Cosmetic Periodontal Therapy
Excess tissue can have an appearance of short teeth or a gummy smile. This excess tissue not only can be an esthetic issue for patients but also acts as a trap for food and harmful bacteria. A gingivectomy removes this excess tissue making the area easier to clean and more esthetic.
Esthetic Crown Lengthening
In some cases, periodontal procedures help lay the groundwork for restorative and cosmetic dentistry and/or improve the esthetics of your gum line. If you have a “gummy” smile because your teeth appear short, it is possible that your teeth may be the right length, but are covered by excessive gum tissue. Crown lengthening corrects this condition.
Crown lengthening involves reshaping excess gum and bone tissue in order to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile.
Crown lengthening often makes a restorative or cosmetic dental procedure possible. This is especially true if you have a tooth that is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.
Gum tissue can recede for many different reasons including periodontal disease, physical trauma (brushing too hard, incorrectly or with hard toothbrush), tooth position, and aging. Unfortunately, associated with every type of recession, there is underlying bone loss. If the recession is severe, some of the tooth’s root can become exposed. This can make the tooth:
- More sensitive to hot or cold temperatures
- More prone to root cavities
- More prone to further bone loss
- More prone to tooth loss
- More prone to being an esthetic issue for the patient
Soft tissue grafts are sometimes performed to treat gum disease, or correct other abnormalities. The procedure involves taking gum tissue from the palate or another donor source to cover an exposed root in order to cover the recession, prevent further gum/bone loss, enhance esthetics, and to reduce the odds of root sensitivity and decay.