Gum Surgery

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How Gum Surgery can Improve Your Smile.

There are various reasons that a patient would choose to have gum surgery. The symmetry of the teeth can change the appearance of the face.

By removing areas of the gum, we can contour around the teeth to give a more appealing appearance to the gums.

Sometimes if patients have a 'gummy' smile, the clinician can remove some of the gum to reveal more of the dentition and improve the smile.

Gum Surgery Treatments.

Gum surgery, also known as periodontal surgery, is a broad term encompassing various procedures performed by a periodontist (gum specialist) to address a range of gum-related issues. These issues can stem from gum disease, a bacterial infection that attacks the gums and supporting bone, or from cosmetic concerns. Depending on the specific problem, gum surgery can aim to remove infection, regenerate lost bone tissue, reshape gum tissue for better aesthetics, or expose impacted teeth. Let's delve into the different types of gum surgery treatments available.

1. Gum Grafting

This procedure is used to address gum recession, where the gum tissue wears away and exposes the tooth root. Recession can be caused by gum disease, aggressive brushing, or misaligned teeth.

There are a few different grafting techniques, depending on the severity of recession and the amount of tissue needed. In some cases, tissue is harvested from another area of your mouth, such as the palate. Alternatively, donor tissue or synthetic materials may be used. The periodontist will carefully place the graft material over the exposed root and secure it with sutures.

Similar to flap surgery, with some discomfort and swelling for several days. Soft food diet and meticulous oral hygiene are crucial for successful healing.

2. Bone Grafting

In severe cases of gum disease, bone loss can occur around the teeth. Bone grafting procedures aim to regenerate this lost bone to provide better support for the teeth.

There are various bone grafting materials available, including your own bone, donated bone, or synthetic bone substitutes. The periodontist will place the grafting material in the defect between the bone and tooth root. A membrane may be used to cover the graft and promote healing.

This procedure can be more complex depending on the amount of bone grafting needed. Discomfort and swelling can be expected for a week or more, and a soft food diet is recommended.

3. Laser Gum Contouring

This is a relatively new approach that uses a laser instead of a scalpel for some gum procedures. Similar to traditional flap surgery, but the laser precisely removes diseased tissue and targets bacteria. It utilizes a focused beam of light to remove diseased tissue and target bacteria in the gums.

Laser gum surgery offers a potentially less invasive and potentially faster healing approach to treating gum disease and performing certain other gum procedures. However, it's not a one-size-fits-all solution. If you're considering laser gum surgery, discuss it with our dentist to determine if it's the most suitable option for your specific situation and weigh the potential benefits and considerations.

4. Frenectomy

A frenectomy is a minor surgical procedure that involves removing or revising a frenum, a small fold of tissue that connects two areas in your mouth. The procedure is typically an outpatient procedure performed by a periodontist with local anesthesia to numb the area. You'll be given specific instructions on caring for the surgical site, including pain management, oral hygiene practices, and dietary restrictions.

Frenectomy is a minimally invasive procedure with minimal discomfort. You may experience some soreness or swelling for a day or two, which can be managed with pain medication. Maintaining good oral hygiene and following your dentist's post-operative instructions are crucial for optimal healing.

Benefits Of Gum Surgery

Gum surgery addresses gum disease, preventing further bone loss, tooth decay, and potential tooth loss.
By removing bacteria and creating a tighter seal around the teeth, gum surgery reduces the risk of future infections.
Gum disease can cause discomfort and pain. Gum surgery can alleviate these issues and promote overall oral health.
Procedures like gingivectomy or soft tissue grafts can improve the appearance of your gum line and create a more balanced, aesthetically pleasing smile.
A healthy smile can boost your confidence and self-esteem.
Studies have shown a link between gum disease and other health problems like diabetes and heart disease. Maintaining good oral health, including gum surgery when necessary, can contribute to better overall health.

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Frequently asked questions

Gum surgery, also known as periodontal surgery, is a broad term for procedures performed on the gums and supporting bone around your teeth. It addresses various gum-related issues, primarily focusing on improving your oral health and smile aesthetics. Reasons for gum surgery include treating moderate to advanced gum disease, reducing gum pockets, reshaping gum tissue for a more even gum line, correcting gum recession, or bone grafting to support dental implants.

Local anesthesia is used during the surgery to minimize discomfort. You might experience some soreness or tenderness after the procedure, but pain medication can help manage it.

Recovery time varies depending on the type of surgery performed. Generally, you can expect tenderness, swelling, and slight bleeding for a few days. Your dentist will provide specific post-operative care instructions, including a soft diet and gentle brushing.

Not everyone needs gum surgery. Your dentist will recommend it based on the severity of your gum disease and its impact on your oral health. Candidates might include those with:
  • Moderate/advanced gum disease unresponsive to scaling and root planing.
  • Severe gum recession exposing tooth roots.
  • Uneven gum line affecting smile aesthetics.
  • Need for bone grafting before dental implant placement.

As with any surgery, there are potential risks like infection, bleeding, or discomfort. However, dentists take precautions to minimize these risks. Discuss any concerns with your dentist beforehand.

  • Improved oral health by controlling gum disease and preventing tooth loss.
  • Reduced risk of infection by removing bacteria and creating a tighter seal around the teeth.
  • Pain relief from gum disease discomfort.
  • Enhanced smile aesthetics by correcting gum line issues for a more balanced appearance.
  • Improved confidence with a healthy and attractive smile.

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