Gum Restoration

Restoring the Gum Line for both health of the tooth and smile.

Cosmetic Periodontal Surgery: Gum Grafting Procedures

These procedures are a predictable way to cover unsightly, sensitive or exposed root surfaces and to prevent future gum recession. If you are unhappy with the appearance of short unsightly teeth this can be greatly improved by a combination of periodontal procedures by Dr. De Andrade and cosmetic dentistry by your dentist.

Gum Grafting Procedures

Periodontal Surgery – Soft Tissue Grafts

Periodontal procedures stop further dental problems and gum recession, and can to improve the aesthetics of your gum line.

Exposed tooth roots are the result of gum recession. You may wish to enhance your smile by covering one or more of these roots that make your teeth appear too long. Or the exposed roots may be very sensitive to hot or cold foods and liquids.

Before After

Your gums may have receded for a variety of reasons, including aggressive tooth brushing or periodontal disease. You may not be in control of what caused the recession, but prior to treatment, we will help you identify the factors contributing to the problem. Once these contributing factors are controlled, a soft tissue graft procedure will help repair the defect and help prevent additional recession and bone loss.

Soft tissue grafts can be used to cover roots or develop gum tissue that is absent due to excessive gingival recession. This procedure can reduce further recession and bone loss, and in some cases it can cover exposed roots to protect them from decay. This may reduce tooth sensitivity and improve the aesthetics of your smile.

Procedure

During this procedure, we take gum tissue from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity. There are different types of grafts that can be done: connective tissue grafting, gingival grafting and pedicle grafting. Your periodontist can tell you which graft best suits your situation.

BEFORE AFTER

(Subepithelial connective tissue grafts)

When recession of the gingiva occurs, the body loses a natural defense against both bacterial penetration and trauma. When gum recession is a problem gum reconstruction using grafting techniques is an option.

When there is only minor recession, some healthy gingiva often remains and protects the tooth, so that no treatment other than modifying home care practices is necessary. However, when recession reaches the mucosa, the first line of defense against bacterial penetration is lost.

In addition, gum recession often results in root sensitivity to hot and cold foods as well as an unsightly appearance to the gum and tooth. Also, gum recession, when significant, can predispose to worsening recession and expose the root surface, which is softer than enamel, leading to root caries and root gouging.

A gingival graft is designed to solve these problems. A thin piece of tissue is taken from the roof of the mouth, or gently moved over from adjacent areas, to provide a stable band of attached gingiva around the tooth. The gingival graft may be placed in such a way as to cover the exposed portion of the root.

The gingival graft procedure is highly predictable and results in a stable healthy band of attached tissue around the tooth.

Crown Lengthening

When decay occurs below the gumline, it may be necessary to remove a small amount of bone and gum tissue. Your dentist may ask for this procedure before he or she makes a new crown for your tooth.

Reshaping the gum and supporting tissues: This will allow your general dentist adequate room to place a quality final restoration.

Another indication for crown lengthening is when the front teeth are too short or of uneven length:

Osseous Surgery

Traditionally, gum disease is treated by eliminating the gum pockets. The infected gum tissue is trimmed away, and uneven bone tissue re-contoured. Although this is still an effective way of treating gum disease, new and more sophisticated procedures are used routinely today.

Guided Tissue Bone Regeneration

This surgical procedure “regenerates” the previously lost gum and bone tissue. Most techniques utilize membranes, which are inserted over the bone defects. Some of these membranes are bio-absorbable and some require removal. Other regenerative procedures involve the use of bioactive gels.

Gingivectomy