Cosmetic Periodental Treatment
Gingivoplasty and Gingivectomy
is a type of gum surgery used to reshape healthy gum tissue around teeth. It often is done simply to make gums look better. The gum may have an unusual shape or may not be formed normally. The causes can include a person's genes, disease or trauma. Gingivoplasty reshapes the gums to make them look more natural. It often is done alone, but can be done during or after a gingivectomy. Gingivoplasty also can be done along with a gum graft. This type of surgery adds tissue to the gum line.
Before either procedure, you will receive a local anesthetic shot to numb your gums. The length of time depends on how much tissue is being removed. Gingivoplasties typically are done in a couple of minutes.
It is very important to keep your mouth clean during the healing period. You should not brush your teeth in the surgical area while the periodontal dressing is in place. You will be able to brush and floss the rest of your mouth normally. When the pack comes off, you can brush and floss normally, but ently. The healing tissues may bleed when you floss or brush right after the dressing is removed. Your gums will begin to look normal in three to four weeks. It can take two to three months for the tissue to heal completely.
There are no major risks to either procedure. Infection and prolonged bleeding may occur. However, this is unusual. The affected area might ooze blood for the first 24 to 48 hours. After that, it should not bleed much, if at all.
This can happen when a tooth breaks off at the gum line. It also can happen when a crown or filling falls out of a tooth and there is decay underneath. To place a filling or crown, your dentist needs to expose more of the tooth. This is done by removing some gum tissue or bone. Some people have a lot of gum tissue around their upper teeth. Dentists call this "gummy smile." This also can be treated with crown lengthening.
Crown lengthening to enhance the success of a dental restoration
Esthetic Crown lengthening
The periodontist will make cuts that will pull the gums away from the teeth. This will expose the roots of the teeth and the surrounding bone. In some cases, simply removing a little gum tissue will expose enough tooth for your dentist to place a crown or filling. However, in most cases, the periodontist will need to remove some bone from around the roots of the teeth. Once the periodontist has exposed enough tooth, the surgical area will be washed with sterile salt water and the gums will be stitched together. Some dentists put a bandage over the stitches.
If you have temporary crowns on any of the involved teeth, the crowns may be removed before the procedure begins. The periodontist will put them back afterward.
You will be given prescriptions for a pain reliever and a mouth rinse. Your dentist will ask you to follow a somewhat soft diet. You can brush the teeth near the stitches, but avoid the gums. Remove food particles with a toothpick or a water irrigator.
After the tooth is completely numbed the periodontist will make an incision.
The gums are gently lifted to expose the alveolar bone crest.
The bone and gum tissue is then reshaped.
The depth is just enough to expose more of tooth length to create secure anchor for a crown.
Couple of stitches are placed to speed healing
After a few weeks of healing, a crown is placed to cover and protect the damaged tooth.
* Crown lengthening is a predictable and effective way to save the tooth that might otherwise, we lost.