Vancouver Periodontal Blog

Root Coverage Surgery

Gingival recession is a clinical problem that dental professionals face on a daily basis. Patients with gingeval recession have an increased risk of root caries, for which there are limited restorative options. A high lip line can be aesthetically unattractive and root exposure often causes dentinal hypersensitivity. This can significantly affect quality of life by limiting the types of foods patients can eat and sensitivity can interfere with normal hygiene procedures, leading to increased plaque accumulation while increasing the risk of further recession. Over half the adult population has at least one site of gingival recession, so there is a significant burden of illness as a result.

A number of periodontal procedures are successfully used to cover exposed roots: CTG, free gingival grafts, coronally positioned flaps, lateral sliding flaps, and the use of barrier membranes (GTR). The success of the procedure is dependent on a number of factors. These include the experience, the nature of the gingival defect, anatomical considerations and whether or not the patient smokes.

Consult a Vancouver periodontist concerning root coverage surgery

Cosmetic Gum Contouring

Also known as gum reshaping, gum contouring is a cosmetic dental procedure employed to improve a patient’s smile. The most common treatment is for what is commonly known as a ‘gummy smile’, a condition in which gums cover more of the front teeth than is desired. The teeth appear too short. This often causes the person to avoid smiling and can give rise to self confidence issues. A gummy smile can be caused by genetics, health circumstances and some high blood pressure prescriptions.

Gum contouring is a procedure that has been commonly done with a scalpel. In recent years laser devices are often used to trim away excesive gum overlying the teeth. The laser provides the added benefit of sealing blood vessels during the procedure.

Gum contouring is a painless dental treatment and is able solve the ‘gummy smile’ problem in a single visit.

Clinical Crown Lengthening

Crown lengthening is a surgical procedure that often preceeds other restorative work. Re-contouring of the gum ensures that the new restorations are constructed to the highest standard. Restorations constructed with this advance preparation will usually last many longer than those which aren’t.

Consult a Vancouver periodontist about gum surgery

Gingivitis

Gingivitis is the mildest form of periodontal disease. It is generally caused by inadequate oral hygiene, leading to the buildup of plaque.

There are other factors that can contribute to gingivitis:

- diabetes
- stress
- inadequate nutrition
- aging
- smoking
- a genetic disposition
- systemic diseases and conditions
- entering puberty
- hormonal fluctuations
- pregnancy
- substance abuse
- HIV infection
- certain medications

The bacteria in dental plaque irritates the gums and causes infection. Your body launches an immune response against these invaders and the gums become inflamed.

People with gingivitis usually experience little or no discomfort. Without the warning provided by pain or irritation it is important to recognize the symptoms and seek treatment. Symtoms include gums that are red, swollen or bleed easily.

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