Periodontist Alexandria VA
At Precision Periodontics and Implant Dentistry, our specialty trained periodontists have years of experience treating a wide range of stages of gum disease, tooth extractions, preventative care, and placing dental implants. Dr. Zalewsky is proud to apply his years of experience honing the necessary skills to ensure that your procedure is a success. Our office also proudly provides client care using the latest advancements in dental technology, including the following:
- Guided Surgery
- Digital Scanning
- Digital X-Rays
- Cone Beam 3-D Imaging
- Intra-Oral Camera
Precision Periodontics and Implant Dentistry
4660 Kenmore Ave #300, Alexandria, VA 22304
Dr. Justin Zalewsky
Dr. Justin Zalewsky graduated from the Case Western Reserve University School of Dentistry and earned his Certificate of Periodontology and Oral Implantology from Temple University Kornberg School of Dentistry, where he also earned his MS in Oral Biology. Dr. Zalewsky also served as general dentist at Boling Air Force Base and the Pentagon.
Along with being an accomplished periodontist, Dr. Zalewsky is also a husband and father, which is why he understands the importance of having a positive bedside manner and prioritizing his patient care. Dr. Zalewsky is committed to ensuring his patients experience is a positive one, which is why he strongly believes in collaborating closely with referring doctors.
Dr. Antara Daru
Dr. Antara Daru has been in private practice since 2010. Born and raised in Mumbai, India and educated in the US, she brings a great blend of both cultures. Dr. Daru moved to the United States in 2005 and received her specialty training at New York University and the University of Maryland, Baltimore. She graduated in 2010 with a Master of Science in Oral Biology and a certificate in Periodontics. Dr. Daru is Board-Certified in
Periodontics and implant dentistry.
Dr. Daru believes strongly that good communication with patients is essential and is dedicated to providing the best possible dental experiences coupled with excellent treatment outcomes.
Patients who have a missing tooth or teeth have a variety of dental treatment options available to them, one of the most popular being dental implants. Unlike dentures, which can be uncomfortable and require more maintenance, dental implants provide a permanent solution and feel and look much more like a patient’s natural bite and smile.
An increasing number of patients suffer from gum disease every year. Typical symptoms include receding gums, gums that bleed easily after brushing or flossing, halitosis, gums that are swollen, tender, or red, and in more advanced cases, change in your bite and loose or loosening teeth. Fortunately gum disease is generally preventable, provided you practice good daily oral hygiene practices and have a regular checkup every six months.
Your periodontist will generally do everything they can to preserve your natural tooth, but there are instances when a tooth extraction is the best option. Prior to removal of your teeth, a local anesthetic will be applied. Once you are properly numbed, the tooth will be removed and the site will be stitched shut until an implant can be placed.
Wisdom Tooth Removal
One of the most common reasons to have a tooth extraction is wisdom teeth removal. Wisdom teeth typically emerge around the ages of 16 and 20. It is recommended to have them removed as a preemptive method to avoid common issues associated with wisdom teeth, such as crowding of the mouth or wisdom teeth that never fully emerge.
Although sedation dentistry is an option for all patients, it is especially important for patients who have severe dental phobia or who are scheduled for an invasive and complex procedure. There are a range of sedation options available, ranging from mild, moderate, and deep, which can be administered via gas, pill, or IV.
Patients whose gums have begun to move away or pull back from their teeth have what is referred to as gum recession. When gum recession occurs, gaps can develop between the teeth and gums, which can allow for bacteria to accumulate. If bacteria is left untreated, damage to the bone structures and surrounding tissues can begin to occur. There are several procedures that can be performed to address gum recession: talk to your periodontist about which procedure is right for you.
Patients whose gums have become misshapen or receded as a result of gum disease may be good candidates for gum grafting. There are several different types of gum grafts available, including Free Gingival, Connective Tissue, and Pedicle Grafts. Which graft is right for you will be determined by the severity of your particular case.
Frenectomy is most commonly needed for children, but can also be performed on adults. The most common reason to have a frenectomy is because children are “tongue-tied”, which means their frenum runs up to the tip of their tongue. Frenectomies are commonly performed on adults who have been misdiagnosed with TMJ, which has several overlapping similar symptoms. The procedure is relatively quick and fairly painless.
Dental Bone Graft
Patients who are missing teeth and want to have dental implants may learn that their jawbone has deteriorated to the point where it is no longer structurally possible for the jawbone to support a dental implant. In this case, a dental bone graft can be placed to regenerate bone over time and provide enough structure to support an implant.
Patients who are unsatisfied with the ratio of their teeth and gums may be good candidates for a crown lengthening (or shortening) procedure. Crown lengthening can also be performed in conjunction with a range of procedures, including patients having a crown placed, or to restore and repair cracked, broken, and damaged teeth.
Scaling & Root Planing
Patients who have been diagnosed with gum disease will typically require a scaling and root planing procedure. The scaling aspect of the procedure involves removing plaque and tartar from the crown and root, whereas the root planing aspect smooths the root areas out, which makes it harder for plaque, tartar, and bacteria to accumulate and adhere.
Patients who have a disproportionate ratio of gums to teeth are said to have a gummy smile. A gummy smile can occur for a variety of reasons, but is not necessarily indicative of an underlying condition. One of the most common methods for correcting a gummy smile is gum contouring, which reshapes the gums to create a more balanced appearance.
Laser Gum Therapy
Laser gum therapy is a method of treating oral health issues (most commonly periodontitis) using a laser. Laser gum therapy can also be used to perform biopsies, crown lengthening, tissue buildup removal, relieving localized hemostasis, and frenectomies. Lasers have become an increasingly popular treatment option because they minimize swelling, limit the need for anesthesia, are less painful, and do not require stitches.
All on Four Dental Implants
Dental implants are recommended for patients with a missing tooth, but patients who have experienced significant or total tooth loss, All-on-Four Dental Implants may be the most beneficial solution. If it is determined that All-on-4 is right for you, our team will design a unique implant placement plan suited to your particular arch in order to maximize support.
Patients who have significant bone loss in their upper jaw may require a sinus lift. During a sinus lift procedure, bone is added between your maxillary sinuses and your jaw, but in order to make room for this bone, your sinus will need to be lifted. Once the area is ready, the graft will be placed and the incision will be sewn shut and allowed to heal.
Pinhole Surgical Technique
Patients who have experienced gum recession have a variety of corrective procedures available to them, but one of the more popular procedures is Pinhole Surgical Technique or (PST). Part of the reason PST is so popular is that it is a minimally invasive method for addressing gum recession with a significantly reduced recovery time compared to traditional methods.
Having braces is an understandably difficult experience for youth, who are experiencing natural feelings of self-doubt. While these considerations may seem superficial, to younger patients, they are incredibly important. Because we consider the needs of all of our clients, regardless of age, we are happy to provide the Wilckodontics procedure, an innovative approach to straightening teeth in one third of the time compared to traditional braces.
Patients who have a tooth that has become impacted and is not erupting naturally may need to have a tooth exposure procedure. Teeth can become impacted for a variety of reasons, including the tooth not being positioned correctly, prolonged retention or early loss of a primary canine, and/or discrepancies in the tooth size or arch length. Regardless of the reason why the tooth is impacted, tooth exposure is an effective method for treating this issue.
Patients who been diagnosed with periodontal disease may be good candidates for LANAP (Laser Assisted New Attachment Procedure). LANAP is an especially effective, non-invasive treatment for periodontitis. As the only FDA-approved laser treatment for managing periodontal disease, along with a growing body of research that supports the efficacy of its administration, LANAP has become one of the most effective treatment options for addressing gum disease.
Patients who are scheduled to have a tooth extracted may also have a ridge augmentation. Ridge augmentation helps recreate the natural contour of the jaw and gums that have been lost due to the tooth extraction. Because the jawbone will deteriorate at an exponential rate, it is important to have a ridge augmentation performed as soon as possible following the loss or removal of a tooth.
Patient who have experienced significant gum loss are good candidates for gum regeneration procedures. There are a variety of procedures available, including deep cleanings for milder cases and gum grafting or Pinhole Surgical Technique for more advanced cases. Pinhole Surgical Technique has become an increasingly popular alternative to gum grafting because it is less invasive and recovery time is faster, but both are effective treatment options for gum regeneration.
Following a tooth extraction, it is considered best practice to also have socket preservation, which is a method of preventing the socket from closing while the tooth is absent. Socket preservation involves the placement of scaffold material or a bone graft that has been specially designed to preserve the original shape. This graft or scaffold material will remain in place until the implant can be placed.
Guided Tissue Regeneration
Patients who have advanced periodontal disease and/or are attempting to establish new jawbone tissue may be excellent candidates for guided tissue regeneration (GTR). GTR is a method of facilitating bone growth and the growth of gingival tissue through the placement of membranes between the gum and bones, The GTR process also decreases the chances of additional periodontal issues from developing.
Implant Supported Dentures
Patients who have a missing tooth or teeth may be good candidates for implant supported dentures. Unlike regular dentures, which rest on the gums, implant-supported dentures use titanium posts that fuse with the bone and allow for special attachments that can snap onto these posts. Like regular dentures, implant supported dentures should be cleaned daily and removed at night, unless you have a fixed crown placed, in which case you can simply practice normal daily oral hygiene practices.
Every individual has unique health and oral needs. Our staff is committed to helping develop a treatment plan that is designed to help you best address, and more importantly prevent periodontal disease from developing. If you have been diagnosed with periodontal disease, the initial focus will be in correcting its progression. Once the disease has been corrected, we will determine a regular schedule for you to have deep cleanings and what additional steps you can take to ensure you maintain a healthy smile.
Patients who have dentures or are missing the majority of their teeth may be good candidates for Teeth-in-a-Day. Unlike traditional implants, Teeth-in-a-Day involves installing four or six titanium implants into your jawbone. Once these posts have fused to your jawbone, replacement teeth are screwed into place, returning you back to your natural smile. If you have not previously considered this option, Teeth-in-a-Day may be an effective way for you to enhance your self-esteem and reclaim your smile.
Patients who have developed gum disease around their dental implants may benefit from having LAPIP® (Laser Assisted Peri-Implantitis Procedure). LAPIP is a modified version of LANAP and applies many of the same methods to treat gum disease through the use of lasers. If left untreated long enough, gum disease can cause the implants to fail.
Patients experiencing gum loss caused by periodontal disease may be good candidates for a gingivectomy. The gingivectomy procedure involves removing parts of the tissue that are being affected by bacteria, and reshaping the tissue back to a healthy and natural state using a scalpel or laser. Once the gums are properly reshaped, they are sutured shut and a dressing is placed to facilitate the healing process.
Patients that have advanced periodontitis that has resulted in gums receding to the point where the teeth and gums no longer appear bonded together may be good candidates for osseous surgery. The osseous surgical procedure involves exposing the tooth root and removing the tartar buildup. After the tartar is removed, the bone is smoothed and infected tissue is removed. Finally, gums are fitted over the bone and root to allow for healthy tissue to grow.
Laser Gum Depigmentation / Bleaching
Patients who are unsatisfied with their gums looking too dark may be good candidates for laser gum depigmentation/bleaching. Fortunately, dark gums are not indicative of underlying health issues, but it is important for patients to feel confident about their smile. The laser gum depigmentation and bleaching process involves removing a thin layer of gum tissue using a laser. Once this layer is removed, new tissue has an opportunity to develop, which will typically be pinker in color.
Patient who are having comprehensive reconstruction surgery will commonly have an occlusal adjustment as part of the reconstruction process to ensure they have a proper bite. Occlusal adjustment may also be a viable treatment option for patients with TMD. The procedure typically involves reducing the surface of the tooth through selective grinding and then adding restorative material to the tooth surface to improve the contact patterns of the teeth.
Patients suffering from TMJ syndrome have a dysfunction related to the TMJ joint. Treatment options vary, and every patient may have different levels of success. Possible treatment options for TMJ include physical therapy, psychological counseling, lifestyle changes, hydrotherapy, splints, acupuncture, and/or arthrocentesis. Medication treatment options include tricyclic antidepressants, muscle relaxants, and painkillers. Botox treatments have also proven to be effective in certain case.
Patients who chronically grind or clench their teeth while sleeping have Bruxism. Bruxism can result in a variety of symptoms, the most common being headaches and jaw pain. There are several treatment options available, such as mouth guards, splints, stress or anxiety management, biofeedback, and dental correction. There are also several types of medications available that may help correct the issue.
Corrective Jaw Surgery
Patients who require correction of minor or major dental and skeletal irregularities, such as misaligned teeth and jaws may be good candidates for corrective jaw surgery. Corrective jaw surgery can correct or improve a range of issues related to breathing, speaking and chewing, and can also improve the physical appearance of jaws. It is important to be aware this type of treatment will typically include orthodontics, and will be a process that can take several years to complete.
Full Mouth Dental Implants
Patients missing the majority, or all of their teeth may be good candidates for full mouth dental implants. Full mouth dental implants are especially popular for patients unsatisfied with their dentures, as full-arch replacement teeth can improve chewing power by over 85% compared to traditional dentures. Full mouth dental implants will also restore your ability to eat the foods you enjoy, talk without any impediment, and smile with confidence.
More on Alexandria Virginia
Located along the Potomac River, Alexandria, VA is in close proximity to the U.S. Capital and one of 41 independent U.S. cities. Due to its proximity to the U.S. Capital, the majority of the residents in Alexandria are either employed by the military, work in federal civil service, or work for companies that provide federal government services. The U.S. Department of Defense is one of the city’s largest employers.
In addition to having a strong local economy, Alexandria also has a vibrant cultural scene, with a high concentration of antique shops, restaurants, and boutiques, the majority of which are located in Old Town. One of the more popular spots to visit is the Tiny Spite House, which holds the record for being the skinniest house in the United States. (It is called the Spite House because it was built with the express purpose of keeping out loiterers from the original owners alley) Another area that holds a place of unique distinction is the Old Town Farmer’s Market, which is the oldest farmers market in the United States. When you stop in and see the incredible array of vendors pastries, breads, cheeses, fresh fruits and vegetables and more, you will understand why Old Town Farmers Market was listed in the top 25 food markets around the world.
There are also incredible dining opportunities available, including several waterfront restaurants such as the Chart House, Blackwall Hitch, Vola’s Dockside Grill, and Hummingbird, just to name a few. For those more in the mood for comfort food, be sure to stop by Hank’s Pasta Bar, famous for its Italian dishes, or Meggrolls, which serve eggrolls in unconventional flavors. There is truly something for everyone to enjoy in Alexandria!