Marshall will use very conservative techniques. Based on the one photo sent it is difficult to determine whether you will gain by having gum recontouring (gingivectomies). OPEN EVENINGS AND WEEKENDS . After your braces come off, Dr. 3. Dental Implants. She is holding a picture of herself when she was younger. With a soft tissue laser, the procedure involves significantly less bleeding and discomfort as well as faster healing. Traditional treatment for advanced periodontal disease, for example, consisted mainly of osseous surgery, wherein Dr. Figure 4. If you have a temporary crown, it’ll be removed. Treatment of gummy smile: Gingival recontouring with the containment of the elevator muscle of the upper lip and wing of nose. 279 – RSBO. Genesis Dental is a General, Cosmetic, Family Dentist & Orthodontist in Utah & Kansas. Surgical procedures are designed to either remove diseased gum and bone for better cleaning access. When gum recession is a problem gum reconstruction using grafting techniques is an option. Here’s how you can achieve a healthy, beautiful smile with laser dentistry. 25 The power was controlled between 0. Unfortunately, the majority of cases will involve bone recontouring as well as gingival resection to accommodate aesthetics and function. 1 Depigmentation. After battling with bulimia that caused this patient’s teeth to decay, Dr. It cannot impact the shape, color, or position of the tooth, which would require other procedures. Call (614 )889-8222 for an appointment today. Wooden interdental aids appear to offer no significant advantage over brushing with respect to plaque removal; they may, however, reduce gingival bleeding. Online Forms Special Offers. 25, 26 Narayanan presented the cases of 2 selected patients treated with gingival recontouring by means of diode laser 810 nm excision performed in continuous mode. Similar to crown lengthening, gum recontouring redefines the shape of your gumline to expose more of your dental structure. . A mucogingival junction is a feature which is located on the intraoral mucosa. Extensive gingival swelling in both maxillary and mandibular. Search life-sciences literature (41,362,638 articles, preprints and more) Search. Search life-sciences literature (41,996,239 articles, preprints and more) Search. An array of modifications has been introduced to the technique over time and as studies show the technique and its modifications to be successful, there is little standardized information for clinicians to make informed decisions when choosing this. This can create a more even gum line or make the teeth appear longer. Tooth number 7 will have the most dramatic effect during a full smile and a millimeter to a millimeter and a half reduction would be sufficient. “Gingival (gum) contouring” is the process of recontouring the gum only. Landon Blatter presents a case study to demonstrate how immediate nonocclusal load and occlusal load provisionals can be used to restore gingival contouring for dental implants placed in the challenging areas of. More recently, a lip repositioning surgery technique aimed to treat the excessive gingival display, removing a strip of outlined mucosa by a superficial split thickness dissection, leaving the connective tissue exposed. 22, 23, 24 Only once the etiologic factor was successfully managed in the initial periodontal and prosthodontic treatment phase, the. Restricted jaw movement. Factors affecting GHOC: 1. 2 Moderate involvement. 61. The closure of diastemas in anterior teeth using direct adhesive restorations and gingival recontouring is a viable option for the clinician because it restores esthetic harmony between soft and hard tissues. Gum Contouring. Brägger U, Lauchenauer D, Lang NP. 1992;19:58–63. , 2003; Sterrett et al. After crown lengthening, the gingival display while smiling was reduced to approximately 6 mm [Figure 3]. A radiographic and probing assessment revealed sufficient sulcular depth which could allow the removal of sufficient amount of gingival marginal tissues, which was consistent with. Gingival Recontouring - Patient B. Gingival recession can have a number of adverse effects on anterior aesthetics, shown in Table 9. Reconstruction Of Pink And White Esthetic Balance Using Architectural Gingival Recontouring…. Figure 6: (a-d) IPR used to gain space and reduce the appearance of black gingival triangles in the aesthetic zone. D7971 is used when inflammatory or hypertrophied tissue is being removed on a partially erupted or impacted tooth (i. ”. The fracture line extended below the gingival level at the palatal surface of the tooth. “My gums show too much when I smile or talk. To reliably perform gingival recontouring procedures, the dentist must have a clear understanding. This study presents an innovative and effective therapeutic option to obtain a natural and harmonious smile in patients with gummy smile. Complementary lines are drawn such as the gingival zenith, joining lines of the gingival and incisal battlements. 00 - 18. your place for. Gum recontouring is a popular cosmetic procedure that is performed by many dental professionals. Once healthy, the dentist can get an accurate picture of the gingival condition and symmetry. Ultimately, you should consult your dentist about whether gum reshaping is right for you. This was undertaken with oscillating mounted strips with increasing widths ( Fig. We’ve used Solea successfully on lips, such as for blue nevus resurfacing, and canker sore treatment, too. If there is an excess gingival tissue, gingival recontouring allows place the brackets in an ideal position quickly. Cobb has placed a lot of emphasis on cosmetic dentistry techniques over the span of his career and has the advanced education to provide transformative procedures like porcelain veneers in Odessa. In stage one, a gingivectomy procedure is done and required amount of crown is exposed. More recently, a lip repositioning surgery technique aimed to treat the excessive gingival display, removing a strip of outlined mucosa by a superficial split thickness dissection, leaving the connective tissue exposed. A surgery innovation technique. Gingival recontouring. Related; Information; Close Figure Viewer. The objective of gingival recontouring is to establish an adequate relationship of the gingival margin with the lip, to increase tooth crown display, and to establish an esthetic harmony between. In contrast, the mucosa which surrounds the teeth and is on the palate of the mouth is more firm and contains keratin (keratinized). 276 – RSBO. 8 Porcelain Veneers with Gingival Recontouring. ESTHETIC GINGIVAL RECONTOURING! Fortunately, incomplete passive eruption is easily treated by gently reshaping the gum and bone surrounding the teeth, to position the gum at a more natural and esthetic level. 6 Choice of Technique to Manage Gingival Recession and Aesthetics. Gum contouring, also known as gingival sculpting or gingivoplasty, is one of the options that can help reshape your gumline. Crown lengthening is generally performed in order to improve the health of the gum tissue, or to prepare the mouth for restorative or cosmetic procedures. Stephen Walker, DDS, MS, and Dr. Waukee Appointments M-T 7:30am - 3:40pm Friday 8:00am - 1:00pm; Adel Appointments M-T 7:30am - 3:40pm Friday 8:00am - 1:00pm;A gummy smile, also known as excessive gingival display, refers to a smile that shows an excessive amount of gum tissue above the teeth. It is an in-office cosmetic procedure which evens out your gums. They include: Tooth whitening. Almasri will remove excess gum tissue to reveal more of your tooth structure, creating a more even ratio of gums to. Similarly, it is not unusual for people to be unhappy with the length or shape of their teeth. 9790/0853-1802065256 53 | Page was placed in such a way that it was co-incident clinically with the location of interproximal soft tissue. "Gingival (gum) contouring" is the process of recontouring the gum only. What is Gum Recontouring?. The laterals are on average 1. Crown lengthening is a surgical procedure performed by a dentist, or more frequently a periodontist, where more tooth is exposed by removing some of the gingival margin (gum) and supporting bone. Unveil the secrets of gingival recontouring, a smile transformation procedure that boosts confidence. A wide variety of procedures are available for correction of excessive gum display based on the cause of the condition. The procedure . In the. DOI: 10. Crown lengthening is a surgical procedure that exposes more tooth structure by removing the surrounding gum tissue or bone. We accept most major insurances and also offer affordable financing options to make your access to orthodontic care much easier. Grade 2: Overgrowth involves papilla and marginal gingival. esthetic features of proportional gingival contours, cer-tainly Dr. (B) Clinical photographs of a periodontal defect after reflection of the gingiva and. 5 watts, depending on the melanin spots of the gum. New Patients: (215) 346-7462 Current Patients: (215) 348-9922Gingival recontouring with a provisional implant restoration is a non-surgical and non-procedure-sensitive method to produce an optimal emergence profile of a definitive implant restoration. They can examine your teeth and gums and make the best. 4103/0972-124X. Clicking or popping noises when you attempt to move your jaw. Crown lengthening has both aesthetic and health benefits: Aesthetic — Addresses cosmetic concerns about “short” teeth. Soft tissue diode laser contouring of gingiva is a common. 8 During the use of laser, heat will be generated which will result in coagulation, drying and vaporization at the. 9 by creating an aspect ratio of 75 percent. During aesthetic gums contouring, the gum tissue is adjusted to have a consistent height and shape across each of your teeth. Excess gum tissue, (known as a “gummy smile”) can hide the natural contour and length of a tooth, preventing the “golden proportion” of length to width. To fix receding gums for better oral heatlh, contact Dr. It has multiple causes as short upper lip or hyperactive upper lip, excess maxillary growth, and excess gum covering teeth. Also called tissue sculpting or gum reshaping, this. Dental Bridges. , Virginia Beach, VA 23452. was accomplished by laser-assisted removal, through scraping a strip of mucosa from the. gingival margin without osseous recontouring but nevertheless in violation of the biologic width. This is a more delicate procedure that requires exposing root surface, positioning gingival margins at the desired height, and apically reestablishing the biological width. Before the advent of the laser, dentists used a scalpel to reduce the prominence of gums or “gummy smiles”. Uneven gingival margins (pre–operative). Dentofacial risk would be decreased by changing the gingival contours and levels on the lower anterior teeth orthodontically and by performing crown lengthening on the. It is usually done by a periodontist or cosmetic dentist, in their office. Waupun 412 Shaler Drive, Waupun, WI 53963 (920) 324-3881. B. When gummy smile is caused by excessive gingival tissue partially covering the anatomical crown of the teeth (which is also caused by altered passive eruption), a resective. When gum recontouring is done as a cosmetic procedure, it helps to. (502) 317-1122 9710 Park Plaza Ave #105 Louisville, KY 40241. If you need gingival contouring in the Seminole County area we can help you. In the past, gum recontouring was performed using invasive, surgical techniques. Gum contouring, medically known as gingivoplasty, is the surgical reshaping of gums around the teeth. Ear congestion or pain but no sign of infection. 4444 N 32nd St Ste 208 Phoenix, AZ 85018. Summary In summary, the most important takeaways for the predictable management of palatally impacted canines are the following: 1. This is a more delicate procedure that requires exposing root surface, positioning gingival margins at the desired height, and apically reestablishing the biological width. In the present study. It is an easy proc. Vishnusdas et al. 2016 Oct-Dec;13(4):275-9 Ferrari Jr. Advanced searchBecause both soft- and hard-tissue modification were needed, an Er,Cr:YSGG (erbium, chromium, yttrium-scandium-gallium-garnet) laser was used under local anesthesia in H mode, at 1. Crown lengthening was carried out initially from 14–24 by gingivectomy technique (without osseous recontouring as probing depth was 4–5 mm) with a 15C Bard-Parker blade (Kehr Surgical Pvt. These include the apically-repositioned flap, replaced flap, laterally-repositioned flap, free gingival graft, and frenum repositioning. This procedure obtained 80% average reduction in gingival display considering only 6 months of follow-up. This procedure obtained 80% average reduction in gingival display considering only 6 months of follow-up. ,, 17. Establishing aesthetic outcomes in peri-implant soft tissues of anterior implants is challenging for many. More recently, a lip repositioning surgery technique aimed to treat the excessive gingival display, removing a strip of outlined mucosa by a superficial split thickness dissection, leaving the connective tissue exposed. It can be performed using. Ultimately, the ideal proportions in crown length should be achieved in combination with a normal physiologic. Jumeirah Beach Road Umm Suqeim 1 – Villa 611, Dubai, UAE +971 4 394 5422 +971 4 394 5422;Predictably restoring sub-gingival cavities with composite is difficult and an area where UK. According to Goldman and Cohen, “altered passive eruption” is a disorder that only affects adults and causes the gingival border to be incisal to the. Marongiu, DDS, AAACD; Evan S. 2 mm (males) up to 11-12 mm. ”. There are various types and levels of sedation, with nitrous oxide being the mildest and (often) the least expensive. Background Preservation of the interdental papilla is an essential part of the functional and esthetic rehabilitation of dental treatment. Crown lengthening helps give your dentist enough tooth structure to work with during restorative procedures, like fillings or fitting a dental crown or bridge. Remove excess gingival tissue easily with the use of a diode laser. nonsurgical gingival recontouring a second restorative strategy, an of the interdental papilla, and optical illusion resource was used A clinical examination revealed increasing the length of the to virtually reduce the width of the a moderate midline diastema lateral incisors using composite central incisors (Figures 6 and 7). This. with osseous recontouring or osstectomy is an option which is performed in an attempt to allow the. Kempsville | (757) 474-1200 1055 Kempsville Rd. The patient was unhappy with her gummy smile and short teeth. Meet Dr. flap is then elevated to preform resective osseous recontouring, rendering. If your gums have receded, and your teeth appear overly long or elongated, then soft tissue grafts can extend the gum. In other instances, gum recontouring is helpful for those who have experience decay under the gum line, tooth loss, gingival infections, or periodontal disease. Ribeiro-Júnior NV, Campos TV, Rodrigues JG, et al. Tooth reshaping and straightening. The laser surgery is performed by either experienced dentists or trained periodontists. Request an appointment at Stoner Periodontics Specialists. It is due to the reason that different people have a different gum problem and the fee of the professional varies as per the expertise. Gingival Sculpting – Reshaping Gum Tissue. 3. The technique employs a non-surgical approach for ablation of diseased epithelium at the gingival margins and provides excellent hemorrhage control. Renken Dentistry of Oak Hill (737) 204-1781 7826 West US 290 Suite 102 Austin, TX 78736After a comprehensive evaluation of the periodontal tissues and gingival health, the patient was scanned intraorally, and new photographs were made. The closure of diastemas in anterior teeth using direct adhesive restorations and gingival recontouring is a viable option for the clinician because it restores esthetic harmony between soft and. Depending on the periodontal health, the gum healing will begin with. To avoid this, it is recommended to use a fixed retainer bonded on the palatal aspect of maxillary anterior teeth, after restorative esthetic recontouring of the anterior teeth. This study presents an innovative and effective therapeutic option to obtain a natural and harmonious smile in patients with gummy smile. The procedure is performed by recontouring gum tissue or bone, which exposes more of a tooth’s. Tooth-Colored Dental Fillings. Home; About Us. D7971 is used when inflammatory or hypertrophied tissue is being removed on a partially erupted or impacted tooth (i. 11. This can create a more even gum line or make the teeth appear longer. It is also referred to as "gum contouring" or "gum lift”. “Crown lengthening” refers to recontouring. In most cases,. American Dental Coders Association 9015 W Union Hills Dr Ste 107 #314 Peoria, AZ 85382 833-469-ADCAThe main goal of gingival recontouring is primarily cosmetic and is something that can be easily performed by Stoner Periodontics. 75 W/30 Hz with a MT-4 tip for soft tissue removal; then at 2. Answer: Gum recontouring and veneers. Nonsurgical restorative techniques to manipulate the soft tissue surrounding the cervical aspect of the restored tooth into a more favorable contour are reviewed. Most Kois dentists incorporate gentle, soft-tissue laser technology which allows for minimally invasive treatments, including gingival contouring. You might be curious about gum recontouring, so let us explain it clearly. If the gum line is uneven, aesthetic gingival recontouring can also sculpt the gum line to produce a more symmetrical, balanced smile. It has been described that thicker gingival tissues are more resistant to recession. Patient Info. Anesthesia and sedation usually cost extra. We will use a laser to remove excess gum tissue around the upper teeth to make them look longer. Firstly, Dr. Preventative Dental Care. Gingival Recontouring (Gum Reshaping) Correction of Damaged Gum Tissue During Orthodontics. Dental history revealed severe periodontal disease associated with anterior occlusal trauma due to loss of posterior teeth. It is typically performed by a periodontist or cosmetic dentist who specializes in gum health and aesthetics. Sometimes, teeth aren’t actually the culprit when you’re unhappy with the way your smile looks – it’s your gums. The procedure involves restoring gum tissue. Placing metal-free restorations will better protect your damaged or decayed teeth from future harm. Dental Crowns. Crown Lengthening. Discover the seven signs you need to talk to your dentist about gum. 2. To reliably perform gingival recontouring procedures, the dentist must have a clear understanding of the biologic width and by using diagnostic bone sounding, the practitioner can determine the appropriate surgical procedure that will ensure an esthetic and stable postoperative result. 2 The common gingival esthetic problems that can be encountered as part of the prosthetic solution to cos-metic cases include excessive gingival display,3-7 uneven ABSTRACTSevere headaches or migraines. Rationale, concepts, and. About Trinity Dental Loft; Convenient Hours;How gum laser recontouring and surgery works. The gingivectomy and gingivoplasty cost may range around $190 - $300 per tooth. Methods: After the second surgery, a preliminary impression was taken to make a soft tissue working cast. Remodeling or contouring of the gums and surrounding bone is carried out to reveal the. Mylar strip was extended out of the sulcus by approximately 1 mm high from the gingival margin, and a small cotton pellet was used to provide the emergence contour. Some issues that esthetic gingival recontouring can address include: Excess gum tissue that makes the teeth appear short and stubby. The. Pages 229-240. This technique resulted in shortened vestibule and restricted the muscle pull of the elevator muscles of the lip, thereby reducing gingival display when. There are various alternatives for correcting a gingival smile, ranging from techniques such as gingivectomy to more complex and invasive procedures such as orthognathic surgery. Gingival Recontouring. Although there are traditional ways to contour one’s gum, laser gum contouring is done. Tarnow DP, Magner AW, Fletcher P. Adequately contoured implant restorations need to transition from the circumferential. Contact Us. Also, due to the precision. "Gingival (gum) contouring" is the process of recontouring the gum only. When both the bone and gum will be addressed, crown lengthening is also included. To reliably perform gingival recontouring procedures, the dentist must have a clear understanding of the. The blood flow velocity in the same location was measured 3 days after the gingival massage using a laser Doppler flowmeter. Laser therapy offers precision which protects the surrounding tissue and accurately shapes the gum line. Introduction The gingival architecture plays a crucial role in maintaining pink aesthetics governed byWhen performed alone, gingival recontouring, also known as gingivoplasty, addresses only the gumline. The unaesthetic EGD smile is described with a gingival display of 4 mm or. Gallery. This not only helps to seal the wound while killing off the bacteria but also brings greater precision and less trauma to the gum tissue. The term is interchangeable with crown lengthening because the actual procedure involves exposing more of the natural tooth structure (the crown). To achieve healthy and natural-looking gums with gingival sculpting, we use a minimally invasive laser method done in our Chattanooga, TN. 276 – RSBO. 142468. 0 watts | Mode: Continuous | Tip: Initiated. or the gums have receded, there is an easy solution thanks to aesthetic gum recontouring. Restorative Dentistry. The plan can consist of two or more of any of the smile-transforming services that we offer, like gum recontouring, teeth whitening, porcelain veneers, etc. Lingual movement of the incisors, distance from the contact point to the alveolar crest after treatment, antero-posterior overlap of the two central incisors before treatment in the maxilla, and distance. Sammy Houari, DDS, MD, the practice provides patients with. In the present study. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. Added benefits include ease of use, patient acceptance, and recontouring of interdental tissues. Costs for gum contouring can range from as little as $50 to $350 for a single tooth, and from $1,000 to $3,000 for all of your front teeth. A dentist can shape and reduce the gums through a simple process called gum recontouring. Skip to content. Conclusions Gingival recontouring with a provisional implant restoration is a non-surgical and non-procedure-sensitive method. Vishnusdas et al. com 210-341-4409 New Patient Forms. ( a, b) Disto-gingival demarcation on anterior brackets to assist with identification. Clinical Procedure: The smile's esthetics were improved through gingival recontouring, dental home bleaching, and a restorative procedure with thin porcelain laminate veneers using lithium. A low gumline that makes the teeth appear disproportionately long. Recontouring. 0 mm. After measuring body weight, the rats were placed in a dorsal position on a warmed bench (30 × 45 cm) maintained at 37°C. The effect of the distance. 03 9500 2091. Extent of work. it is not possible to treat the patient solely via gingival recontouring (GR), however, because the amount of gingival display remains signifi cant (Storrer et al. Volume 21, Issue 4. A 19 year old female patient was referred from depigmentation of Maxillary anterior Gingiva was performed. Tissue graft for upper recession; Tissue graft for lower recession I; Tissue. If you are doing the braces in the near future, it is best to do it afterwards because your teeth and gums will shift. 15. e. This technique had corrected esthetic alterations of smile, reducing the upper lip elevation, which results in a smaller. 5 mm shorter than the centrals (Allen, 1988; Magne et al. For both applications, 11% air and 11% water was used. Gummy smile / uneven gum line. Crown lengthening is done for functional and/or. Laser gum therapy is the treatment that can remove infected gum tissue quickly and comfortably to stimulate healthy gum growth. Ⅱ. It typically involves a minimally invasive laser procedure to get rid of uneven or excessive gum tissues. This procedure removes the excess gum and exposes more of the tooth crown. Your gums may have receded for a variety of reasons, including aggressive tooth brushing or periodontal disease. Crown Lengthening/Gingival Recontouring. 2014;18(5):656-660. Here are the basic steps involved: Cobb will start by numbing the area to make sure you stay comfortable. During the procedure, the doctor uses a soft tissue laser and re-sculpts the gum line. Even though the gingival margin of tooth 13 was slightly apical to the adjacent teeth, gingival recontouring was not recommended due to a low smile line. The length of the procedure may vary from several minutes to about 1 to 2 hours, depending on the size of the. 02073281200. 00 to 3000. 7 The soft tissue diode laser helps to establish a state of hemostasis and facilitate gingival recontouring. 972-213-0063 Schedule Now. Volume 12 Issue 7, July 2023 . Remove excess gingival tissue easily with the use of a diode laser. DR MUZAMMIL MOIN AHMED, BURAYDAH COLLEGES, KSA. Set up a consultation View more detailed photos. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. Traditional treatment for advanced periodontal disease, for example, consisted mainly of osseous surgery, wherein Dr. DR MUZAMMIL. As the name suggests, a gummy smile is a common name for a smile in which a significant portion of the gum tissue is exposed when a patient smiles. . From: Management of Pain & Anxiety in the Dental Office, 2002. Gingival smile is one of the most common complaints of patients seeking an aesthetic smile. The surgery will normally only take 25-45 minutes, depending on how impeded the tooth is. However, gum problems are more common than you might imagine. Come to Villanova Dental Studio in Ottawa, ON for state of the art gum recontouring treatments today! Book Appointment (613) 836-9084. Your gums can be numbed at the beginning of the procedure to reduce the discomfort. Fig. Accomplished in the past using scalpels, cosmetic gum surgery with Dr. Call 877-642-1466 to schedule an appointment. Advanced searchLaser gum contouring with the Waterlase is a fast, efficient and comfortable way to remove excess gum tissue. It involves removing excess gum tissue or reshaping the gum line to create a more balanced and aesthetically pleasing smile. Gingivectomy surgery removes and reshapes a part of the seriously diseased gum and is mostly recommended before the gum disease affects the tooth's supporting bone. A technique we use to remove and reshape excess gum tissue in small sections that will reveal more of your teeth. J Indian Soc Periodontol. Knowledge of the pathogenetic mechanisms of the disease process and identification of the defect characteristics enable. Request Request Appointment Forms Forms Waupum Beaver Dam. D4274 can also be used for this procedure. However, this procedure is more designed to achieve ideal cosmetic results instead of specific functional ones. Gum contouring (also called gum reshaping) is a procedure that dental providers (usually periodontists) use to change the appearance of your gums. Thalia | (757) 486-2525 4169 Virginia Beach Blvd. This can be extremely helpful, especially if you need. 1. gingivoplasty), along with gingival recontouring to correct any discrepancy, may be necessary after rapid extrusion. Gingivectomy before and after procedure. Find out more here. The periodontist will expose the tooth surgically. Home; About;Laser Gum Recontouring “All on 4” Dental Implant Dentures; Sleep Apnea and Snore Guards; TMJ Disorders/Pain Treatments; Orthodontics; Urgent Care. The cost of a gum lift or surgery ranges form 1500. Gum reshaping is usually done by a periodontist or a very qualified and experienced general dentist. Though there may be some side effects, especially tooth sensitivity, no specific. Conclusions: Gingival recontouring with a provisional implant restoration is a non-surgical and non-procedure-sensitive method. This procedure is most commonly used on top front teeth, which tend to show the most when smiling. Used to treat gingival disease after nonsurgical methods, such as root planning and scaling, have been unsuccessful in the removal of subgingival deposits of plaque and calculus. The association of periodontal disease and occlusal trauma was the main etiologic factor for the occurrence of the gingival recessions. elimination and gingival recontouring in the presence of supra-bony pockets with normal bony configuration. Fortunately, that’s no longer the case. Closure of diastema and gingival recontouring using direct adhesive restorations: a case report. Cosmetic needs. Tissue graft for upper recession; Tissue graft for lower recession I; Tissue graft for lower recession II; Tissue graft for lower recession III; Full tissue graft for upper front teeth; Esthetic Crown Lengthening (Gummy Smile) Iteeth 13, 12, and 11 to mimic the gingival heights with teeth 21, 22, and 23 (Figures 2 and 3). By choosing to invest in veneers, teeth whitening, gum recontouring, or even metal-free restorations, you can change the way you take care of your smile for a lifetime. Search life-sciences literature (42,046,431 articles, preprints and more) Search. Return to Figure. In most cases,. This type basically consists of staging of crown lengthening procedure in two stages i. Four to six weeks after placing the provisional restoration, the gum reformed with harmony between the peri-implant gingiva and adjacent dentition. These spaces can also cause phonation problems as well. This prompts a detailed look at gum recontouring. This led to an increase in emergence profile and also provided gingival tissue recontouring. The gums, also called the gingiva, consist of the mucosal tissue which cover the mandible and maxilla located inside the mouth. J Clin Periodontol. September 3, 2017. C.