We take care of all your dental needs under one roof.
At CIMA Oral Surgery clinic, we believe in the power of a smile as it speaks for itself. Committed to delivering top-notch dental care at the best price, we provide a comprehensive array of services to cater to all your family’s oral health requirements conveniently under one roof.
Our primary goal is to ensure that your visit to our clinic is not only memorable but also pleasant. Our warm and empathetic staff is dedicated to making you feel comfortable and at ease throughout your time with us, striving to create a homely atmosphere that fosters trust and relaxation.
Comprehensive Specialized Dental Services
General Odontology
Welcome to your trusted dental clinic, providing a wide range of general odontology services for your oral health needs and prioritizing patient satisfaction. From routine exams and cleanings to restorative treatments, our experienced team is dedicated to delivering high-quality care in a comfortable environment. Trust us to tailor personalized solutions to achieve your dental health goals.
Book your appointment now for expert care and a brighter, healthier smile!
Experience the difference at CIMA Oral Surgery clinic – your trusted destination for exceptional dental procedures.
Our comprehensive services allow you to receive all needed dental care right here in our clinic.
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Oral Surgery
CIMA stands as your top-choice destination for specialized oral surgery procedures. Our expert team is trained to perform a wide range of surgical interventions that take care of your mouth and jaw needs. From dental implants and impacted wisdom teeth extraction to gum biopsies, reconstructive surgery, and thorough pre or post-procedure care, we are dedicated to delivering exceptional surgical solutions to enhance your oral health and well-being.
All-on-4
Dental Implant
Dental Extraction
Gum Surgery
Sinus Lifting
Bone Grafting
Dental Extraction
As specialists in oral surgery, one of our main procedures is third molar extraction surgeries and addressing retained teeth. Our methodologies encompass the various tissues of the oral cavity, ensuring comprehensive care.
We prioritize your comfort and safety throughout these procedures, recognizing that every patient deserves a pain-free experience. Our goal is to enhance your overall experience by minimizing discomfort and reducing healing time, ultimately aiming for your optimal well-being.
We perform two main types of dental extractions
Simple Dental Extraction
When your tooth is visible above the gum line but damaged or broken, we can assess the situation with X-rays to determine the best approach.
If the damage is severe or if there are cavities that cannot be addressed with a root canal, a simple extraction may be necessary.
In some cases, such as with wisdom teeth or to create space for corrective orthodontic treatment, children or teenagers may also require tooth extractions.
Following the extraction and your recovery period, we can discuss replacement options if necessary, such as implants or other devices, to restore your smile and maintain your oral health.
Surgical Dental Extraction
When your tooth is not visible, as is often the case with wisdom teeth, removal could be required in certain scenarios. This includes tooth crowding, a discrepancy in size between the teeth and the jaw, impacts, or their eruption at an angle or partially above the gum line, which may require a surgical extraction.
During surgical dental extractions, it’s common for the tooth to be fragmented into multiple pieces for easier removal.
Screening for wisdom teeth typically begins in late adolescence, as partially developed teeth can become impacted. The emergence of wisdom teeth can exert pressure on neighboring teeth, leading to discomfort or misalignment.
Bone Grafting
It’s performed in order to minimize hard and soft tissue loss after a tooth extraction. Preservation of sockets through bone grafting (with or without a membrane) typically results in a reduction of ridge width by an average of 2 mm less, a decrease in ridge height by 1 mm less, and an increase in bone volume by approximately 20% compared to sockets that were left ungrafted.
All grafting products are NOT created equal. The graft material used should facilitate the three tenets of bone regeneration:
- clot stability
- space maintenance
- blood supply/bone-forming cells
At CIMA Oral Surgery, we choose the best quality materials to provide scaffolding space maintenance as well as stabilizes the blood clot, that is why we use Geistlich Bio-Oss Collagen (Geistlich Pharmaceuticals) for all bone grafting procedures.
Sinus Lifting
We’ll meet with you the day before the surgery to discuss the procedure’s risks and benefits thoroughly. This is your opportunity to ask any questions you may have and review all available options before making a decision.
On the day of the procedure, we’ll begin by making an incision along the gum line where the rear teeth were located. Once the incision is made, we’ll gently lift the gum to expose the underlying bone surface.
Using a specialized tool, we’ll create a small oblong-shaped window in the bone, providing a clear view of the sinus. The sinus membrane will then be carefully moved upward and away from the jawbone. After lifting the sinus, graft material will be inserted into the space to promote jawbone growth.
Once the graft material is in place, we’ll close the gum with a few stitches. Ample time will be allowed for healing, and a few months later, the implants will be placed. Follow-up appointments will be scheduled to ensure that the healing and growth process is proceeding as planned.
Post Surgery Guidelines and Complications
Our comprehensive post-surgery care ensures patients feel supported and empowered, leading to successful outcomes and improved oral health.
Periodontics
Beyond just addressing teeth, we specialize in treating the surrounding tissues. Our treatments cater to patients experiencing dental mobility, gum bleeding, and gingival infections. We offer both non-surgical interventions and periodontal plastic surgery to restore oral health. From correcting elongated teeth to addressing excessive gum inflammation, we provide comprehensive care to enhance your smile and overall oral well-being.
Regular Dental Cleaning
Scaling and Root Planing
Root Surface Debridement
Crown Lengthening
Gum Grafting
Dental Cleaning
Patients’ cleaning needs vary depending on their oral health condition.
We begin with either a standard dental cleaning or a supragingival cleaning, depending on your needs. A supragingival cleaning effectively removes stains, yellowing, tartar (calculus), and plaque buildup above the gum line. Additionally, upon request, we can conduct an Oral Evaluation/X-rays to identify areas requiring further attention and to prevent periodontal disease.
Scaling and Root Planing
Scaling involves removing plaque and tartar above and below the gumline, ensuring thorough cleaning to the base of the pocket, which represents the space between gum tissue and tooth attachment and ideally measures one to three millimeters deep. To minimize discomfort, we numb the gums and tooth root with local anesthesia.
Following Scaling, root planing smooths tooth roots to aid gum reattachment and removes hard tartar buildup, which may temporarily make teeth feel loose. However, the procedure itself does not loosen teeth; instead, it provides a clean surface for gum reattachment. Post-treatment, expect numbness from anesthesia followed by mild gum tenderness.
Root Surface Debridement
Root Surface Debridement is a powerful treatment for skin wounds, particularly effective when combined with good oral hygiene.
Unlike Root Planing, which targets only the root surface, Debridement removes foreign material and dead or infected tissue, allowing the healing process to restart. While full mouth debridement requires prior removal of plaque and calculus for a thorough oral evaluation, it cannot be performed on the same day. Expect minor side effects such as sore gums, temporary sensitivity, and shrinkage lasting a few weeks after the procedure.
Crown Lengthening
Crowns provide vital support to natural teeth in dentistry. However, in cases of severe decay or chipping, proper crown fitting may require crown lengthening.
This procedure is performed in the dentist’s office as an outpatient treatment. Local anesthetics ensure comfort during the procedure, with mild sedation sometimes used depending on the severity of the damage and treatment duration. The dentist begins by cleaning the area thoroughly and then gently cutting back the gums to expose the bone and roots. A salt water solution is applied to cleanse the area, and small sutures secure the area to complete the process.
Gum Surgery and Grafting
At CIMA Oral Surgery clinic we also offer dental procedures that improve gum health and appearance.
When gums appear bright red, bleed easily, or feel swollen, it often indicates gum disease. This condition arises when food particles mix with bacteria to form plaque, which hardens into tartar if not removed by brushing and flossing. Tartar accumulation can irritate gums, leading to gingivitis. As plaque extends below the gumline, the body’s immune system reacts, causing periodontitis and potential jawbone deterioration.
Symptoms of gum disease include persistent bad breath, swollen or bleeding gums, loose teeth, altered taste sensation, or mouth sores. Prompt attention to these signs is crucial to prevent further gum disease progression and preserve oral health. Gum surgery treats gum-related issues such as gum disease by removing excess gum tissue, cleaning tooth roots, or reducing pocket depth to restore gum health, reduce inflammation, and prevent tooth loss.
In cases of gum recession, gum grafting is necessary to cover exposed tooth roots, alleviating sensitivity, lowering the risk of decay, and addressing aesthetic concerns. In this procedure, gum tissue is taken from one part of the mouth, usually the palate, and transplanted to areas with gum recession or where additional gum tissue is required. This technique is utilized to cover exposed tooth roots resulting from recession, which helps reduce sensitivity and the risk of decay. Various types of grafts are employed based on the specific requirements of the patient.
Dental Prosthesis
We offer a wide range of options including dentures, partial dentures, orthodontic appliances, dental implants, crowns, bridges, and braces. Our focus is on providing high-quality dental prosthetic options to meet your needs. Whether you need full-mouth restoration or targeted tooth replacement, our dedicated team is committed to delivering tailored solutions to restore your smile and enhance your oral health.
Traditional Complete Dentures
Partial Dentures
Implant Supported Dentures
Snap-in Dentures
Overdentures
Upper Dentures
Economy Dentures
Types of Dentures
Traditional Complete Full Dentures
Partial Dentures
Implant Supported Fixed Dentures
Snap-On Dentures
Endodontics
We specialize in both routine dentistry and intricate endodontic procedures, tackling everything from standard root canal treatments to complex endodontic surgeries and specialized procedures aimed at preserving your natural teeth. Our team excels in efficiently managing a diverse range of challenging endodontic issues with expertise and precision.
Root Canal Treatment
Periapical Surgery
Endodontic Retreatment
Post and Core Reconstruction
Root Canal Treatment
Endodontics is a conservative dental procedure involving the removal of injured pulp tissue from a tooth, either partially or entirely, followed by sealing of the pulp canal. The tooth pulp, a small soft tissue housing nerves and blood vessels, resides in the innermost portion of the tooth and connects with the jawbone. Beyond its role in tooth formation, the pulp plays a crucial function in perceiving external stimuli.
During a root canal procedure, commonly referred to as “killing the nerve,” the diseased pulp tissue of the tooth is meticulously cleaned and filled with biocompatible material to seal it. This treatment is among the most frequently performed procedures in dentistry and aims to preserve teeth deemed dead, diseased, or damaged, ultimately saving them from extraction.
Although other factors can contribute to this situation, deep cavities are often the primary cause. If left untreated, deep cavities can damage the pulp of the tooth, which is situated in the deepest part of each tooth.
Endodontic treatment may be suggested for teeth needing extensive preparations for crowns or bridges. The procedure involves removing part of the dental pulp by accessing the tooth’s interior through the root canals. After cleaning and sealing the canals to prevent further infection, the tooth is restored with a filling or a combination of a filling and a dental crown.
Root canals are exclusively performed on permanent teeth, not on children’s primary teeth. Damaged primary teeth may require a pulpectomy instead.
The Root Canal Procedure
Periapical Surgery
Root canal therapy can fail in various situations, prompting the need for alternative treatments. Periapical surgery is one such option, allowing the removal of a periapical injury while preserving the affected tooth, particularly in cases unresolved by conventional root canal treatment. This surgical procedure is conducted under local anesthesia.
The primary goal of periapical surgery is to achieve tissue regeneration around the apex of the tooth (periapex). This involves removing the entire periapical lesion through curettage and root apex resection, as well as ensuring proper sealing of the root canals to prevent re-infection and exposure to irritants, thereby minimizing the risk of recurrence.
Over time, different classification systems have been developed to determine which cases are suitable for periapical surgery and which may benefit more from retreatment with root canal therapy.
Endodontic Retreatment
With proper care, teeth that have undergone root canal treatment can last a lifetime. However, there’s a possibility of improper healing, leading to pain or infection months or even years later. In such cases, retreatment offers a second chance to save the tooth. If you suspect a previously treated tooth needs retreatment, visit us for evaluation.
Various factors can contribute to inadequate healing after initial treatment, including:
- Inadequate treatment of narrow or curved canals.
- Undetected complicated canal anatomy.
- Delayed placement of the crown or restoration.
- Failure to prevent contamination inside the tooth during restoration.
Additionally, new issues may arise, such as:
- New decay causing infection.
- Cracked or broken crown or filling exposing the tooth to infection.
- Tooth fracture.
During retreatment, we remove infection, clean and shape the canals, and place temporary filling materials. After the tooth has healed, typically requiring another visit, anew crown or restoration is placed to protect it.
Post & Core Reconstruction
A post and core crown is a dental restoration used when there’s insufficient sound tooth tissue to support a traditional crown. It involves inserting a post into a prepared root canal to provide support for a core restoration, which anchors the final crown.
The primary role of the post is to support the core restoration and crown, distributing stresses downward onto the root to minimize the risk of coronal fracture. This technique enhances crown retention.
Posts are more commonly required for anterior teeth than posterior teeth due to the larger pulp chambers in multi-rooted teeth, which offer better support for core and crown retention. Anterior teeth, being smaller and less retentive, often necessitate the use of posts for restoration.
Orthodontics
We offer comprehensive orthodontic services, including diagnosis, prevention, and correction of malpositioned teeth and jaws. Our treatments range from conventional brackets and self-ligating braces to aesthetic brackets and invisible aligners. We also provide occlusal/night guards and minimally invasive maxillofacial orthopedics to address various orthodontic needs.
Types of malocclusions
Class I, II or III Malocclusion
Overjet
Overbite or Deep Bite
Jaw Relationship
Cross Bite
Open Bite
Self-ligating Brackets
Self-ligating brackets provide several benefits for orthodontic treatment. They enhance oral hygiene by minimizing plaque buildup, offer increased comfort with reduced friction and pressure on teeth, and enable faster tooth movement, resulting in shorter treatment durations.
Furthermore, they reduce the frequency of office visits, allowing for longer intervals between appointments. This makes them a convenient option, especially for individuals traveling for treatment, such as those from the United States seeking orthodontic care in Tijuana, where appointments may occur every two months.
Aesthetic Brackets
They are available in both conventional and self-ligating types, closely match the color of your teeth, making them ideal for patients seeking discreet braces.
Advantages:
- Virtually unnoticeable
- Faster tooth movement (18 to 36 months) compared to clear aligners
- Customizable in various colors
- Minimal interference with imaging test
Disadvantages:
- Higher cost compared to metal braces
- Potential for gum sensitivity
- Less durable than metal brackets
- Slower tooth movement compared to metal braces
- Prone to staining, which may persist until replacement.
Invisible Aligners
Invisible aligners are custom-made, heat-formed plastic guards designed to gradually move your teeth. This treatment option offers exceptional comfort, allowing you to consume all types of food while maintaining good oral hygiene practices. Additionally, invisible aligners are incredibly convenient and easy to use. One of their primary advantages is their nearly invisible appearance, making them an appealing choice for individuals seeking discreet orthodontic treatment.
Occlusal Guards
At our clinic, we offer custom-made occlusal guards, crafted with precision using a 3D printer, to alleviate symptoms associated with temporomandibular joint (TMJ) issues. These guards are tailored to combat various symptoms that may indicate a need for their use:
- Headaches and ear pain
- Discomfort when opening or closing the mouth
- Teeth grinding or clenching during sleep
- Audible clicking or deviation of the jaw when opening
- Dental wear and diminished tooth size
- Difficulty closing the mouth after yawning or laughing
- Fatigue while chewing hard or tough foods
If you experience any of these symptoms, a mouthguard may be recommended to address your TMJ-related concerns effectively.
Minimally Invasive Maxillofacial Orthopedics
We aim to prevent and correct bone disorders with a focus on patient comfort and effectiveness. Unlike traditional orthopedic treatments that often involved bulky and uncomfortable braces, our approach prioritizes comfort and efficacy. With our minimally invasive techniques, patients experience braces that are more comfortable, cleaner, and highly effective. If your child exhibits habits like thumb or finger sucking, or displays a smile that reveals lower teeth more prominently than upper ones, early orthopedic treatment may be recommended to prevent potential future issues.