Chao Pinhole® Surgical Technique
Minimally invasive treatment for gum recession — no incisions, no sutures, no donor tissue. Dr. Isler trained under Dr. John Chao, who developed it.
Read moreMark S. Isler DDS, MS
Board-Certified Periodontist & Implant Surgeon · Novi, Michigan
Dr. Mark Isler
Novi · West Bloomfield · Milford · Commerce · Clarkston · Dearborn
Dr. Mark S. Isler, DDS, MS — Periodontics & Dental Implants
The Doctor
Dr. Isler makes educating his patients a top priority. When people understand what is happening in their own mouth — and why one option is better than another — they choose better care for themselves. That is the whole method.
Patients describe the same two things again and again: a gentle touch, and a calm, unhurried room. One of them simply calls him Dr. Painless.
Chao Pinhole® Surgical Technique
A breakthrough treatment for receding gums. No grafts. No sutures. No incisions. Just the tissue you already have, moved back where it belongs.
Gum recession is the loss of gum tissue along the gumline. It can follow periodontal disease — gingivitis, periodontitis, advanced periodontitis — the natural aging process, or years of abrasive brushing habits.
When gums recede, the root structure of the tooth becomes exposed. Decay and other problems can then reach the tooth along the gumline and beneath it. Healthy gums are the requirement for a healthy mouth, so treating recession matters for lasting dental wellness.
Traditional treatment rebuilds the gumline using donor tissue or a soft tissue graft, sutured in place to join with existing tissue as it heals. That approach works. The Pinhole® technique can achieve comparable results with a considerably better patient experience.
A needle makes a small hole in your existing gum tissue. Through that pinhole, specialized instruments gently loosen the tissue, then expand and slide the gumline down to cover the exposed root. There are no grafts, no sutures and no incisions — only the adjustment of tissue you already have.
Every tool and technique used in the procedure was developed by Dr. John Chao, who trained Dr. Isler personally.
Less discomfort after treatment. Faster recovery than traditional grafting. No uncomfortable sutures. No scalpels or invasive surgical tools. No donor tissue taken from the palate. And excellent, natural-looking, long-lasting results.
Dental Implants
Dental implants are synthetic tooth roots — foundations for replacement teeth. For someone missing one tooth or several, they can seem like a miracle: no bridges, no dentures, normal jaw function maintained, and a result that looks entirely natural.
In general, a person of any age may need dental implants. Before proceeding, it matters to Dr. Isler that you:
A more careful evaluation is warranted if you:
With an appointment. Dr. Isler's staff can answer your questions about the process by phone, and he will build a treatment plan around your specific situation rather than a generic one.
Exactly as you would a real tooth: brush, floss, rinse with an ADA-approved mouthwash, and keep your regular check-ups. That keeps both the implant and the teeth around it working well and looking right.
Dr. Isler takes pride in keeping patients as comfortable and pain-free as possible. Many report either no pain or very little during and after the procedure. A full range of anesthetic options is available, and every one is discussed with you in detail beforehand.
Periodontal Disease
“Periodontal” literally means “around the tooth.” Periodontal disease — also called gum disease, pyorrhea or periodontal infection — is an ongoing bacterial infection of the gums and the bone around your teeth. The inflammation it causes sits under the gums, and left untreated it destroys the bone holding your teeth in place.
75% of all adult tooth loss is caused by periodontal infection.
More importantly, research has associated periodontal infection with several serious medical conditions, including heart disease, diabetes and stroke. As research continues to define those links, good periodontal health is understood as a key component of a healthy body — not a cosmetic concern.
Think of a scrape you got as a child that turned red and swollen. Bacteria got under the skin, the area became infected and inflamed, and it may have stayed that way for days or weeks — until your immune system won and it healed.
An ongoing infection is different. Your immune system never wins. The infection keeps growing and the inflammation never resolves. Periodontal disease is an ongoing infection in the pockets around your teeth, and without treatment it only gets worse.
People with periodontal disease have low resistance to periodontal bacteria, producing an infection that grows in bursts. Each burst costs your teeth more support. Common triggers:
When your infection has a burst of activity — or when there are signs one is coming — your general dentist may recommend you see a periodontist.
Periodontal infection is usually painless until it reaches an advanced stage. These are the symptoms that give it away.
If you notice any of these signs, contact your general dentist and ask for a periodontal evaluation — or call Dr. Isler's office directly at (248) 765-8468.
A periodontist is a dentist who specializes in the prevention, diagnosis and treatment of periodontal disease, and many — including Dr. Isler — have taken advanced training in dental implants.
That specialization requires two to three additional years of education beyond dental school. Periodontics is one of the eight specialties recognized by the American Dental Association. Periodontists also perform related treatments such as crown lengthening and bone regeneration.
Further reading from the American Academy of Periodontology covers the types and causes of periodontal disease, periodontal procedures, and how the disease interacts with general health — including its links to diabetes, its relationship to smoking, and specific guidance for women.
Non-Surgical Treatment
Periodontal infection is typically chronic — it works its way into gum and bone over a long period. The bacteria involved are organized and different from the normal bacteria in your mouth, and once they invade the gums and affect the bone, routine cleanings often can't control them.
The infection usually arrives without pain. What it does give you are signs: swollen gums, bleeding, bad breath, loosening teeth.
For mild periodontal disease, Dr. Isler uses a technique that controls the infection and lets patients heal in a simpler, less invasive and less expensive way. It's called scaling and root planing, and it has been shown to reduce pockets and reduce bleeding.
Periodontics has made great strides in both the surgical and non-surgical management of these problems. With this conservative approach, Dr. Isler has been able to bring many patients to periodontal health simply, effectively, and far more affordably.
Typically performed under local anesthesia using very small ultrasonically powered probes — micro ultrasonics. The instrument cleans diseased roots and pockets thoroughly with micro ultrasonic vibration and highly energized water irrigation.
Patients who are nervous about treatment can elect oral or intravenous sedation before the local anesthesia and throughout the procedure.
When the infection is generalized, systemic medication — oral pills — is the better tool. When it is localized, antibiotic gels can be placed directly into the pocket, where they dissolve slowly and keep working in the gum for over a month.
Patients typically have little or no discomfort afterward. A re-evaluation at six weeks checks the initial response to treatment.
Supportive periodontal treatments follow at three-month intervals for one year — micro ultrasonic cleanings without anesthesia, performed to support healing by keeping the teeth clean above and below the gum. We also work with you on how effectively you're cleaning at home.
Selected x-rays are taken and the healing response is re-evaluated, then long-term management options are discussed. Surgery is sometimes recommended — but in Dr. Isler's experience, teeth that started with mild infection, shallow pockets and limited bone loss generally no longer require it.
Surgical Treatment
You've been diagnosed with periodontal disease and surgery has been recommended. Like most patients, you probably have concerns. Knowing what lies ahead is what lets you take an active part in the decision — so here are the questions patients ask most.
Because your dentist and periodontist have determined that the tissues around your teeth are unhealthy and cannot be repaired with non-surgical treatment.
Refined techniques allow these procedures to be performed comfortably in-office. Improvements in medication, local anesthesia, anxiety and pain control — and in some cases conscious sedation — make treatment considerably more pleasant than most patients expect.
Follow the post-operative instructions and you can generally expect to return to your normal routine within a couple of days. Any special considerations — diet, exercise, follow-up medication — are discussed with Dr. Isler directly.
Many plans pay a portion of periodontal services. Your periodontal health matters, so talk with the staff — they'll help you maximize your benefits.
Soft Tissue Grafts
Periodontal procedures can stop further gum recession and dental problems — and improve how your gumline looks.
Exposed tooth roots are the result of gum recession. Perhaps you want to enhance your smile by covering roots that make your teeth look too long. Or perhaps the appearance doesn't bother you at all, but you cringe because those exposed roots are sensitive to hot and cold.
For a variety of reasons, including aggressive tooth brushing or periodontal disease. You may not have controlled what caused it — but before treatment, your periodontist will help you identify the factors contributing to the problem. Once those are under control, a soft tissue graft repairs the defect and helps prevent additional recession and bone loss.
Soft tissue grafts cover roots or develop gum tissue that is absent due to excessive recession. During the procedure, your periodontist takes gum tissue from your palate or another donor source to cover the exposed root. It can be done for a single tooth or several — evening out your gumline and reducing sensitivity.
A soft tissue graft can reduce further recession and bone loss. In some cases it covers exposed roots and protects them from decay, which may reduce tooth sensitivity and improve the appearance of your smile.
Depending on your case, the incision-free Chao Pinhole® Surgical Technique may achieve comparable results without a graft.
Everything Dr. Isler Treats
Can't find what you need? Call (248) 765-8468 to discuss your issue and see if Dr. Isler can find a way to help.
Minimally invasive treatment for gum recession — no incisions, no sutures, no donor tissue. Dr. Isler trained under Dr. John Chao, who developed it.
Read moreSynthetic tooth roots that form the foundation for replacement teeth — maintaining normal jaw function and looking entirely natural.
Read moreThe tissue and bone surrounding your teeth is the periodontium; infection there is periodontal disease. Dr. Isler is skilled at detecting it at its earliest stages.
Read moreScaling and root planing with micro ultrasonics, targeted antibiotics, and a structured year of supportive care — simple, effective, more affordable.
Read moreWhen tissue around the teeth is unhealthy and can't be repaired non-surgically. Refined in-office techniques, with sedation available.
Read moreCovering exposed roots and rebuilding absent gum tissue to reduce sensitivity, prevent bone loss, and even out the gumline.
Read moreBeneath the enamel and dentin lies living connective tissue — dental pulp, threaded with nerves and blood vessels running down to the root. When pulp is injured or infected, endodontics diagnoses the cause and treats it.
The specialty that resolves missing or impaired teeth and oral and maxillofacial tissue using biocompatible substitutes. Teeth may be lost to accident, years of poor oral habits, or genetics.
Dr. Isler treats the region as one connected system: diagnosing the issue, planning treatment, establishing rehabilitation, maintaining oral function, managing comfort, addressing appearance, and restoring health.
Anxiety about the dentist usually comes from not knowing what to expect — from a first visit, or from a difficult experience years ago. For a very nervous patient, conscious sedation is the answer: a state of calm or sleep in which treatment proceeds without the patient feeling or remembering it.
Age, behavior and the treatment being performed all factor into which type is appropriate, and Dr. Isler decides that together with the patient. With young children, the staff is trained in calming techniques that often require no drugs at all — the first visit is spent getting to know the child and making it a fun, educational experience.
A full range of anesthetic options is available, up to general anesthesia. Every option is discussed with you in detail before treatment begins.
Any procedure that alters the mouth or jaw. General dentists handle some of it; the more complex procedures require a surgeon with four to eight additional years of training after dental school.
Regular visits let Dr. Isler build a historical record of your oral tissue, so abnormal changes are recognized as they occur. Mention anything you've noticed — many tissue problems are early signs of something more serious.
Our Technology
Dr. Isler stays current on the newest technology available for one reason: it raises your comfort level and improves your experience in the chair. Patients across West Bloomfield, Novi, Clarkston, Dearborn, Milford, Walled Lake, Farmington, Wixom and Northville have trusted him with that for two decades.
A picture is worth a thousand words. Seeing your own condition on screen is what turns a diagnosis into a decision you can actually make — patients consistently say this is the moment they finally understood what was happening.
Substantially less radiation than film, with detailed images that appear on a nearby monitor instantly. That means a chairside image to analyze and refer back to throughout your visit — and a record to compare against next time.
Patient Reviews
★★★★★Dr. Isler was the kindest and most gentle surgeon. He kept my care top of mind the entire time, from the moment I met him at my consultation. I've had everything from gum surgery to implants placed. If you need any periodontal treatment, or surgery, I highly recommend using Dr. Mark Isler.
★★★★★Met Dr. Isler regarding my cracked molar and was extremely nervous. Dr Isler completely put me at ease and explained every step in detail to make me comfortable. Plus, he was able to make me laugh during my procedure which i didnt think was possible. 5 stars all the way!!!
★★★★★Dr. Isler is truly dr. Painless. Had substantial dental work done and he was attentive, called me to see how I felt. A great experience!
★★★★★Recently completed a front-tooth replacement and implant with Dr. Isler through Lakeview Family Dental in West Bloomfield. Top flight skill, experience and results. Through each stage of the process, Dr. Isler “looked through your eyes” to understand my questions, needs and concerns — and then worked to provide more than I expected. Step-by-step explanations, an empathic bedside manner and a great team made this an outstanding experience on several levels.
★★★★★Experienced, caring, and efficient doctor. He did my implant and did not experience any discomfort other than a minor swollen jaw. I highly recommend him.
★★★★★Thank you, Dr. Isler for taking such great care of me. You are an amazing doctor!!
★★★★★I needed periodontal work done, and I shopped around, getting consultations from different periodontists. I chose Dr. Isler because he was professional, friendly, the price was at least a third less than the others, and he was very informative. He and his assistant were very friendly and accommodating. I feel like they really connected with me as a person, not just another patient. I also feel like my well being was put at the forefront of everything they did with me. Highly recommended.
★★★★★A picture is worth a thousand words, so when he showed me a picture and explained my condition, I felt empowered. With the other doctors, I was left not really understanding my condition fully. He let me know my condition was advanced, and where other doctors wanted to take an “aggressive” approach, he assured me that aggressive is nowhere near the term he would use — he was going to have to be extra careful not to cause any further bone loss.
I had one quadrant done at a time with ample time to heal between visits. He really makes sure you're back at 100% before starting the next round. When my first quadrant wasn't healing properly, Dr. Isler knew something was wrong. He sat with me for half an hour trying to get to the bottom of it. We discovered I'd had an allergic reaction to the dissolving sutures — a very rare allergy, and I truly believe most doctors wouldn't have taken the extra time to figure it out. It was his concern for my well being that prompted the investigation. The rest of my quadrants were done and I healed properly. I highly recommend Dr. Isler.
New Patients
Thank you for visiting. With two decades of experience serving families across Novi, West Bloomfield, Clarkston, Dearborn, Milford, Walled Lake, Farmington, Wixom and Northville, Dr. Isler can provide you and your family with the treatment you need — from a cleaning to a major procedure, he'll help you work out which one is actually right for you.
To make your visit convenient, both forms are provided to complete at home before you come in.
Call (248) 765-8468 to schedule your consultation. Dr. Isler looks forward to taking care of your smile.
Frequently Asked Questions
Educating patients is the priority. Here are the questions that come up most — for adults, for children, and for care at home.
Plaque forms on teeth constantly. It is a clear film of bacteria that builds in hard-to-reach areas such as between your teeth and along the gumline.
Allowed to accumulate, plaque irritates the gums and leads to gum disease such as gingivitis. Research has linked gum disease to a range of health problems including stroke, heart disease, pneumonia, and even pregnancy complications.
Plaque is removed with regular brushing and flossing, plus professional cleanings that handle the tougher tartar. Early gum disease often goes unnoticed — by the time you feel pain or irritation, prevention may no longer be the goal. Regular checkups keep plaque and tartar from building up in the first place.
Breath with an unpleasant odor is called halitosis. Depending on the cause it can occur occasionally, or become a long-lasting problem.
Your mouth contains millions of bacteria, and the back of the tongue in particular can concentrate the bacteria responsible.
Poor dental hygiene. Without regular brushing and flossing, bacteria and plaque form in hard-to-reach places, which can eventually lead to far more serious problems.
External sources. Smoking, chewing tobacco, and drinking coffee, tea or wine are common causes of recurring bad breath — and also discolor teeth.
No two mouths are the same. X-ray imaging identifies underlying signs of bone loss or gum disease that are undetectable to the naked eye.
New patients typically have a full set taken so we can establish a picture of their oral health. Additional images may be requested at follow-up visits to compare against, determine what treatment is needed, and identify conditions that require action.
Dental radiographs are necessary for the highest standard of care, and their diagnostic benefits far outweigh the minimal risk involved. We limit radiation exposure using lead aprons and digital radiography, which reduces it substantially.
Without imaging, conditions like cavities, extra teeth and disease could go undetected. Digital X-rays combine minimal radiation, detailed images and remarkable speed — the image appears instantly on a nearby monitor, giving a convenient chairside reference throughout your visit.
Toothpastes formulated for sensitive teeth can decrease symptoms over several weeks of regular use. Symptoms often worsen with frequent consumption of highly acidic foods such as oranges, grapefruit and lemon.
If gentle brushing doesn't reduce the symptoms, a consultation can determine the right treatment for you. Products containing fluoride may also be recommended.
Call the office at (248) 765-8468 for more information or to schedule a consultation.
We proudly accept most insurances. Call our friendly staff with any questions about financial policies, and they'll help you make the most of your benefits.
Babies typically begin teething at six months. The bottom lower front teeth usually erupt first, followed by the two upper front teeth. Children have twenty teeth compared with the thirty-two adults typically have, and most children have all of them by two to three years of age.
Checkups are generally recommended at least every six months to help prevent cavities and other problems. Every child has individual needs, so the frequency varies as the situation requires.
Regular visits keep children familiar with the dentist and build confidence — far more pleasant than a child associating the dentist only with emergency treatment and tooth pain. Decay caught early is also easier and less costly to treat.
Primary teeth have three main functions. First, they allow children to chew — and pain-free feeding directly affects diet, nutrition and overall health. Second, they are important for speech development. Third, they provide the pathway for permanent teeth to erupt on schedule.
Premature tooth loss from cavities or infection lets remaining teeth drift into the empty space, ultimately causing crowding. Cavities on baby teeth can also make permanent teeth more susceptible to decay.
The earlier a cavity is diagnosed and treated, the less invasive the overall treatment. Left alone, cavities can spread and possibly lead to infection. Each situation is evaluated individually to determine what is best for the child.
Sealants are hard plastic-like materials placed into the grooves of the chewing surfaces to help prevent cavities. They block the sticky, sugary foods and liquids that get caught in the teeth. Application is fast and pain-free.
Whether they're recommended depends on the child's diet, cavity history, and the anatomy of the teeth.
For children aged 0–2, a soft cloth, gauze or toothbrush adequately removes the plaque and bacteria that cause cavities. Caregivers should clean the teeth at least once a day — most importantly before bedtime, after the last feeding.
Infant non-fluoridated toothpaste can be used. Until your child can spit toothpaste out without swallowing it, we recommend avoiding fluoridated toothpaste.
Fluoride is safe and effective at preventing cavities when given in the correct dosage. If your water supply contains less than 0.6 ppm — as private wells often do — a dietary supplement may be recommended for children from six months to sixteen years.
If your child cannot spit out toothpaste, fluoridated toothpaste should be avoided. A pea-sized amount is acceptable from two to three years of age; before that, clean the teeth with water and a soft-bristled brush. Contact a pediatric dentist to make sure your child is receiving neither excessive nor inadequate daily fluoride.
First, rinse the irritated area with warm salt water. If swelling is present, place a cold pack on the area. Over-the-counter Children's Tylenol or Ibuprofen (Motrin) are recommended for pain.
Do not place aspirin on the gums — it can harm the tissue. See a dentist or healthcare professional as soon as possible.
Oral habits such as thumb and pacifier sucking are very normal in infants and young children, and only become problems if they persist for long periods. Most children stop on their own by age three.
Habit-breaking appliances can help children who want to stop but need an active reminder. Long-term habits — thumb or finger sucking, mouth breathing, tongue thrusting — can produce dental and skeletal changes. The amount of change relates directly to the frequency, duration, intensity and direction of the forces applied.
First, remain calm. Second, locate the tooth, always holding it by the crown and never the root. Third, if possible, determine whether it is a baby tooth or a permanent tooth.
If it is a baby tooth, do not replace it in the socket. For a permanent tooth, reimplant it with mild finger pressure. If that isn't possible, put the tooth in a glass of milk and take your child and the glass immediately to the dentist.
Locations
Dr. Isler practices across Metro Detroit. Call the main line and the staff will get you to the right chair — or contact an office directly.
Serving Novi, West Bloomfield, Clarkston, Dearborn, Milford and Commerce. The fastest way to reach Dr. Isler's staff for scheduling and questions.
Periodontal and implant care for West Bloomfield and the surrounding lakes communities.
East Brooke Dental, Novi. Hours at other locations vary — please call ahead.
Dr. Isler has cared for patients across these communities and their neighbors for two decades.
Contact
Dr. Isler's entire staff is committed to patients being comfortable and informed about their options. Send a message, or simply call — he looks forward to meeting you.
Dentistry is our profession, but people are our focus.
Join the practice. Let's keep you smiling.