Esthetic microsurgery


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Clinical case

A few examples whereby periodontal microsurgery is used:

Soft tissue grafting

Sometimes after a tooth extraction valuable bone and gum can get lost. Tooth preservation can limit these dimensional changes. Basically, immediately after removing the tooth, we bring in artificial bone and a so-called ‘soft-tissue graft’. Usually after a period of 4 to 6 months of healing the actual implant can be placed. As opposed to a traditional approach tooth preservation requires minimal invasive treatment. This proves to be beneficial both with regards to patient experience and aesthetics.

Gingivectomy or clinical crown lengthening.

Gum hypertrophy is a condition whereby there is excess gum that covers the teeth, making a gum correction or gingivectomy desirable. This is a procedure whereby a strip of gum is taken away. Some people have a smile that reveals a lot of gum (often referred to as ‘gummy smile’) and wish to have it aesthetically altered. In that case, we change the progression of the gum. The same procedure can be performed to create a harmonious gum line before placing new crowns or facets. If a tooth has broken off or if there are deep cavities, repair can be challenging. Correcting the gum allows the dentist to place a filling or a crown.

Recession

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Recession of the gingivia is when the gums draw back to expose the roots of the teeth. Treatment might be necessary or desirable for aesthetic reasons, or the patient might experience difficulties while brushing. There could also be heightened sensitivity or we might want to prevent root decay.

A recession is treated by taking a bit of gum from somewhere else in the month (for instance from the palate) and placing it where the recession occurs.

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