Diagnostic

• Dental Examination
  If you are coming for a periodontal evaluation, the initial comprehensive exam generally lasts from 30 minutes to an hour. Dr. Hogan will then diagnose your periodontal condition and recommend the best treatment options.
• X-rays

Preventive

• Teeth Cleaning
• Fluoride Treatment

Restorative

• Fillings
• Crowns
  Crown lengthening is the process of adjusting gum tissue to insert a new crown or perform another type of restoration. Crown lengthening is usually needed when a tooth needs a crown is below the gum tissue and is not accessible. This also allows one to brush and floss around the restoration area to prevent decay and gum disease.
• Bridges

Endodontics

• Root Canal Treatment

Periodontics

• Gingivectomy and Gingivoplasty
  Upon numbing the area, Dr. Hogan pushes back the gum to remove tartar build-up from the defected teeth. The bone is then smoothed out to eliminate the pockets. To eliminate any significant defects (an area with three walls of bone), Dr. Hogan will use a bone graft to fill them in. Once reshaped, the gums are placed back over the bone and sutures are inserted to aid in the healing process. Gingivectomy: Sometimes, gums can grow and build up over the front portion of the tooth. This can dampen your smile or make it difficult for a tooth to be removed or a filling to be placed. This minor surgical procedure removes the excess gum tissue around the tooth. The procedure itself is quick and painless. Following the procedure, a periodontal dressing will be placed over the operated area to allow for proper healing. This lasts a few weeks, but after that, the gum is entirely free of pain.
• Periodontal Surgery
  Originally developed as a simple communication to help patients understand the differences between the LANAP protocol and traditional periodontal surgery, the No Cut, No Sew, No Fear logo helps educate patients and increase treatment acceptance. By helping to reduce the fear associated with gum surgery, we can help more patients receive the treatment they need.
• Deep Cleaning
  Usually, the first approach to countering periodontal disease is scaling and root planning, a non-surgical treatment. When this is unable to reduce the pockets around the tooth to a manageable level, periodontal surgery will be recommended. There are several types of periodontal surgery: osseous surgery, bone regeneration, and gum grafting. If teeth are lost due to periodontal disease, dental implants or partials are options in replacing the missing teeth.

Prosthodontics

• Dentures
  Dental implants are artificial teeth inserted into the upper or lower jawbone to prevent further gum and tooth loss. While there are other treatment options available for missing teeth, dental implants have proven to be the most successful and convenient. An implant acts and feels like any other tooth, so you only have to perform dental hygiene (brushing and flossing). This is not the case with other options. You cannot floss where you have a bridge, and dentures and partials must be removed every night. Partials can also contribute to the loss of adjacent teeth, requiring more than one partial over your lifetime. Studies have shown that with partials, 30% of the adjacent teeth are removed after five to seven years. Implants are permanent, and they appear and act like an ordinary tooth. The implant procedure is a three-step process. First, the implant is surgically placed in the jawbone beneath the gum tissue. The implant is a titanium screw that serves as the root of the tooth. After several weeks, an abutment (post) is attached on top of the metal cylinder, which serves as the foundation for the new tooth. Finally, a realistic-looking artificial tooth (crown) is attached to the abutment, making the implant appear like any other tooth in your mouth.

Implants

• Dental Implants
  This surgery is required when there is not enough bone in the upper jaw to have a dental implant. This procedure increases the amount of bone that is available so that an implant can be successfully placed. First, the sinus membrane is lifted to provide a route for which the bone can be placed. The additional bone is either taken from the individual or synthetically produced. It is placed between your jaw and the maxillary sinuses (located on both sides of your nose). Once the bone is placed, it will be stitched up. Generally, the implants are placed nine months after the sinus lift depending on the type of bone used and your ability to heal. It is important that following the procedure, you do not blow your nose or sneeze. Doing so can move the new bone and loosen teeth.

Oral and Maxillofacial Surgery

• Oral Surgery
• Gum Surgery
• Osseous Surgery
  This surgical procedure corrects defects and irregularities in the bone surrounding the diseased teeth with the ultimate goal of reducing or eliminating the periodontal pockets. Generally, it feels like a thorough cleaning.
• Tooth Extractions
• Ridge Augmentation
  Bone regeneration is the general term used to describe bone re-growth. This procedure regenerates bone in areas where it is needed. This is typically performed before bridge or implant procedures to replace missing bone. The regeneration occurs through placing bone grafts biocompatible membranes on the missing bone area in order to keep out tissue to allow bone growth, ridge augmentation, and socket preservation.

General

• General Dentistry
  Dr. Hogan is originally from Philadelphia, Pennsylvania, attending Muhlenburg College in Allentown, Pennsylvania and receiving his degree in dentistry from Temple Dental School. After graduation in 1974, he joined the United States Army and did a one-year general dentistry internship at Martin Army Hospital, Fort Benning, Georgia. After six years as a general dentist in Muenchweiler, Germany and Fort Ord, California, Dr. Hogan became a specialist in periodontics, receiving his training at Walter Reed Medical Center in Washington, DC. Dr. Hogan then served as staff periodontist at Fort Riley, Kansas 1984-87; Fort Clayton, Panama 1987-89 and then at Fort Jackson, South Carolina 1989-95. One of his duties as staff periodontist while at Fort Riley and Fort Jackson was teaching periodontics to the one-year general practice. After 21 years of practicing dentistry in the military, Dr. Hogan helped found his present office in 1995, Midlands Perio/Endo Center.