GUM PLASTIC SURGERY - Lebanon

1. Gingival Augmentation

Gingival augmentation should be considered where the patient experiences discomfort during tooth brushing and /or chewing due to lack presence of rigid gingiva. Furthermore, when orthodontic tooth movement is planned and the final positioning of the tooth can be expected to result in an alveolar bone dehiscence, an increase of the thickness of the covering soft tissue may reduce the risk for developed of soft tissue recession.

2. Root Coverage

The main indications for root coverage procedures are esthetic/cosmetic demands and root hypersensitivity and the management of shallow root carie lesions and cervical abrasions.

It should be mentioned that the two major causative factors in the development of marginal tissue recessions are plaque induced periodontal inflammation and trauma caused by tooth brushing.The control of these factors will in most cases prevent further progression of the recession. This means that in both regions with thin covering tissue, with or without an incipient recession, the patient should be encouraged to carry out effective but at the same time non-traumatic plaque control measures. With respect to tooth brushing, the Bass' method should be avoided and the patient should be instructed to use a technique creating a little apically directed pressure on the soft tissue margin as possible. A soft toothbrush should, of course , be used.

3. Crown Lengthening( Gum Plastic Surgery in case of Gummy smile)

Excessive gingival display

In most patients, the lower edge of the upper lip assumes a "gum-wing" profile which limits the amount of gingiva that is exposed when a person smiles. Patients who have a high lip line expose a broad zone of gingival tissue and may often express concern about their "gummy smile"/ The form of the lips and the positions of the lips during speech and smiling cannot be easily changed, but the periodontist may, if necessary modify/control the form of the teeth and the interdental papillae as well as the position of the gingival margins and the incisal edges of the teeth.

If excessive gingival exposure is due to insufficient length of the clinical crowns, a crown lengthening procedure is indicated to reduce the amount of gingiva exposed, which in turn will favorably alter the shape and form of the anterior teeth.

Click on this image enlarge and get more details Gum Plastic Surgery at SOFT Dental Clinics - Lebanon : Gummy smile, the appears too short. The solution is gum sculpting and reshaping. At SOFT Dental Clinics ® , we use the latest technologies and equipments to give you the best results. Surgeries are done using the Piezosurgery ® with the Heine ® Led Lights and Loupes. The great thing about gum reshaping is that results are usually permanent and relatively inexpensive.

4. Augmentation of the edentulous ridge.

Correction of the ridge defects by the use of soft tissue grafts

A deformed ridge may result from tooth extractions, advanced periodontal disease, abscess formations,etc. The deformity that exists in the ridge is directly related to the volume of the root structure and associated bone that is missing or has been destroyed

Ridge augmentation procedures should be preceded by a careful surgical-prosthetic treatment planning by joint consultations involving the periodontist and the restorative -prosthetic dentist in order to attain an optimal esthetic result.

Click on this image enlarge and see more details Ridge augmentation Surgery at SOFT Dental Clinics - Lebanon : A sub epithelial pouch is prepared in the area of the ridge deformity, into which a free graft of connective tissue harvested from the palate is placed and molded to create the desired contour of the ridge.