Dr. Musto

Practice Limited to Periodontics and Dental Implants

920 Wyoming Avenue, Suite 203, Forty Fort, PA 18704

507-283-3611

Cosmetic Periodontal Surgery

A combination of periodontal procedures by Dr. Musto and cosmetic dentistry, by your dentist, can provide significant improvement to the appearance of your smile.

Although your teeth appear short, they may actually be the proper length. The teeth may be covered with too much gum tissue. We can correct this by performing a periodontal plastic surgery procedure known as crown lengthening. This can be done to one or more teeth, to even your gum line, and to create a beautiful smile.

During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. When the procedure is completed sutures, and possibly a protective “bandage”, are placed to help secure the new gum-to-tooth relationship. You will need to be seen seven to ten days after surgery to remove the sutures, evaluate your healing, and to review oral hygiene.

Another cosmetic procedure is the soft tissue graft, sub-epithelial connective tissue graft. When recession of the gingiva occurs, the body loses a natural defense against both bacterial penetration and trauma. When gum recession is a present, reconstruction of the lost tissue using grafting techniques is an option. This is a predictable way to cover unsightly, sensitive or exposed root surfaces and to prevent future root cavities, gum recession, or tooth loss.

When there is only minor recession, some dense healthy gingiva (pink tissue directly around teeth) often remains and protects the tooth. So, no treatment other than modifying home care practices is necessary. However, when recession reaches the mucosa (thin, red, and easily irritated tissue), the first line of defense against bacterial penetration and inflammation is lost.

In addition, gum recession often results in root sensitivity to hot and cold foods as well as an unsightly appearance to the gum and tooth (appearance of long teeth). Gum recession can predispose teeth to worsening recession and exposure of the tooth root surface, which is softer than the tooth crown. Exposure of the root surface can lead to root cavities and root gouging.

A connective tissue graft is designed to solve these problems. A thin piece of tissue from inside of the upper teeth is placed over the exposed root surface. The existing tissue is then moved and repositioned to cover the tissue graft. This provides a stable band of attached dense gingiva around the tooth.

When the procedure is completed sutures, and possibly a protective “bandage”, are placed to help secure the new gum-to-tooth relationship. You will need to be seen ten to fourteen days after surgery to remove the sutures, evaluate your healing, and to review oral hygiene.