There are many reasons why the gums and jawbone may require corrective treatment, including periodontal disease, trauma and birth defects. Periodontal disease particularly can greatly disfigure the natural appearance of the gums and teeth and give the smile an unaesthetic appearance.
New “cosmetic surgery” procedures are now available in periodontics, which effectively correct cosmetic problems and restore natural beauty to the smile.
Here are some of the most common gum and jawbone corrective treatments:
Common Gum Treatments
Crown lengthening (gum lift) – Crown lengthening is usually performed to correct a “gummy” smile, or to expose more of the tooth prior to a restorative surgery. In some cases, the teeth look short and stubby and are partly covered by gum tissue due to genetics or gingivitis. Excess gum tissue can easily be removed to reshape the outline of the gums, expose the natural tooth length, and provide a fuller, more attractive smile. The same procedure is also an excellent way to create a more aesthetic gumline for dental crowns and other restorative procedures.
Gum grafts – Gum grafts are generally performed to correct crooked smile, or to restore symmetry to the gumline after periodontal disease has been treated. Periodontal disease causes the gums to recede; making the smile look overly “toothy”. During a gum graft, a thin strip of tissue is removed from the palate and stitched in place over the recession site. Gum grafts are often used to re-contour the gum line and give the teeth a more pleasing appearance.
Pocket reduction surgery – Periodontal disease can cause the smile to be marred with unattractive teeth, brown gums and ridge indentations. The aim of pocket reduction surgery is to clean the root surfaces of the teeth beneath the gum line. During this procedure, tartar, plaque and bacteria that are affecting the teeth and gums will be removed. The gum is first gently separated away from the tooth, and then the calculus (tartar) and plaque are removed using special ultrasonic and hand instruments. Pocket reduction surgery is an effective way to restore health to the gums and bone.
Common Supporting Bone Treatments
Sinus augmentation – This procedure is usually performed prior to the placement of dental implants to ensure that the prosthetic teeth are both functional and firmly affixed to the bone. The success of an implant hinges on the quantity and quality of the jawbone to which it will be attached. If the jawbone has receded or been injured, a sinus augmentation can slightly elevate the sinus floor to allow new bone to form. Generally, a small incision is made in the bone and the underlying space is packed with grafting material. The incision is sutured closed, and the implant will be placed when healing has occurred.
Ridge modification – Ridge modification procedures are used to treat deformities in the jawbone which have occurred due to periodontal disease, trauma or birth defects. During the ridge modification procedure, the gum is gently pulled away from the bone to fully expose the defect. The defect is filled with bone graft material or a similar synthetic product and then sutured closed. When healing occurs, the cosmetic appearance of the jaw is much improved and implants can be successfully placed where necessary.
Bone grafts – There are a wide variety of reasons why a bone graft may be necessary. Bone grafting thickens the jawbone to allow for the successful placement of implant anchors. Bone grafts can also help elevate the sinus floor, fill craters or deformities in the jawbone itself, or allow for successful nerve repositioning. The grafting material may be taken from the body or synthetically (man-made) created. In most cases, a small opening is made in the jawbone and packed with the bone graft material. Sutures are placed and restorative treatments are performed when healing is complete.
If you have questions or concerns regarding your oral health, feel free to call us at (212)-726-0917 or email us at firstname.lastname@example.org. Dr. Klonsky will be happy to answer any questions you have.