What causes gum loss?
Loss or recession of gum tissue can have a variety of causes, including gum disease,severe infection,trauma,or tooth extraction. When the gums shrink away from the teeth, the teeth appear longer,and unattractive spaces can show them. Unfortunately, gum tissue doesn't usually grow back. Grafting of gum tissue is often performed either to correct the deformity or to prevent the recession from worsening.
If you have crowns and your gum tissue recedes,the previously hidden junction where tooth and crown meet may become visible. The root of your tooth, which is typically darker than the crown, may be unsightly ,or a metal or porcelain margin may show. It's difficult to obtain a good esthetic match this way, a better alternative is to hide with dark colored restoration. The ideal solution is to replace the crown.
Tired of your gummy smile?
Too much gum tissue may be the result of disease,while others have inherited the tendency to have too much gum tissue. If gum disease is the problem, the overgrowth is usually thick and swollen and may bleed. This kind of inflammation is usually treated with scaling and curettage. If the problem is hereditary or the result of high lip line, treatment involves
- Gingivectomy: Surgically removing some of the gum tissue.It is performed only if an adequate amount of attached gum tissue will remain.
- Gingivoplasty: Reshaping of the gum tissue.It can improve the contour of the gums around the teeth.
- Flap surgery: Involves surgically lifting sections of the gum tissue so that the underlying bone and surrounding tissue can be treated. The flap is then reattached at a higher point so that less gum tissue shows when you smile.
- Orthognathic surgery: Removing a section of bone from the roots of the teeth and closing up the entire arch so that gum tissue is not visible when you smile.
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