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Periodontal care to rebuild your smile
Gum disease affects your comfort, confidence, and long-term health. At Lake River Oral & Facial Surgery, we offer advanced periodontal care, including LANAP laser treatment, to stop disease progression, preserve bone, and restore a stable foundation for your teeth and implants.
What is Periodontal Surgery?
Periodontal surgery addresses issues with the gums and bone that support your teeth and dental implants. It’s often needed when gum disease has advanced beyond what cleanings or antibiotics can manage, or when we need to rebuild bone to support future dental implants.
At Lake River Oral & Facial Surgery, our periodontists and surgeons work together and utilize advanced LANAP laser therapy. This minimally invasive option serves as an alternative to conventional gum surgery, encouraging natural healing without the need for cutting or stitches. Whether you aim to keep your natural teeth or get ready for implants, we customize your care at every stage.
Periodontist
Dr. Shayda Sarrami, DDS
Dr. Shayda Sarrami is a skilled periodontist with a reputation for combining surgical expertise with compassionate, patient-centered care. She’s certified in both Washington and Oregon, with credentials in moderate anesthesia, ACLS, and BLS. Dr. Sarrami specializes in treating gum disease, placing dental implants, and performing advanced cosmetic periodontal procedures. She’s also certified in LANAP®, a minimally invasive laser treatment that promotes faster healing with less discomfort.
After earning her DDS from the University of Texas Health School of Dentistry in San Antonio, Dr. Sarrami practiced general dentistry in the Pacific Northwest before completing her periodontics residency at OHSU. She went on to co-establish a thriving periodontal program in Texas before returning home to Portland in 2024 with her husband and their dog, Rio.
Patients know Dr. Sarrami for her warmth, honesty, and clear communication. She takes time to understand each patient’s needs and collaborates closely with referring dentists to ensure continuity of care and successful outcomes.
Periodontist
Dr. Steven Hokett, DDS
Dr. Steven Hockett is a Diplomate of the American Board of Periodontology with more than 20 years of experience treating advanced gum disease, placing implants, and performing surgical procedures to restore oral health and function. He is licensed in both Oregon and Washington and certified in moderate anesthesia, ACLS, and BLS.
Throughout his career, Dr. Hockett has earned the trust of patients and colleagues alike for his clinical precision, ethical approach, and deep commitment to quality care. As a board-certified periodontist, he stays current with the latest advances in regenerative therapy, soft tissue grafting, and implant dentistry to ensure the best possible outcomes.
Whether he’s helping patients reverse the effects of gum disease or working alongside referring doctors to create comprehensive treatment plans, Dr. Hockett brings a steady hand and a caring heart to every case.
How we raise the bar for your care
LANAP Laser Treatment
LANAP (Laser-Assisted New Attachment Procedure) offers faster healing, less post-op discomfort, and promotes true tissue regeneration, no scalpels or stitches required.
No Lectures, Just Great Care
Whether it's been months or years since your last dental visit, we meet you where you are and focus on moving forward with honesty and empathy.
Enhance Your Candidacy for Replacement Options
More than symptom relief, we aim to rebuild a healthy, functional foundation that supports natural teeth and future implants.
What our Patients Say
Services designed around your needs
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Done with dentures? Let’s talk about a smile that lasts
There’s a better solution to dentures that can completely change your life. All-on-X permanently replaces a full arch of teeth and allows you to eat the food you want, smile with confidence, and preserve your healthy jawbone.
At Lake River Oral & Facial Surgery, you'll recieve a truly white glove experience from start to finish. Including concierge-level guidance, honest treatment planning, bundled pricing, and a surgical team that’s fully invested in getting it right the first time.
Request a Consultation
You may need surgery if you have deep pockets between your teeth and gums, exposed roots, loose teeth, or bone loss visible on X-rays. We’ll assess your condition carefully and walk you through your options, starting with the least invasive solution that works.
Not with us. We offer local anesthesia and sedation options to ensure your comfort throughout the procedure. Most patients are surprised at how manageable the recovery is—and how relieved they feel once the infection is addressed.
Yes. Gum grafting allows us to cover exposed roots, reduce sensitivity, and improve the appearance of your smile. We tailor the approach to your anatomy and use techniques designed for comfort and natural-looking results.
Peri-implantitis is a type of infection that affects the tissue and bone around dental implants. If caught early, it can be treated with deep cleanings and regenerative surgery to prevent implant failure. Our team uses advanced tools and techniques to preserve your implants whenever possible.
Often, yes—especially if the procedure is medically necessary due to infection or bone loss. Our team will verify your benefits and provide clear estimates before moving forward.