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Aesthetics

Anterior crown lengthening: Anterior crown lengthening provides the first stage for treatment for a “Gummy smile.” Teeth are intended to be longer than they are wide.  For a variety of reasons teeth sometimes appear somewhat short.  With beautiful shaping of the gum line the foundation can be set for your dentist to provide crowns to beautify your smile.  Without this good foundation (or with an uneven gum line) it is very difficult for your dentist to make nice crowns.

Ridge Augmentation:  When a tooth is lost, bone loss begins immediately.  After a period of time there become a depression in the ridge.  This abnormal shape of the ridge can make it very difficult to build a conventional bridge which looks natural.   A process of building up the ridge, so when a convention bridge is made that the pontic appears to be naturally extending out of the gum-line, as a natural tooth would.  Ridge augmentation is usually done with bone grafting, soft tissue grafting, or a combination of both.  This specific procedure depends on the severity of the defect and the result which is necessary.  When ridge augmentation is used prior to, or in combination with placement of a dental implant, a membrane is commonly used to encourage hard tissue healing.  Sometimes when there is less of a ridge defect it may be possible to do a soft tissue graft (connective tissue graft).

Root coverage:  Loss of gums protecting teeth is one of the most common periodontal problems (see picture).  The most common cause of recession defect is aggressive tooth brushing, or a history of using a hard bristle toothbrush.  Recession can commonly result in sensitive or painful gums.  Teeth are usually protected by a band of keratinized tissue (leathery gums) followed by a layer of mucosa (loose gums).   Frequently recession can extend only a few millimeters through the keratinized tissue into the mucosa.  When this happens loose gums next to the tooth can become easily irritated during normal daily activities including brushing and eating.  At this point, there are few treatment options.