We frequently encounter cases when the client has straight teeth with nice color and shape, but the gums on one or two teeth appear to have moved or fallen. In these situations, we advise you to create a plastic gum contour to restore the gums to their natural level. It is carried out for therapeutic or esthetic purposes. The gum contouring procedure is carried out while feeling no pain locally. The dental surgeon performs a visual evaluation before deciding where to perform surgery.
Table of Contents
The following factors may contribute to gum pathology:
In these situations, gum contouring aids in enhancing both the physical look and health.
Gum contouring indications:
Contraindications for gum contouring:
Gum contouring surgery types:
The form of gum contouring is chosen based on the indications, the beginning condition of the mucosa, and the desired outcome:
Gingivectomy: This procedure includes removing a portion of the enlarged gums when there are significant gum pockets.
An operation called a vestibuloplasty is the exact opposite of a gingivectomy. By using this technique, the gums’ volume can be recovered during their recession-induced atrophy. The procedure starts with the base of the gums being sliced, then the flap is relocated. Grafts can be used as building materials in locations where aesthetics are not as essential.
The procedure known as a “hood excision” is used to enhance the volume of the gums during teething (often, this issue affects older patients due to the development of “wisdom teeth”). In order to help the tooth grow regularly and reduce the patient’s pain, the hood must be removed, along with some gum tissue.
Undercutting the frenulum of the lip and tongue: The frenulum is a thin film that connects the lips, tongue, and gums. It may be too short, which causes stress on the gums and causes them to recede, or it may be too big, which covers a portion of the front teeth. This bridle’s shape can be altered to improve its appearance.
Stages of gum contouring:
What alternatives for gum surgery are there?
A prosthesis, which offers a plastic or acrylic basis, may be an option if the patient requires reconstructive surgery of the entire gum contour due to extensive tooth loss. It will work as a synthetic gum and hide any imperfections in the natural mucosa that may already exist. This will enable patients to avoid gum surgery, particularly when it is essential to do the procedure along the entire alveolar ridge, which is both technically challenging and expensive.
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