The Cosmetic Dentistry by Laura D. Braswell, D.D.S. Diplomate, American Board of Periodontology : ldb3312@mindspring.com : contact info
October 19, 2000
We all want an attractive smile. Studies by the American Academy of Cosmetic Dentistry have revealed that people are often prejudged by their smile. It is perceived that those with a nice grin are more intelligent and successful. Many times the road to good oral health requires bleaching, veneers or crowns. In some patients it is not the art, but the framing that is the problem. This patient was concerned about recession. Even Shakespeare described the elderly as being "long in the tooth", not exactly a positive label. While several techniques exist for treatment of gingival recession, we chose a fairly simple procedure with minimal pain.
The cuff of gum around the two front teeth was cut and freed up from the underlying bone. Care was taken to gently push the gum down with minimal trauma, ensuring that the loosened tissue was passive in its new position.
After the tissue is moved down, firm pressure is applied to fuse the tissue to its new base on the bone. A pink color indicates that there is adequate blood supply and the body will accept the repositioned flap. A resorbable mesh membrane is placed over the empty space and secured with surgical glue. This protects the wound and helps hold the graft in its new position. The dark color is from the blood clot forming.
One week after surgery the tissue is nice and red indicating a good blood supply. Scalps are forming above the graft to fill in the void left from the movement.
In just four weeks the gingiva has almost completely healed with little signs of scarring. Since the tissue moved down is from the same part of the mouth, the color and texture is a perfect match. This happy patient has a new smile and a new attitude!
The Art of Gingival Surgery
- the front two teeth are assymetrical and out of balance with the dental arcade. both teeth exhibit recession
- gum tissue is released and repositioned for a more harmonious contour
- a surgical mesh is placed along with tissue glue
- ten days after surgery the tissue is healing nicely
- two months later the natural balance and esthetic contours of the front teeth are restored
Laura D.
Braswell, D.D.S.
Diplomate, American Board of Periodontology
3312
Piedmont Road, N.E., Suite #270
Atlanta, GA 30305-1708
Phone#
(404) 261-9593
Fax# (404) 261-9409
Email: ldb3312@mindspring.com