Dr Krychman’s office has provided excellent care, delivering state of the art periodontal therapy in Pointe-Claire for the past 25 years. His staff, most of which have over 15 years of experience, have the knowledge and compassion to take care of any need a patient may have.
The initial appointment is designed to allow both the doctor and patient enough time to answer all questions. Dr. Krychman will gather all information necessary during a thorough evaluation and review of the medical history. As well the doctor will get a sense of what expectations and fears the patient may have and educate the patient on their condition. The patient will have ample time to ask any questions they may have concerning their treatments.
Cleaning underneath the gums (root planning) is a procedure that is generally performed under local anesthesia. Plaque and tarter are removed from below the gum line. Following a deep cleaning, a healing period of 6-8 weeks is allowed before the gum tissues are revaluated. After this re-evaluation, a decision can be made as to whether the periodontal condition is stable or if further treatment is necessary.
Bone grafting can be used in 2 different ways. Firstly, to regenerate bone around teeth that have been lost due to periodontal disease. Secondly, bone grafting can be used to preserve and enhance the bone when a tooth needs to be extracted. This procedure called a “socket preservation” will provide enough bone to insure an implant can be placed once the area has healed.
There are 2 types of gum grafts. Connective tissue grafts are most commonly used to cover the exposed root structure of a tooth that has undergone recession. A “free gingival graft” is used to increase the thickness and quality of the gum tissue in areas where it its thin. Thin tissue is much more prone to recession and inflammation. A soft tissue graft is recommended to prevent future recession in these areas.
A dental implant is a titanium screw that is placed in the jaw bone in order to replace the root of the tooth. Once left to heal, they are used to support a restoration (crown, bridge or denture). Often special x-rays need to be taken to insure adequate bone height and/or width for an implant to be successfully placed. Success rates for dental implants are consistently shown to be greater than 95%. There is a very small chance an implant will fail. The most common reasons for implant failure include smoking, poor systemic health and infection.
The frenum is a ligament joining the gums with the cheeks in both the upper and lower jaws. The frenum may pull on the gums and may be so prominent as to prevent teeth from coming together. A frenectomy is a procedure to surgically reposition the frenum.
A periodontal pocket is a space between the gum tissue and the tooth surface where bacteria can rest out of the reach of the tooth brush, floss and mouth rinses.This bacteria can cause destruction of the underlying bone.The goal of pocket reduction surgery is to reduce the pocket to a manageable depth that can be adequately cleansed by the patient with tooth brushing, flossing and regular maintenance recalls with a dental care professional.
Dr Steven Krychman has more than 25 years of experience in dentistry, specializing in periodontal therapy. In addition to maintaining a full time private practice, Dr Krychman has taught at McGill University and is the former director of the periodontal department at the Jewish General Hospital. Holder of a doctorate in dental surgery from McGill University and a certificate specializing in periodontics and implants from Tufts University in Boston, he is a member of the Association des Parodontistes du Québec and The Canadian and American Association of Periodontics. Always keen to keep his knowledge current, Dr Krychman stays abreast of new developments that can improve treatment for his patients.
Outside the office, Dr Krychman is involved in fund-raising for the Montreal Association for the blind and The Mackay Center. His other interests include golf, basketball and skiing.
A periodontist is a dentist specializing in the treatment of the gums and supporting tissues of the teeth (the periodontium). A dentist must complete a 3 year program in periodontics and implants as well as several supplemental board exams to be recognized as a specialist.
Periodontal (gum) disease is a chronic condition that destroys the tissues surrounding the teeth. Left untreated, periodontal disease can lead to tooth loss. It generally starts as inflammation of the gums, gingivitis. If untreated the bacteria which causes gingivitis will start to effect the underlying bone causing periodontitis.
Gum surgery is always performed under local anesthesia. Once anesthetized (numb), there is no sensation of any discomfort. Pain medication will normally be given immediately after the procedure to insure it will be effective once the anesthesia wears off.
Address
315, Brunswick Blvd
Pointe-Claire, QC
H9R 5M7
Appointment
T: (514) 695-8829
F: (514) 695-8828
krychmanperio@outlook.com
