Apple Periodontics & Dental Implants of Dorel Onea, DDS, MS

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Apple Periodontics & Dental Implants of Dorel Onea, DDS, MS Specializing in diagnosis and treatment of periodontal disease, periodontal surgery, bone grafting and in replacement of missing teeth with dental implants

Problem Solved8 - 9:30 am last Friday Second appointment of the day. I gave anesthesia, saw a couple of short follow up...
08/03/2026

Problem Solved

8 - 9:30 am last Friday
Second appointment of the day. I gave anesthesia, saw a couple of short follow up visits while the anesthetic did its job, then I opened a gingival flap where the 3 dental implants needed to be placed.
Because all those posterior upper teeth were extracted decades ago the width of the maxillary ridge kept shrinking to a level that made dental implant placement almost impossible. Almost. But not totally impossible.
Using a surgical carbide burr, I created a deep slot on the ridge, then i placed three dental implants of increasing diameter, thus gently widening the slot, and decreasing length as allowed by the available bone. The gaps between implants were grafted with hydroxyapatite, a well researched bone grafting material, and the gingival flap was closed with dissolvable long lasting sutures.
In a few months, after complete bone healing, the patient will have new solid implant supported crowns in that area. She is really looking forward to that day since she’s not a fan of the removable denture she now wears.
Problem solved 😷

Counting some blessings Since I started working part time (around 100 days per year) about a decade ago, this is a typic...
03/12/2026

Counting some blessings

Since I started working part time (around 100 days per year) about a decade ago, this is a typical daily schedule. The first patient is the wife of another patient of mine who had extensive dental implant / bone grafting treatment done by me. No better compliment than seeing the schedule with patients who were referred by family members.
Dental or medical specialist training takes a very long time, and involves very hard work. Passing the hundreds of exams necessary to get licensed is probably the easiest part of this effort. It’s the work / life balance that suffers the most i think. My family should know about this very well. My daughter Alie, MD, as a thoracic surgeon, son Michael, MD, as a pediatric neurologist, me, DDS, MS, as a periodontist, and my better half Sam, RN, MS, as a healthcare management specialist who gently manages all of us in a diplomatic and often unappreciated way ❣️

3 appointments in 1:Extraction of maxillary molar, Sinus Lift and Dental Implant Placement With this procedure we are ab...
10/29/2025

3 appointments in 1:

Extraction of maxillary molar, Sinus Lift and Dental Implant Placement

With this procedure we are able to shorten the treatment time by 9 to 12 months, if a patient qualifies for this kind of treatment. These two cases were both done last Friday, and they went very well.
In addition to a basic extraction kit i only used the instruments shown in the last picture (osteotome and dental implant drivers). There was no need for a dental implant motor or a complex surgical kit (which I had as a backup) since the dental implant was placed in the tooth socket instead of a machined opening.
After the extraction the bone between the three root openings (upper molars usually have three roots) was slightly modified to make room for a 3mm wide osteotome which was gently tapped with extraction forceps (a surgical mallet can also be used) to raise the floor of the sinus.
Hydroxyapatite, a powdered bone grafting material, was used both as a cushion and as a filler to raise the floor of the sinus (the lining of the sinus aka Schneiderian membrane) to a desired level. The patient’s own osteoblasts will migrate between the grafted particles, and will make new bone creating additional support for the dental implant.

Wine Country Dental SymposiumAlways inspired and energized by professional conferences👍So far lectures were about basic ...
02/16/2024

Wine Country Dental Symposium

Always inspired and energized by professional conferences👍
So far lectures were about basic sciences and cellular biology (👌up my alley), and attendees are mostly researchers and oral surgeons.
And venues like this (Silverado Resort in Napa, California) are a little bit of a justification for working hard (maybe too hard sometimes) for so many years. Later tonight a few top tier wineries will send their people over, and they'll put together a wine tasting event for us 🥂 Look forward to it.
Sam, Jane, Drew (periodontist in Dallas, Texas) and I did similar tastings in four (wow, just counted😁) different countries so far. So we are getting half decent at it🥂

GINGIVAL GRAFTSTeeth with gum recession rarely hurt, and the look doesn't really bother the average person, so is this ...
03/03/2021

GINGIVAL GRAFTS

Teeth with gum recession rarely hurt, and the look doesn't really bother the average person, so is this a problem that needs to be fixed?

Glad you asked. The before and after first two pictures show an example of gingival recession repair with gingival (gum) grafts, very common dental surgery procedures.

Left untreated these defects cause problems that go way beyond compromised esthetics.

The third picture shows teeth with root decay and attempted repair with tooth colored fillings that don't have a good long term prognosis. In the fourth picture l used a measuring instrument to check the depth of the decayed area. It was 5mm deep, so it's "game over" for that tooth. Replacing this tooth with a dental implant is both a more expensive and more extensive procedure than a gingival graft repair done at the right time.

3D Dental Imaging now available in our downtown Sacramento office.Satisfying to see that the Rocklin office and the Sacr...
03/03/2021

3D Dental Imaging now available in our downtown Sacramento office.
Satisfying to see that the Rocklin office and the Sacramento office, both started by Samantha and I years ago, continue to thrive under our partners' management 🙂

The dental treatment schedule in some offices is slowly going back to pre-Covid19 levels😷Today I see patients in a San J...
06/03/2020

The dental treatment schedule in some offices is slowly going back to pre-Covid19 levels😷
Today I see patients in a San Jose office where i started working about two decades ago🙂
Time flies

PPE, DISINFECTANTS AND COVID19To see what personal protective equipment and disinfectants we used before and after Covid...
04/28/2020

PPE, DISINFECTANTS AND COVID19

To see what personal protective equipment and disinfectants we used before and after Covid19 just blink once. It's the same in our surgical practice.
Today I see a few dental emergencies in our downtown Sacramento office🙂

MANSION FLATS DENTAL Since Dr. Bonilla joined our team earlier this year our practice is significantly enhanced by focus...
09/27/2019

MANSION FLATS DENTAL

Since Dr. Bonilla joined our team earlier this year our practice is significantly enhanced by focusing more on each doctor’s areas of expertise.
Dr Carlos E. Bonilla graduated from Boston University Dental School in 1993. He joined the US NAVY as a dental officer and served as part of First Dental Company, First Dental Battalion, Camp Pendleton CA until 1997, gaining experience in general dentistry and surgery.
While in California he started working as a civilian in private practice. Now with 25 years of experience doing all aspects of general and cosmetic dentistry, he also has training in implant placement and restoration.
Dr. Bonilla is married to Dr. Diaz and is the proud parent of two young men aged 17 and 21. He coached them in baseball for some 8 years. He enjoys sports, water sports and baseball. His passion is dentistry and serving the patient first.
Our Downtown Sacramento office is located in an area called Mansion Flats, so it was decided to rename the office to reflect its specific location.
Hope to see you soon at Mansion Flats Dental. We’ll take good care of you 😊

GUM RECESSION REPAIRED WITH MINIMALLY INVASIVE SURGERY Unstable gum recession sites can be repaired by grafting the defe...
02/17/2019

GUM RECESSION REPAIRED WITH MINIMALLY INVASIVE SURGERY

Unstable gum recession sites can be repaired by grafting the defect with soft tissue rich in collagen fibers. The goal is to thicken the epithelium, and, fully or partly, cover the exposed root surface.
In this case the patient opted to have grafting done using her own tissue harvested from the roof of her mouth vs. using material purchased from a tissue bank. The advantage is that the outcome is more predictable and the disadvantage is a second surgery site.
However, since the connective tissue is harvested underneath the epithelium, when the site is sutured it looks like one single incision with minimal discomfort😊

Address

717 13th Street
Sacramento, CA
95814

Telephone

+19165210000

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