How to treat a gummy smile?

A smile is said to be a gummy smile when it exposes too much gum height and the tooth-to-gum ratio is not considered aesthetically pleasing: too much gum, or not enough tooth. The 3 most common techniques used to correct a gummy smile are: 1. gingivectomy to remove excess gum tissue. 2. gingivoplasty, similar to gingivectomy, to rebalance the gum line. 3. the apically displaced flap, which allows the quantity of gum to be preserved by moving it towards the root.

What is mucogingival surgery?

Mucogingival surgery is a restorative, preventive and plastic procedure to correct morphological defects in position, quantity, color and quality of soft tissue. The main procedures are 1. Covering bare roots. Preventing periodontal disease. Reduce tooth sensitivity. Restore an aesthetic smile. 2. Thicken thin gums. Mask the stained root. Prepare the gums for a future prosthesis. 3. Reduce a gummy smile. 4. Restore symmetry to the smile.

Cosmetics & gum restoration: Periodontal or Muco-Gingival Plastic Surgery

Mucogingivale-greffe-gencive-dentiste-divonne

It is a branch of periodontal surgery which is concerned with "soft" tissue (gum) in order to improve the esthetics of the smile and / or the comfort of the patient.

1. What is the definition of mucogingival surgery?

It is a branch of periodontal surgery which is concerned with "soft" tissue (gum) in order to improve the esthetics of the smile and / or the comfort of the patient.

2. In what cases is dental plastic surgery used?

The main applications of mucogingival surgery are :

Covering bare roots

The covering of gingival recessions solves an aesthetic problem, hypersensitivity to cold or even tooth preservation.

Thicken your gums that are too thin

- aesthetically, to hide the colored root of a devitalized tooth or next to an implant so that the result is more natural.

- at a functional level, to prepare the gum for a future dental or implant prosthesis

chirurgie plastique parodontale-recessio

Reduce a gummy smile and increase the visible part of the teeth
When a too large part of gum is discovered by the upper lip, and the ratio "tooth-gum" is not considered aesthetic: too much gum, or not enough tooth.
Restore the symmetry of the smile by harmonizing the height of teeth collars

3. What are the gingival surgery techniques?

Wisdom teeth need to be extracted:

when they don't have room to come out normally or have the wrong axis
when they create recurrent pain
in case of inflammation and infection of the gum around the partially erupted tooth
if there is bone loss or decay on the adjacent tooth.

4. What are the contraindications related to gingival surgery?

Life-threatening heart disease (valvulopathy, patient with pacemaker)
Hematological disorder (acute leukemia, hemophilia, agranulocytosis, etc.)
Neurological disorder (multiple sclerosis, parkinson's disease)
Radiotherapy (patient irradiated in the cervico-facial sphere)
Immunodeficiency

Please discuss with your dentist if you enter any of the following cases:

Hormonal disorders (diabetes)
Pregnancy: first and third period of amenorrhea
Cardiovascular pathology

5. What are the post-operative possible consequences of gum surgery?

The procedure begins with generally a local anaesthetic. The dentist then opens the gum and bursts a little the bone around the tooth to extract the tooth. Sometimes the tooth is cut into several pieces to make it easier to remove. At the end of the surgery, the gum is stiched back in place.

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