A beautiful smile usa harmonious combination of even white teeth andthe proper form of healthy gums.
We often encounter situations where the patient’s teeth are even, have a good color and form, but on one tooth or two the gums seemingly “jumped up” or “dropped”. Then a major differential forms that seriously ruins the smile. In such cases, we advise you have plastics put on your gums to return the to their natural level.
STAGES OF TREATMENT
On the picture the doctor looks at the level of the bones between the teeth. Relocating the gums is possible only at the level of the bones, otherwise there will be nothing to affix them to.
Any procedure requires a concise understanding of the result. On the basis of the X-ray the doctor composes a prognosis as to how much the gums can be relocated and substantiates the plan to the client
There are many methods of how to relocate gums. A fragment of the gums can be removed from the heavens or the patient’s existing gums can be pulled up. The course of the operation depends on each specific case.
It is important to track how your gums are behaving after half a year or more
Gum plasty (gingivoplasty) is a number of various surgical interventions aimed at correcting the soft gum tissues around the teeth. Such interventions can be performed to prevent and treat certain diseases of the dentition as a preparation stage for implant prosthodontics to improve the aesthetic appearance.
In gingivoplasty, the gum is excised, added and remodelled in order to change its shape, create a physiological contour with smooth elevations in the interdental space and decreases in the infrabulge, as well as to close the exposed part of the tooth.
The causes of pathological changes in the gums can be:
- - malocclusion,
- - trauma,
- - dental procedures,
- - inflammatory processes, especially periodontitis and gingivitis,
- - congenital anomalies of the jaw,
- - individual features of the structure.
In these cases, gingivoplasty helps to improve aesthetic appearance and health.
Indications for gum plasty:
- 1. Exposure of the tooth root (recession). The surgery helps to prevent tooth decay, reduces sensitivity and the risk of infectious complications.
- 2. Correction of a gummy smile when the teeth are excessively exposed, or vice versa.
- 3. Gingival augmentation after bone grafting or dental implantation.
- 4. Inflammatory diseases of the gums and periodontium. The surgery is performed if it is impossible to cope with the effects of inflammation with therapeutic methods, as well as to prevent the further spread of the infection.
Gingivoplasty cannot be performed if:
- - the width of the attached gingiva turns out to be insufficient for surgical procedures,
- - deep gingival pockets,
- - indications for bone augmentation,
- - severe inflammation and swelling,
- - intrabone pockets,
- - anomalies in the structure of the vestibule.
Types of plasty
Gingivoplasty can be performed using various methods which can be divided into 2 types:
- 1. Flap surgery is the most well-proven technique which involves closing the defect with the use of a flap of the patient’s own tissues. However, this is a rather complex procedure. Therefore, techniques of free gingival grafts from connective tissue have been developed.
- 2. Collagen matrices or special barrier membranes are used to increase the amount of the gingiva. These are simpler and less traumatic interventions.
Stages of gingivoplasty
Dental consultation. The indications for gum plasty and the type of surgery are determined. The doctor assesses the condition of the oral cavity and the need for preliminary professional hygiene.
Preparation. Treatment with antiseptic solutions, separation of the surgical site, anesthesia. Either infiltration anesthesia, when the tissues are saturated with an anesthetic, or the conduction anaesthesia with the blockade of the corresponding nerve is used.
Excision and surgery of the gums. Incorrectly located or altered tissues are excised. A flap is shaped using the adjacent tissues or other areas of the mucosa and then sutured in the plastic zone. When a collagen matrix is used, it is sutured to the gum to form the patient’s new tissue on it.
Wounds in the oral mucosa usually heal fast, but a number of recommendations should be followed to prevent possible complications. The postoperative edema disappears after about 7 days. If you have bleeding, pain or fever, you need to see a doctor.
You should not drink within 2-3 hours. After that, you can have mineral or boiled water at room temperature. You can eat after 5-8 hours. It is preferable to quit smoking for the period of rehabilitation.
Within 1-3 weeks, until complete healing, it is necessary to exclude spicy foods, too hot or cold food, hard vegetables, fruits and crackers, since they have an irritating effect.
The teeth should be brushed twice a day while trying not to hurt the surgical site. The doctor will also recommend an antiseptic mouthwash.
The cost of gum plasty depends on the type and volume of the surgery, the indications for it and the surgeon’s qualifications. Prices of plasty for gum recession at the Porcelain Dental Clinic are discussed individually during consultation.
Our task – to remove the cause of the problem! If the gums began shifting their position there is definitely a reason for this. Often it is an overburdening of the teeth due to an improper bite. Before doing an operation the doctor must make a decision on how to correct the main cause of the problem.
Changing the level of the gums is important prior to mounting of veneers or crowns. Not the other way around!
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MYTHS AND QUESTIONS ANSWERS
1. Who performs it?
It can be performed by both a surgeon and a periodontist under local anesthesia.
2. Why does gingival decay occur and root is exposed?
There are a lot of reasons. The main ones are the wrong bite, and as a result, an overload of individual teeth or a group of teeth; short frenulum fold of lips and tongue; small vestibule of the mouth; defect dentition; periodontal disease.
3. What happens if you do not have surgery?
Possible occurrence of caries, hypersensitivity to irritants, mobility and loss of teeth.
4. What should be done before the operation?
Consultation with a surgeon. Mandatory is the removal of dental plaque.
5. When I smile, you see more gum than teeth? What can you do about it?
It is necessary to reduce the visualization of the gums in a smile. It is possible to carry out the procedure of lengthening the coronal part of the tooth and / or reducing the depth of the vestibule of the oral cavity. Consultation with a surgeon, orthopedist, and orthodontist is required.
6. Can there be complications?
Gum plastics, like other surgical operations, is performed according to indications and requires adherence to the doctor’s recommendations during the postoperative period to reduce the likelihood of complications.