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Esthetic Enhancements

Correcting the Gummy Smile

Root Coverage

Irregular Gum Levels

Today, more patients are seeking to improve their smile. However, even with new crowns or veneers, if the gum level is irregular, or if roots are exposed, the appearance will never be satisfactory. Periodontal plastic surgery addresses these issues, both with and without the use of crowns and veneers.


Correcting the Gummy Smile


The gummy smile makes the teeth appear short and disproportionate with the patient’s face. By sculpting the gum to make the teeth appear more natural, the smile can be greatly enhanced.

Gummy smile results in short teeth with irregular gum margins.

After tissue sculpting and veneers, a beautiful smile with teeth the proper size for the patient’s face.

 

Overgrowth of gum tissue during orthodontics

Tissue surgically trimmed to normal contour

Healed tissue with a pleasing appearance


Root Coverage


When there is gum recession, the root of the tooth often shows and is unsightly. Gum grafting is needed to restore health (See Gum Recession), but root coverage may also be desired to improve appearance. This is generally accomplished with a connective tissue graft, which provides new attached gingiva while covering the root surface.

Recession of canine gum producing a “fang-like” appearance

 

Complete root coverage with normal gum contour

 

Front tooth with unsightly root exposed

 

Improved cosmetics after root coverage

 

Before

After- Root coverage of upper premolars, left and right

Unsightly anterior recession

Recession corrected with root coverage procedure

Full view


Irregular Gum Levels


Irregular gum levels detract from an attractive smile. Even with new crowns, the results can never be satisfactory unless the gum has a natural contour. This may be as simple as changing a single tooth, or may involve all the upper front teeth.

Short lateral tooth, with low gum

 

Gum made level with adjacent teeth so normal crown could be placed.

 

Irregular gum levels with short, chipped teeth

Following re-contouring and crowns