Gum recession can often lead to exposure of root surfaces, and is a very common patient complaint. If your gums recede, we can restore them to more natural form and function. Gum recession can be caused by infection, teeth grinding, and even rarely from overly aggressive toothbrush usage by patients.
Tissue grafts are recommended to prevent further gum recession and bone loss, and can be used to cover exposed or sensitive root surfaces. This procedure is completed by taking a connective tissue from the palate and transplanting it into a tunnel prepared around the receded areas of the gum. Graft tissue transplants are performed in our clinic under local anesthesia and typically have a relatively short recovery time.
If you have advanced periodontal disease, deep pockets may form between your teeth and gums, and often cannot be treated with conventional non-surgical therapy. In this case, we may recommend some type of surgical procedure. We prefer to start with non-surgical treatment and then after six months to a year make decisions on which areas require surgical treatment. It is preferable not to let bone loss become more severe because it will typically elongate the treatment time frame.
During the pocket elimination surgery the gum tissue is folded back, the diseased tissue is removed along with the accompanied bacteria , and the tissue is placed back at a new level which will allow patients to keep the area clean after the procedure. The surgery result is an improved oral environment and an increased chance of keeping your own natural teeth long term.
If your tooth is deeply decayed or broken near or below the gum line there may be not possible to restore your tooth properly. In this case for a better long term prognosis we might recommend a crown-lengthening procedure. This surgical procedure allows us to effectively adjust the level of the gum and bone, exposing more of your tooth structure and restore your tooth to its natural form and functionality.
Another indication for a crown lengthening procedure is a “gummy smile” condition, where by removing the gum tissue and bone structure we improve the aesthetic results and achieve “face and smile” harmony and balance.
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Frequently Asked Questions (FAQ’s)
What causes gum disease?
Gum diseases are caused by a steady buildup of bacterial plaque on the teeth along the gum line. The bacteria in this plaque releases toxins, which can irritate the soft tissues of the gums leading to infection and other issues.