A healthy smile is more than straight white teeth. Gums matter, too. When they are misshapen — either too large or too small — it can impact overall appearance. One condition, known as gummy smile, is fairly common. It’s also treatable. Learn more about gummy smiles, what causes them and treatment options.
What Is a Gummy Smile?
Gummy smile occurs when the gums appear to droop over the teeth. The result is a smile that is somewhat obscured by the encroaching gums. It can also create an appearance of teeth that are smaller than usual. The diagnosis of a “gummy smile” can vary from patient to patient and largely has to do with how that individual feels about his or her smile. Since the negatives associated with gummy smile are largely cosmetic only, gummy smile is sometimes considered one of perception. That said, a general rule of thumb says that gums that extend more than one-eighth of an inch are considered gummy.
What Is the Cause?
The perfect smile (as defined on an individual basis) is one that is well balanced. A gummy smile is the result of an imbalance somewhere in the mouth. In general, here are the four causes of a gummy smile:
The gums. Often times, the issue is the gums themselves, as gum tissue can protrude farther than it should.
The teeth. The size and shape of the teeth can give the appearance of a gummy smile. If they are shaped in a way that keeps them hidden, the gums will appear to be larger than normal.
The jaw. The vertical position of your jaw can affect whether your smile appears overly gummy.
The lips. The length of a person’s upper lip can be too short and create an appearance of large gums; likewise, if the lip pulls back farther than normal, the result can be a gummy smile.
What Are the Downsides?
As noted above, the health concerns associated with a gummy smile are minimal. For that reason, it is more of a cosmetic issue. A person suffering from a gummy smile might feel self-conscious, and that can negatively impact a person’s self-esteem. In essence, a person seeking treatment for gummy smile most likely is looking to achieve the best smile possible in order to look and feel better.
How Are Gummy Smiles Treated?
The first step toward treating a gummy smile is to identify the cause; as noted above, since the cause may vary. It also depends on the severity of the problem. A few common treatments are as follows:
Lip repositioning. (not sure we do this) If the lips are the issue, they can be adjusted to reveal less of a person’s gums.
Laser treatment. This is a common option for patients when the gum tissue is the problem.
Braces. By realigning a person’s teeth, the appearance of a gummy smile can be reduced.
Surgery. (will need dr to approve this) The gums and the bones to which they attach can be “sculpted” to reduce the appearance of a gummy smile
What is halitosis?
Halitosis is an oral health problem where the main symptom is bad smelling breath. In most cases, finding the cause of the bad breath is the first step toward treating this preventable condition.
What causes bad breath?
There are many causes of bad breath, just as there are many sources of bacteria in the mouth. Halitosis may be caused by the following:
Certain foods. The things you eat are linked to your oral health, including your breath. Items such as garlic and onions, or any food, are absorbed into the bloodstream. Until that food leaves the body, it has the potential to affect your breath.
Poor oral health care. Without correct and regular brushing and flossing, and routine dental exams, food remains in the mouth. This is a breeding ground for bacteria. Food that collects on the teeth, gums, and tongue may rot. This causes an unpleasant odor and taste in the mouth.
Improper cleaning of dentures. Dentures that are not cleaned correctly may be collecting bacteria, fungi, and remaining food particles, which cause bad breath.
Odor-causing bacteria on the tongue. Certain bacteria on the back of the tongue can interact with amino acids in foods and produce smelly sulfur compounds.
Periodontal disease. One of the main symptoms of this gum disease is bad-smelling breath, and an unpleasant taste in the mouth. This condition needs immediate care by an oral health professional.
Dry mouth (Xerostomia). This condition is often a key part of halitosis. When there is a major decrease in saliva production, the mouth can’t cleanse itself and remove debris and particles left behind by food. Dry mouth may be caused by certain medicines, a salivary gland disorder, or by always breathing through the mouth instead of the nose.
Tobacco products. Tobacco products such as cigarettes, cigars, smokeless tobacco, and snuff stain the teeth and put the body at risk for a host of diseases. But they also help cause bad breath.
Tobacco users also are at higher risk for the following:
Loss of ability to taste
A health condition. Bad breath may be a symptom of any of the following conditions. See your healthcare provider for a diagnosis:
A respiratory infection
Infection of the nose, windpipe, or lungs
A gastrointestinal disorder
A liver or kidney disorder
What are the symptoms of halitosis?
The main symptom of halitosis is a bad odor from the mouth that is considered beyond a socially acceptable level. The odor can be worse in the morning or after smoking, drinking coffee, or eating certain foods such as garlic.
How is halitosis diagnosed?
Dentists often diagnose halitosis. The diagnosis is based on the person’s history and mouth odor during the dental exam. The entire mouth is checked to see if a cause can be found, such as an infection If the dentist can’t find the cause, he or she will refer you to an appropriate specialist, such as a doctor.
What is the treatment for halitosis?
Treatment depends mainly on the cause of the condition, including:
Cause Possible treatment
Poor oral health care If the bad breath is due to improper oral healthcare, in most cases your dentist will treat the cause of the problem.
Gum disease If the cause is an underlying gum disease, the condition may be treated by your dentist. Or you may be referred to an oral specialist–in most cases, a periodontist. A periodontal cleaning often helps to remove the bacteria and tartar or plaque that has built up and is causing inflammation at the gumline.
Extensive plaque buildup
Your dentist or periodontist may recommend an antimicrobial mouth rinse. Also, you may be told to brush your tongue gently each time you brush your teeth to help remove odor-causing bacteria.
Health Condition Diagnosis and treatment of an existing health condition may get rid of the bad breath.
How can I prevent halitosis?
Halitosis can be prevented or decreased if you:
Brush and floss your teeth at least twice a day.
Brush your tongue, cheeks, and the roof of your mouth. Most bad breath bacteria live on the tongue. , So brushing or scraping the tongue can make a big difference in your breath.
If you have dentures, take them out at night and clean them completely before putting them back in your mouth. Talk with your dentist before using deodorizing sprays or tablets. Some only mask the odor for a short time.
If you smoke, quit. You will have better smelling breath, and a healthier body overall.
Keep your saliva flowing by eating healthy foods that make you chew. Carrots and apples require a lot of saliva. You can also chew sugar-free gum or suck on sugar-free candies. If you still don’t have enough saliva to keep your mouth moist, your dentist may suggest artificial saliva.
Visit your dentist on a regular basis. Regular check-ups can find problems such as gum disease, infections, and dry mouth. If you have bad breath and the dentist can’t find a cause, you may be referred to your primary healthcare provider for more follow-up.
When you imagine a dazzling, healthy-smile, usually the first thing that comes to mind are shiny, white teeth. But healthy gums are essential, if not the most important part of a beautiful smile. A healthy smile consists of gum tissue that is naturally pink in color, fits tightly around the teeth without periodontal pockets, does not cover the teeth with excessive gum tissue creating a what is known as a gummy smile, and has not deteriorated, often time as a result of periodontal disease, meaning the gums have not worn away as is the case with gum recession.
Gum pigmentation is not a cause for medical concern, and is therefore considered a cosmetic procedure done to improve the aesthetics of one’s smile. For many, dark gums can affect their self confidence, and hinder their self-esteem when speaking and smiling. Dr. Aalam and Dr. Krivitsky correct dark gums with gum depigmentation treatments in Los Angeles.
Gum depigmentation, also known as gum bleaching, is a cosmetic periodontal procedure used to remove dark spots on the gums. Normal, healthy gum tissue will typically appear pale pink in color. However, in the case of gum depigmentation, abnormally high amounts of melanin can cause dark spots and patches to appear on the tissue. This discoloration can affect the appearance of your smile and result in decreased confidence and self-esteem for many men and women.
Gum depigmentation, commonly known as gum lightening or gum bleaching, does not actually utilize any sort of bleach or lightening agent to achieve lighter gums. The term draws on the idea of teeth whitening and bleaching, which imply a treatment or product used to lighten the teeth. However bleaching solutions and agents are not safe for application on the gums. Instead Dr. Aalam utilizes advanced technology, effective and minimally invasive treatment techniques to restore natural, pink gum tissue and improve patients’ smiles.
At the CENTER for Advanced Periodontal and Implant Therapy, Dr. Aalam and Dr. Krivitsky utilize advanced technology coupled with cutting-edge techniques to perform various periodontal treatments in Los Angeles to restore their patients’ oral health and help them smile confidently again. A gum depigmentation procedure can be performed using several techniques, and successfully removes the dark spots on the gums caused by excess melanin. The treatment results in healthy looking gum tissue, and will reveal a more attractive smile that will have you showing off your full beautiful smile with excitement!
HOW TO KNOW WHEN YOU HAVE DARK GUMS
Typically, healthy gums should appear pale pink in color. However, people with darker complections may experience a brown shade on their gums, due to their natural extra melanin production. Some people are born with darker gums, as it is a genetic component, while others may experience changes in gum tissue color as a result of varying factors. Because these changes may be indicative of prominent underlying issues, it is imperative to be aware of changes in gum tissue color, and see a periodontist if you notice changes in color. Changes can include dark spots, brown spots, or patches.
GUM DEPIGMENTATION CAUSES
Dark spots on your gums can be caused by several components. It is important to see an expert periodontist in Los Angeles to properly diagnose and treat your issue, as it may be a sign of a larger health complication. Normal, healthy gums are light pink in color. Due to factors such as complexion, the body’s natural melanin production or genetic components, gum pigmentation may appear darker. Most commonly, dark gums are caused when a person’s body naturally produces more melanin. This will create an overall darker appearance of the gums. However it is important to differentiate between darker gums, and dark spots or patches that may appear. See below for how to know when you have dark gums, and the potential causes.
Gum pigmentation manifests differently for every patient. Some people notice small, dark spots on their gums, while others experience vast black or brown patches. Depending on what you’re experiencing, Dr. Harsh will create a personalized treatment plan focused on your unique case. While pigmentation is not medically dangerous, many patients feel that the condition is aesthetically displeasing, and opt for this procedure to help restore their confidence. Gum depigmentation is a simple, minimally invasive treatment that can help you achieve the healthy-looking smile you desire. A number of factors can contribute to gum pigmentation including genetics, poor dental hygiene, which can also lead to periodontitis, also known as periodontal disease, smoking and/or the extended use of certain medications. Although anyone can suffer from gum pigmentation, people with darker complexions tend to naturally possess higher levels of melanin which in turn can result in a darker shade of gum tissue.
Dr. Harsh utilizes advanced technology to treat gum pigmentation . Using only the most cutting-edge equipment available, they perform a state-of-the-art microdermabrasion technique to remove the pigmented areas of the gum, to reveal the healthy, lighter-colored tissue beneath. One of the benefits of gum depigmentation this form of treatment is that it affords the periodontist higher accuracy and control in removing pigmentation, so the resulting gums appear natural and healthy. Our patients achieve flawless outcomes of lighter, more attractive gums after surgery, as well as increased confidence because they love their new smiles!
This minimally invasive technique that Dr. Harsh uses to perform gum depigmentation treatments in Los Angeles targets the surface of the gum tissue to expose the lighter colored underlying gum tissue. This procedure is similar to the microdermabrasion technique used in dermatology that successfully removes the upper layer of skin. Once the uneven and dark layer of the gum tissue is removed, the new tissue revealed is lighter in color and more natural looking, creating a more uniform pink color of the gums, to achieve a healthy smile.
The procedure is fairly simple, yet extremely effective in brightening patient’s smile and restoring healthy looking gum tissue. The microdermabrasion peels away the surface epithelium and melanocytes to expose the underlying connective tissue, which will induce pink and firm kératinized tissue.
Dr. Harsh posseses unique expertise in periodontal corrective treatments. If you experience dark gums, or are unhappy with your smile, allow Dr. Harsh to help restore your oral health, and improve your confidence when smiling! Our patients achieve flawless outcomes of lighter, more attractive gums after surgery, as well as increased confidence because they love their new smiles!
POST GUM DEPIGMENTATION SURGERY & RECOVERY
The minimally invasive treatment helps patients achieve a beautiful, healthy-looking smile, with little post-operative pain or discomfort. Utilizing cutting-edge technology, Dr. Harsh offers gentle, effective care, that help patients improve their smile, without painful treatments or extended recovery times and leaves patients with natural, aesthetically pleasing smiles. Some general discomfort is expected immediately following the surgery, however patients do not experience any extensive pain during recovery. Patient’s can expect to return to normal activity the day after treatment.
After undergoing gum depigmentation, patients may experience some discomfort and sensitivity in the gums. However, most people find that over-the-counter pain medications offer effective relief. The rate of success for this periodontal treatment is very high, and most patients achieve the more attractive, lighter-looking smile they desire. Our goal is to ensure all patients enjoy a gentle and painless dental experience.
The retention of a restored or periodontally compromised tooth, as opposed to tooth extraction and subsequent prosthetic replacement, is one of the most difficult and multifactor-dependent decisions that dental professionals must make. We along with our team of specialist dentist use various dental therapies from different branches in dentistry to preserve your natural dentition and help them them last longer.
⦁ Pyorrhoea Treatment
Pyorrhea, more popularly known as periodontitis, is one of the most widespread dental conditions for humans. This type of dental sickness occurs when the periodontium tissues that surround and support your teeth become compromised. When left untreated, pyorrhea can lead to you lose teeth or outright ending up losing teeth when push comes to shove. Tooth loss happens because you start losing the alveolar bone surrounding the teeth as your periodontium deteriorates.
It’s also important to note that before you get full-blown pyorrhea, you first end up with gingivitis and it gets worse from there. Once you have symptoms of this gum condition, you should treat it to avoid it worsening to periodontitis or some other form of periodontal disease.
Signs and Symptoms of Pyorrhea
There are no symptoms to pyorrhea in its initial stages. However, keep in mind that you’re already at risk if you have bad dental hygiene habits or tend to neglect your teeth cleanliness.
As the disease progresses from gingivitis, it starts showing major signs and symptoms you should pay attention to, such as the following.
Swollen or puffy gums
Gums that bleed easily
Bad breath or halitosis
Recurrent gum swelling
Pus between your teeth and gums
Bright red, dusky red or purplish gums
New spaces developing between your teeth
Gums that feel tender or sensitive when touched
A change in the way your teeth fit together when you bite
Tooth or gum redness or bleeding when flossing or brushing
Blood when you bite into hard fruits like pears, apples, or guava
Deep pockets or spaces formed between the gums and the teeth
Loose teeth that move in place when you touch it with your finger or tongue
Gums that pull away from your teeth (recede), making your teeth look longer than normal
If these symptoms were to persist then you should consult your dentist or doctor ASAP. The more you ignore pyorrhea and allow it to progress the likelier you’ll get its most notable symptom, with is outright tooth loss.
Causes of Pyorrhea
Portrait of woman picking food stuck in teeth with finger
Pyorrhea typically happens when you lack dental hygiene. It can also be hereditary in the case of aggressive pyorrhea or caused being immunocompromised, as in the case of cancer or HIV patients. Letting bacteria stick to your teeth in the form of filmy plaque or tartar will deteriorate your teeth from its enamel to its periodontium tissues.
At any rate, here are the most common causes of pyorrhea:
Poor Dental Hygiene: Bacteria tend to spread if you don’t kill them with mouthwash that kills 99.9 percent of them or brush your teeth clean off all plaque and food bits. Flossing also helps a lot in scraping the plaque and the remnants of rotting food in between the spaces of your teeth. If you don’t brush and floss twice daily and mouthwash occasionally, you’re in for a rude awakening.
Complacency and Neglect: Complacency is a slow but sure killer in and of itself. When you’re complacent with your dental habits to the point where the coating of plaque on your teeth has become tartar or seemingly enamel (it’s not, by the way), then that leads to dental destruction of the highest order. You don’t realize how neglect can affect your teeth and gums until it’s usually too late.
Plaque and Tartar: When bad oral bacteria are allowed to run rampant in your mouth, they tend to form off-white or yellow film of protein and leftover food that’s teeming with germs called plaque. When this plaque hardens due to calcium deposits being put in the mix, it turns into calculus or tartar. The longer plaque stays on tooth enamel, the worse off your teeth and periodontium will become down the line.
Periodontal Destruction: The disease is caused by the destruction of the periodontium tissue or the supportive tissue that keeps the teeth anchored to the gums and jawbone. Improper dental hygiene is what kills this tissue since that allows bacteria and their acidic waste products to proliferate. Bacterial populations should be kept low by ridding your mouth of leftover food, starch, and sugar and washing it with antiseptic mouthwash.
Gingivitis or Mild Periodontal Disease: Great things start from small beginnings. Bad things too. Plaque left on your teeth can cause gingivitis, which is the mildest form of periodontal disease. This condition is defined as inflammation and irritation of the gum around the base of your teeth, which is also known as the gingiva. Gingivitis is reversible with good home oral care and professional dental treatment, as with periodontitis.
Periodontitis or Severe Periodontal Disease: By failing to reverse gingivitis, it can worsen and develop all the way into pyorrhea or periodontitis. In other words, gingivitis can directly result into periodontitis, which causes pockets to develop between teeth and gums as your periodontium tissues die out. These pockets where the periodontium and gingiva used to be will then be filled with plaque, tartar, and (of course) bacteria.
Diabetes and Pyorrhea: Certain conditions can cause other conditions to surface in your body. This is the case with diabetes and pyorrhea. If you have diabetes, your chances of also developing periodontitis also increase. Diabetics are often asked to observe dental hygiene to save themselves from further complications like dental disease.
Smoking: Smoking tobacco is bad for you in many ways, including its impact on your dental health. Yes, there are links between smoking cigarettes and pyorrhea development. Continuing to smoke while your periodontitis is being treated also interferes with the treatment so you better get a nicotine patch and wean yourself from smoking altogether.
Types of Pyorrhea
Pyorrhea or periodontitis come in several variations or types. The thing they have in common is the fact that having them usually leads to bacteria eating away at your periodontium to the point where your teeth loses its anchors to your jaw, making it easier for them to loosen and fall off.
The most common types of pyorrhea include the following.
Chronic Pyorrhea: The most common type of pyorrhea is the chronic kind. It affects mostly adults but it’s not unusual for children to suffer from this either. This condition is caused by plaque buildup that includes slow periodontal, gum, and bone deterioration that might get worse or improve over time depending on what the patient does about it.
Aggressive Pyorrhea: Aggressive periodontitis typically starts at early adulthood or childhood and affects only a select number of the population. It’s a hereditary type of periodontal disease that affects families for the most part. If left untreated, this destructive pyorrhea type will cause rapid progression of tooth and bone loss when push comes to shove. It should be dealt with ASAP.
Necrotizing Pyorrhea: Necrotizing periodontitis or periodontal disease is the worst type of pyorrhea that involves the death of supporting bone, tooth ligaments, and gum tissue caused by necrosis or lack of blood supply. This then results in severe infection. This condition usually occurs in people who have a suppressed immune system such as from cancer treatment, HIV infection, and so forth. It’s also caused by malnutrition.
Treatment of Pyorrhea
Young Woman Flossing Teeth In Bathroom
Periodontal disease or pyorrhea is curable but there is a point of no return you should be aware of with this disease. You might not be able to save some or all of your teeth if your pyorrhea is particularly bad, despite it being curable or reversible.
Long story short, you should brush and floss daily as well as gargle with mouthwash in order to keep bacterial populations low and your pyorrhea risk even lower. Here are important things to remember:
Brushing: You should brush twice a day or even three times a day to avoid developing pyorrhea or any other kind of oral disease. You should also brush properly and don’t scrape too hard with your brush. Move the brush in a circular pattern and do it thoroughly but gently instead of roughly and shoddily. Brush at least 2-3 minutes daily and don’t forget to regularly change your toothbrush as well every 3-4 months.
Flossing: Kids nowadays know flossing as a dance but these Millennials and Gen Z children should also be aware of how to properly floss in the dental sense. Many simply slip the floss between the teeth then pull it out in mere seconds, thinking they’re done. What they’re supposed to do is use a piece of floss on each individual tooth and then scrape not only the stuck bits of food but also the plaque on the tooth surface until all the teeth have been properly flossed.
Mouthwash: Mouthwash is at least a bit more self-explanatory than flossing or brushing. Just gargle with the mouthwash and then spit it out, right? In certain situations, like when you have a bacterial infection or swelling infected gums, you might need to let that mouthwash stay in your mouth for at least 30 seconds before spitting it out. Ideally, you should use antiseptic mouthwash and use it after brushing and flossing. It also helps get rid of bad breath.
Home-Made Remedies: You can also make use of home-made remedies to help fight or prevent pyorrhea. For example, you can chew an onion in order to kill germs that assist in periodontitis development. Onion also helps treat the bleeding gums symptom of both gingivitis and periodontal disease. You even have the option to eat fruits enriched with Vitamin C such as lemon and guava. Lemon prevents gum inflammation as well.
Dentist Visit: You should regularly visit your dentist. This is important because he’s the one who’ll keep tabs on the healthiness of your gums. He can also do thorough cleaning of your teeth and gums that are even more effective than everyday brushing and flossing known as prophylaxis for at least every 6 months. Your dentist knows best and can provide the right treatment for your issues.
Deep Cleaning: If you’re a patient with advanced pyorrhea and deep periodontal pockets where there used to be gum tissue, bone, and ligaments, you should avail of this treatment. It’s a package deal to treat chronic gum disease using the services of scaling and root planning.
Scaling: This procedure involves the dentist removing tartar and plaque on your teeth, gums, and periodontal pockets. This buildup of yellowish and brownish material is directly causing your pyorrhea. Special debridement tools are needed to access these areas because they’re beyond the reach of flossing, tooth brushing, or prophylaxis treatments.
Root Planing: The infected root is then smoothened out using dental instruments like a drill or a laser. The bacteria usually collects at the root and the pockets caused by your receding gumline, thus necessitating cleanup and removal. What’s more, infected tooth roots need to be planed in order to begin their healing.
Aftercare: Your dentist will likely prescribe an over-the-counter (OTC) painkiller and antibiotic for your infection. He might also recommend follow-up visits to determine whether or not your deep-cleaned teeth require more scaling and root planning. These additional appointments also help him check the progress of your gingival and dental healing.
A woman with healthy teeth
Periodontal disease, like dental caries or tooth decay, is caused by neglect and not maintaining proper dental hygiene for the most part. Your food intake as well as whether you smoke and drink are also contributing factors. Therefore, observe proper dental hygiene and visit your dentist regularly. Keep him updated with your dental condition and what treatments you might need to prevent this sickness from happening or progressing.
If left untreated, pyorrhea can cause a lot of bone and tissue damage, to the point where you’ll outright lose teeth. You might end up having no choice but to wear dentures or get an expensive dental implant operation. Your immune system can also get quite strained when dealing with a chronic type of inflammation or infection, leading to extra complications if you’re not careful.
It’s also common sense to observe dental hygiene on top of getting periodontitis treatment from your dental professional because as always, an ounce of prevention will always trump a pound of cure.
Periodontitis, which is an advanced form of periodontal disease, causes destruction of both soft and hard tissue components of the tooth supporting structures leading to tooth mobility. Tooth mobility is considered as the extent of horizontal and vertical tooth displacement created by examiners force. Assessment of tooth mobility is considered as an integral part of periodontal assessment because it is one of the important signs in the diagnosis of periodontal diseases. Hence, the reduction of tooth mobility is one of the prime objectives of periodontal therapy.
Tooth mobility is usually graded into Grade 1, 2, and 3 in periodontal healthcare delivery using Miller tooth mobility index because it has bearing on the choice of treatment and prognosis prediction. The mechanism through which periodontitis cause tooth mobility include inflammatory disruption of the periodontal tissues, widening of the periodontal ligament, attachment loss, alveolar bone loss, and occlusal trauma. The occlusal trauma here is considered as secondary occlusal trauma because the tissue destruction occurs in the presence of normal occlusal forces on the mobile tooth due to the weakened supporting tissues. Branschofsky et al. reported that secondary trauma from occlusion is frequently seen in periodontally compromised patients.
Tooth mobility results in occlusal instability, masticatory disturbances, and impaired quality of life. The continued movement of the mobile tooth during oral function further damages the periodontium, accelerating the disease process thereby leading to tooth loss. The initial awareness of tooth mobility in patients may be from tooth tenderness experience on mastication followed by pain on sudden tooth displacement when biting on hard foods or from inadvertent trauma. The anterior labial or lateral tooth displacement that results in fanning and elongation of clinical crown with poor appearance is the esthetic challenge associated tooth mobility. Individuals experiencing tooth mobility may resort to unilateral mastication and dietary restriction as their coping mechanisms. Teeth cleaning is also difficult thereby leading to the worsening of oral hygiene status by plaque accumulation. These factors trigger a positive feedback mechanism which will be truncated only if appropriate treatment is rendered or the untreated tooth is lost [Figure 1].
Splinting is a well-accepted integral part of holistic periodontal treatment which results in morale boost, improved patient comfort, and oral functions. Composite splinting reinforced with 0.5 mm HSS wire may be used to facilitate healing of periodontally compromised teeth with mobility after they have been treated with nonsurgical periodontal therapy and occlusal adjustment.
You may have asked your periodontist about procedures to improve a “gummy” smile because your teeth appear short. Your teeth may actually be the proper lengths, but they’re covered with too much gum tissue. To correct this, your periodontist performs a dental crown lengthening procedure.
During the dental crown lengthening procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile.
Your dentist or periodontist may also recommend dental crown lengthening to make a restorative or cosmetic dental procedure possible. 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.