Orthodontic Clearance
Before beginning orthodontic treatment, your orthodontist may refer you to us for a comprehensive evaluation of your gum and bone health.
This assessment ensures your mouth is free of inflammation or gum disease and that you have sufficient thick gum tissue to support tooth movement. After completing the exam, our doctors will discuss any necessary steps to prepare for orthodontic treatment.
This may include improving oral hygiene techniques, undergoing a deep cleaning, or, in some cases, receiving gum grafts to strengthen the tissue.
Our team will guide you through the process, making it as smooth and efficient as possible to set you up for successful orthodontic results.
Frenectomy
A frenum is a thin fold of mucous membrane with enclosed muscle fibers that connects the lips or tongue to the gums. When a frenum is too tight or attached too closely to the gumline, it can create tension that may contribute to gum recession over time.
A frenectomy is a minor in-office surgical procedure that removes or repositions the frenum to relieve this tension, helping to prevent future gum recession and protect the surrounding tissue. The procedure is quick, performed under local anesthesia, and promotes better long-term gum health
Gum Grafting
When gum recession occurs, gum grafting is often recommended to restore the health, appearance, and function of your gums. This procedure typically involves transplanting tissue, usually taken from the roof of the mouth, to the affected area.
By covering exposed tooth roots and increasing the thickness of the gum tissue, gum grafting helps prevent further recession and can be a crucial step in avoiding tooth loss. In some cases, donor tissue may be used as an alternative. Gum grafting not only enhances the aesthetics of your smile but also plays a vital role in maintaining long-term oral health and preventing complications like tooth mobility or loss.
Gingivectomy
A gingivectomy is a surgical procedure that removes excess gum tissue. This is commonly performed on adolescent patients or individuals experiencing gum overgrowth due to certain medications. The goal is to create a balanced relationship between the gums and teeth, enhancing aesthetics and making oral hygiene easier to maintain at home.
Aesthetic Crown Lengthening
Aesthetic crown lengthening, similar to a gingivectomy, involves removing excess gum tissue. However, in this procedure, a small amount of underlying bone is also reshaped. This treatment is ideal for patients with a “gummy” smile and can significantly enhance the appearance of their smile by achieving better harmony between the teeth and gums.
Soft Tissue Augmentation
Before orthodontic treatment, a comprehensive periodontal evaluation is essential. During this exam, our doctors assess whether there is enough thick gum tissue to support tooth movement. Areas with existing gum recession or thin tissue may require gum grafting to prevent further recession. Addressing these concerns proactively is far more effective than treating recession after it occurs.
Expose and Bond
Impacted canine teeth are a common issue, especially in adolescents. When a canine tooth fails to erupt properly, a minor surgical procedure is performed to expose the tooth and attach an orthodontic bracket with a small chain. The orthodontist then gradually guides the tooth into its correct position as part of the orthodontic treatment plan.
Fiberotomy
A fiberotomy is a minor surgical procedure in which the fibers anchoring a tooth to the surrounding periodontal structures are carefully severed. This is performed under local anesthesia and allows the orthodontist to move the tooth into its desired position more effectively, reducing the likelihood of relapse after treatment.
Temporary Anchorage Device (TAD)
Temporary anchorage devices (TADs) are small, screw-like implants placed in the jawbone to assist with tooth movement during orthodontic treatment. Your orthodontist may recommend a TAD to provide additional stability and facilitate the repositioning of teeth that require precise adjustments.
Extractions
In some cases, tooth extractions are necessary to create space in the arch for proper tooth alignment during orthodontic treatment. The first premolars, particularly the upper premolars, are commonly removed due to their anatomy and the presence of deep grooves. Removing these teeth can help establish better spacing and harmony within the dental arch. Our surgeons will guide you through the process, ensuring you understand the reasoning behind each recommended extraction.
What is Orthodontic Clearance and Why Is It Necessary?
Think of orthodontic clearance like a “pre flight safety check.” Because orthodontics move your teeth, we need to make sure there are no hidden issues like a trapped tooth or a small infection that could slow down your progress later.
By visiting an expert surgical team first, you ensure that once your braces go on, they stay on, and your treatment stays on track. We help you avoid the “detours” so you can reach your finish line faster.
Expert Surgical Services: Making Room for Perfection
Sometimes, a mouth is just a little too crowded for a perfect row of teeth. When that happens, your orthodontist might recommend a surgical tooth extraction.
Pre Orthodontic Extractions
If your jaw doesn’t have enough space for your teeth to align, we can help. We perform these extractions with incredible care, ensuring the area heals quickly so you can get back to your orthodontic plan. Our focus is on making the process so gentle you’ll wonder why you were ever worried.
Wisdom Teeth Removal
Wisdom teeth can be the “bullies” of the mouth, pushing other teeth out of alignment. We specialize in removing them before they can interfere with your straight new smile, protecting your investment for years to come.
Answers to Put Your Mind at Ease
Will I be in pain after a surgical tooth extraction?
Most of our patients are surprised by how manageable the recovery is. With our advanced techniques and clear aftercare steps, any discomfort is usually gone within a couple of days.
Why is an expert extraction better for my braces?
When we perform a surgical tooth extraction in Sacramento, Folsom & Roseville, we are looking at more than just the tooth. We are preserving the bone and gum tissue that your orthodontist will need to move your other teeth into. It’s about precision care for a precision result.
How soon can I get my braces after an extraction?
Every patient is unique, but generally, once the area has had a week or two to settle, you’ll be ready to head back to the orthodontist for your “braces day!”
Diane Cheek
1 year ago
I had a very nice visit. Susan is probably the best hygienist I’ve ever had. I didn’t know the location moved across the street so I was a little late… I met with the doctor and he was wonderful and Janet at the front desk and Sherry are the best people ever working in the dental field. Thank you.
Yvonne Guidi
1 year ago
Golden State Dental. Wow! This was an amazing visit I had. From walking in the door and being greeted so friendly. Everyone that works at Golden State Dental are very compassionate, friendly, professional and make you feel very welcomed. I feel I am in the BEST hands with them working on my teeth!
Thank you
Yvonne
Thank you
Yvonne
Diana Yang
1 year ago
Came here and got my grafting done. I was nervous about the procedure because I just wasn’t very educated about oral care or procedures that support in maintaining oral health. I went several times before making my decision to undergo bone grafting. After conducting personal research and speaking to people in my life, including consulting other oral health practitioners, combined with the informative and educational sessions I had every time I came to an appointment, I had peace of mind to go into surgery.
I am very thankful to Dr Kyu and his team—they answered questions and addressed my concerns with solid answers. In return to my questions and concerns, they also had great bedside manners. I never felt judged or belittled for surfacing my questions and concerns as I have felt from oral care providers from way back in my past. Instead, they were very kind in educating me, bringing me up to speed at my pace of understanding, especially in what I did not truly understand about oral care and about the structure of my mouth and teeth, where problem areas were, and what signs to look for when flossing and what causes gum issues. They also answered questions I had about the various kinds of existing grafting materials—a concern of mine as it is foreign material going into me. Dr. Kyu addressed my questions with what he knew and with his experience. After vetting this information with people I knew and trusted who also practice oral health care, I felt more comfortable with the idea of getting surgery. I believe this trust grew also to Dr. Kyu and his team at Golden Dental, especially in that they knew what they are doing. As a patient, I just needed to get there myself and their responses to me and my concerns helped so much!
Another thing to highlight: Dr Kyu and his team thoughtfully considered my financial position going into this surgery. As a patient, I felt that I was having this surgery on my timeline and at my behest—not theirs. They have continued to show care to me in this area and these things add up in me going into my surgery with peace of mind and continues to show me they care about me as a person and not just another patient to count and I am grateful for it.
On a note about the surgery: it was painless and my road to recovery so far is going pretty smooth too. I am still being monitored for final recovery. However I will going back soon and look forward to being cared for by Dr. Kyu and his team at Golden Dental!
I am very thankful to Dr Kyu and his team—they answered questions and addressed my concerns with solid answers. In return to my questions and concerns, they also had great bedside manners. I never felt judged or belittled for surfacing my questions and concerns as I have felt from oral care providers from way back in my past. Instead, they were very kind in educating me, bringing me up to speed at my pace of understanding, especially in what I did not truly understand about oral care and about the structure of my mouth and teeth, where problem areas were, and what signs to look for when flossing and what causes gum issues. They also answered questions I had about the various kinds of existing grafting materials—a concern of mine as it is foreign material going into me. Dr. Kyu addressed my questions with what he knew and with his experience. After vetting this information with people I knew and trusted who also practice oral health care, I felt more comfortable with the idea of getting surgery. I believe this trust grew also to Dr. Kyu and his team at Golden Dental, especially in that they knew what they are doing. As a patient, I just needed to get there myself and their responses to me and my concerns helped so much!
Another thing to highlight: Dr Kyu and his team thoughtfully considered my financial position going into this surgery. As a patient, I felt that I was having this surgery on my timeline and at my behest—not theirs. They have continued to show care to me in this area and these things add up in me going into my surgery with peace of mind and continues to show me they care about me as a person and not just another patient to count and I am grateful for it.
On a note about the surgery: it was painless and my road to recovery so far is going pretty smooth too. I am still being monitored for final recovery. However I will going back soon and look forward to being cared for by Dr. Kyu and his team at Golden Dental!
Stephen Carr
1 year ago
Excellent visit this week at Golden State Dental! Jessica is an absolute master at cleaning teeth, especially for someone like me with gum recession and root exposure. She used a newer desensitizing product on my teeth before cleaning (I think it was called Gluma). Worked great, no nerve tweaks with the sonic cleaning tool.
Jessica is super friendly, listens, and educates as she goes! She and her teammate worked so well together!
Kudos to Golden State Dental!
Jessica is super friendly, listens, and educates as she goes! She and her teammate worked so well together!
Kudos to Golden State Dental!
Carol Frezza
1 year ago
Suzanne has been my hygienist for years. She is special in her chair side manner, professionalism and clinical expertise!
joan j
1 year ago
I have been treated by Suzanne and the team at Golden State Dental for the past 5 years and my gum health has never been better. Since I have Dry Mouth Disease, it is imperative for me to keep up on my dental hygiene and seek out the top professionals in the field of gum health so I don’t lose my teeth! Suzanne is incredibly gifted, skilled and knowledgeable about all facets of gum disease. Her impeccable deep cleaning and technique along with her dedication to her patient care has kept my mouth healthy. Suzanne is a miracle worker. She has much knowledge and interest in holistic solutions as well and I have learned so much from her to sustain excellent dental health. I am grateful for Suzanne, Dr. Paydar and all of the outstanding professionals at Golden State Dental.
Michelle Petro
1 year ago
I can’t say enough positive praise for my hygienist Suzanne. She is professional, caring, and extremely knowledgeable. I value her holistic approach to identify the source of gum disease, whether that be nutritional, hormonal, stress, chemical, hygiene care. We have made numerous changes to my brand of toothpaste, vitamin supplement, stress coping techniques, diet, combined with twice yearly periodontist cleanings and have made excellent progress. I look forward to my appointments with Suzanne and appreciate that she welcomes emails for any questions or concerns. She’s a rock star, for sure!
Teresa Ambrocio
2 years ago
Ms.Suzanne is nothing short of a miracle worker when it comes to dental care. I walked into the office feeling hopeless about my teeth, convinced there was little that could be done. But she completely turned the situation around. With her exceptional skill, dedication, and attention to detail, she worked tirelessly to save my teeth, transforming what seemed like a lost cause into a success story. Not only is she a true professional, but her warmth, compassion, and patience made me feel comfortable every step of the way. It’s rare to find someone who combines technical excellence with such a personal touch. I am beyond grateful for the care she provided, and I can’t recommend her enough. Ms. Suzanne truly goes above and beyond, delivering amazing results with heart and expertise! I would definitely recommend her. Also, special thanks to Dr.Gordon and his assistant, Dr.Paydar, and the staff of GoldenState Dental!
Lana Shinoo
2 years ago
My mother has a couple of missing teeth and here is her experience to share.
My name is Vilma youhanna.I strongly recommend golden state Dental for all type of implant treatment.Dr.Paydar did such an outstanding job,very nice and professional crew are working in this location.Thank you very much for helping me.
My name is Vilma youhanna.I strongly recommend golden state Dental for all type of implant treatment.Dr.Paydar did such an outstanding job,very nice and professional crew are working in this location.Thank you very much for helping me.
Jen Feist
2 years ago
Dr. Paydar and his staff are amazing! I was referred to his office as I needed bone grafting surgery due to periodontal disease. I was terrified to undergo surgery but they set my mind right at ease. I never had any pain at all and recovered quickly. I now have healthy gums and I have Dr. Paydar to thank!!! I HIGHLY recommend Golden State Dental!! Thank you so much, Dr. Paydar and staff! Happy patient…Jen
lovelycua
2 years ago
I was referred for an implant back in Dec 2023. I got it placed in May 2024. The office has made it really easy to reach out with any questions and concerns. I was experiencing some odd things with the implant, and Dr Paydar reached out and saw me immediately. Dr Kyu Lee is wonderful and put my mind at ease with the whole experience. The front staff is welcoming and attentive. The dental assiatsnces are very friendly.
Eric Brunius
2 years ago
I came to know of Golden State dental in a state of distress. I had a 20+ year old implant that was failing and infected. The staff was welcoming, professional and responsive. I had surgery to attempt to save the implant and stop the infection which has shown to be successful. After a few follow up visits and monitoring by the doctor, it really makes it apparent how caring and sincere they are of their patients. I am very grateful
Anne Moody
2 years ago
Dr Paydar saved my front tooth!
I would highly recommend him.
I would highly recommend him.
DP King
2 years ago
I am so happy with the results Dr. Paydar was able to achieve for me! I had a gum infection that caused bone loss and a precarious situation for my teeth. Dr. Paydar got rid of my gum infection and restored the bone loss. Dr. Paydar saved my natural teeth because of his skill dealing with my gum disease.
In addition, he has a positive and reassuring demeanor, that makes apprehensive patients (such as myself) feel like there is hope, and they are in good hands.
I highly recommend Dr. Paydar. He also has wonderful and competent assistants and office staff, as well.
In addition, he has a positive and reassuring demeanor, that makes apprehensive patients (such as myself) feel like there is hope, and they are in good hands.
I highly recommend Dr. Paydar. He also has wonderful and competent assistants and office staff, as well.
Benjamin Pav
2 years ago
I went to Golden State Dental in Folsom and was very impressed with the kindness of the entire staff. Dr. Paydar had a very calming and reassuring way about him and so did everyone else I saw. The pricing was transparent and I felt like I was in good hands. If you need a dental implant I wouldn't hesitate contacting them!
Matthew Roy
2 years ago
I have had two gum grafts and get regular periodontal maintenance with Golden State. I don’t know where I would be without Dr. Paydar and his amazing staff! I have been seeing him for the last 6/7 years and wish I could give them 10 stars. Everyone is so friendly and it’s nice being in a state of the art and soothing facility.
Dr. Paydar has a great demeanor and excellent bedside manner. I couldn’t be more calm and comfortable having these procedures done with Dr. Paydar. You can’t go wrong with Golden State!!!
Dr. Paydar has a great demeanor and excellent bedside manner. I couldn’t be more calm and comfortable having these procedures done with Dr. Paydar. You can’t go wrong with Golden State!!!
Lilly Prokopchuk
2 years ago
Dr. Paydar and the team at Golden State Dental truly exceeded my expectations. I recently had aesthetic crown lengthening on my upper 6 teeth, and the results are absolutely stunning. The procedure was not only painless but also remarkably quick, and the recovery was a breeze. The office itself is beautiful, and the staff were incredibly helpful throughout the entire process. I couldn't be happier with my experience and highly recommend Dr. Paydar and Golden State Dental for anyone considering similar procedures. Happy patient, Lilly P.