Treatments

Gingival Recession (Receding Gums) and Microsurgery

Gingival Recession – An aesthetic detriment affecting the smile line and exposing roots

What is gingival recession?

Gingival recession refers to receding gums which expose the roots.  It develops from aggressive brushing caused by a brush that is too hard, incorrect brushing methods, and/or too frequent brushing.  It can also be the result of a too delicate gum structure.  Withdrawn gums may lead to higher sensitivity to heat and cold, greater build-up of dental caries around the roots of the teeth, and most of all, blemished aesthetics. 

This phenomenon does not create infection, unlike gingivitis, but does weaken the tooth’s grip in the jaw, and therefore requires treatment.

Treatment is provided through a “gum graft” or soft tissue transplant.

What is a gingival graft?

This is a gentle surgical procedure that corrects and improves the gum structure and halts the process of gum recession.

The main goal of the transplant is to structure tight gums beyond the receded area, preventing further gum withdrawal.

In some cases, the recession can be covered during the gum graft.

The gingival graft procedure

Usually the soft tissue is taken from the patient’s mouth during surgery that requires no more than localized anesthesia.  In some cases, the surgeon may prefer to use materials from the “graft bank” rather than the patient’s own mouth.  After the gum graft is stitched into place around the area of recession, a periodontal bandage will be attached for several days until healing is achieved.

This intervention does not hurt, and causes little more than minor discomfort for several days.  The area from which the graft is taken tends to heal fully within 2 to 3 weeks after surgery, leaving no scars or signs. 

Once stitches are removed, it is of vital importance to use a correct brushing method.  The patient will be given instruction by the dental hygienist.

What is the benefit of a gingival graft?

Gum grafting is a delicate surgical procedure requiring precision, skill and experience.  Moria Periodontal Center dentists are trained in using a microscope during the graft process that enables them to reach highest levels of precision during this complex process.  The microscope’s magnification is 24 times greater than actual, allowing dramatic improvements when considering aesthetic outcomes.  Dental magnifying glasses are also worn to enhance perfection of results.  The graft reconstructs tight gums and prevents continued gum recession by structuring a protective casing for the periodontal tissues, and in this way prevents future osteoporosis.  The graft also reduces root sensitivity and helps fix aesthetic flaws in the smile line.

 

Microsurgery

Microsurgery is surgery performed with the assistance of a microscope.

To date – innovations in treating periodontal diseases and grafts

In traditional macrosurgery, the surgeon operates according to what she or he sees.  Its limitations depend on the surgeon’s sight rather than her or his hands: in other words, the surgeon’s motorial and implementational abilities are limited by the visible information.  Improving the quality of visible information vastly improves the field of vision.  When such information is insufficient, the quality of surgery decreases, as does the surgical technique, and in some cases can end up being more traumatic and painful than necessary, additionally manifesting in poorer aesthetic results.

Why microsurgery?

Microsurgery improves surgical technique as a result of the magnified field of vision offered by the microscope.  Microsurgery offers stronger lighting, a sharper field of vision and improved surgical precision.

Microsurgery offers multiple advantages:

  • Less invasive surgery
  • Richer supply of blood which promotes faster healing
  • Reduced trauma and pain
  • More successful aesthetic results

Which treatments are assisted by the microscope?

The microscope serves as an assistive tool for a variety of interventions and surgical procedures:

  • Gum surgery, deep cleansing and root scaling
  • Gum grafts
  • MIS – Minimal Invasive Surgery
  • Sinus floor lifting
  • All delicate surgical suturing

Summary

The microscope has opened up new horizons in Periodontics and become a vital surgical instrument in modern, cutting edge clinics.  Moria Periodontal Center currently uses one of the most advanced microscopes available worldwide, and our staff have undergone training in the USA.

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