Cosmetic Periodontal Procedures
Many cosmetic techniques to improve the smile can be enhanced and facilitated using specific periodontal procedures. These procedures are often multifold and are used as an adjunct to restorative treatments. At Al-Fa Perio we have a huge armamentarium of techniques, materials and technologies to help us create stunning outcomes.
The various technologies including microsurgery using a surgical microscope and specific periodontal lasers are used to ensure minimal intrusion to the areas being treated. This ensures better post-operative healing and the periodontist and cosmetic dentist will often have better control of the final outcome.
The most important aspect is that we want to improve the predictability of the treatments we advise. Hence we carry out our Cosmetic Periodontal Assessment prior in addition to our Signature Periodontal Examination, to create a suitable treatment plan of action. We aim to meet your specific needs and requirements as well as those required by your cosmetic dentist.
Some conditions that affect the cosmetics of a smile can be treated using certain periodontal procedures that include:
This technique is use when the teeth appear short and are affecting the smile. Often there is an uneven gum line as well. We aim to increase the length of the tooth; however it requires some surgical work on the bone that surrounds the tooth.
The treatment for a “Gummy” smile is often dependent upon the original cause. However, there are some great techniques that facilitate the better proportioning of the teeth gum ratio in a smile. These include: lip repositioning procedures; crown lengthening techniques and gingival re-contouring. Of course the severity of the cosmetics needed also affects the treatment choice.
This can be very challenging to treat and hence the correct aetiology must be established so that a good preventative program can also run along side any treatment. Gingival recession can be corrected using connective tissue grafts using tissue from the roof of the mouth or collagen matrices.
Occasionally some people’s smiles are affected by bulky gum tissue which appears as thicker gums. This can be unsightly and often requires techniques to reshape the architecture of the gums around the teeth in the smile. The tissue is also quite mobile, making precise and subtle re-shaping with a scalpel blade challenging. Hence, this is a particular technique where the use of laser provides better precision, comfort and predictability.
This is often carried out using a range of lasers that facilitates the reshaping of the gum. The entire architecture and form of the gums and the gum line can be altered to give a better appearance to the smile.
The gums are not the only aspects of a smile that can catch the viewer’s eye. Any lumps or swelling on the lips also tend to be noticeable. Removal of swellings and fibrous lumps using laser have the advantages of comfortable removal, minimal scarring and a precision technique.
These appear as purple swellings in the mouth. They can appear unsightly if visible when smiling. Since this condition carries blood vessels it can be potentially risky. However with the use of a diode laser the removal becomes very clean and with better healing prognosis.
This is the removal of a small fold of tissue under the lips that controls how the lips move. It is often helpful when this tissue impinges on the teeth or smile.
Connective tissue graft
This is a specific type of tissue is taken from the roof of the mouth and often used to cover roots in cases involving excessive gum recession or in cases involving root exposure.
Root coverage procedure
These techniques involve periodontal plastic surgery to enhance the way the gum appears in cases where the teeth have lost the gum coverage and roots are exposed. There are different types of techniques that allow the periodontist to do this correctly. However, the exact protocols are determined by the extent of the lesion(s) that need treatment.
This is where lasers are used to reduce the amount of pigment in the gum to give the appearance of pinker gums. The treatment is successful where darker pigmented gums are involved.
This is where bone grafting is used (especially in cases where a tooth is missing) to pad out with gum thus improving the nature of soft tissue. It is commonly used in cases involving bridge treatment at the front of the mouth so as not to produce unsightly spaces between the porcelain-work.
Next: Cosmetic Gum Assessment