IMPrESS Perio Implant Center

10/20/2026

🚨 IMPLANT COMPLICATION: THE MISSING PIECE OF THE PUZZLE — SOFT TISSUE. 🦷✨

An implant placed at another practice several years ago presented with a significant soft-tissue deficiency, including absence of keratinized tissue and attached gingiva, peri-implant bone loss, exposed implant threads, and soft-tissue mobility.

The problem wasn’t simply what was happening to the implant — it was also the quality and stability of the tissue surrounding it.

🔬 Our solution? A free gingival graft (FGG) harvested from the patient’s palate.

By augmenting the peri-implant soft tissue, our goal was to establish a wider zone of firm, keratinized, attached gingiva and improve tissue thickness and stability around the implant.

✨ Why does this matter?

✅ Creates a more stable, immobile soft-tissue seal around the implant
✅ Improves resistance to mechanical trauma during daily oral hygiene
✅ Can make plaque control more comfortable and predictable
✅ Increases the amount of keratinized, attached tissue around the implant
✅ Helps establish a healthier soft-tissue environment for long-term maintenance

⚠️ The key takeaway: Successful implant dentistry is not just about placing an implant or restoring it with a beautiful crown. The surrounding soft tissue matters, too.

When soft-tissue deficiencies develop, timely assessment and appropriate soft-tissue augmentation may help improve the conditions for long-term peri-implant health.

Beautiful implant dentistry starts with a strong biological foundation. 🦷💎

📍 At IMPrESS Perio Implant Centre, we focus on the complex details that make a difference in implant care.

KeratinizedTissue Periodontics SoftTissueGrafting ImplantDentistry IMPrESSPerio

10/14/2026

🦷 When anatomy challenges implant planning.
A large submandibular fossa can significantly influence implant placement in the posterior mandible. This CBCT case highlights the importance of three-dimensional assessment, careful evaluation of lingual concavities, and meticulous treatment planning before surgery.

⚠️ The caveats: A pronounced lingual undercut can increase the risk of lingual cortical perforation, bleeding, and injury to adjacent soft tissues during osteotomy preparation. In this case, the anatomy and restorative considerations required us to rethink the treatment approach, including the removal of the mandibular canine and premolar to facilitate the planned rehabilitation.
🦴 Our regenerative approach: Guided bone regeneration (GBR) using autogenous bone and xenograft, combined with a connective tissue graft (CTG), to address the site-specific hard- and soft-tissue challenges.

Every complex case starts with understanding the anatomy, anticipating the risks, and planning for predictable outcomes.

📸 Stay tuned for the surgical photos to see how we approached this challenging case!
IMPrESS Perio Implant Center - Dr. M. Noroozi

10/13/2026

✨ ADM + Pinhole Technique: Where Periodontal Science Meets Artistry ✨

Treating gingival recession is more than a surgical procedure — it’s an art that demands precision, vision, and exceptional clinical skill.

With ADM (Acellular Dermal Matrix) and the Pinhole Surgical Technique, Dr. Noroozi applies a refined, tissue-conscious approach to gum recession treatment, focusing on delicate tissue manipulation, meticulous technique, and natural-looking esthetics. 🦷🎨
Every millimeter matters. Every movement requires control. Every smile deserves an individualized approach.

The mastery Dr. Noroozi has developed reflects the artistry behind advanced periodontal care — combining surgical precision with an eye for harmony, tissue contours, and beautiful, natural-looking results.
📍 Looking for a periodontist in Burnaby or Vancouver, BC, for gum recession treatment? Discover a personalized approach to periodontal care that puts precision, esthetics, and your gum health first.

📩 Contact our office to learn whether ADM and the Pinhole technique may be suitable for your smile.

Healthy gums. Refined technique. Artistry in every detail.

10/03/2026

WHEN THE BONE ISN’T THERE, WE BUILD IT.

For some patients, the back of the upper jaw doesn’t have enough bone to support a dental implant safely and predictably.

That’s where sinus augmentation can make the difference.

At IMPrESS Perio Implant Center, sinus lift procedures are carefully planned using advanced digital imaging and 3D CBCT technology. The goal is to create the bone volume needed for long-term implant stability—while respecting the delicate anatomy of the maxillary sinus.

🦷 Sinus Lift + Bone Regeneration
🦷 Implant Site Development
🦷 Complex Implant Reconstruction
🦷 Digital 3D Treatment Planning

Every case is different. Some require a minimally invasive transcrestal approach, while others benefit from a lateral window sinus augmentation with simultaneous or staged implant placement.

The implant is only as strong as the foundation beneath it.

At IMPrESS Perio, we focus on building that foundation properly—because predictable implant dentistry starts long before the implant is placed.

📍 Vancouver / Burnaby
IMPrESS Perio Implant Center
Advanced Periodontal & Implant Reconstruction

IMPrESS Perio Implant Center - Dr. M. Noroozi

10/03/2026

10/03/2026

✨ Chrome Guide Surgical Workflow — Mandible
From the initial CBCT and intraoral scan to virtual implant planning and guided surgery, every step is designed around a prosthetically driven approach.

🔹 Digital diagnostic planning
🔹 3D evaluation of anatomy
🔹 Prosthetically driven implant positioning
🔹 Customized Chrome Guide
🔹 Guided osteotomy and implant placement
🔹 Streamlined restorative workflow

The goal is simple: plan digitally, execute precisely, restore predictably.

At Impress Perio, technology is more than a tool — it is part of our commitment to delivering thoughtful, patient-centered periodontal and implant care.

📍 Impress Perio
🦷 Advanced Periodontal & Implant Care
💻 Digital Implant Planning | Guided Surgery


Lab: Protec Dental Laboratories

10/02/2026

✨ Transforming Advanced Gum Recession with Precision & Care ✨
Exceptional periodontal artistry and meticulous technique by Dr. M. Noroozi at Impress Perio. A beautiful example of how modern periodontal treatment can restore gum health, tissue coverage, and confidence. 👏✨

Precision. Healing. Transformation.

09/25/2026

Lingual recession is one of those periodontal challenges where every detail matters.

When severe recession occurs on the lingual aspect of the mandibular incisors, especially with little or no keratinized tissue, treatment becomes far more than simply covering an exposed root.

Limited visibility.
Restricted access.
Delicate, thin tissues.
Challenging flap management.
And anatomy that leaves very little room for error.

This is where lingual connective tissue grafting (CTG) demands precision, experience, and an intimate understanding of periodontal biology.

The goal is not simply to place a graft.

It is to reconstruct a stable, healthy soft-tissue environment where biology can do what it does best: heal and protect.

These are the cases that remind us why periodontal microsurgery is both a science and an art.

Difficult anatomy. Precise technique. Thoughtful biology. Meaningful results.

🦷 Dr. Noroozi | Periodontist
Impress Perio

08/23/2026

✨ Precision Planning. Tooth Preservation. Life-Changing Results. ✨

This patient presented with advanced periodontal disease, a high smile line (gummy smile), and a severely compromised maxillary dentition.

A high smile line is one of the greatest esthetic challenges in full-arch implant rehabilitation, as the prosthesis–tissue junction may be exposed during smiling. Without careful planning, this can lead to visible transitions, unnatural soft tissue contours, phonetic issues, and compromised esthetic outcomes.

Our philosophy is simple: preserve natural teeth whenever possible.

Before implant rehabilitation, the patient underwent comprehensive periodontal therapy to stabilize and improve the remaining mandibular dentition, allowing preservation of healthy lower teeth instead of unnecessary full-mouth extraction.

The final rehabilitation included:
✅ Maxillary All-on-6 fixed full-arch restoration with a milled titanium bar supporting monolithic zirconia teeth
✅ Two posterior mandibular implant-supported segmental bridges, preserving the patient’s natural anterior teeth

Using the Chrome Guided Surgery system, implants were placed with prosthetically driven precision. Nexus IOS digital impressions ensured an accurate passive prosthetic fit, contributing to predictable long-term function and esthetics.

This case highlights that successful implant dentistry isn’t about replacing every tooth—it’s about combining periodontal therapy, digital technology, and meticulous planning to preserve what can be saved while restoring what has been lost.

IMPrESS Perio
Preserving Nature. Restoring Smiles.

07/08/2026

✨ Precision Planning. Tooth Preservation. Life-Changing Results. ✨

This patient presented with advanced periodontal disease, a high smile line (gummy smile), and a severely compromised maxillary dentition.

A high smile line is one of the greatest esthetic challenges in full-arch implant rehabilitation, as the prosthesis–tissue junction may be exposed during smiling. Without careful planning, this can lead to visible transitions, unnatural soft tissue contours, phonetic issues, and compromised esthetic outcomes.

Our philosophy is simple: preserve natural teeth whenever possible.

Before implant rehabilitation, the patient underwent comprehensive periodontal therapy to stabilize and improve the remaining mandibular dentition, allowing preservation of healthy lower teeth instead of unnecessary full-mouth extraction.

The final rehabilitation included:
✅ Maxillary All-on-6 fixed full-arch restoration with a milled titanium bar supporting monolithic zirconia teeth
✅ Two posterior mandibular implant-supported segmental bridges, preserving the patient's natural anterior teeth

Using the Chrome Guided Surgery system, implants were placed with prosthetically driven precision. Nexus IOS digital impressions ensured an accurate passive prosthetic fit, contributing to predictable long-term function and esthetics.

This case highlights that successful implant dentistry isn't about replacing every tooth—it's about combining periodontal therapy, digital technology, and meticulous planning to preserve what can be saved while restoring what has been lost.

IMPrESS Perio
Preserving Nature. Restoring Smiles.