Minor gingival surgery is performed for procedures associated with cosmetic dentistry, orthodontics, implantology and periodontal treatment.
Certain procedures require the elongation of teeth, which appear short due to gingival prominence or gingival hypertrophy caused by medication. Here gingiva may simply cauterized using laser or other means to lengthen the crown of the tooth. In other areas grafting gingival tissue from the palate may cover gingival recession due to disease or wear from hard brushing exposing roots. This in order to reduce sensitivity of exposed roots or reduce the length of unattractive looking long teeth.
The frenum is a fibrous cord, which sometimes passes in between the crowns of two upper anterior incisors. This cord may prove difficult to resorb due to its attachment to the palatal side of gums preventing the teeth from coming together leaving an unattractive space. A simple procedure known as a frenectomy may be employed allowing the teeth to come together and close off the space.
In highly aesthetic areas gingival grafts go hand in hand with bone grafts at attempting to obtain the ultimate aesthetic results. So-called black triangles caused due to loss of the inter-dental papillae, have a very negative impact on the aesthetic outcome. Gingival grafts may help relieve or eliminate this problem.
Gingival grafts are used to cover heavily exposed roots and allow for better hygiene maintenance and gingival aesthetics.
In patients suffering from chronic periodontal disease with subsequent bone loss, surgery might be the only way to restore health and possibly reconstruct the lost bone. The gums are incised along the teeth to expose the underlying roots and bone. The roots are debrided and scaled using hand and ultrasonic instruments. The clean roots are then disinfected with saline and medic rated mouthwash containing chlorhexidine di-gluconate. In areas of vertical bone loss, say around in between some molar roots guided bone regeneration GBR may be performed to rebuild the lost bone. Rigorous maintenance programs are must.
In areas of vertical bone loss, around and in between some molar roots guided bone regeneration GBR may be performed to rebuild the lost bone. Rigorous maintenance programs are a must.
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