With a soft tissue laser, the procedure involves significantly less bleeding and discomfort as well as faster healing. Treatment of excessive gingival display using a modified lip repositioning technique. Fortunately, that’s no longer the case. Four to six weeks after placing the provisional restoration, the gum reformed with harmony between the peri-implant gingiva and adjacent dentition. – Esthetic rehabilitation of anterior teeth through gingival recontouring and ceramic veneers: a case report Introduction Different. com 210-341-4409 New Patient Forms. This can create a more even gum line or make the teeth appear longer. Concerning adult patients ( Fig 3 ), decision-making should be based mainly on the anteroposterior relationship of teeth, smile line height and patient profile. The gummy smile is currently the most frequently reason for patients to look after the dental office, and it is because this. Many patients look to this treatment for their gummy smile. So (as you might expect) there is a complimentary procedure known as tooth recontouring. Marshall will use very conservative techniques. Excessive or uneven soft tissue can create an overly “gummy” appearance, hiding perfectly healthy and beautiful dental structure unnecessarily. Most Kois dentists incorporate gentle, soft-tissue laser technology which allows for minimally invasive treatments, including gingival contouring. Bonding. , 2014). Gum grafting will cover the exposed roots to. Services. Laser treatment cauterizes the wound and reduces the need for sutures while speeding the recovery time. D4274 can also be used for this procedure. ,, 17. New Image Dental. According to Goldman and Cohen, “altered passive eruption” is a disorder that only affects adults and causes the gingival border to be incisal to the. Volume 21, Issue 4. Similar to crown lengthening, gum recontouring redefines the shape of your gumline to expose more of your dental structure. Our cosmetic services can be found at all of our Genesis Dental locations as well as our sister practices, Bright Smiles and Central Ave Dental. Renken Dentistry of Oak Hill (737) 204-1781 7826 West US 290 Suite 102 Austin, TX 78736After a comprehensive evaluation of the periodontal tissues and gingival health, the patient was scanned intraorally, and new photographs were made. Crown lengthening refers to recontouring of both gum and supporting bone. It is also called gum recontouring, gum sculpting, or gingivectomy. The main objective of this investigation was to analyze whether a thin gingival phenotype represents a potential risk indicator. Although there are traditional ways to contour one’s gum, laser gum contouring is done. Tooth reshaping and straightening. Costs for gum contouring can range from as little as $50 to $350 for a single tooth, and from $1,000 to $3,000 for all of your front teeth. This was undertaken with oscillating mounted strips with increasing widths ( Fig. Usually, the permanent canines have erupted in a more mesial position, filling part of the lateral incisors space, which. Achieving optimal gingival esthetics around restored natural teeth and implants. A gum lift is a clinical procedure performed by a dentist, which reshapes the gum line to expose more tooth and create a more symmetrical gum line. This treatment option can also be used aesthetically to reduce gums along the tooth line if a patient has a ‘gummy’ smile. Gum Lift With Porcelain Veneers. Unfortunately, the majority of cases will involve bone recontouring as well as gingival resection to accommodate aesthetics and function. A simple cosmetic process, the gingival recontouring addresses the soft tissue that can be easily removed immediately changing the proportions of teeth to tissue ratio. Crown lengthening is a surgical procedure that exposes more tooth structure by removing the surrounding gum tissue or bone. Gingivectomy means excision of the gingiva. More recently, a lip repositioning surgery technique aimed to treat the excessive gingival display, removing a strip of outlined mucosa by a superficial split thickness dissection, leaving the connective tissue exposed. 2016 Oct-Dec;13(4):275-9 Ferrari Jr. 0 watts | Mode: Continuous | Tip: Initiated. [Figure 1c]. 3. Crown Lengthening/Gingival Recontouring. Waupun 412 Shaler Drive, Waupun, WI 53963 (920) 324-3881. Gum recontouring, also known as gingival reshaping or sculpting, is the process of reshaping the gingival tissue around the teeth. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. The procedure . It is an easy proc. Beaver. Because most of the time gum surgery is a cosmetic procedure and therefore not covered by insurance, you'll have to pay for it out of pocket. Why Consider Gum Recontouring? You may want to consider gingival recontouring at our Heath, Forney, Rockwall dental practice if you have: A “Gummy” smile; Teeth that look short or uneven. 3. Purpose The emergence profile concept of an implant restoration is one of the most important factors for the esthetics and health of peri-implant soft tissue. Unveil the secrets of gingival recontouring, a smile transformation procedure that boosts confidence. This study presents an innovative and effective therapeutic option to obtain a natural and harmonious smile in patients with gummy smile. Marshall will use very conservative techniques. Gum contouring surgery is performed in the dentist's office. CharlottePerio offers cosmetic procedures to reclaim your smile and restore your confidence, including Soft Tissue (Gum) Graft and Gingival (Gum) Recontouring. However, I’ve also used it successfully for tongue-tie/frenectomy procedures, oral tissue biopsies, and esthetic gingival recontouring. Recommended distance between margins restoration and alveolar bone crest is 3 mm to. Led by Dr. Cut a path towards a brighter, more balanced smile by recontouring your gums!Gum Recontouring Procedure. The ability of soft tissue lasers to control moisture and facilitate hemostasis appears particularly. We offer Gum Recontouring procedure in San Antonio. Gum contouring, also known as gingival sculpting or gingivoplasty, is one of the options that can help reshape your gumline. Adequately contoured implant restorations need to transition from the circumferential design of the implant head to the correct cervical. Procedure: Your periodontist first uses a local anesthetic and then gently recontours excess gum and. Advanced searchLaser gum contouring with the Waterlase is a fast, efficient and comfortable way to remove excess gum tissue. Gum Recontouring Oftentimes, our patients feel unhappy with their smile not because. We conclude that in some cases resective approach in the treatment of gingival recessions may offer more favorable and predictable results compared to regenerative techniques. Volume 21, Issue 4. In the present study. Though there may be some side effects, especially tooth sensitivity, no specific. If so, you may be suffering from TMJ disorder,. Licensed Under Creative Commons Attribution CC BY The purpose of this paper is to determine the effect of abutment contour modifications at these zones on the peri-implant soft tissues, including the gingival margin level, papillae height,Gingival architecture, labial alveolar profile, and gingiva color. Cobb has placed a lot of emphasis on cosmetic dentistry techniques over the span of his career and has the advanced education to provide transformative procedures like porcelain veneers in Odessa. 2 The common gingival esthetic problems that can be encountered as part of the prosthetic solution to cos-metic cases include excessive gingival display,3-7 uneven ABSTRACTSevere headaches or migraines. Lasers have also been used in treating gummy smile. Methods: After the second surgery, a preliminary impression was taken to make a soft tissue working cast. Sammy Houari, DDS, MD, the practice provides patients with. Marongiu, DDS, AAACD; Evan S. Want to learn more about gum sculpting/gingival recontouring? Read some of the top questions and answers below. ,, The incisor display at rest is 3 to 4 mm for women and 2 mm for men; upon smiling, the upper lip should rest along the gingival margin, with 2. Gum contouring (also called gum reshaping) is a procedure that dental providers (usually periodontists) use to change the appearance of your gums. Are You a Candidate for Tooth or Gum Recontouring?. When recession of the gingiva occurs, the body loses a natural defense against both bacterial penetration and trauma. Even with the whitest and straightest teeth. 5% [29, 30]. “Gingival (gum) contouring” is the process of recontouring the gum only. Gingival Recontouring; Before; After; Patient 1* Procedure(s): Gingival Recontouring. Thankfully, Dr. This case report describes gingival contouring in a mandibular anterior one-piece mini-implant. They offer. Factors affecting GHOC: 1. Unfortunately gum problems usually affect more or all teeth so it is more common for dentists to charge by quadrant or for full mouth treatments. e. 5 mm of gingival display. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. Gingiva. 3. Similarly, it is not unusual for people to be unhappy with the length or shape of their teeth. Crown lengthening refers to recontouring of both gum and supporting bone. 2 mm (males) up to 11-12 mm. Abstract. Oral conscious sedation and IV Sedation are more powerful and typically cost more. Learn about the process and post-recovery care. Laser therapy offers precision which protects the surrounding tissue and accurately shapes the gum line. Set up a consultation View more detailed photos. Ref #:1013 . Your gums can be numbed at the beginning of the procedure to reduce the discomfort. Dr. D4921 gingival irrigation- per quadrant. Soft tissue diode laser contouring of gingiva is a common. More recently, a lip repositioning surgery technique aimed to treat the excessive gingival display, removing a strip of outlined mucosa by a superficial split thickness dissection, leaving the connective tissue exposed. Dr. The condition occurs due to various etiologies such as skeletal, dentoalveolar, or soft-tissue origin. Schedule Appointment. Live in Northern Columbus? Visit PolarisOrthodonticCenter. After crown lengthening, the gingival display while smiling was reduced to approximately 6 mm [Figure 3]. The procedure . Hyperplasia can result from various causes; certain prescription medicines, orthodontic appliances, and bacteria, to name just a few. The tissue involved will first be numbed with a local anesthetic. ”. Gum contouring (also called gum reshaping) is a procedure that dental providers (usually periodontists) use to change the appearance of your gums. Unlike the soft tissue linings of the lips and cheeks, most of the gums are tightly bound to the underlying bone which helps resist the friction of food passing over them. between. 21 Crown lengthening is a surgical procedure aiming at revealing a greater gingivo-incisal length of the tooth structure before the prosthetic restoration of the tooth, which involves predictable disclosure of a small amount of gingival tissue alone—soft tissue crown lengthening, or both gingival tissue and alveolar bone—osseous crown. Gingival recession occurs with chronic periodontitis as a result of the disease process and as a consequence of successful treatment. If the gum line is uneven, aesthetic gingival recontouring can also sculpt the gum line to produce a more symmetrical, balanced smile. Your periodontist can improve a “gummy” smile by correcting gingival contours and reducing excessive gums. When a patient finishes their orthodontic treatment, we have the opportunity to perfect their aesthetics with gingival laser recontouring. Ultimately, you should consult your dentist about whether gum reshaping is right for you. "Crown lengthening" refers to recontouring of both gum and supporting bone. August 2009. Gum recontouring is one such option you may want to consider. 3 and 2. Mylar strip was held in place with the help of cotton pellet [Figure 2e]. An upper lip lengthening as wel. 9 by creating an aspect ratio of 75 percent. Conclusions: Gingival recontouring with a provisional implant restoration is a non-surgical and non-procedure-sensitive method. Joy. The measurement from the free gingival margin of #7 to the crest of the bone is 2. McOmie and our team. Ear congestion or pain but no sign of infection. The missing tooth fragment had been left at the accident site. Gingival smile is one of the most common complaints of patients seeking an aesthetic smile. 5mm from the CEJ. This is a more delicate procedure that requires exposing root surface, positioning gingival margins at the desired height, and apically reestablishing the biological width. It can also recontour the gum tissue or bone. Gingival recontouring. Surgical lengthening of the clinical crown. To reliably perform gingival recontouring procedures, the dentist must have a clear understanding of the biologic width and by using diagnostic bone sounding, the practitioner can determine the appropriate surgical procedure that will ensure an esthetic and stable postoperative result. Common gingival esthetic problems such as excessive gingival display or asymmetrical contours are corrected quickly and painlessly with minimal healing time. et al. Case. – Esthetic rehabilitation of anterior teeth through gingival recontouring and ceramic veneers: a case report Figure 1 – Initial aspect of the smile. * Gingival bleeding along with probing depth 5–7 mm, loss of scalloping, lobulated, and erythematous: Acanthosis of overlying epithelium and connective tissue hyperplasia: Periodontal therapy, drug substitution, surgical gingivectomy: 6 months no recurrenceThe purpose of case series is to present 6 different cases of localized gingival overgrowths and their management with the following techniques: nonsurgical periodontal treatment, gingivectomy, flap surgery, free gingival graft, gingival unit, and connective tissue graft. We accept most major insurances and also offer affordable financing options to make your access to orthodontic care much easier. This procedure can be done with a dental laser, ensuring that we don’t remove more tissue than is actually necessary. Most Kois dentists incorporate gentle, soft-tissue laser technology which allows for minimally invasive treatments, including gingival contouring. Home. During the procedure, the doctor uses a soft tissue laser and re-sculpts the gum line. The closure of diastemas in anterior teeth using direct adhesive restorations and gingival recontouring is a viable option for the clinician because it restores esthetic harmony between soft and. proposed a new surgical technique with the combination of gingival recontouring and the traction and containment surgery of the elevator muscle of upper lip and wing of the nose. , Virginia Beach, VA 23464. International Journal of Science and Research (IJSR) ISSN: 2319-7064 SJIF (2022): 7. 22, 23, 24 Only once the etiologic factor was successfully managed in the initial. Fig. 25 The power was controlled between 0. Thanks to laser gingival recontouring, you can make the most out of your smile. The objective of gingival recontouring is to establish an adequate relationship of the gingival margin with the lip, to increase tooth crown display, and to establish an esthetic harmony between. Donnenfeld OW, Hoag PM, Weissman DP. This treatment makes it possible to create smooth, even gum lines and smiles that. The gingivae should portray a healthy appearance, where the morphology is well-defined, scalloped and matching adjacent teeth. 4103/0972-124X. Thanks to laser gingival recontouring, you can make the most out of your smile. Gummy smile treatment is technically called “gingival recontouring. Related; Information; Close Figure Viewer. Gum contouring, medically known as gingivoplasty, is the surgical reshaping of gums around the teeth. Related; Information; Close Figure Viewer. Meet Dr. The gingival border maintains a more coronal position, protecting more tooth enamel if a passive eruption does not advance. If the gingival recontouring and subsequent placement of the restorative margin encroaches on the biological width, the result will be a chronic marginal gingivitis with swollen red and bleeding gums (Fig. Recontouring is a procedure used to treat hyperplasia or an overgrowth of gum tissue. After battling with bulimia that caused this patient’s teeth to decay, Dr. The gingival groove was fully measured and marked in its maximum depths through the use of a periodontal probe in order to identify the homogeneity of the probing values. Jumeirah Beach Road Umm Suqeim 1 – Villa 611, Dubai, UAE +971 4 394 5422 +971 4 394 5422;Predictably restoring sub-gingival cavities with composite is difficult and an area where UK. The laterals are on average 1. 25, 26 Narayanan presented the cases of 2 selected patients treated with gingival recontouring by means of diode laser 810 nm excision performed in continuous mode. Lastly, osseous surgery, like mucogingival surgery, is a form of advanced periodontal disease treatment that focuses on the management of the destruction caused by periodontal gum. This article reports on the case of a patient who underwent a multidisciplinary treatment in smile design that entailed dental cosmetic techniques involving esthetic periodontal surgery, teeth bleaching, and re-anatomization of the upper incisors. Ltd. This can help to address issues such as a "gummy smile" where the gums cover too much of the teeth, or an uneven gumline where the gums are not symmetrical. Minimal recontouring on 8 and ( will give significant improvement. Thalia | (757) 486-2525 4169 Virginia Beach Blvd. We offer Cosmetic Dentistry Asheville NC trusts. This technique resulted in shortened vestibule and restricted the muscle pull of the elevator muscles of the lip, thereby reducing gingival display when. After measuring body weight, the rats were placed in a dorsal position on a warmed bench (30 × 45 cm) maintained at 37°C. "Gingival (gum) contouring" is the process of recontouring the gum only. This procedure involves the dentist removing very small strips of tooth. If your gums have receded, and your teeth appear overly long or elongated, then soft tissue grafts can extend the gum. A case on diastema closure in anterior teeth that was successfully treated using gingival recontouring and composite resin restorations is reported, which restores esthetic harmony between soft and hard tissues. Then the dentist or periodontist will use a surgical scalpel or a dental laser to remove the unwanted tissue. This report describes the alternative treatments available for lip repositioning and improving smile aesthetics, and presents the clinical course of a gingivalYou can do it before or after the braces. Contact Us. Texas Dental Surgery specializes in implants, oral surgery, and periodontics in Prosper, TX. In most cases,. Technology; 3D. 2016 Oct-Dec;13(4):275-9 Ferrari Jr. Teeth that appear short, may actually be the proper length, but are covered with excessive gingival tissue. Call 877-642-1466 to schedule an appointment. 00 to 3000. Download (PPT) The patient's treatment plan was designed to achieve gingival symmetry before the fabrication of the veneers. Tarnow DP, Magner AW, Fletcher P. Answer: Gum recontouring and veneers. Gum recontouring or shaping may also be recommended by your dentist as a necessary periodontal procedure. The gums, also called the gingiva, consist of the mucosal tissue which cover the mandible and maxilla located inside the mouth. We will use a laser to remove excess gum tissue around the upper teeth to make them look longer. This modified approach is. While no “hard numbers’ exist on what does and does not constitute a gummy smile, experts agree that anywhere from three to four millimeters of exposed gum line is the magic number. 125 E 3rd St, Ste. Crown lengthening was carried out initially from 14–24 by gingivectomy technique (without osseous recontouring as probing depth was 4–5 mm) with a 15C Bard-Parker blade (Kehr Surgical Pvt. The objective of gingival recontouring is to establish an adequate relationship of the gingival margin with the lip, to increase tooth crown display, and to establish an esthetic. If you need gingival contouring in the Seminole County area we can help you. This paper reports a case on diastema closure in anterior teeth that was successfully treated using gingival recontouring and composite resin restorations. Clinical significance: The closure of diastemas in anterior teeth using direct adhesive restorations and gingival recontouring is a viable option for the clinician because it restores. Gingival (Gum) Recontouring. Tai, DDS525 Bollinger Canyon Way, Ste. The emergence profile concept of an implant restoration is one of the most important factors for the esthetics and health of peri-implant soft tissue. This simple and quick procedure can make a. Have a question? Give us a call! Phone: (510) 658-1996; Text: (510) 240-1559Traditionally, gum recontouring was done using a scalpel to remove excess tissue before putting stitches in place. If you are doing the braces in the near future, it is best to do it afterwards because your teeth and gums will shift. The gum line, and the bone just beneath the gum line, can be lowered to change the appearance of your smile. Our dentists in San Diego offer non-invasive Laser Gum Recontouring to provide better balance and symmetry between the gums and teeth. Call 210-341-4409 Now! Gummy Smile bothering you? Stone Oak Aesthetic Dentistry got you covered. (A) Illustration of guided tissue regeneration with a barrier membrane (blue line) which allows cells from the PDL (a) and alveolar bone (b) to fill the wound space while excluding cells from the gingival connective tissue (c) and gingival epithelium (d). These include anatomy of the dentogingival complex, tissue hierarchy, osseous crest considerations, periodontal biotype and biform, tooth morphology, contact points, tooth position and extra-oral skeletal and. This is called the passive eruption phase. This is a more invasive option and will require the removal of 2-3mm of gum tissue. 2. Close; About Us. About Dr. The procedure is performed by recontouring gum tissue or bone, which exposes more of a tooth’s. A gum recontouring procedure from Dr. A dentist can shape and reduce the gums through a simple process called gum recontouring. J Clin Periodontol. NEW PATIENT HOTLINE: (404) 351-8790 3280 Howell Mill Rd NW #335 Atlanta, GA 30327; Book My Appointment. It typically involves a minimally invasive laser procedure to get rid of uneven or excessive gum tissues. Figure 8 demonstrates the sequence of the esthetic crown-lengthening procedure. 1. Recontouring is performed to reduce the overgrowth of tissue and re-create an esthetically pleasing smile. A low gumline that makes the teeth appear disproportionately long. Remodeling or contouring of the gums and surrounding bone is carried out to reveal the. Esthetic gingival recontouring — a plea for honesty. Hilton Head Dental offers Gingival Recontouring, a procedure which sculpts the gum tissue using radio surgery either on one tooth or the entire gum line. Discover the seven signs you need to talk to your dentist about gum. D Edmond, OK 73034 (405) 341-7773 Request an Appointment. Weston, DDS, FAACD; Nicholas C. Extensive gingival swelling in both maxillary and mandibular. Even bright, white teeth can be visually unappealing if the surrounding gum tissues are uneven or have receded. The cost of a gum lift or surgery ranges form 1500. Provisional restorations are often overlooked when dealing with marginal integrity. The dentist first established the height of contour of tooth no. Bone sounding before gingival recontouring. What you show when you smile is important, the edge line of where the teeth end at the incisal is also important. Case 3. In other instances, gum recontouring is helpful for those who have experience decay under the gum line, tooth loss, gingival infections, or periodontal disease. 2. When they do, your dentist can perform a treatment that creates a new margin on the tooth, without detracting from the health of your smile. Health — Those with short teeth often have trouble being fitted for a dental. Adequately contoured implant restorations need to transition from the circumferential. Marsh’s office. In most cases,. Robbins JW. Tissue graft for upper recession; Tissue graft for lower recession I; Tissue. The length of the procedure may vary from several minutes to about 1 to 2 hours, depending on the size of the. GINGIVECTOMY ANDGINGIVOPLASTY Gingivectomy means excision of the gingiva. After the second surgery, a preliminary impression was taken to make a soft tissue working cast. An uneven gum line can also be distracting. Now she has a new bright smile, thanks to Dr. A wide variety of procedures are available for correction of excessive gum display based on the cause of the condition. Advanced search Because both soft- and hard-tissue modification were needed, an Er,Cr:YSGG (erbium, chromium, yttrium-scandium-gallium-garnet) laser was used under local anesthesia in H mode, at 1. your place for. It may be that the tissues are interfering with restorative procedures or causing aesthetic concerns. If the gum line is uneven, aesthetic gingival recontouring can also sculpt the gum line to produce a more symmetrical, balanced smile. 00 - 18. Gum contouring or reshaping is a cosmetic procedure that is performed on the gums. A surgery innovation technique. . The importance of the mucogingival complex in any restorative procedure has long been recognized, and various surgical and nonsurgical procedures have been developed to restore the compromised gingiva to its original health. Appearance of smile after gingival recontouring. Landon Blatter presents a case study to demonstrate how immediate nonocclusal load and occlusal load provisionals can be used to restore gingival contouring for dental implants placed in the challenging areas of. 4444 N 32nd St Ste 208 Phoenix, AZ 85018. To fix receding gums for better oral heatlh, contact Dr. Active and Passive Eruption: During tooth eruption, the tooth actively erupts through the bone so that the CEJ is 2mm above the level of crestal bone. After the procedure the teeth are much more balanced and naturally reveal more of the tooth. This procedure may involve the use of laser and local anesthetic to numb the. [1] Crown lengthening can also be achieved orthodontically (using braces) by extruding the tooth. In a case report, the authors demonstrated good outcomes after 1-year with this technique that is less aggressive than. Achieving appropriate gingival contouring in the smile zone is important in creating an esthetically pleasing smile. Traditional treatment for advanced periodontal disease, for example, consisted mainly of osseous surgery, wherein Dr. DOI: 10. When 3 mm or more of the gum is displayed, this is considered to be unaesthetic. Gingival Recontouring Below are two common scenarios for which our patients often seek gingival recontouring treatment. 17139947. Cosmetic gum recontouring allows us to reshape your gum tissue so that it doesn’t cover too much of the surface of your teeth. Procedures. Rubberpiks do not demonstrate inferiority to conventional interdental brushes. This procedure obtained 80% average reduction in gingival display considering only 6 months of follow-up. This can be extremely helpful, especially if you need. The blood flow velocity in the same location was measured 3 days after the gingival massage using a laser Doppler flowmeter. When both the bone and gum will be addressed, crown lengthening is also included. The focus will be on the potential for regrowth following treatment, the best practices for post-treatment gum care, and alternative solutions. Methods. Soft tissue lasers are increasing in popularity among clinicians in part due to their potential value in preprosthetic gingival procedures. Surgical therapy was performed to provide a better aesthetic. These include the apically-repositioned flap, replaced flap, laterally-repositioned flap, free gingival graft, and frenum repositioning. A radiographic and probing assessment revealed sufficient sulcular depth which could allow the removal of sufficient amount of gingival marginal tissues, which was consistent with. This surgery can benefit those who have loose gums that are pulled away from the neighboring tooth. The gingival groove was fully measured and marked in its maximum depths through the use of a periodontal probe in order to identify the homogeneity of the probing values. In spite of successful osseointegration of dental implants, many patients often are displeased with the outcome of the implant treatment due to the poor esthetics of the. Extraction: With the surgeon working to prevent affecting surrounding structures, the gum tissue is carefully extracted, exposing the underlying. 61. Gum recontouring . Gingivectomy before and after procedure. Thankfully, our doctors make use of a soft tissue laser to. This procedure is done to improve the look of the gums, teeth, or smile. Periodontic Surgery. Cosmetic gum reshaping treatments require just one office visit. The implant restoration with the optimal emergence profile is expected. The periodontal treatment, the scaling, removal of the factors for bacterial plaque accumulation, and gingival recontouring favored esthetics, made the impression procedure easy, and enabled the construction of the ceramic laminates 5,8,10 with better adaptation and emergence profile. Almasri will remove excess gum tissue to reveal more of your tooth structure, creating a more even ratio of gums to. “My gums show too much when I smile or talk. Advanced searchLip repositioning is a conservative surgical technique used to treat excess gingival display. It is possible that the tissues interfere with restorative procedures or cause aesthetic problems. It’s important to us that our patients feel like they can truly relax during appointments. This is a procedure performed to eliminate periodontal pockets along with the reshaping as part of the technique. Laser-assisted gingival tissue procedures in esthetic dentistry. They surround the teeth and provide a seal around them. As a world-renowned lecturer, educator and leader in the cosmetic dental industry, he is proud to offer premium quality gum recontouring services at our dental practice in San Diego, CA. J Esthet Restor Dent. Request an appointment at Stoner Periodontics Specialists. Steve W. For people who have an excess of gum tissue that shows whenever they smile, Dr. Section 2: The Gum Recontouring Procedure 2. They include: Tooth whitening. J Esthet Restor Dent. Pages 229-240. periojang@chosun. Once the patient has undergone a mild local anaesthetic to numb the gum area, a dental laser (known as a soft tissue laser) is used to quickly and carefully remove the excess tissue. The tissue subsequently healed at the correct position and remained stable. 11. Thus, gingival contouring methods were modified in our case. Tissue graft for upper recession; Tissue graft for lower recession I; Tissue graft for lower recession II; Tissue graft for lower recession III; Full tissue graft for upper front teeth; Esthetic Crown Lengthening (Gummy Smile) Iteeth 13, 12, and 11 to mimic the gingival heights with teeth 21, 22, and 23 (Figures 2 and 3). 6 Choice of Technique to Manage Gingival Recession and Aesthetics. This process is often paired with Cosmetic Dentistry treatment bonding. This article describes the alternative treatments available for lip repositioning and improving smile aesthetics, and presents the clinical course of a gingival smile patient after undergoing the surgical technique of gingival recontouring (GR.