Periodontal Surgery Dentist Belgrade Dental Office
Periodontitis is a widely spread chronic disease which leads to the gradual gum withdrawal, bone loss, development of periodontal pockets, while loosening and loss of teeth occur in the later stages.
Surgical treatment of periodontal pockets
Surgical intervention most commonly used for the healing of periodontitis. Before the intervention it is often advised that a sample should be taken which will identify a type and number of bacteria and determine whether an artificial bone (Bio-Oss) will be applied in order to fill defects which occur as the consequence of periodontitis. The suitable therapy will be conducted in accordance with the findings so successful healing with maximum results is achieved.
In the case of the attached gingiva and gum withdrawal a surgical intervention will be conducted consisting of a sample taking of an epithelium transplant from platinum which will be inserted in the place where the gum withdrawal has occurred.
Frenectomy is the removal of a frenulum or loosening of its fold. A frenulum (a band of mucosal connective tissue) is the most prominent at the junction connecting the inside of the upper lip to the gums just above the upper two front teeth. In addition, there is one connecting the lower lip to gums as well as another one connecting the tongue to the floor of the mouth.
A frenulum will be surgically removed of it causes the following issues: gum withdrawal, a permanent gap between teeth, limitation in tongue movement or denture loosening.
This intervention is conducted as a part of the treatment of GUMMY SMILE which prevents the raising of upper lip, thus decreasing an excessive gum display. The intervention is conducted under the local anaesthesia and it is completely painless.
A smile is considered to be a gummy when there is a significant amount of gum tissue visible during a smile. Although it has been long considered a normal variation of human anatomy, many people with a gummy smile tend to be very self-conscious of how they smile. Luckily, these smiles can be improved by a simple periodontal intervention. A gummy smile can be caused by numerous reasons such as an earlier orthodontic therapy, genetic factors or as a consequence of medication treatment.
Types of "Gummy Smiles"
The term "gummy smile" may be referring to a single tooth, a specific group of teeth, or the entire jaw containing all of the teeth, in both the upper and lower parts of the mouth. There are 4 types of gummy smiles depending on the percentage of tooth structure displayed when someone is smiling:
Mild Gummy Smiles
Moderate Gummy Smiles
Advanced Gummy Smiles
Severe Gummy Smile
Regardless of the type, patients always have the following options at their disposal:
• Gingivectomy – a dental laser or surgical procedure is used for the removal a minimal amount of gum tissue. The procedure is painless, requires no sutures, and the gums heal within two weeks. The procedure is indicated for the treatment of mild and moderate gummy smiles and it is often combined with the hyaluronic acid lip enhancement.
• Crown lengthening surgery – a painless procedure consisting of extensive gum tissue reduction and the application of porcelain veneers or crowns. The procedure is indicated for the treatment of advanced and severe "gummy smiles".
In some cases it will be necessary that upper lip - suspension (lip lowering surgery) will be done.
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