved, they are not substitutions for your own teeth.
To enhance our level of care, we have incorporated the latest dental technology into our practice. This includes a Carestream Cone Beam CAT scanner and Carestream Digital Scanner. Among the many benefits of these systems is reduced radiation exposure for patients. Our practice is committed to the principle of patient safety and keeping radiation exposure to a minimum.
Patient Safety and Relaxation
To ensure you receive safe, comfortable, and professional care, we adhere to the following protocols:
Immaculate surgical suites utilizing similar hospital surgical protocols for patient management.
State-of-the-art sterilization utilizing multiple procedures for instrument cleansing and disinfection. Please feel free to ask to view our sterilization area.
All materials used at Roc Perio are FDA-approved and sourced from high-quality vendors with stringent safety records. We put your safety first and foremost.
We are committed to your relaxation and comfort in the office. We offer various sedation medications and options are available to relax you and alleviate anxiety.
Our doctors remain on site and work out of one location. We do not employ “traveling surgeons” that may be available only on certain days and work out of multiple general dental offices. We feel that continuity of care is paramount to long-term success.
Your surgeon is the one who performs the procedure and follows your post-operative healing progress for seamless, personalized care from beginning to end.
Our practice provides pre- and post-procedure relaxation utilizing aromatherapy, massage and natural products. Our dental chairs offer massage settings, warm blankets are available for your comfort, and you will be relaxed with various option using essential oils that can be applied topically and using diffusers. Following a procedure you receive a warm towel massage, ice pack and multiple home care products. We desire to provide a natural and holistic experience for your health and wellness.
To request more information about our periodontal services or to schedule an appointment, please contact us today at 585-756-5566. Our team is proud to serve patients from across the Greater Rochester area. We look forward to helping you improve your health.
Our Periodontal Procedures include:
If your teeth appear too short and you have a “gummy” smile, crown lengthening can help to create a different appearance of the teeth and smile by changing the shape, thickness and contour of the gum tissue. Think about your teeth as a beautiful painting and the gums are the frame that enhances the artwork.
Crown lengthening is also used to make cosmetic and restorative procedures possible — if a tooth has broken at the gum line, we can correct the levels to make more of the tooth accessible for your dentist to do a crown or restoration. Successful restorations need to be placed on enough of the tooth so that they are retentive. When too little of the tooth is present, patients will experience that their crown keeps falling off. If this occurs, then you are likely in need of a crown lengthening procedure.
Additionally, we use new techniques to alter lip movement and enhance smile design.
Healthy bone and gum tissue should fit snugly around your teeth, much like a turtleneck sweater.
Periodontal or gum disease destroys this supporting tissue and bone, which forms pockets or spaces around the teeth.
Over time pockets deepen, allowing the plaque or bacteria to grow, destroying bone support and causing shrinkage of gum tissue or recession. This process ultimately causes tooth loss.
Treatment of the pockets removes bacteria by cleaning under the gum tissue using minimally invasive techniques. New techniques that we use include lasers, antibiotics and biologics to stimulate tissue growth.
Dental lasers are playing an increasingly important role in periodontology, providing fast, simple and highly effective treatments for procedures such as periodontal flap surgery, gingivoplasty, gum pigmentation removal, crown lengthening and treatment of dental implants. Fotona’s dual-wavelength Er: YAG and Nd: YAG dental lasers are the perfect tools for performing the widest variety of laser-assisted periodontal procedures in a minimally invasive, cost-effective manner.
Our office is the proud owner of two Fotona Twinlight® lasers. Periodontal Laser Therapy is a comprehensive and minimally invasive periodontal therapy incorporating the power of dentistry’s two most effective laser wavelengths: Er: YAG and Nd: YAG. The Twinlight® approach enables wavelength-optimized treatment for periodontal therapy which create the optimal conditions for healing periodontal tissues. What’s more, Twinlight® Periodontal Therapy prevents infection and promotes reduction in pocket depths ultimately saving teeth. The Twinlight® procedure is performed in 3 simple steps:
- The Nd: YAG laser removes the diseased tissue in the periodontal pocket and improves access to clean the root surface.
- The Er: YAG laser is used to thoroughly remove bacterial plaque and hardened calculus from the root surface.
- The Nd: YAG laser energy is used to promote the formation of a stable fibrin blood clot that will regenerate the periodontal tissues.
Gum recession is a common finding in both adolescents and older adults. Recession in young individuals is often seen following orthodontic treatment. We work closely with orthodontists to determine if recession may occur as the teeth are straightened and offer solutions to make sure the teeth stay healthy in the final straightened position. Sometimes grafting is needed before orthodontics, but largely we will wait until the braces are removed to make a determination on treatment.
For adults, there are various causes of gum recession including periodontal disease, aggressive tooth brushing, gingivitis and aging. New techniques are available that can utilize either the patient’s own tissue, donor tissue or grafting material to “tunnel” using a tiny incision to cover roots, thicken gum tissue and create new gum contour. These procedures are conservative and use techniques similar to those used in plastic surgery. Ultimately, these techniques not only improve the longevity of your teeth but can create new, enhanced smiles.
When periodontal disease occurs, the bone and gum tissue are destroyed, compromising the longevity of the teeth. Once we are able to stop the infection and cure the inflammation, we can offer procedures that successfully repair damaged teeth by growing bone and gum tissue attachment. Techniques that employ bone grafting, guided tissue regeneration and biologics/growth factors offer new hope to keep your natural teeth. We use minimally invasive grafting techniques — such as Alloderm and the Pinhole Technique — that can avoid using gum tissue from the palate.
This type of teeth-straightening system uses tooth-colored wires and clear brackets to realign teeth and give you a healthy, renewed smile. Dr. Lowenguth uses this technique only on periodontally treated teeth to correct altered or shifted teeth and spacing that has occurred due to periodontal disease. This is a limited part of her practice and is available for a select group of patients within the practice. She favors the use of her orthodontic partners for adolescents, complex corrections and advanced adult cases. Orthodontists are the specialists that are best to treat and provide the most comprehensive solutions. She works with specific orthodontists that share her philosophy and quality. Please ask for a recommendation for referral.
Even implants can develop periodontal disease. This means that the gums around implants can become infected and lose bone. Sometimes, if not monitored properly, the disease can result in the loss of the implant and subsequently the crown, bridge, or denture. This is costly and devastating to the patient. Most of these problems can be avoided with proper diagnosis and planning by a certified surgeon or periodontist that will work closely with your restorative team. Implants need to be not only planned and executed properly but cared for on a regular basis. As Periodontists we place an important emphasis on implant maintenance. We recommend that you are seen on a regular basis for cleaning using proper implant instruments and monitoring. Prevention and early intervention is the best way to maintain your implants and restoration for a lifetime.
However, if you do develop problems around your implants, we are the periodontal office that can help you. Our periodontal team is properly educated in techniques to treat gum problems around implants and restore the area back to health. Periodontists are trained to recognize and treat gum disease whether around natural teeth or implants. Protect your investment and let us help you maintain good periodontal health.