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Alexandria, VA

Washington D.C.

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Precision Periodontics
and Implant Dentistry

Periodontist Dr. Justin Zalewsky and his team offer a range of treatment options for patients with gum disease, missing teeth, and oral health problems that are preventing you from achieving a beautiful, comfortable smile. Our practice provides top-notch periodontal care, helping to preserve damaged teeth and restore smiles in Washington D.C. and Alexandria, VA.

Our state-of-the-art practice brings patients the best new technoligies in a relaxing and peaceful environment. With soft blankets, neck pillows, and personal movie screens, we'll keep your treatment experience as pleasant as possible. For your convenience, we provide services at our Washington D.C. and Alexandria VA offices.



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Advanced Periodontics by a

Specialist Who Cares

At Precision Periodontics and Implant Dentistry, we partner with your referring dentist to give you the customized treatment you need. Dr. Zalewsky and his team will review your dental history and all details of your previous treatment, as well as your current oral health status, to create a tailored treatment plan for you individually. We are dedicated to meeting patient's needs, budget, and personal preferences through our use of the most advanced technologies and techniques in modern dentistry.



Meet the Team

Washington D.C. Periodontist

Dr. Zalewsky

Dr. Justin Zalewsky, a graduate of Case Western Reserve University School of Dentistry, then went on to Temple University Kornberg School of Dentistry where he received his Certificate of Periodontology and Oral Implantology. Dr. Zalewsky also earned a Master of Science in Oral Biology degree from Temple.

As a husband and father, Dr. Zalewsky understands the importance of patient care and a positive bedside manner. The patient experience is very important for Dr. Zalewsky, which is one of the reasons he believes so strongly in collaborating with referring doctors to provide consistent care.

Dr. Zalewsky is also proud to have served with the armed forces, acting as a general dentist at Bolling Air Force Base and the Pentagon. When he isn't helping patients with their teeth or gums, Dr. Zalewsky enjoys sports and spending time outdoors.



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Dr. Zalewsky

“I have been told by more than one dentist that I am the worst patient they ever worked on. The fact that Dr. Zalewsky and his staff were able to make me feel comfortable and at ease with having to have surgery is quite an accomplishment. This is the first time in my life I can honestly say I am no longer terrified of the dentist.”

“I am so glad I decided to replace my 3 missing teeth with implants. If anyone is considering having implants my only advice would be don’t put it off, Dr. Zalewsky changed my life.”



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"Awesome experience, friendly staff, and I am extremely happy with the results. They take their time to make sure you understand what is going on and they do a great job in making sure they do everything the right way. Overall, I had an amazing experience and would recommend Dr. Zalewsky and his staff to everyone.”

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Periodontal Services

From basic scaling and root planing to the Pinhole surgical technique, your periodontists in Washington D.C. and Alexandria, VA can do wonders for your smile's form and function. Dr. Zalewsky and Dr. Hoge provide a full range of periodontal and related treatments, including gum disease treatment, tooth extractions, dental implants, and preventive care.

Surgical Gum Disease Treatments



Gingivectomy

When gum disease has advanced, it is necessary to remove diseased tissue. A gingivectomy eliminates the parts of the tissues where the bacteria thrive and the gums are reshaped into a natural and healthy position. This is done with a local anesthetic to minimize discomfort, and small incisions allow for the removal of the diseased tissue. After your gingivectomy, the area will be covered with a substance that catalyzes healing.

Osseous Surgery

This is necessary when the gum disease is advanced enough that the gums have receded from the teeth and it appears that the teeth and gums are no longer bonded. When these pockets form, bacteria make a home and begin to wreak havoc on the gums and bone, which leads to tooth loss. During periodontal surgery the tooth root is exposed and the tartar buildup is removed. Once the bone is smooth, infected gum tissue is also removed and the gums are carefully fitted back over the root and bone. This allows healthy tissue to grow and heal.

Gum Grafting

When gums have receded or become misshapen due to gum disease, a gum graft may be the solution. This can be true for one teeth or several teeth. Gum recession can cause sensitivity, inflammation, and eventually tooth loss, so addressing the problem early is key. Your dentist will help you decide which type of graft is best for you, depending on the extent of the recession, including Connective Tissue Grafts, Free Gingival Grafts, or Pedicle Grafts.

Pinhole Surgical Technique

This is one of the newest surgical techniques in periodontics and is minimally invasive, fast, and effective. When gums have receded, a small hole is made to insert a small instrument, which can push healthier gums down to cover more tooth. Tiny strips of collagen are then inserted to replace the gum tissue that was rearranged, and keep the gum tissue in place. This technique allows for minimal recovery time and can be done for just one tooth or many teeth at a time.

Tooth Extractions

Tooth Extraction is generally a last resort, since another procedure is required to replace the extracted tooth. Local anesthesia is applied when the tooth is extracted, after which the hole will be stitched or gauze will be placed to stop the bleeding. A tooth extraction will require you to be patient as the wound heals and before any other procedures are considered to replace the tooth.

Guided Tissue Regeneration

When gum disease has caused a loss of gum tissue and bone, these need to be replaced to keep your teeth in place and prevent further damage. Some treatments include grafting, stimulating proteins, membrane barriers, or bioactive growth factor gels. This technique can help prevent more invasive procedures in the future.



Non-Surgical Gum Disease Treatments



Antibiotic Treatments

When bacteria are flourishing in the mouth, serious health problems can ensue. Antibiotics help to fight the growth of bacteria and kill what’s there. They can reverse gum disease and encourage gums to heal. Your periodontist can help you decide what is right for you, but options can include topical antibiotics, oral antibiotics, antibacterial mouthwash, and medicated toothpaste. Because each patient responds differently to medications, the time for healing will vary. Antibiotics have proven effective in reducing pain, swelling, and damage caused by bacteria. If you are uncomfortable with taking antibiotics, talk to our team to help you determine the best course of action for your situation.

Scaling and Root Planing

This is often the first step in treating gum disease, and should be done as soon as you or your dentist notice any signs of gum abnormalities. When pockets of bacteria begin to form around teeth and gums, plaque starts to build and intervention is needed. When gums get irritated, they begin to pull away from the teeth, making more space for bacteria to flourish. One of the easiest solutions is scaling and root planing, which can reduce the size of the pockets that are harboring bacteria and also smooth surfaces, making it more difficult for plaque to stick. The spaces between the gums and teeth will be cleaned all the way to the root of the tooth using ultrasonic instruments that eliminate plaque and bacteria through vibrations. This is minimally invasive and few patients find it uncomfortable. After the procedure, small antibiotic fibers will be placed around the tooth to speed up healing and prevent further infection. They will be removed when the gums are healthy again.

Periodontal Maintenance

Maintenance is key in with any procedure, and our custom treatment programs are designed to help you prevent any further damage with gum disease. If you have already been diagnosed with periodontal disease, we can help you stop its progress with an individualized plan. Periodontal maintenance keeps teeth clean and is not just regular brushing and flossing. When the disease has run its course and our procedures have stopped it in its tracks, coming in for regular maintenance is key. Let us help you determine exactly what needs to be done to keep your mouth as healthy as possible and your smile as confident as ever.

LANAP

LANAP is a laser treatment which can be used around natural teeth to fight gum disease and eradicate infection, leaving healthy gum behind and minimizing the pockets that form around the teeth by encouraging the gums to reattach to the sides of the teeth. The laser can restore gum health without the need for surgery or stitches in the gums.

LAPIP

LAPIP is a similar treatment used when gum disease exists around dental implants (known as peri-implantis). Left untreated, this form of gum disease can lead to dental implant failure. The goal of LAPIP treatment is the same as that of LANAP treatment – to remove diseased tissue and create healthy gums and bone that keeps teeth or implants firmly anchored.



Learn More About

Dental Implants

Many dentists these days offer dental implants, but few have the specialized training of a periodontist. As a periodontal specialist offfering dental implants in Washington D.C., Dr. Zalewsky has honed the skills necessary to make your surgery a success. If you are missing teeth, read on to see what dental implants can do for you.

Why Choose Dental Implants

As we age, time takes its toll on our teeth, weakening structures and succumbing to whatever our oral habits have caused. In the past, bridges and dentures were seen as the best options, but newer and more effective procedures, including dental implants are here to stay. For missing teeth, implants are a permanent solution that can reverse damage, prevent bone loss, and preserve adjacent teeth. Implants also look and feel natural, helping you to maintain your eating habits, your smile, and restore your confidence. Aside from good oral hygiene, there is no extra or special upkeep on implants, which makes them much easier to care for than other teeth-replacement options. Replace one tooth or several teeth with implants and get your smile back on your face.

Benefits of Dental Implants

A one-time procedure to insert dental implants is not only better for your jaw structurally, but it can also be cheaper because there is no repair or replacement over the lifetime of your implants (assuming proper oral hygiene). Bridges and dentures succumb to wear and tear, often costing more in the long run. Dental implants look and feel natural, prevent bone loss in the jaw, and counteract the “sunken” look of aging when teeth are missing or other more temporary solutions are ill fitting. They can be cared for just like the rest of your teeth!

Candidates for Dental Implants

Whether you are missing one tooth, several teeth, or want to replace a full set of dentures with implant-supported dentures, you can be a candidate for dental implants. Whether one or multiple teeth are replaced with implants, no damage is done to the nearby teeth, preserving the integrity of the jaw bone. In place of a bridge, one or two implants can support multiple replacement teeth. How many implants you need should be discussed with your periodontist.

Cost of Dental Implants

The cost will depend on a variety of factors, including how many implants are needed, the condition of the bone in the jaw, needed extractions, and existing periodontal disease. However, considering the fact that implants are a permanent solution, they usually are much more cost effective than other cheaper options that need upkeep and regular maintenance or replacements. Talk to our office about financing options and payment plans today.

How Dental Implants Work

One of the greatest benefits of dental implants is that they are biologically compatible, making it so that once the post is inserted into the jaw, your bone will bond with the post, creating a natural connection as strong as the original tooth’s root. An abutment is placed over the implant, with a crown, modeled after your natural teeth, is placed on top. A fully functioning and natural-looking tooth results, giving you that beautiful smile you thought you’d lost.

Dental Implant Treatment Process

If you’re considering implants, our office is happy to provide all the information you need in a consultation. We want you to feel comfortable with the process, so ask all the questions you have and we’ll get them answered. A basic treatment process consists of the initial evaluation, placing the implant, attaching the abutment, and replacing the tooth with a crown over the abutment. The timeline of the process will be individualized to each patient and will require various stages. In every case, you’ll love the results!

Bone Loss Treatments

Because implants require the bone around the implant site to be in good condition, treatments for bone loss must sometimes be required before an implant can be placed. Depending on the significance of the treatment, a timeline will be set for the implant procedure. Some of the treatments that may be needed include ridge preservation, ridge augmentation, a bone graft, or a sinus lift. Our office is happy to help you understand which is best for you.

Dental Implants vs Traditional Dentures

Because tooth loss is often a result of periodontal disease and bone loss, it is important to understand that dentures do not address the bone loss part of the problem. While they can replace your teeth, they require much maintenance, can damage remaining natural teeth, and do not help the jaw reverse bone deterioration. Implants, however, bond with the jaw bone to reverse the effects of bone loss and work to strengthen the existing bone. Implants are much lower maintenance and act just like your natural teeth.

Implant Supported Dentures

These new and improved types of dentures are permanently secured to your mouth so that they act and feel just like a natural set of teeth. They are stable, do not slip, are not uncomfortable, and allow you to eat and drink with confidence. No adhesives are required and your implant dentures can be easily removed for cleaning. Talk to our office about the denture options you have, including Bar-Retained Dentures and Ball-Retained Dentures.



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