Procedure: Soft Tissue Graft
Your gums may have receded for a variety of reasons, including aggressive tooth brushing or periodontal disease. You may not be in control of what caused the recession, but prior to treatment Dr. Mangelson can help you identify the factors contributing to the problem. Once these contributing factors are controlled, a soft tissue graft procedure will repair the defect and help to prevent additional recession and bone loss.
Soft tissue grafts can be used to cover roots or develop gum tissue due to excessive gingival recession. During this procedure, Dr. Mangelson carefully selects gum tissue from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.
What are the benefits of this procedure? A soft tissue graft can reduce further recession and bone loss. Root surfaces are more vulnerable to decay. Soft tissue grafting can cover exposed roots to protect them from decaying. It also helps to reduce tooth sensitivity and improve the aesthetics of your smile.
Sometimes when you lose one or more teeth, you can get an indention in the area where the tooth used to be. This happens because the bone naturally recedes when it is no longer is supporting a tooth. In that case, Dr. Mangelson may suggest that ridge augmentation be performed. For this solution, a gum graft is used in conjunction with the soft tissue graft so that there is more bone support for the restorative replacement. This gives the patient an optimal aesthetic result.
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Procedure: Crown Lengthening
During this surgical procedure, excess gum tissue and bone is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gumline, or to several teeth to expose a natural, broad smile. Your dentist may refer you to Dr. Mangelson for crown lengthening to make a restorative or cosmetic dental procedure more favorable.
Perhaps your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.
What are the benefits of this procedure? Whether you have crown lengthening to improve function or aesthetics, patients often receive the benefits of both: a beautiful new smile and improved periodontal health are your keys to smiling, eating and speaking with comfort and confidence.
The muscles of the cheeks and lips are attached to the gums and tissue of the mouth by a piece of soft tissue called a frenum. Sometimes a frenum can be attached too high on the gums causing either recession or spaces between teeth.
In addition, there is another frenum under the tongue. If this frenum is attached too close to the end of the tongue it can adversely affect swallowing and speech. Sometimes this is referred to as being “tongue-tied”.
A Frenectomy is a simple procedure where Dr. Mangelson releases either part or all of the frenum in question so that those strong muscles no longer pull on the healthy gingival tissue causing recession.
Gingivitis is a periodontal procedure which includes the removal of gingival (gum) tissue to achieve a more aesthetic appearance and/or functional contour. Having healthy gums is an important part of a beautiful smile.
Sometimes gums extend onto the front surface of the teeth and the natural balance between length of the teeth and height of the gums is lost. There are several different reasons for this overgrowth including medication, increased hormone levels, orthodontics, poor oral hygiene, and sometimes even stress.
Dr. Mangelson performs a gingivectomy under a local anesthetic taking careful consideration of the aesthetic outcome. You may be referred to our office by your orthodontist following your treatment to further enhance your smile. Your general dentist may also refer you for a gingivectomy if your periodontal pockets cannot be controlled with scaling and root planing or with antibiotics.
A gingivectomy is a safe and predictable way of removing excess gum tissue and improving the natural appearance of your smile. After a gingivectomy is performed, there is minimal discomfort and the healing is rapid.