San Luis Obispo (805) 545-9400

Enhance Your Smile

Minimally invasive periodontic laser surgery

(805) 545-9400

There are many different types of periodontal surgery to amplify your smile. At Coastal Periodontics, we use cutting edge laser technology that is minimally invasive to enhance your smile instantly. We can add more gum tissue to a tooth that is too long or remove tissue if you have a gummy smile.  If a tooth has broken off at the gum line, surgery can be performed which will expose more tooth so that a dental crown can be made. Most people are surprised by the instant cosmetic improvement that Coast Periodontics & Laser Surgery can provide.

Real Patient Before & After Photos

Before and after image of a periodontal patient
Before and after image of a periodontal patient
Before and after image of a periodontal patient
Before and after image of a periodontal patient

Frequently Asked Questions

What is a periodontist?

A periodontist is a dentist who has completed an extra two to three years of training at the University level, to specialize in the prevention, diagnosis and treatment of the inflammatory disease – periodontitis.  The job of a specialist is to keep current in the latest techniques that relate to potential tooth loss, but also to enhance your smile and chewing ability.  Since periodontal disease is not yet curable, only controllable, and dental materials and tissue engineering are constantly changing, there is always new information that can be used to assist you and your general dentist in achieving your goals.

What does a periodontal examination include?

A full examination includes charting the depth of the periodontal pockets, measuring gum recession on each tooth, measuring mobility of the teeth and performing an oral cancer screening.  A full series of x-rays is needed for a full evaluation.  A diagnosis and treatment plan is developed and then presented in easy to understand language.

What will happen at my first visit to the periodontist?

First, a full medical and dental history will be necessary. Past and present medical and dental treatment, medications, home care routine and habits will be discussed. Please be prepared with a list of current medications and your physicians name and contact information. Also, if you require premedication due to artificial valves or joints, heart murmurs, severe diabetes or hypertension, please inform us of such and take your antibiotics as prescribed. Remember to bring your insurance card if you have one since we will take a copy for your records. A complete set of current x-rays will be needed for the evaluation. If you do not have one, our office will be happy to take the x-rays and provide another copy for your referring dentist. The amount of bone loss, tissue loss and mobility of the teeth will be precisely charted. Your bite will be evaluated. Depending of the condition of your gum tissue, the exam should be relatively painless. If your gums are very inflamed, topical medications can be used to make the exam easier for you. Just ask for medication if you feel you would benefit from its use. A treatment plan will be developed with you and your dentist to restore the health of your gums. If you are a minor (under age 18) you must be accompanied by a parent or guardian at your appointments.

What will periodontal treatment cost?

Your periodontist must complete your examination before establishing your treatment plan and therefore, cost. The fee for treatment will vary considerably depending on the type of treatment and complexity. Usually, the fee can be determined at the consultation visit, however, in more complex cases, treatment is divided into phases and further diagnosis will be needed to determine the cost of the next phase. We will make every effort to inform you if you fit into the more complex case category so that you will know that further fees may apply. We will treat you as conservatively as possible but our mutual goal is to help you save as many teeth as possible for your lifetime.

Will my insurance cover the cost?

Depending on your company and level of coverage, all, some, or none of your treatment may be covered. We make every effort to help you in all phases of your experience with Coast Periodontics to help you know your out of pocket expenses and we pride ourselves on being good liaisons to your insurance carrier.

Does all periodontal treatment mean surgery of my gums?

Not necessarily.  There are many levels of the disease process.  In the early stages, better home care, possibly a bacterial sample of the tissue fluid around the teeth and antibiotic treatment and more precise dental cleaning may be enough to restore gum health.  In more severe cases, deep cleaning or root planing in the four quadrants of the mouth is needed, with or without antibiotic treatment.  Bite therapy, either an adjustment of the existing bite or the use a night guard or day guard may be part of initial or phase I treatment.  After either of the above treatments, a reevaluation of therapy is completed, usually within six weeks of completion.  If periodontal surgery is needed, it is discussed at this phase.

What are the pre and postoperative instructions?

For all surgery, we suggest that you plan on going home afterward.  If you have not taken an oral sedative, you will be able to drive yourself.  You should come with a full stomach since your next few meals will be softer food.  We do not use general anesthesia so, the full stomach is OK.  Pre and postoperative medications will be discussed with you prior to your procedure since you may be asked to start one or more of these prior to surgery day.  The duration of the surgery will be dependent on your needs and can be discussed with Dr. Sayre-Carstairs when your appointment is made.  Postoperative discomfort is different for everyone, but we will make every effort to have you be as comfortable as possible.  With the use of the Biolase laser, procedures are less invasive and therefore tend to be less uncomfortable.

Where is your office located?

The SLO office is convenient to the 93401 zip code and surrounding areas. The address is:

620 California Blvd, Suite L, San Luis Obispo, CA 93401

The San Luis Obispo Periodontist Office can be reached at (805) 545-9400.