Periodontists Can Reshape Gum Tissues For A More Beautiful Smile

Posted on May 10, 2016 by William J. Claiborne, DDS MS

As a Periodontal Specialist, I have unique expertise in treating all stages of periodontal (gum) disease and in the placement of Dental Implants. Another part of my specialty is in the recontouring of gum tissues, or Periodontal Plastic Surgery.

While the shape, shade and length of teeth have a major impact on the appearance of a smile, so does the gum tissue that surrounds teeth. Think of your teeth as a window and your gums as the window frame. To ensure a balanced appearance of each window, the frame must be properly aligned in shape and size as well. Without it, an entire room would look ‘off.’ As with facial appearance, your smile is greatly affected by the appearance of teeth and their ‘frames’ of gum tissue.

There are several areas where gum reshaping can have a dramatic impact on a smile’s appearance. For those who are born with a ‘gummy smile,’ gum recontouring can restore the balance of gums to teeth and create a more beautiful smile.

In a gummy smile, too much gum tissue is exposed above the teeth most visible in a smile. This is a genetic trait and certainly doesn’t affect oral health. The detriment, for many with a gummy smile, is it causes them to refrain from smiling fully. Some with this trait smile with lips only and some conceal their smile with a hand.

The procedure to correct a gummy smile can be done in one visit. Excess gum tissue is removed and the remaining gums are arched over each tooth for a natural appearance. In most cases, porcelain crowns or veneers are placed to accentuate the natural look and feel of the teeth involved. The result is a fabulous smile that can be shared fully and joyfully!

Gum reshaping is also done when certain teeth are bordered by more gum tissue than that bordering surrounding teeth. The procedure most commonly performed to correct this is crown lengthening. This is usually done in conjunction with crown placement but may be possible in mild cases of excess gum tissue.

Crown lengthening helps to establish an appealing, balanced smile line that ‘frames’ each tooth with an arch similar to that over adjoining teeth. The procedure requires just one visit and healing time is generally minimal.

Another way that Periodontal Plastic Surgery can enhance the appearance of a smile is grafting to repair gum recession. This is when the gum tissue pulls away from the base of the tooth, exposing darker, more sensitive tooth root sections. Causes of receded gums are often due to age, bite misalignment, gum disease and over-zealous brushing.

Also referred to as Gingival Grafting, this procedure typically involves taking a small area of tissue from the roof of your mouth (which heals quickly) and placing it over the area of recession. It is secured in place for a healing period of approximately two weeks. The results restore the look of a healthy, naturally-framed tooth.

A Periodontal Specialist not only provides you with the skills to create an optimal outcome, he or she understands the TLC needed for minimal disruption to the gums involved. This tender, vulnerable tissue requires a gentle touch and precision hand to provide each patient with an exceptional result with minimal healing time required.

The next time you walk into your living room, pay particular attention to the windows. Imagine the windows having different sized frames that are mismatch on each side and worn. The entire room would look less inviting. When it comes to your smile, your gums help to create an ‘inviting’ smile that makes a positive impression.

Ask about Periodontal Plastic Surgery to enhance the appearance and health of your smile during a consultation appointment. Call 828-274-9440 to schedule.

 

Reasons For Crown Lengthening Procedures

Posted on Mar 21, 2016 by William J. Claiborne, DDS MS

As a Periodontist, my specialty surrounds the treatment of all stages of gum disease and the placement of Dental Implants, for the most part. However, another focus of the periodontal specialty is in the recontouring of gum tissues.

In some cases, this is done to provide cosmetic enhancement to the appearance of a smile. For example, crown lengthening is often performed to correct an uneven smile line. This occurs when there are varying levels of gum tissue arching each tooth. This uneven line of gum tissue leaves an up-&-down frame for teeth most visible in a smile. Even straight teeth look less attractive with uneven gum arches. By contouring the gums to provide a unified border over teeth, crown lengthening provides a more appealing smile overall.

Another esthetic reason for crown lengthening is to repair a ‘gummy smile.’ A gummy smile is one that shows too much gum tissue above the teeth. While this is a genetic trait and is not related to an oral health issue, some people with a gummy smile feel self-conscious when smiling a full smile and tend to ‘hold back.’ In some cases, excess gum tissue can be corrected by careful removal while others may require crowning involved teeth. Crowns ensure the gums can be contoured to a more natural level without compromising the future health of teeth.

There are other reasons for crown lengthening, such as helping to save a tooth from removal. For example, when a tooth has broken close to the gum line, crown lengthening procedures can remove gum tissue to expose more of the tooth. Because a tooth that breaks at the gum line must be removed, this procedure can make sufficient tooth structure available to support a crown. Saving a tooth can keep the patient from having to deal with the decisions of tooth replacement and associated costs.

Crown lengthening is also beneficial in sealing gum tissues surrounding a tooth at its base. This is important after a new crown is placed as it prevents bacteria from penetrating the gums during the vulnerable stage of attaching. By securing the gum tissue around the crown, bacterial entry is avoided and the risk for periodontal (gum) disease decreased.

The crown lengthening procedure is clinically referred to as a Gingivectomy. It is performed with the patient sedated and comfortable. Some swelling and gum tenderness may follow, although most patients only require over-the-counter medications. If you smoke, you can expect the healing period to take longer since the chemicals in tobacco have drying effects on gum tissues. However, most patients are back to normal within several weeks with the beautiful look that crown lengthening provides.

If gum recontouring could provide a more appealing smile, the results of crown lengthening, in many cases, are significant. However, when crown lengthening can save a tooth or help to prevent gum disease, from a Periodontists’ point of view, the advantages are priceless!

Begin with a consultation to discuss creating the smile you desire. Call 828-274-9440 to schedule.

 

Have A ‘Gummy Smile?’

Posted on Jan 11, 2016 by William J. Claiborne, DDS MS

Think of a photo that shows someone who is truly happy. They are typically beaming with a big, wide smile. For those who feel their smile has flaws, however, letting loose with a truly happy smile can be difficult.

For example, this can be the case for those who have a ‘gummy smile.’ In a gummy smile, too much gum line is seen above the upper teeth when the individual is smiling fully. This extra gum tissue detracts from the beauty of a smile. And, it often causes those with the trait to ‘hold back’ rather than allow a full smile to emerge. It can even cause people to cover their smile with a hand to conceal what they feel is an unattractive flaw.

A healthy smile should never feel awkward. However, the appearance of a smile can have tremendous impact on self-esteem, self-confidence and of course, appearance. While it is important to have a healthy smile, it is also beneficial to our self-image that we have a smile that makes us feel good on the inside and out.

A gummy smile can be repaired easily with modern techniques, and with exceptional comfort and reduced healing time. This is done by gum contouring. In this procedure, a ‘gingivectomy’ is performed that removes excess gum tissue above the teeth.

We begin by anesthetizing the gums and carefully trim the excess tissue. After the procedure, some tenderness or swelling may occur, which can be minimized by applying an ice pack to the affected area for a day. While most discomfort is managed with over-the-counter pain medications, prescription strength options are available for patients who desire them.

Healing time depends on the individual and can vary from a few days to a few weeks. Patients who smoke can expect the longer healing time.  This is because the chemicals in cigarette smoke are very drying to oral tissues. Dryness slows the body’s ability to support a proper pace of healing.

Most gingivectomies are followed by crown lengthening procedures that enhance the appearance of the teeth most visible in a smile. Crown lengthening uses porcelain veneers or crowns to give a beautiful, even smile line.

The costs for repairing a gummy smile will vary according to the severity of the condition and subsequent addition of crowns or veneers. However, we’ve seen remarkable results with those who have had the procedure. They seem to transform into a more outgoing, vibrant personality through a fabulous smile that gets shared often!

Begin with a consultation to discuss the gingivectomy procedure and if subsequent crown lengthening is recommended. Call 828-274-9440 for a time that is convenient to you.

Smile Affects More Than Appearance

Posted on Mar 16, 2015 by William J. Claiborne, DDS MS

The dictionary defines a smile as: “a pleasant or agreeable appearance, look, or aspect.” Does that describe your smile?

As a periodontist who performs gum recontouring to repair ‘gummy smiles’ and dental implants to replace missing teeth, patients often share the emotional repercussions of a flawed smile before treatment. Many of them explain how they’ve  ‘held back’ on their smile, often concealing it with their hand or smiling with lips only. Some share they felt uncomfortable speaking with the opposite sex. Others felt their smile has kept them from pursuing higher positions or particular jobs.

Your smile is much more than teeth and gums. It reflects your overall personality. Would a confident smile make you more comfortable smiling and interacting with others? Would it prompt you to smile more often? Would it make you feel more attractive and outgoing? These are changes that patients have shared after treatment. Truly, the effects go much deeper than visual.

Adults often indulge in cars, clothes, electronics and trips as ways to create good feelings. Yet, none can provide the lasting effects of a confident, appealing smile. If you’d like to discuss dental implants for tooth replacement or gum recontouring for a smile you’ll enjoy sharing, every day, call (828) 274-9440 to arrange a consultation.