Craig S. Karriker, DMD, P.A.- 400 South Granard Street, Gaffney, SC 29341, (864) 487-0710

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By Craig S. Karriker, DMD, PA
January 07, 2015
Category: Dental Procedures
CosmeticGumSurgeryCanRestoreHealthasWellasAppearancetoGums

We most often associate plastic surgery with cosmetic enhancements to our outer appearance. While this is their primary purpose, some forms of reconstructive surgery restore lost function and health as well as improve appearance. A classic example is cosmetic periodontal (gum) surgery that restores receded gum tissues that have exposed more of the tooth than is visually appealing.

Gum recession occurs primarily because of excessive brushing (too hard or for too long) or because of periodontal (gum) disease, a bacterial infection that ultimately causes gum tissue to detach and pull away from the teeth. Gum recession not only affects the appearance of the teeth, it can expose the tooth’s root surface to further infection and decay. Without treatment, the disease could progress causing further damage with the potential for the tooth to be eventually lost.

In conjunction with plaque removal to stop gum disease and possibly other treatments like orthodontics to correct misaligned teeth, cosmetic gum surgery is used to rejuvenate lost gum tissues around teeth through tissue grafting. In these procedures, a combination of surgical approaches and/or grafting materials are attached to the area of recession to stimulate the remaining tissue to grow upon the graft and eventually replace it.

Donor grafts can originate from three sources: from the patient (an autograft); another person (an allograft); or another animal species, usually a cow (a xenograft). Tissues from outside the patient are thoroughly treated to remove all cellular material and bacteria to eliminate any possibility of host rejection or disease transmission.

Depending on the nature of the gum recession and tooth condition, the procedure can take different forms. It could involve completely detaching the graft tissue from the host site and re-attaching it to the recipient site. But if more of the tooth root is exposed, the surgeon may cover the graft with tissue adjacent to the host site to supply blood to the graft, and affix the loosened pedicle to the graft site. While any technique requires advanced training and experience, the latter procedure involves microsurgical techniques that require the highest levels of technical skill and art.

Cosmetic gum surgery can result in healthier gum tissues and teeth that are less susceptible to infection and loss. No less important, though, these procedures can return a more natural look to your teeth and gums — and a more pleasing smile.

If you would like more information on gum tissue reconstruction, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal Plastic Surgery.”

By Craig S. Karriker, DMD, PA
April 17, 2014
Category: Dental Procedures
CosmeticGumSurgeryCanEnhanceaSmile

It's not just your teeth that are on display when you smile; it's also your gums. For a smile to look appealing, there needs to be a frame of healthy pink tissue to set off those pearly whites. But just as there can be cosmetic issues with teeth, the shape or condition of the gums, too, can create an aesthetic problem. If you feel the appearance of your gums is in any way detracting from the appeal of your smile, we can help with a variety of in-office surgical procedures.

Here are some common cosmetic gum problems — and possible solutions:

Problem: Too Much Gum Tissue. A smile can look “gummy” when excessive gum tissue covers more of the enamel surface of a tooth's crown (upper portion) than normal.
Solution: Crown Lengthening. This is a procedure in which gum tissue (and rarely but sometimes a small amount of bone tissue) is removed to expose more tooth surface.

Problem: Not Enough Gum Tissue. Sometimes your gums can shrink down (recede), exposing some of a tooth's root — which is more yellow than the enamel surface of the tooth.
Solution: Gum Grafting. There are various grafting procedures that can be used to cover exposed roots by moving gingival (gum) tissue from one site in the mouth to another. Sometimes laboratory-processed donor tissue can even be used to minimize the surgery.

Problem: Uneven Gum Line. This means that some teeth are covered by more gum tissue than others, which can make a smile seem off-kilter.
Solution: Gum tissue can be recontoured (reshaped) for a very pleasing effect with either conventional surgery or the newer dental laser technology.

All of the above procedures can be performed at the dental office — usually with only a local anesthetic (numbing shot). In fact, for laser surgery you may need only a topical anesthetic gel. An examination is required to determine whether conventional or laser treatment is in your best interests. Whatever your cosmetic gum surgery needs may be, the procedures are routine and predictable — and they can work wonders for your smile!

If you have any questions about cosmetic gum surgery, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Gummy Smiles” and “Periodontal Plastic Surgery.”