Oral Plastic Surgery

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Peter Nordland, DMD, MS

A pioneer in esthetic oral plastic surgery, redefining precision and artistry in periodontal microsurgery for over 20 years.

Fellow, American Academy of Esthetic Dentistry

Fellow, American Academy of Esthetic Dentistry

President, Western Society of Periodontology

President, Western Society of Periodontology

Founder, International Society of Periodontal Plastic Surgeons

Founder, International Society of Periodontal Plastic Surgeons

Diplomate, American Academy of Periodontology

Diplomate, American Academy of Periodontology

Assistant Professor, Loma Linda University

Assistant Professor, Loma Linda University

Trusted by Thousands of Patients

Meet Dr. Peter Nordland

Dr Peter Nordland, DMD, MS

Dr. Peter Nordland is a leading specialist in esthetic gum surgery. For over 20 years, he's been helping patients achieve healthier, more confident smiles through advanced microsurgical techniques. Working closely with other top dental professionals, he focuses on improving not just how teeth function — but how they look.

A pioneer in his field, Dr. Nordland has taught at nearly every dental school in the U.S., published groundbreaking research, and developed surgical tools now used around the world. He's also the founder of an international academy for esthetic oral surgery, and one of only a few Fellows of the prestigious American Academy of Esthetic Dentistry.

Patients and doctors alike trust him for his skill, experience, and passion for precision.

The Visionary Who Transformed Periodontology

Dr. Nordland's contributions to periodontal microsurgery have redefined what is possible in esthetic dentistry.

His pioneering work in microsurgical techniques and soft tissue grafting has set new benchmarks for predictability, minimal invasiveness, and natural-looking outcomes.

He developed innovative approaches to connective tissue grafting, interdental papilla restoration, and gingival augmentation that are now considered gold standards in the profession.

Through decades of clinical research and hands-on teaching, Dr. Nordland has trained a generation of periodontists to achieve results once thought impossible.

Specialized Services

Dr. Nordland's practice is built on a mastery of the most advanced and delicate periodontal procedures available today.

From microsurgical soft tissue grafting to esthetic crown lengthening, every treatment is performed with meticulous precision and a deep commitment to achieving the most natural, beautiful results possible.

Periodontal Health

Expert diagnosis and treatment of gum disease using minimally invasive techniques — from early prevention to advanced periodontitis care.

Bone & Tissue Grafting

Advanced regenerative procedures that rebuild bone volume and restore gum tissue — the critical foundation for implants and long-term oral health.

Implants & Restoration

Precision-guided dental implant placement and full-arch restoration using 3D imaging, digital planning, and biologic integration techniques.

Advanced Treatment

Complex full-mouth rehabilitation, All-on-X procedures, and interdisciplinary treatment planning for patients who need comprehensive reconstruction.

Jawbone Health

Diagnosis and treatment of jawbone conditions affecting implant success, facial structure, and long-term oral health.

Prophylaxis (Teeth Cleaning)

Professional dental prophylaxis removes plaque and tartar buildup to halt gum disease progression and keep your smile healthy.

Scaling & Root Planing

Scaling and root planing is a thorough, non-surgical deep cleaning that removes bacterial deposits from beneath the gum line to stop periodontal disease.

Bone Grafting

Major and minor bone grafting procedures rebuild jawbone volume lost to disease, extraction, or injury — restoring the structure needed for dental implants and a healthy bite.

Gum Disease Laser Therapy

Laser therapy for periodontal disease offers precise, minimally invasive treatment with less bleeding, faster healing, and reduced post-operative discomfort.

Bite Adjustment

Bite therapy corrects destructive bite patterns that cause tooth wear, loosening, and jaw joint damage — preserving your teeth and restoring comfortable function.

Gum Grafting

Gum grafting reconstructs receded gum tissue, covering exposed roots, eliminating sensitivity, and protecting teeth from further recession and decay.

Guided Bone & Tissue Regeneration

Guided bone and tissue regeneration uses surgical membranes and biologics to stimulate the regrowth of bone and connective tissue lost to periodontal disease.

Cosmetic Periodontal Surgery

Cosmetic periodontal procedures reshape the gum line, cover exposed roots, and restore lost jaw contours — giving your smile the proportions and framing it deserves.

Oral Cancer Exam

Annual oral cancer screenings by our specialists can detect pathologic changes at the earliest, most treatable stage — using advanced laser technology and clinical expertise.

Publications by Dr. Peter Nordland

Dr. Nordland is a widely published author whose research and clinical insights have shaped modern periodontal practice.

Esthetics in Dentistry

Textbook: Esthetics in Dentistry

Third Edition | Chapter 37 "Periodontal Plastic Surgery" coauthored with Laura De Souza, DDS

As noted in reviews, this book explores tooth-related issues, periodontal concerns, facial contouring, skeletal discrepancies, and dermatological conditions.

Dr. Nordland would like to thank his coauthor, Laura, Dr. Ronald Goldstein, and Dr. Ernesto Lee, DMD, PC, for their perseverance in getting this book to the bookshelves.

He also thanks Kathleen Hoffmann Nordland for putting up with the long hours it took to complete this project.

Connective Tissue Graft

A Connective Tissue Graft as a Biologic Alternative to Class V Restorations in Miller Class I and II Recession Defects: Case Series

International Journal of Periodontics and Restorative Dentistry | Volume 36, Number 1, 2016

This case series presents a surgical approach using connective tissue grafts, offering a biologic alternative with proven esthetic and long-term benefits.

Clinicians should consider the biologic option of replacing the missing gingival tissue before placement of restorative materials on exposed root surfaces.

Int J Periodontics Restorative Dent 2016;36:21-27. doi: 10.11607/prd.2366

Restoration of Lost Interdental Papilla

Restoration of Lost Interdental Papilla: A Surgical Technique

Compendium of Continuing Education in Dentistry | September 2018

Loss of interdental papilla from trauma or periodontal disease poses a significant esthetic challenge, especially in areas with limited space and blood supply.

Traditional surgical methods can be unpredictable and may cause visible scarring.

This article presents a refined microsurgical technique — using microscopes and specialized instruments — to improve esthetic outcomes. It also provides a brief history of periodontal plastic surgery and updates supporting prior research.

Microsurgical Technique for Papilla

Microsurgical Technique for Augmentation of the Interdental Papilla: Three Case Reports

International Journal of Periodontics and Restorative Dentistry | Volume 28, Issue 6, November/December 2008

Loss of interdental papillae from trauma or periodontal disease presents a difficult esthetic challenge, made more complex by limited space and blood supply.

Traditional surgical methods often fall short and can lead to scarring.

This paper outlines a microsurgical technique — using magnification and precision instruments — that offers a more predictable approach to papilla reconstruction.

(Int J Periodontics Restorative Dent 2008;28:543-549.)

Papilla Reconstruction Classification

Interdental Papilla Reconstruction: Classification and Clinical Management

Canadian Journal of Restorative Dentistry & Prosthodontics | Winter 2010

In this paper, Drs. Nordland and Sandhu discuss the factors affecting surgical reconstruction of the lost interdental papillae. (Dr. Sandhu is the professor of periodontics and director at the School of Medicine and Dentistry at The University of Western Ontario.)

A Conversation with Dr. Nordland

A Conversation with Dr. Peter Nordland

Dental Practice Report | January/February 2002 (42-47)

Achieving exceptional esthetic results in restorative dentistry often requires close collaboration between general practitioners and skilled periodontists.

In this article, clinical editor Dr. David Hornbrook highlights insights from La Jolla-based periodontist Dr. Peter Nordland, showing how teamwork and a shared focus on esthetics can elevate outcomes for patients seeking appearance-enhancing care.

Periodontal Plastic Microsurgery

The Role of Periodontal Plastic Microsurgery in Oral Facial Esthetics

CDA Journal | Vol. 30, No. 11, November 2002 (831-837)

Periodontal plastic microsurgery uses a surgical microscope to improve visibility, reduce tissue trauma, and achieve more precise outcomes.

This paper explores how applying microsurgical techniques in soft tissue modification can enhance the smile and contribute to improved oral-facial esthetics.

Esthetic Gingival Regeneration

Periodontal Plastic Surgery: Esthetic Gingival Regeneration

CDA Journal | November 1989

Regeneration can restore root surfaces even after exposure to bacterial endotoxins and calculus.

Forming new cementum and connective tissue fibers recreates the gingival unit, reducing sulcus depth and eliminating root sensitivity and the risk of root caries. This improved gingival architecture makes restorative efforts easier, leading to more ideal results.

Many papers have explained the predictability for root coverage.

Oral Health

Oral Health

SD Health Magazine | Spring 2009

The San Diego Union Tribune interviewed Dr. Nordland about periodontal disease and its treatment.

In the interview, he shared insights into the latest advancements in periodontal care and emphasized the importance of early detection and personalized treatment approaches for better patient outcomes.

Plaque Control and Root Debridement

The Effect of Plaque Control and Root Debridement in Molar Teeth

Journal of Clinical Periodontology | Vol. 14, Pages 223-236, 1987

Double-blind research showed the world that molar teeth respond differently from all the other teeth in the mouth.

This international journal is one of the most well-respected in periodontics.

Classification for Loss of Papillary Height

A Classification System for Loss of Papillary Height

Journal of Periodontology | Vol. 69, Pages 1124-1126, 1998

Doctors Nordland and Tarnow developed the current classification system for loss of the interdental papilla.

Their classification system is the most widely used in the world and forms a basis for comparison of different treatment modalities for papilla augmentation.

Tissue Engineering in Dentistry

Tissue Engineering in Dentistry

Clinics in Plastic Surgery | Vol. 30, Pages 621-639, 2003

In this book on tissue engineering in dentistry, Dr. Nordland highlights the potential for soft tissue regeneration through microsurgical techniques.

He emphasizes the use of his custom instruments and surgical magnification to achieve groundbreaking results, showcasing multiple cases in this oral plastic surgery journal.

The Dental Microscope

The Dental Microscope

Evidence-based Technology and Treatment | S&B Publishing, Pages 37-57, 2011

Dr. Nordland contributed to the periodontal surgery chapter of the book Dental Microscope: Why and How, providing clinical photographs of surgical cases and microinstruments that he developed.

Periodontics The Scientific Way

Periodontics: The Scientific Way

Dr. Nordland's double-blind research on the most challenging periodontal sites helped establish key principles for evidence-based treatment.

His work continues to influence modern clinical protocols in periodontics.

Decision Making in Periodontology

Decision Making in Periodontology

Dr. Nordland's expertise in soft tissue surgery made him a natural choice to author the chapter on decision-making for gingival augmentation.

His contribution offers practical insight into selecting the right approach for achieving predictable, esthetic outcomes.

Reshaping the Future of Periodontal Surgery

For decades, treating gum recession and tissue loss was limited, painful, and unpredictable. Traditional procedures often involved invasive surgeries, extended healing times, and results that weren't always esthetically ideal.

Dr. Nordland saw the limitations in traditional techniques — and set out to change them. His pioneering work in microsurgical techniques, soft tissue grafting, and minimally invasive procedures transformed how periodontists approach tissue regeneration.

His advancements have led to less invasive procedures with reduced pain and recovery time, more predictable esthetic outcomes ensuring a natural seamless gumline, and better long-term results promoting healthier stronger gum tissue.

Dr. Nordland didn't just improve existing techniques — he helped establish periodontal plastic surgery as a recognized sub-specialty. His innovations in microsurgical soft tissue grafting and the creation of surgical instruments have become the foundation for today's advanced treatments.

Dr. Nordland, Dr. Hutton, and Dr. Lofthus at the American Academy of Esthetic Dentistry

Professional Awards

  • 1979Who's Who Among Students in American Universities and Colleges
  • 1983California Society of Periodontists Annual Periodontal Research Competition
  • 2004–05Selected to: The Best Dentists in America — recognition by his peers
  • 2006Selected to: Best Doctors in San Diego by San Diego Magazine
  • 2007San Diego Magazine Award: Top Dentists — Oral Plastic Surgery
  • 2008Americas Top Dentists — Periodontists Award by The Consumers Research Council of America
  • 2008San Diego Magazine Award: Top Dentists — Oral Plastic Surgery
  • 2009Americas Top Dentists — Periodontists Award by The Consumers Research Council of America
  • 2009San Diego Magazine Award: Top Dentists — Oral Plastic Surgery
  • 2010San Diego Magazine Award: Top Dentists — Oral Plastic Surgery
  • 2010–11Distinguished Alumni Award — Wilkes University, Wilkes-Barre PA
  • 2016ISPPS Presidential Award for contributions in the field of Periodontal Plastic Surgery

Frequently Asked Questions

What is esthetic oral plastic surgery?

Esthetic oral plastic surgery focuses on enhancing the appearance and function of the gums and supporting tissues.

It includes procedures like gum grafting, crown lengthening, and soft tissue contouring to create a healthy, natural-looking smile.

How do I know if I need gum or soft tissue surgery?

If you experience gum recession, excessive gum tissue, or uneven gum lines that affect your smile or oral health, a consultation with our specialists can determine the best course of treatment.

Are oral plastic surgery procedures painful?

Our procedures are designed to be minimally invasive and comfortable. We offer sedation options and use advanced microsurgical techniques to minimize discomfort and accelerate healing.

How long is the recovery process?

Recovery times vary depending on the procedure, but most patients experience mild discomfort for a few days. We provide detailed aftercare instructions to ensure a smooth healing process.

Do you offer financing or payment plans?

Yes. We offer flexible financing options and accept multiple forms of payment to make treatment accessible for our patients.

How do I schedule a consultation?

You can book an appointment online or call our office directly. Our team is happy to answer any additional questions you may have.

Ready to Take the Next Step?

If you are ready to improve your smile, protect your oral health, or explore your treatment options, our team is here to help you get started.

Take the first step toward a healthier, more confident smile. Book a Pre-Consultation Call and receive expert esthetic oral surgery care.