Periodontal Plastic Surgery
PERIODONTAL PLASTIC SURGERY PROCEDURES
Periodontists are often considered the plastic surgeons of dentistry. If you are looking to improve your smile, a periodontist may be able to help.
GUMMY SMILE OR UNEVEN GUM LINE
Does the appearance of your teeth seem too short, your smile too gummy or your gum line uneven? Crown lengthening may be the solution for you. Excess gum tissue can be removed to reveal more of the tooth and the gumline is sculpted to give you a more pleasing smile.
LONG TEETH/EXPOSED ROOTS
Where the root of the tooth has become exposed due to trauma such as tooth brushing or periodontal disease, the tooth may appear longer. This can have the effect of making you appear older than you are.
Periodontal plastic surgery can be performed to graft gum or regenerate new tissue over these sites helping to improve appearance, reduce further recession and protect tooth roots from dental decay.
INDENTATIONS IN THE GUMS AND JAWBONE
Tooth loss may cause resorption of the surrounding bone and an indentation in the gum where the tooth used to be. This indentation results in a loss of symmetry that can negatively affect the appearance of your smile and make any replacement tooth appear too long.
Ridge augmentation procedures can help to fill these defects improving the contour of the gum and jaw and creating a more natural looking smile.
DENTAL CROWN LENGTHENING PROCEDURES
Aesthetic Crown Lengthening
For some people, their teeth appear too short. This may be due to the gum, or the underlying bone and gum, covering too much of the crown of the tooth. This results in a gummy smile. To correct this, we can perform a crown lengthening procedure. During this procedure, excess gum and, if necessary, underlying bone is removed and the tissues sculpted to expose more of the tooth. This can be performed on a single tooth or multiples of teeth to create a more natural smile.
Functional Crown Lengthening
Sometimes a tooth or teeth can be so severely worn or broken down that there is insufficient tooth tissue to build a new crown without encroaching upon what we periodontists call the biologic width. The biologic width is the width of soft tissue between the top of the bone supporting the tooth and the edge of the gum that is attached to the tooth. This creates a natural seal against infection and cannot be compromised such as by placing the margin of a crown or filling into this soft tissue barrier. Crown lengthening adjusts the surrounding gum and bone level to allow sufficient space between the crown or filling margin and underlying bone and to give your dentist sufficient tooth tissue to support a new crown. Failure to do this may result in infection and progressive bone loss around the tooth.
GUM GRAFT SURGERY
Trauma, microtrauma from tooth brushing or periodontal disease can all contribute to gum or gingival recession where the root of the teeth become exposed. Gum graft surgery can help to repair the defect and with refined tooth brushing techniques help to minimise further recession and bone loss.
During these procedures, gingival tissue is taken from a donor site, often your palate, and used to cover the exposed root. This can be done for one or more teeth. These procedures contribute to improved gingival symmetry creating a beautiful new smile, improved periodontal health and reduced tooth sensitivity all of which are key to speaking and smiling with confidence.
These procedures aim to regenerate new support – gum and bone – that has been lost due to periodontal disease or trauma.
During these procedures, the gum is gently lifted and the teeth roots cleaned of bacteria and debris. Any bony defects may be filled with bone graft material and /or hard and soft tissue stimulating proteins and the defects covered with a resorbable collagen membrane. The bone graft and proteins encourage your body’s natural ability to form new bone and soft tissue and the membranes used to exclude the gum from growing back into the defect before new bone can grow.
With refined oral hygiene techniques and regular maintenance visits to our practice these procedures will increase the chance of you maintaining your teeth and reduce the progression of periodontal disease over your lifetime.