Periodontics
Bone Augmentation

Tooth loss occurs for many reasons; dental decay, root canal problems, fractures, periodontal disease and trauma. Additionally, at times teeth never develop. As a result of tooth loss, the bone melts away.

Bone grafting materials are used to rebuild and regenerate the bone providing sufficient bone in quantity and quality for implant placements and supporting tooth structure.

Gum Flap Surgery

When deep pockets between teeth and gums (6 millimeters or deeper) are present, it is difficult for a dentist to thoroughly remove the plaque and tartar. Gum flap surgery is a procedure where the gum flap is lifted away from the tooth. Diseased tissue and sometimes bone is removed. The rough surfaces of the tooth are then smoothed by root planing. The area is medicated and the gum flap is replaced and sutured allowing the bone and gum tissue to heal. One of the goals of gum flap surgery is to reduce the depth of the periodontal pockets to make them easier to keep clean.

Frenectomy

If a patient has an excess amount of tissue that connects the lower and upper lips to the jaw and gum line, a frenectomy procedure is performed to remove the excess tissue. A frenectomy is either performed inside the middle of the upper lip, which is called a labial frenectomy, or under the tongue, called a lingual frenectomy. Frenectomy is a very common dental procedure in the dental world and is performed both on children and adults.

Functional Crown Lengthening

Periodontal procedures are available to lay the groundwork for restorative and cosmetic dentistry and/or to improve the esthetics of your gum line. Your teeth may actually be the proper lengths, but they are covered with too much gum tissue. Crown lengthening is a procedure to correct this condition.


During this procedure, excess gum and bone tissue is re-shaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile.


Crown lengthening can make a restorative or cosmetic dental procedure possible. Perhaps your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.

Gum Lift

A gum lift may be performed to create a more even gum line. Patients with a gummy smile can quickly and safely have unwanted tissue removed, thus exposing more tooth to shape a more attractive smile.

Periodontal Bone Graft

The best material for a bone graft is your own bone, which most likely will come from your chin, the back part of your lower jaw or your hip bone. The hip is considered to be a better source because the hip bone has a lot of marrow, which contains bone-forming cells. There are also synthetic materials that can be used for bone grafting. To place the removed bone in the recipient site, little holes are drilled in the existing bone to cause bleeding. This is done because blood provides cells that help the bone heal. The block of bone that was removed will be anchored in place with titanium screws. A mixture of the patient's bone marrow and some other bone-graft material will then be placed around the edges of the bone block. Finally, a membrane is placed over the area and the incision closed. The bone graft will take about 6 to 12 months to heal before dental implants can be placed. At that time, the titanium screws used to anchor the bone block in place will be removed before the implant is placed.

Bone Regeneration

Tooth loss occurs for many reasons, including: dental decay, root canal problems, fractures, periodontal disease, and trauma. Additionally, in some cases teeth never develop. As a result of tooth loss, the bone melts away. If there is inadequate bone to support surrounding teeth and future possible dental implant(s), bone grafting materials are used to rebuild and regenerate the bone. This process aims to provide sufficient bone quantity and quality for implant placements and supporting tooth structure.

Ridge Regeneration

When a tooth is lost and not immediately replaced, the bone reacts to this event by 'shrinking back'. The bone becomes thinner from a width perspective and the bone height is frequently reduced. This process is known as bone resorption. In order to place implants, it is necessary to rebuild the bone width and height through regenerative surgical therapy. Bone grafting of the ridge is almost always required to enable accurate placement of dental implants. The grafting is completed utilizing tissue bank and/or synthetic bone particles combined with collagen membranes. It is a highly predictable procedure.

Sinus Bump

The human skull has several cavities or air spaces called sinuses. When the sinus is enlarged and intrudes on areas where we want to place dental implants, bone or bone growth stimulation material is placed into the sinus. This procedure only affects the maxillary sinuses, which are located just over the molar teeth in the upper jaw. The side of the maxillary sinus is opened and the bottom is raised so it will fill in with bone. Several months later, dental implants can be placed in solid bone.


An "Osteotome Lift" is a surgical procedure that raises the floor of the sinus directly over where the implant is placed. This can be done without actually opening the sinus.

Sinus Graft

In the back of the upper jaw bone dental implants are frequently needed. In order for a dental implant to be successful in this area of the mouth there must be sufficient bone height and width to connect (integrate) to the dental implant. When the upper back teeth are lost and not replaced the sinus cavity becomes enlarged destroying any bone that is left behind. This very large sinus is like a "giant air pocket" and not capable of supporting an implant. A procedure known as sinus grafting (sinus lift) is performed to create bone that will ultimately hold the implants within the sinus. Sinus grafting is an extremely common form of bone grafting.

Sinus Lift

The human skull has several cavities or air spaces called sinuses. When the sinus is enlarged and intrudes on areas where we want to place dental implants, bone or bone growth stimulation material is placed into the sinus. This procedure only affects the maxillary sinuses, which are located just over the molar teeth in the upper jaw. The side of the maxillary sinus is opened and the bottom is raised so it will fill in with bone. Several months later, dental implants can be placed in solid bone.


An "Osteotome Lift" is a surgical procedure that raises the floor of the sinus directly over where the implant is placed. This can be done without actually opening the sinus.

Socket Regeneration

When a tooth is extracted and an implant is to be placed (either simultaneously or in the future) it is always necessary to complete bone grafting within the residual sockets that are left behind after the roots of the tooth are removed. The shape of the tooth root is always different from the shape of a dental implant and hence there are always residual socket defects (holes) that must be filled in so that there can be excellent contact of the implant to the newly formed bone.

Soft Tissue Grafting
Soft Tissue Grafting

A frequent periodontal condition is known as gum recession. This means the existing gum tissue has receded up or down the root of the tooth exposing various amounts of the root. Root exposure can create root sensitivity especially to hot and cold, an increased potential for root decay, and/or esthetic concerns. Gum grafting procedures are the treatment of choice to prevent the recession from continuing further. There are many different types of recession and hence many different types of gum grafting. Some are aimed at covering the root of the tooth and other procedures are focused on providing an excellent new zone of gum tissue to halt the recession.

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Center For Advanced Dentistry (Reviews)
Overall Dental Practice Rating - ★★★★★ 5 out of 5 based on 14 ratings.
Fourteen San Jose Dentist Reviews.

★★★★★
Super friendly and inviting office.... but I hear they're moving to an even better location two doors down!
The staff is welcoming and friendly, and Dr. Lim is awesome, makes you feel like family and you've known him forever.
Recently went in for impressions and WOW, they rocked it. I've had braces 3x and every time I swear they mix the paste wrong and choke me! Not here. They had just finished up some safety standard meeting with a trainer. It's always nice to know they're staying informed about sanitation and cross contamination to keep their patience safe.
Location is a little hard just because it's a divided road, you'll have to flip a u-ie if you're going back toward Santa Clara. Totally worth a visit.

★★★★★
The motto of this dental practice should be "come for the dental work, stay for the view!"
Seriously, this office has the most amazing view of the bay; it's up on the 6th floor above Union Street and from your little dental chair of doom one can enjoy sweeping views of the Golden Gate Bridge, Alcatraz, and the rest of the postcard perfect sights while biting down on that evil little piece of plastic to get your x-rays. We're talkin' a penthouse suite, big balla type view - if this was a hotel room it would be $1,000 a night. But instead of paying big bucks, I just have to put up with a little bit of scraping and grinding and I can enjoy it for FREE! (Thanks dental insurance!)
I've been coming here since I was a kid (when it was Dr. Bolan's practice) and somehow the fabulous views and kind staff always made getting my teeth cleaned much easier. My dental hygienist, Stephanie, is gentle, efficient, and detail oriented, and the front office staff are always pleasant and helpful.
Dr. Lim is the newest member of the practice (which used to include Dr. Keith and Dr. Chao) and I believe he has pretty much taken over for them. He is young, smart, knowledgeable, and easy to talk to. He's a prosthodontics and dental implant specialist, so since I basically just come in for cleanings and the occasional tiny cavity, it's kind of like having Thomas Keller fix you a grilled cheese sandwich - he's way too talented and educated for my minor dental issues, but he always treats me like I'm as important as anyone else.

★★★★★
Dr Steven Lim sold his practice to Dr Potesta-Knoll and Dr Knoll this past year but they're ALL awesome. I had Dr Lim remove a tooth for me in November and since he sold the practice he incorporated Dr Potesta-Knoll and Dr Knoll into my treatments. The transition was WAYYY easier than I was afraid (no one likes change) but they're all so nice and helpful. Dr Potesta always has a smile on her face and Dr Knoll was very warm and understanding to any little issues I had with my dental implant.
And their Nurses and support staff make appointments so simple and always glad to see me! Especially Sue who I've been dealing with since last year when she saw me through my worst!
Ada and Bella are also super duper real and they're so nice I don't think "nice" is the best way to define this team! And Dr Potesta has a few new nurses/support staff who I don't know the names of but I just don't think there's every been a grumpy person in that office.
Although I have no insurance coverage and I am paying for everything myself, they're one of the few that I will say, money well spent and well worth it!

★★★★★
Great service!! Friendly nice professional staff. Very gentle but still great, they make you feel very comfortable and welcome. If your looking for a nice reliable trustworthy spot this is it!

★★★★★
After feeling not very well attended to at my previous dentist, and having my wife be very happy with hers. I started considering switching to hers: Dr Lim.
Another reminder was the quality of her mouth guard (that Dr Lim made) compared to mine. Mine was just way cruder, bigger and I assume less comfortable.
So I switched. I have been there about 5 times now, and had both routine and substantial dental work done. Every time I have had the experience that Dr Lim and his staff are attentive, committed to quality work and a happy me, and able to deliver on both :)

★★★★★
Having lived in San Francisco for nearly 5 years, I can say with out hesitation that Steve Lim is the best dentist I have found, after visiting many. I found his practice being referred by a friend after I had a filling done by another dentist (I will not mention) which was causing me pain.
Dr. Lim identified the problem that my previous dentist had broken the filling and did not repair it correctly, he re performed the corrective procedure, and now it is better than it ever. I would enthusiastically recommend Dr. Lim and his friendly staff to any friend.

★★★★★
Dr. Lim and his staff are simply the best. I have had so much dental work done I feel like a professional critic by now! I have gone through oral surgeons, ortho's and prosthodontists and he is by far the best I have seen. He is honest, easy to talk to, and he listens. But most importantly, his work is really good. I received a dental implant from him that was painless, I was not even swollen the next day. I think I took one ibuprofen. He is completely comprehensive in his care, meticulous, and humble. He is the only dentist I see now.
It is so important to put you dental care in the hands of a true professional, I am grateful to have found him.

★★★★★
You won't find a better dentist, seriously, I know. I've moved many times and have had to jump around to many different dentists, but Dr. Lim and his staff are so good, that no matter where I end up, I'll always come back. The staff is super friendly and the teeth cleanings are not your normal run of the mill cleanings...they are seriously no joke! She takes her time and gets into every possible nook and cranny. I can't help but flash a huge smile every time I leave the office and walk down Union St. showing off what feels like a whole new set a squeaky clean teeth. Dr. Lim always remembers little things about me and treats me like I feel he would family. He's very personable and acts like he cares a lot. He always explains what he's doing and prepares me for what's to come next. The implant I had to get ended up being a far less scary procedure than I expected and couple years later, it still seems perfect. He walked me though the whole thing and even followed up after the procedure to see how everything was going, which again shows that he really cares about the patient and his work.

And the cherry on top is the incredible view!! It really doesn't get any better. Laying down on that super comfy leather recliner, having someone clean my teeth and enjoying the amazing view of the Palace of Fine Arts, the GG Bridge and the Bay makes me feel like I'm treating myself to a spa day! I actually look forward to my visits to Dr. Lim's office and go in a lot more regularly to get my teeth cleaned. Highly recommend a visit to Dr Lim's office...you won't be disappointed!

★★★★★
I used to dread going to the dentist especially for fillings but Dr. Lim is amazing. I couldn't feel a thing and I have a ridiculously low pain threshold!! Don't hesitate to see him...

★★★★★
Best dentist, Best dental hygienists, Best office staff, Best Location! Highest marks for this extraordinarily well qualified (academics, experience, specialized training in several areas of state-of-the-art dentistry) San Francisco dentist. Dr. Lim's dental practice is run with the patient's comfort and high quality care as first priority. You know you are being treated by a dentist and staff who are highly qualified and professional, as well as current on the latest in dental health and state-of-the-art dental procedures

★★★★★
I can only say positive things about Dr. Lim and his office. I had a couple of implants put in just yesterday and I wasn't even nervous at all. He did a fantastic job as always. I will never go to any other dentist office again! They have the newest technology equipment. The staff personnel is very professional and super nice. The office itself is super clean...even the restroom! Actually I was quite impressed with the restroom because it was/is exceptionally clean and all new. Thank you so much for all the great work you have already done and are going to still do!

★★★★★
We found Dr.Lim since his new office is located near us off Bascom. My husband went to him first came back raving about how great they were. I booked my appointment a week later. He was so right! They are awesome! They did such a great job cleaning and the Dr.even did a little extra sanding on one tooth that was chipped and causing staining. What I really loved most was how nice they were and that they didn't turn into a car dealership and just try to sell me garbage like my last dentist in Los Gatos. I highly recommend this office to anyone looking for a dentist.

★★★★★
I highly recommend Dr. Lim, as he is a world renowned prosthodontist - the best one in the Bay Area (trust me, I did my research!).
I've been going to his office for cleanings and cavity fillings for over 2 years before I decided to trust him with one of the most important things in my life - my smile make-over for my wedding. Dr. Lim did an amazing job! I used to always smile with my mouth closed, never showing my teeth. Now, my smile is so open and radiant. I'm not afraid of showing my pearly whites and I am constantly getting compliments on them. This literally made me a 'happier' person - I smile widely all the time!!!
Dr. Lim and his staff are caring and professional. Everyone who works at his office seem to genuinely enjoy what they do, and they are always cheerful and helpful. No one likes going to the dentist, but this place makes it as enjoyable as it can be. And if you're looking for a smile make-over, Dr. Lim is your guy!

★★★★★
Love this dentist office They are always so friendly and efficient! Dr. Lim is such a nice guy and knows his work.